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Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A

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https://www.readbyqxmd.com/read/29028454/the-longtan-modification-an-effective-and-economical-surgical-innovation-for-parastomal-hernia-post-intraperitoneal-sigmoidostomy
#1
Peng Wang, Hao Su, Jianwei Liang, Zheng Wang, Zhixiang Zhou, Haitao Zhou
PURPOSE: This study was designed to introduce a new surgical innovation, referred to as the "Longtan modification," for cases with parastomal hernia (PSH) following intraperitoneal sigmoidostomy, and to assess the safety and feasibility of this procedure. METHODS: Between January 2013 and June 2016, a total of 26 consecutive cases with PSH successfully underwent this procedure. The patient demographics, surgical outcomes, stoma-related complications, and the stoma function were collected and analyzed...
October 13, 2017: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/29023195/depth-of-intestinal-wall-infiltration-and-clinical-presentation-of-deep-infiltrating-endometriosis-evaluation-of-553-consecutive-cases
#2
Roberto Rossini, Giorgio Lisi, Anna Pesci, Marcello Ceccaroni, Giuseppe Zamboni, Irene Gentile, Lorenzo Rettore, Giacomo Ruffo
INTRODUCTION: Intestinal involvement in endometriosis was first described by Sampson in 1922. The reported incidence ranges between 3% and 37% in patients diagnosed with endometriosis. In literature, there are few studies that correlate the severity of endometriosis (in terms of intestinal infiltration) and its clinical presentation. The aim of this study was to review the correlation between the severity of symptoms, the depth of intestinal wall infiltration, and lymph node involvement in our tertiary referral center...
October 12, 2017: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/29023188/preliminary-experience-with-instillation-of-triamcinolone-acetonide-into-the-urethra-for-idiopathic-urethritis-a-prospective-pilot-study
#3
Junaid Ashraf, Anna R Radford, Alexander Turner, Ramnath Subramaniam
BACKGROUND: Idiopathic bulbar urethritis (IBU) is characterized by hematuria ± dysuria without infection. Symptoms result from inflammation of the bulbar urethra, distal to external sphincter. IBU is difficult to manage and there is no recommended therapy. OBJECTIVE: To determine whether instillation of triamcinolone acetonide is a useful treatment of IBU and its associated complications. SETTING AND PARTICIPANTS: Data were prospectively collected, for 22 months, on 14 consecutive patients presenting with terminal hematuria or blood spotting ± dysuria to a pediatric urology unit...
October 12, 2017: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/29019713/modified-endoscopic-vacuum-therapy-for-nonhealing-esophageal-anastomotic-leak-technique-description-and-review-of-literature
#4
Guy Pines, Ilan Bar, Amir Elami, Shimon Sapojnikov, Ofir Hikri, Dennis Ton, Bruce Mosenkis, Ehud Melzer
BACKGROUND: Endoscopic vacuum-assisted closure (EVAC) therapy is increasingly being used as a new promising method for repairing upper gastrointestinal defects of different etiologies with high success rates. EVAC therapy consists of placing a sponge either within the lumen or within an abscess cavity connected with a nasogastric (NG) tube to a negative pressure system, thus decreasing bacterial contamination and edema and promoting granulation tissue proliferation, thereby gradually decreasing the cavity size until complete closure...
October 11, 2017: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/29019709/laparoscopic-varicocelectomy-using-polymeric-ligating-clips-and-its-effect-on-semen-parameters-in-pediatric-population-with-symptomatic-varicocele-a-5-year-single-surgeon-experience
#5
Zenon Pogorelić, Magdalena Sopta, Miro Jukić, Ana Nevešćanin, Ivo Jurić, Dubravko Furlan
BACKGROUND: The aim of this study was to evaluate demographic and clinical characteristics of the children undergoing laparoscopic varicocelectomy by using polymeric ligating clips and to evaluate postoperative outcomes and analyze semen according to the grade of varicocele after surgery. PATIENTS AND METHODS: The case records of 120 pediatric patients who underwent laparoscopic varicocelectomy were retrospectively reviewed. The following parameters were examined: age, grade of varicocele, lateralization, diameter of spermatic veins, indications for surgery, duration and outcomes of surgery, complications, and recurrence rate...
October 11, 2017: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/29019705/validation-of-a-difficulty-grading-score-in-laparoscopic-splenectomy
#6
Diana Gonçalves, Marina Morais, André Costa-Pinho, Renato Bessa-Melo, Luís Graça, J Costa-Maia
INTRODUCTION: Laparoscopic splenectomy (LS) is the gold standard for the treatment of many spleen-related disorders. However, in the presence of splenomegaly, the rate of conversion to open surgery can be as high as 33.9% and is associated with longer operative times and higher costs. In an attempt to improve risk stratification and patient selection for LS, a score that includes four preoperative parameters (age, gender, diagnosis, and spleen size) has been developed. The aim was the validation of a difficulty grading score, in predicting conversion and poorer outcomes...
October 11, 2017: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/29016218/impact-of-resident-performed-laparoscopic-appendectomy-on-patient-outcomes-and-safety
#7
Wonkyeong Lee, Sun Jin Park, Min-Su Park, Kil Yeon Lee
BACKGROUND: Laparoscopic appendectomy is a training model for surgical residents to begin their surgical experience. However, there is concern about worse outcomes of surgery performed by inexperienced residents. We investigated surgical outcomes and patient safety in laparoscopic appendectomy performed by residents. MATERIALS AND METHODS: This is a retrospective cohort study of all consecutive patients operated on for acute appendicitis in a single tertiary hospital...
October 10, 2017: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/28976813/thoracoscopic-versus-open-congenital-diaphragmatic-hernia-repair-single-tertiary-center-review
#8
Anna F Tyson, Richard Sola, Michael R Arnold, Graham H Cosper, Andrew M Schulman
BACKGROUND: Congenital diaphragmatic hernia (CDH) can be repaired open or through thoracoscopy. Thoracoscopic CDH repair could improve cosmesis and avoid the complications of laparotomy, but may have higher recurrence rates. The purpose of this study was to examine the outcomes of thoracoscopic versus open CDH repair, with regard to recurrence, perioperative parameters, and postoperative complications. METHODS: We performed a retrospective review of open versus thoracoscopic CDH repairs over an 8...
October 4, 2017: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/28976807/hybrid-single-incision-laparoscopic-colon-cancer-surgery-using-one-additional-5%C3%A2-mm-trocar
#9
Hyung Ook Kim, Dae Jin Choi, Donghyoun Lee, Sung Ryol Lee, Kyung Uk Jung, Hungdai Kim, Ho-Kyung Chun
BACKGROUND: Single-incision laparoscopic surgery (SILS) is a feasible and safe procedure for colorectal cancer. However, SILS has some technical limitations such as collision between instruments and inadequate countertraction. We present a hybrid single-incision laparoscopic surgery (hybrid SILS) technique for colon cancer that involves use of one additional 5 mm trocar. METHODS: Hybrid SILS for colon cancer was attempted in 70 consecutive patients by a single surgeon between August 2014 and July 2016 at Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine...
October 4, 2017: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/28976806/magnetic-compression-anastomosis-magnamosis-for-functional-undiversion-of-ileostomy-in-pediatric-patients
#10
Luzia Toselli, Marcelo Martinez-Ferro, Guillermo Cervio, Dillon Kwiat, Jill Imamura-Ching, Claire E Graves, Brandon Gaston, Michael Harrison
INTRODUCTION: Magnamosis forms a compression anastomosis using self-aligning magnetic Harrison rings. The device has been approved by the Food and Drug Administration for first-in-human testing and has been applied in adults for intestinal anastomosis during urologic reconstructions. We now report the first cases of magnamosis to functionally undivert the fecal stream from a previously created loop ileostomy in pediatric patients. MATERIALS AND METHODS: Case 1: A 4-year-old male underwent a diverting loop ileostomy for malignant bowel obstruction...
October 4, 2017: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/28976805/single-port-and-conventional-laparoscopy-in-colorectal-surgery-comparison-of-two-techniques
#11
Udit Gibor, Zvi Perry, Sergey Domchik, Solly Mizrahi, Boris Kirshtein
BACKGROUND: Single-incision laparoscopic surgery (SILS) was introduced to further the enhanced outcome of conventional multiport laparoscopy (CML). We compared their short- and long-term outcomes in colorectal surgery. MATERIALS AND METHODS: Retrospective review of patients who underwent elective laparoscopic colorectal surgery during 3-year period. Patients' data, surgery outcomes, and oncological results were compared. RESULTS: Sixty-one patients (33 male, 28 female), mean age 67...
October 4, 2017: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/28976804/comparative-study-of-three-bile-duct-closure-methods-following-laparoscopic-common-bile-duct-exploration-for-choledocholithiasis
#12
Pablo Parra-Membrives, Darío Martínez-Baena, José Lorente-Herce, Granada Jiménez-Riera
BACKGROUND: There are three choledochotomy closure methods available following laparoscopic common bile duct exploration: T-tube insertion, antegrade stenting, and primary choledochorrhaphy. We reviewed the experience of 12 years at our center searching for the optimal closure technique. METHODS: We analyzed retrospectively 146 patients that underwent one of the three closure methods from February 2004 to March 2016. Hospital stay, need for readmission, incidence of early and long-term complications, and biliary leakage development and their clinical impact were determined for each technique...
October 4, 2017: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/28969523/postoperative-feeding-regimens-after-laparoscopic-gastrostomy-placement
#13
Eric H Rosenfeld, Kirea Mazzolini, Annalyn DeMello, Yangyang R Yu, Timothy C Lee, Bindi Naik-Mathuria, Mark V Mazziotti, Sohail R Shah
PURPOSE: The objective of this study was to evaluate postoperative feeding regimens after laparoscopic gastrostomy placement and their effect on outcomes. METHODS: Children 18 years of age or younger, who underwent laparoscopic gastrostomy placement at a tertiary-care academic children's hospital between January 2014 and October 2016, were reviewed. Data collected included patient characteristics, postoperative feeding regimen, and clinical outcomes. Statistical analysis was performed using Chi-square, Fisher's exact, and Wilcoxon Rank-Sum tests...
October 2, 2017: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/28910183/the-effects-of-barrier-agents-in-postoperative-pelvic-adhesion-formation-a-comparative-study-of-a-temperature-sensitive-poloxamer-based-solution-gel-and-a-hyaluronic-acid-based-solution-in-a-rat-uterine-horn-model
#14
Hyeon-Ji Kim, Hyun Kang, Mi-Kyung Kim, Seung-Su Han
OBJECTIVE: The aim is to evaluate the efficacy of poloxamer/alginate/CaCl2 mixture (PACM) solution/gel and hyaluronic acid/carboxymethylcellulose (HA-CMC) solution for reducing pelvic adhesion in a rat uterine horn model. STUDY DESIGN: A total of 48 females, Sprague Dawley rats, were divided into three groups according to the applied materials. A uterine horn adhesion model was created. The control group (group CO; n = 16) received no special materials except saline infusion...
September 14, 2017: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/28873326/external-validation-and-comparisons-of-the-scoring-systems-for-predicting-percutaneous-nephrolithotomy-outcomes-a-single-center-experience-with-506-cases
#15
Serkan Yarimoglu, Ibrahim Halil Bozkurt, Ozgu Aydogdu, Tarik Yonguc, Bulent Gunlusoy, Tansu Degirmenci
BACKGROUND: To validate and compare the stone scoring systems (stone size [S], tract length [T], obstruction [O], number of involved calices [N], and essence or stone density [E] [S.T.O.N.E.], Guy's Stone Score [GSS], Clinical Research Office of the Endourological Society [CROES], and Seoul National University Renal Stone Complexity [S-ReSC]) used to predict postoperative stone-free status and complications after percutaneous nephrolithotomy (PCNL). METHODS: A total of 567 patients who underwent PCNL for renal stones between January 2012 and August 2015 were included in the recent retrospective study...
September 5, 2017: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/28850292/improvements-in-health-related-quality-of-life-and-pain-a-cohort-study-in-obese-patients-after-laparoscopic-sleeve-gastrectomy
#16
Tania Gallart-Aragón, Carolina Fernández-Lao, Noelia Galiano-Castillo, Irene Cantarero-Villanueva, Mario Lozano-Lozano, Manuel Arroyo-Morales
OBJECTIVE: The principal aim of the study was to investigate the effect of the sleeve gastrectomy (SG) in the quality of life (QoL) and pain in a population of morbidly obese patients. METHODS: Seventy-two SG patients were assessed in this descriptive observational study, before the surgery and 6 months after that. We evaluated health-related QoL (Gastrointestinal Quality of Life Index [GIQLI]) and pain (spontaneous low back pain by Numerical Point Rate Scale [NPRS] and pressure pain thresholds [PPTs])...
August 29, 2017: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/28846497/the-efficacy-of-a-novel-surgical-device-in-preventing-intraoperative-wound-contamination-in-an-in-vivo-porcine-model
#17
Insoo Suh, Sarah A Long, Jonathan Coe, Jeremy Koehler, Donald Fry, Mark L Welton
BACKGROUND: Surgical site infections (SSIs) remain a morbid and costly complication in abdominal surgery. Topical antibiotic delivery via intraoperative irrigation and barrier wound protection are strategies for preventing SSI. We tested the safety and efficacy of a novel wound protector device with an integrated fluid irrigation platform in a porcine model. METHODS: A simulated colorectal resection model was designed and performed on adult female pigs with a standardized concentration of 10(9) colony-forming units (CFU) of Escherichia coli administered to the wound site in 10 mL of normal saline (n = 7)...
August 28, 2017: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/28829927/solo-surgeon-single-port-laparoscopic-anterior-resection-for-sigmoid-colon-cancer-comparative-study
#18
Byung Jo Choi, Won Jun Jeong, Say-June Kim, Sang Chul Lee
BACKGROUND: To report our experience with solo-surgeon, single-port laparoscopic anterior resection (solo SPAR) for sigmoid colon cancer. MATERIALS AND METHODS: Data from sigmoid colon cancer patients who underwent anterior resections (ARs) using the single-port, solo surgery technique (n = 31) or the conventional single-port laparoscopic technique (n = 45), between January 2011 and July 2016, were retrospectively analyzed. In the solo surgeries, making the transumbilical incision into the peritoneal cavity was facilitated through the use of a self-retaining retractor system...
August 22, 2017: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/28825970/managing-mid-and-lower-ureteral-benign-strictures-the-laparoscopic-way
#19
Bastab Ghosh, Pritesh Jain, Dilip Kumar Pal
OBJECTIVE: The aim of this study is to assess etiopathogenesis of ureteral mid/lower benign strictures and outcomes of various methods of laparoscopic reconstruction and repair. MATERIALS AND METHODS: We retrospectively reviewed the data of patients who underwent laparoscopic repair for mid and lower ureteral benign strictures at our department from January 2013 to February 2016. The demographic, operative, complication, and outcome data were analyzed. RESULTS: Twenty-two patients were treated by various methods of laparoscopic reconstruction in the department of urology for benign ureteral strictures...
August 21, 2017: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/28817358/evaluation-of-gastric-conduit-perfusion-during-esophagectomy-with-indocyanine-green-fluorescence-imaging
#20
Francisco Schlottmann, Marco G Patti
BACKGROUND: Anastomotic leakage is a determining factor of morbidity and mortality after an esophagectomy. An adequate blood supply of the gastric conduit is vital to prevent this complication. We aimed to determine the feasibility and usefulness of indocyanine green (ICG) fluorescence imaging to evaluate the gastric conduit perfusion during an esophagectomy. METHODS: Patients with distal esophageal cancer or esophagogastric junction cancer scheduled for esophagectomy were enrolled in this study...
August 17, 2017: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
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