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Journal of Minimal Access Surgery

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https://www.readbyqxmd.com/read/29067947/laparoscopic-management-of-massive-intraperitoneal-haemorrhage-caused-by-an-acute-gallbladder-perforation
#1
Seokyoun Lee, Jungnam Kwon, Keunyoung Kim
Laparoscopic cholecystectomy is the gold standard for managing the treatment of patients with symptomatic gallstone disease. Certain patients with acute cholecystitis will develop gallbladder perforation (GP). Furthermore, massive intraperitoneal haemorrhage following perforation is a rare complication. The high morbidity and mortality rates associated with this condition are due to delays in the diagnosis and treatment since signs and symptoms of perforation do not differ significantly from those of uncomplicated cholecystitis...
October 23, 2017: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/29067946/can-post-operative-antibiotic-prophylaxis-following-elective-laparoscopic-cholecystectomy-be-completely-done-away-with-in-the-indian-setting-a-prospective-randomised-study
#2
Vikram Singh Chauhan, P L Kariholu, Sabyasachi Saha, Himanshu Singh, Jasmine Ray
Premise and Objective: Elective laparoscopic cholecystectomy (LC) has low risk for post-operative infectious complications; still most clinicians use persistent post-operative prophylactic antibiotics out of habit, tradition, or simply as defensive practice due to evolving medicolegal implications of a large number of surgeries being showcased as daycare or next day discharge procedures. This randomised prospective trial was done to test the need for such prophylaxis in cases of elective LC in a rural/semi-urban setting...
October 23, 2017: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/29067945/post-cholecystectomy-syndrome-a-new-look-at-an-old-problem
#3
Divya Arora, Robin Kaushik, Ravinder Kaur, Atul Sachdev
BACKGROUND: Despite being the most commonly performed operations, sometimes cholecystectomy fails to relieve symptoms; this is now a well-recognised clinical entity termed 'post-cholecystectomy syndrome' (PCS). Very few studies from India deal with PCS, and the present study was carried out to find the incidence and risk factors for PCS in patients undergoing elective laparoscopic cholecystectomy (LC). MATERIALS AND METHODS: The records of 207 patients undergoing elective LC were prospectively maintained for 6 months after surgery...
October 23, 2017: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/29067944/stomach-resection-with-intraoperative-fluoroscopy-in-laparoscopic-distal-gastrectomy-for-early-gastric-cancer
#4
Jun Kawachi, Hiroyuki Kashiwagi, Hidemitsu Ogino, Naoko Isogai, Rai Shimoyama, Ryuta Fukai, Katsunori Miyake, Akiko Sasaki, Takahiro Terashima, Shinichi Teshima, Kazunao Watanabe
BACKGROUND: In Japan, laparoscopic distal gastrectomy (LDG) is common for early gastric cancer. Formerly, we used to verify the location of the marking clip to decide the proximal incisional line with our hand, through a small epigastric incision. In 2015, we introduced intracorporeal reconstruction and started to decide the incisional line using intraoperative fluoroscopy. Herein, we aimed to evaluate the efficacy and safety of intraoperative fluoroscopy in LDG. PATIENTS AND METHODS: A total of 19 patients were included in this retrospective observational study...
October 23, 2017: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/29067943/transoral-endoscopic-total-thyroidectomy-vestibular-approach-a-case-series-and-literature-review
#5
REVIEW
T Sivakumar, R A Amizhthu
Conventional open thyroidectomy is often associated with post-operative complications including nerve damage, voice disturbances, paraesthesias, adhesions and prominent scarring. Several endoscopic surgical techniques have been reported as alternatives to conventional thyroidectomy. Natural orifice transluminal endoscopic surgery is a promising approach which leaves no scar, produces few complications and affords faster discharge from care. Several studies have explored its utility in total thyroidectomy in patients with benign or malignant thyroid disease...
October 23, 2017: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/29067942/primary-leiomyosarcoma-of-the-inferior-vena-cava
#6
LETTER
Vipul D Yagnik
No abstract text is available yet for this article.
October 23, 2017: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/29067941/acute-pancreatitis-as-an-unusual-early-post-operative-complication-following-laparoscopic-sleeve-gastrectomy
#7
Ankush Sarwal, Rajesh Khullar, Anil Sharma, Vandana Soni, Manish Baijal, Pradeep Chowbey
Laparoscopic sleeve gastrectomy (LSG) at present one of the most commonly performed surgical treatments for morbid obesity worldwide. There are some complications regarding this procedure in the literature. This report presents a patient who developed acute pancreatitis immediate post-LSG. Patient was referred to our institute on 10th post-operative day with a complaint of fever, nausea, abdominal pain and leucocytosis. A diagnostic laparoscopy showed pancreatitis. Post-operatively, the patient was managed on treatment line of acute pancreatitis and recovered well...
October 23, 2017: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/29067940/a-case-report-of-cardia-cancer-complicated-with-idiopathic-muscular-hypertrophy-of-the-oesophagus-treated-with-thoracoscopic-surgery
#8
Jun Ren, Yingtao Hao, Chuanliang Peng
The incidence of idiopathic muscular hypertrophy of oesophagus (IMHE) is low, and < 100 cases of IMHE have been reported. IMHE is a benign oesophageal disease, characterised by hyperplasia of all layers of the wall and in particular, muscle layer. Only a few cases have been reported regarding its clinical symptoms and images. In this present case, we report a cardia cancer with IMHE, showing significant hypertrophy of muscular layer of middle part of the oesophagus and successfully treated with minimally invasive thoracoscopic surgery...
October 23, 2017: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/29067939/a-case-of-total-laparoscopic-sigmoidectomy-involving-the-use-of-needle-forceps-and-transanal-specimen-extraction-for-sigmoid-colon-cancer
#9
Rina Takahashi, Kazuhiro Sakamoto, Hisashi Ro, Kazumasa Kure, Masaya Kawai, Shun Ishiyama, Kiichi Sugimoto, Yutaka Kojima, Atsushi Okuzawa, Yuichi Tomiki
A 76-year-old male underwent endoscopic mucosal resection for a stage T1 tumour of the sigmoid colon. We performed laparoscopic sigmoidectomy through 5 ports using needlescopic instruments. The resected specimen was extracted from the abdominal cavity transanally. After attaching an anvil to the sigmoidal stump, the rectal stump was reclosed using an endoscopic linear stapler, and then, colorectal anastomosis was conducted using the double stapling technique. Performing transanal specimen extraction using needlescopic forceps improves aesthetic outcomes and reduces post-operative pain and the risk of abdominal incisional hernias...
October 23, 2017: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/29067938/laparoscopic-roux-en-y-gastric-bypass-outcomes-of-a-case-matched-comparison-of-primary-versus-revisional-surgery
#10
Pradeep K Chowbey, Vandana Soni, Nimisha Subhashchandra Kantharia, Rajesh Khullar, Anil Sharma, Manish Baijal
INTRODUCTION: Laparoscopic adjustable gastric banding and laparoscopic sleeve gastrectomy are popular bariatric procedures. Certain complications may necessitate revision. Adverse outcomes are reported after revisional bariatric surgery. We compared patients undergoing revisional versus primary laparoscopic Roux-en-Y gastric bypass (LRYGB). MATERIALS AND METHODS: This was retrospective comparative 1:1 case-matched analysis of revisional LRYGB Group A versus primary LRYGB (pLRYGB/Group B)...
October 23, 2017: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/29067937/subfascial-endoscopic-perforator-surgery-a-safe-and-novel-minimal-invasive-procedure-in-treating-varicose-veins-in-2-nd-trimester-of-pregnancy-for-below-knee-perforator-incompetence
#11
Manash Ranjan Sahoo, Leesa Misra, Sumeet Deshpande, Sambit Kumar Mohanty, Santosh Kumar Mohanty
AIM: Aim of this study is to evaluate the results of Subfascial Endoscopic Perforator Surgery(SEPS) in treating varicose veins in 2nd trimester of pregnancy for below knee perforator incompetence. MATERIALS AND METHODS: A case series was undertaken at our institute from the period January 2010 to January 2014 on 45 pregnant women. Pregnant women with failed conservative management for varicose veins were subjected to SEPS in 2nd trimester Perioperative parameters like operative time, intraoperative complications, post-operative complications, hospital stay, pain relief, ulcer healing duration and recurrence rate were studied...
October 23, 2017: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/28928335/sexual-and-urinary-dysfunction-following-laparoscopic-total-mesorectal-excision-in-male-patients-a-prospective-study
#12
Deepak George, Kaniyarakkal Pramil, Naduthottam P Kamalesh, Shaji Ponnambatheyil, Prakash Kurumboor
AIMS: Even with the use of nerve-sparing techniques, there is a risk of bladder and sexual dysfunction after total mesorectal excision (TME). Laparoscopic TME is believed to improve this autonomic nerve dysfunction, but this is not demonstrated conclusively in the literature. In Indian patients generally, the stage at which the patients present is late and presumably the risk of autonomic nerve injury is more; however, there is no published data in this respect. MATERIALS AND METHODS: This prospective study in male patients who underwent laparoscopic TME evaluated the bladder and sexual dysfunction using objective standardised scores, measuring residual urine and post-voided volume...
September 20, 2017: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/28928334/a-collective-review-of-biological-versus-synthetic-mesh-reinforced-cruroplasty-during-laparoscopic-nissen-fundoplication
#13
REVIEW
P S S Castelijns, J E H Ponten, M C G van de Poll, S W Nienhuijs, J F Smulders
BACKGROUND: Laparoscopic cruroplasty and fundoplication have become the gold standard in the treatment of hiatal hernia and gastro-oesophageal reflux disease (GERD). The use of a mesh-reinforcement of the cruroplasty has been proven effective; although, there is a lack of evidence considering which type of mesh is superior. The aim of this study was to compare recurrence rates after mesh reinforced cruroplasty using biological versus synthetic meshes. METHODS: We performed a systematic review of all clinical trials published between January 2004 and September 2015 describing the application of a mesh in the hiatal hernia repair during Nissen fundoplication for both GERD and hiatal hernia...
September 20, 2017: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/28928333/liver-hydatid-cyst-with-cystobiliary-communication-laparoscopic-surgery-remains-an-effective-option
#14
Nikhil Chopra, Vivek Gupta, Saket Kumar, Pradeep Joshi, Vishal Gupta, Abhijit Chandra
INTRODUCTION: Most centres offer laparoscopic treatment for liver hydatid cyst (LHC). There have been concerns about the management of intra-peritoneal spillage, bleeding, and cystobiliary communication (CBC) during laparoscopic surgery for LHC. CBC can exist in 13%-37% of cases of LHC. No randomised studies have compared open versus laparoscopic approach for the treatment of LHC. We specifically analysed the outcomes of laparoscopic treatment of LHC with special reference to associated biliary complications...
September 20, 2017: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/28928332/quality-of-life-after-nissen-fundoplication-in-patients-with-gastroesophageal-reflux-disease-comparison-between-long-and-short-term-follow-up
#15
P S S Castelijns, J E H Ponten, M C G Vd Poll, N D Bouvy, J F Smulders
INTRODUCTION: Nissen fundoplication is the golden standard for surgical treatment of gastroesophageal reflux disease (GERD). Numerous studies report excellent short-term results. However, data regarding long-term quality of life are lacking. The aim of this study is to investigate the long-term quality of life after Nissen fundoplication in patients with GERD and to compare this with the short-term results. PATIENTS AND METHODS: We retrospectively analysed all patients who underwent laparoscopic Nissen fundoplication for GERD between January 2004 and January 2016...
September 20, 2017: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/28928331/outcomes-according-to-body-mass-index-following-laparoscopic-surgery-in-patients-with-colorectal-cancer
#16
Han Deok Kwak, Jae Kyun Ju, Dong Woo Kang, Se-Jin Baek, Jung Myun Kwak, Jin Kim, Seon-Hahn Kim
PURPOSE: Body mass index (BMI) may not be appropriate for different populations. Therefore, the World Health Organization (WHO) suggested 25 kg/m2 as a measure of obesity for Asian populations. The purpose of this report was to compare the oncologic outcomes of laparoscopic colorectal resection with BMI classified from the WHO Asia-Pacific perspective. PATIENTS AND METHODS: All patients underwent laparoscopic colorectal resection from September 2006 to March 2015 at a tertiary referral hospital...
September 20, 2017: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/28928330/emergency-hand-assisted-laparoscopic-haemostasis-for-post-operative-haemorrhage-following-laparoscopic-liver-resection
#17
Tze Yi Low, Brian Kim Poh Goh
INTRODUCTION: The use of laparoscopic surgery for liver resection and the management of abdominal emergencies has been well established. However, the value of this technique for post-operative haemorrhage in liver resection has not been characterized. CASE DESCRIPTION: We describe a case of post-operative haemorrhage following an elective totally laparoscopic liver resection that was treated with emergency hand-assisted laparoscopic haemostasis. DISCUSSION: Emergency hand-assisted laparoscopic haemostasis in the setting of post-operative haemorrhage after laparoscopic liver resection is feasible and should be considered as a treatment option in suitable patients...
September 20, 2017: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/28928329/single-incision-trocar-less-endoscopic-management-of-giant-liver-hydatid-cyst-in-children
#18
Himanshu Acharya, Vikesh Agrawal, Abhishek Tiwari, Dhananjaya Sharma
INTRODUCTION: Laparoscopic management of giant hydatid cyst has limitations such as spillage, poor control, difficulties in suctioning the contents through special ports which are not easily available, difficulty in the obliteration of residual cavity and recurrence. We describe single-incision trocar-less endoscopic (SITE) technique which simplifies enucleation and management of residual cavity. METHOD: Inclusion criteria for these cases were patients having single uncomplicated giant hydatid cyst >5 cm present at the surface of the liver and palpable on clinical examination...
September 20, 2017: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/28928328/evolution-of-minimally-invasive-distal-pancreatectomies-at-a-single-institution
#19
Brian K P Goh, Ser-Yee Lee, Juinn-Huar Kam, Hui Ling Soh, Peng-Chung Cheow, Pierce K H Chow, London L P J Ooi, Alexander Y F Chung, Chung-Yip Chan
INTRODUCTION: This study aims to study the changing trends and outcomes associated with the adoption of minimally invasive distal pancreatectomy (MIDP) at a single centre. MATERIALS AND METHODS: Retrospective review of sixty consecutive patients who underwent MIDP from September 2006 to November 2016 at a single institution. To study the evolution of MIDP, the study population was divided into three groups consisting of twenty patients (Group I, Group II and Group III)...
September 20, 2017: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/28928327/the-technique-of-laparoscopic-hepatic-bisegmentectomy-with-regional-lymphadenectomy-for-gallbladder-cancer
#20
Hirdaya H Nag, Prithivi Raj, Kshitij Sisodia
BACKGROUND: Laparoscopic hepatic bisegmentectomy (s4b and s5) with regional lymphadenectomy (LHBRL) for patients with gallbladder cancer (GBC) is rarely reported. AIMS: The aim of the study was to describe the technique of LHBRL in patients with GBC and to present our initial experience. PATIENTS AND METHODS: This retrospective study was conducted on twenty patients with GBC who were considered for LHBRL by the described technique. These patients either had a suspicion of GBC (SGBC) or had an incidental diagnosis of GBC (IGBC)...
September 20, 2017: Journal of Minimal Access Surgery
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