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laparoscopy complication

Xian-Ling Li, Qin-Ming Zhang, Wei-Ping Zhang, Ting-Ting Liu
INTRODUCTION: This study aims to compare the clinical effects of an incision skin tissue retractor for mini-incision open appendectomy and laparoscopic surgery for pediatric appendicitis. METHODS: From January 2014 to July 2017, a total of 248 patients were included in the present study. Laparoscopic appendectomy was performed for 108 cases (LA group), and mini-incision open appendectomy with an incision skin tissue retractor was performed for 140 cases (MOA-ISTR group)...
November 13, 2018: Advances in Therapy
Mohammad Mehdi Dehghani Firoozabadi, Abbas Alibakhshi, Hoorieh Alaeen, Sanaz Zand, Ryan Nazemian, Maryam Rahmani
Background: Intra-abdominal adhesion is one of the most important complications of abdominopelvic surgery. It increases morbidity and mortality for patients. Although laparoscopy is the gold standard of adhesion diagnosis, it can cause visceral damage during the operation. Therefore, surgeons prefer to use non-invasive methods for planning the operation. We designed this study to evaluate transabdominal ultrasonography ( TAU) accuracy for diagnosing Intra-abdominal Adhesions. Material & methods: This double-blinded cohort study was conducted on 47 patients with previous laparotomy who undergo another surgery...
December 2018: Annals of Medicine and Surgery
Davide La Regina, Paolo Gaffuri, Marcello Ceppi, Andrea Saporito, Matteo Ferrari, Matteo Di Giuseppe, Francesco Mongelli
Background: Radical prostatectomy (RP) represents an important acquired risk factor for the development of primary inguinal hernias (IH) with an estimated incidence rates of 15.9% within the first 2 years after surgery. The prostatectomy-related preperitoneal fibrotic reaction can make the laparoendoscopic repair of the IH technically difficult, even if safety and feasibility have not been extensively evaluated yet. We conducted a systematic review of the available literature. Methods: A comprehensive computer literature search of PubMed and MEDLINE databases was carried out in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines...
November 9, 2018: Journal of Minimal Access Surgery
Jiaolin Zhou, Bangbo Zhao, Huizhong Qiu, Yi Xiao, Guole Lin, Huadan Xue, Yu Xiao, Beizhan Niu, Xiyu Sun, Junyang Lu, Lai Xu, Guannan Zhang, Bin Wu
Context: Retrorectal tumours are rare with developmental cysts being the most common type. Conventionally, large retrorectal developmental cysts (RRDCs) require the combined transabdomino-sacrococcygeal approach. Aims: This study aims to investigate the surgical outcomes of the laparoscopic approach for large RRDCs. Settings and Design: A retrospective case series analysis. Subjects and Methods: Data of patients with RRDCs of 10 cm or larger in diameter who underwent the laparoscopic surgery between 2012 and 2017 at our tertiary centre were retrospectively analyzed...
November 9, 2018: Journal of Minimal Access Surgery
Sameer Ashok Rege, Chiranjeev Roshan, Vairagar Siddhant, Surpam Shrinivas, Rewatkar Ajinkya
Background: Laparoscopic techniques have been used during pregnancy by obstetricians since the 1970's, primarily to diagnose and treat ectopic and heterotopic pregnancies. Pregnancy was considered as an absolute contraindication to laparoscopy by surgeons as recently as 1991, and a few still doubt the safety of minimal access in gravid patients. When an emergent operation is indicated, the surgery should not be withheld on the sole basis of patient's gravid state. On the contrary, the alleviation of maternal disease is thought to take priority because the health of the foetus is dependant on the mother...
November 9, 2018: Journal of Minimal Access Surgery
Christopher D Graham, Leonel Rodriguez, Alejandro Flores, Samuel Nurko, Terry L Buchmiller
PURPOSE: Children failing medical management for severe constipation and/or fecal incontinence may undergo surgical intervention for antegrade enema administration. We present a modification of the laparoscopic-assisted percutaneous endoscopic cecostomy (LAPEC) procedure that allows primary placement of a skin-level device. METHODS: A single-institution retrospective review was performed from 2009 to 2015. In the modified technique the colonoscope is advanced to the cecum, cecal suspension sutures are placed under laparoscopic visualization, and percutaneous needle puncture of the cecum is performed under direct laparoscopic and endoscopic visualization...
October 2, 2018: Journal of Pediatric Surgery
Iswanto Sucandy, Aviad Gravetz, Sharona Ross, Alexander Rosemurgy
Minimally invasive technique has been adopted as the standard of care in many surgical fields within general surgery. Hepatobiliary surgery, however, is lacking behind due to the complex nature of the operation and concerns of major bleeding. Several centers suggested that inherent limitations of conventional laparoscopy precludes its wide adoption. Robotic technique provides solutions to these limitations. In this study, we report our standardized technique of robotic left hepatectomy. We discuss aspects of robotic hepatectomy and describe our standardized approach for robotic left hepatectomy...
November 8, 2018: Journal of Robotic Surgery
Diletta Cassini, Norma Depalma, Michele Grieco, Roberto Cirocchi, Farshad Manoochehri, Gianandrea Baldazzi
BACKGROUND: Recently, minimally invasive treatment of complicated sigmoid diverticulitis is becoming a valid alternative to standard procedures. Robotic approach may be useful to allow more precise dissection in arduous pelvic dissection as in complicated diverticulitis. The aim of this study is to investigate effectiveness, potential benefits and short-term outcomes of robotic-assisted laparoscopic surgical resection, compared with fully laparoscopic resection in complicated diverticulitis...
November 7, 2018: Surgical Endoscopy
Sebastiaan A van Nimwegen, Bart Van Goethem, Jeffrey de Gier, Jolle Kirpensteijn
BACKGROUND: Surgical treatment of ovarian remnant syndrome (ORS) in dogs usually necessitates large celiotomies and considerable manipulation of organs because of the relatively deep position of ovarian remnant tissue, large patient size, and often encountered adhesions. In women, laparoscopic treatment of ORS is successful and has significant advantages over laparotomy. Since laparoscopic ovariectomy has significant advantages over open ovariectomy in dogs, including reduced surgical stress and postoperative pain and shorter convalescence period, the rationale for a laparoscopic approach of canine ORS is evident...
November 7, 2018: BMC Veterinary Research
Dileep Ramesh Hoysal, Hemashree K
Surgical abortion is one of the leading causes of maternal mortality, constituting up to 20% of maternal deaths. Uterine perforation is a rare complication, accounting for4% of all the abortion related complications. Intestinal injury with uterine perforation following termination of pregnancy is even rare and is a potentially fatal complication with mortality of up to 10%. A 27-year-old G3P2L2 woman with 12 weeks of gestation referred to our hospital in hemorrhagic shock with a suspicion of uterine perforation following dilatation and curettage for termination of pregnancy...
October 2018: Bulletin of Emergency and Trauma
Massimo Tonolini, Anna Maria Ierardi, Francesca Patella, Gianpaolo Carrafiello
Performed on either an elective or urgent basis, cholecystectomy currently represents the most common abdominal operation due to the widespread use of laparoscopy and the progressively expanded indications. Compared to traditional open surgery, laparoscopic cholecystectomy minimised the duration of hospitalisation and perioperative mortality. Albeit generally considered safe, cholecystectomy may result in adverse outcomes with non-negligible morbidity. Furthermore, the incidence of worrisome haemorrhages and biliary complications has not been influenced by the technique shift...
November 2, 2018: Insights Into Imaging
Cynthia M Tom, Scott Friedlander, Rie Sakai-Bizmark, Shant Shekherdimian, Howard Jen, Daniel A DeUgarte, Steven L Lee
BACKGROUND/PURPOSE: Despite policy efforts to support rural hospitals, little is known about the quality and safety of pediatric surgical care in geographically remote areas. Our aim was to determine the outcomes and costs of appendectomies at rural hospitals. METHODS: The Kids' Inpatient Database (2003-2012) was queried for appendectomies in children <18 years at urban and rural hospitals. Outcomes (disease severity, laparoscopy, complications, length of stay (LOS), cost) were analyzed with bivariate and multivariable regression analysis...
October 5, 2018: Journal of Pediatric Surgery
Cynthia M Tom, Erin C Howell, Roy P Won, Scott Friedlander, Rie Sakai-Bizmark, Christian de Virgilio, Steven L Lee
BACKGROUND: The purpose of our study was to assess the outcomes and costs of appendectomies performed at rural and urban hospitals. METHODS: The National Inpatient Sample (2001-2012) was queried for appendectomies at urban and rural hospitals. Outcomes (disease severity, laparoscopy, complications, length of stay (LOS), and cost) were analyzed. RESULTS: Rural patients were more likely to be older, male, white, and have Medicaid or no insurance...
October 28, 2018: American Journal of Surgery
James M Tatum, Evan Alicuben, Nikolai Bildzukewicz, Kamran Samakar, Caitlin C Houghton, John C Lipham
BACKGROUND: Recurrent or persistent symptoms of reflux, dysphagia, or device erosion can lead to removal of the magnetic sphincter augmentation (MSA aka Linx) device. Device removal has been previously reported, and outcomes of various surgical management strategies at the time of removal have not been well described. METHODS: This is a retrospective review of patients undergoing MSA removal from March 2009 to September 2017 in a single institution. Reason for removal, operative management, and short-term outcomes are reported...
November 1, 2018: Surgical Endoscopy
Zaozao Wang, Jiadi Xing, Jun Cai, Zhongtao Zhang, Fei Li, Nengwei Zhang, Jixiang Wu, Ming Cui, Ying Liu, Lei Chen, Hong Yang, Zhi Zheng, Xiaohui Wang, Chongchong Gao, Zhe Wang, Qing Fan, Yanlei Zhu, Shulin Ren, Chenghai Zhang, Maoxing Liu, Jiafu Ji, Xiangqian Su
BACKGROUND: Although laparoscopic surgery has been recommended as an optional therapy for patients with early gastric cancer, whether patients with locally advanced gastric cancer (AGC) could benefit from laparoscopy-assisted distal gastrectomy (LADG) with D2 lymphadenectomy remains elusive due to a lack of comprehensive clinical data. To evaluate the efficacy of LADG, we conducted a multi-institutional randomized controlled trial to compare laparoscopy-assisted versus open distal gastrectomy (ODG) for AGC in North China...
November 1, 2018: Surgical Endoscopy
Octavian Mihalache, Horia Doran, Petronel Mustăţea, Florin Bobircă, Dragoş Georgescu, Andra Bîrligea, Alexandra Agache, Traian Pătraşcu
Peritoneal dialysis (PD) is a method of renal function replacement which has a series of advantages like greater autonomy of the patient with fewer hospital visits and better preservation of residual renal function, but it has also disadvantages. The main disadvantages are a limited life-time due to peritoneal membrane failure and the risk of infections. The main complication of PD remains peritonitis, which is responsible for the most cases of method failure. There are also other complications which incorrect treated may lead to failure of the method: mechanical complications, abdominal wall defects, exit site and tunnel infections...
2018: Chirurgia
Ali Emre Tahaoglu, Yasemin Dogan, Mehmet Sait Bakir, Ihsan Baglı, Nurullah Peker, Yunus Cavus, Cihan Togrul, Zelal Tahaoglu
The management of a caesarean scar pregnancy ranges from conservative medical therapy to surgical treatment. The aim of this study is to present our experience of caesarean scar ectopic pregnancies treated with different modalities and to develop a management algorithm. This retrospective clinical analysis included 21 caesarean scar pregnancies. The clinical data, ultrasonographic characteristics, b-human chorionic gonadotropin concentrations, the treatment options and complications were noted. One patient was managed expectantly, six patients were treated with D and C, seven patients were treated with systemic methotrexate, eight patients underwent a caesarean scar pregnancy removal with a laparoscopy, three patients were treated with a hysteroscopy...
October 29, 2018: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
Zhijian Zheng, Yihua Shi, Tianfu Wen, Deshuang Xiao, Honggen Xu, Qiang Wang, David H Tian, Lingbo Dai
Pancreatic serous cystic neoplasm (SCN) is a benign tumor of the pancreas, about two-thirds situated in the tail of the pancreas. The small sized ones usually require only routine follow-ups, and is advised for surgical treatment when clinical symptoms, and mass growth are occurring rapidly, and the traditional treatment is splenectomy. Here, we have finished a laparoscopy resection of the spleen-preserving pancreatic body. A 46-year-old female presents for a follow-up after a physical examination found a tumor mass in the body and tail of the pancreas two years ago...
September 2018: Annals of Translational Medicine
Wies Vanderbruggen, Abraham Cherian, Karen De Baets, Stefan De Wachter, Gunter De Win
OBJECTIVE: Laparoscopy-assisted cutaneous ureterostomy (LA-CU) is a minimally invasive approach for temporary urinary diversion in children. We describe the technique, its feasibility, potential advantages, and outcomes in 12 children treated for a variety of conditions. METHODS: Three trocars were used transperitoneally, one transumbilical, and another placed at the later stoma site. In the semilateral position, with a panoramic view, the ureter of interest is easily identified, mobilized, and exteriorized for stoma creation...
October 24, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Camille L Stewart, Philip H G Ituarte, Kurt A Melstrom, Susanne G Warner, Laleh G Melstrom, Lily L Lai, Yuman Fong, Yanghee Woo
BACKGROUND: Robotic surgery is offered at most major medical institutions. The extent of its use within general surgical oncology, however, is poorly understood. We hypothesized that robotic surgery adoption in surgical oncology is increasing annually, that is occurring in all surgical sites, and all regions of the US. STUDY DESIGN: We identified patients with site-specific malignancies treated with surgical resection from the National Inpatient Sample 2010-2014 databases...
October 24, 2018: Surgical Endoscopy
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