keyword
https://read.qxmd.com/read/38532497/robotic-portal-resection-for-mediastinal-tumours-a-prospective-observational-study
#1
JOURNAL ARTICLE
Wei Gan, Mu-Zi Yang, Zi-Hui Tan, Chu-Long Xie, Tian-Yu Sun, Hao-Xian Yang
BACKGROUND: To demonstrate the effectiveness and feasibility of robotic portal resection (RPR) for mediastinal tumour using a prospectively collected database. METHODS: Data from 73 consecutive patients with mediastinal tumours who underwent RPRs were prospectively collected from August 2018 to April 2023. All patients underwent chest and abdominal enhanced computed tomography (CT) and preoperative multidisciplinary team (MDT) discussion. The patients were stratified into two groups based on tumour size: Group A (tumour size < 4 cm) and Group B (tumour size ≥ 4 cm)...
March 26, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38524074/evaluation-of-open-hasson-s-and-closed-veress-technique-of-intraperitoneal-access-for-creation-of-pneumoperitoneum-in-laparoscopic-surgery
#2
JOURNAL ARTICLE
Saakshie Kumar, Indu B Dubey, Vridhi Chand Aggarwal, Rajesh K Soni
Background The creation of pneumoperitoneum is the first step in any laparoscopic surgery. There are various methods of creating pneumoperitoneum which can be divided into open or closed methods. The closed method involves the blind insertion of the Veress needle into the peritoneal cavity. The open technique involves making an incision and then dissecting the fascia to the peritoneal cavity to introduce the cannula under direct vision. This study was conducted to evaluate the safety and efficacy of open (Hasson's) and closed (Veress) techniques of intraperitoneal access for the creation of pneumoperitoneum in laparoscopic surgery...
February 2024: Curēus
https://read.qxmd.com/read/38521911/clinical-application-of-middle-descending-colon-double-lumen-ostomy-with-distal-stoma-narrowing-in-the-treatment-of-anorectal-malformation
#3
JOURNAL ARTICLE
Guoxian Huang, Wenni Li, Lili Ma, Xin Lei, Xiangde Lin, Yuandong Chen, Bo Xu
BACKGROUND: Anorectal malformations (ARMs) are the most common congenital anomaly of the digestive tract. And colostomy should be performed as the first-stage procedure in neonates diagnosed with intermediate- or high-type ARMs. However, the most classic Pe˜na's colostomy still has some disadvantages such as complicated operation procedure, susceptibility to infection, a greater possibility of postoperative incision dehiscence, difficulty of nursing and large surgical trauma and incision scarring when closing the stoma...
March 23, 2024: BMC Pediatrics
https://read.qxmd.com/read/38520491/research-progress-of-robot-and-laparoscope-in-postoperative-complications-of-rectal-cancer
#4
REVIEW
Jiming Lian, Jinbiao Li, Cong Liu, BaoDong Luan, Yanmin Miao
Rectal cancer is one of the most common malignant tumours worldwide, and it is also one of the major diseases that seriously threatens human life and health. At present, the main treatment for rectal cancer is still surgical treatment. The surgical methods have been rapidly developed from the previous open surgery to the current minimally invasive surgery. At present, there are two main minimally invasive surgeries: robotic surgery and laparoscopic surgery. Due to the particularity of rectal cancer surgery, more and more studies have shown that robotic rectal cancer surgery has more advantages than laparoscopic rectal cancer surgery...
March 23, 2024: Journal of Robotic Surgery
https://read.qxmd.com/read/38520291/modified-graham-patch-repair-of-small-bowel-anastomotic-leak
#5
JOURNAL ARTICLE
Ashley Alden, Robert D Bennett
The modified Graham patch repair is a well-established technique for management of perforating foregut injuries, often learned by surgeons during general surgery training. There is, however, little to no data regarding the utilization of this technique for perforation of the distal midgut or in the re-operative field. We present two cases of midgut anastomotic complications successfully managed with modified graham patch repair at our institution. The first case is a 79-year-old female who underwent an emergent right hemicolectomy at an outside institution for management of an iatrogenic perforation during endoscopic polypectomy...
March 23, 2024: American Surgeon
https://read.qxmd.com/read/38516458/a-comprehensive-analysis-of-single-incision-laparoscopic-cholecystectomy-trends-challenges-and-future-directions
#6
REVIEW
Rami Kamal Atiya Morcos, Sergio Rodrigo Oliveira Souza Lima, Syed Faqeer Hussain Bokhari, Mohammed Khaleel I Kh Almadhoun, Mitwa Patel, Nay Phone Hlyan
Single-incision laparoscopic cholecystectomy (SILC) is a minimally invasive surgical technique introduced as an advancement to laparoscopic cholecystectomy (LC). This narrative review delves into the emergence of SILC, emphasizing its distinct advantages such as improved cosmesis, reduced postoperative pain, and potentially faster recovery compared to traditional LC. The study meticulously examines current trends and challenges in SILC, including variations in techniques and their impact on patient outcomes...
February 2024: Curēus
https://read.qxmd.com/read/38513415/primary-isolated-hydatid-cyst-of-the-spleen-a-case-report
#7
Maissa Jallali, Mohamed Ali Chaouch, Hanen Zenati, Hiba Ben Hassine, Jamel Saad, Faouzi Noomen
INTRODUCTION AND IMPORTANCE: Primary (isolated) splenic hydatid cyst is rare and accounts for less than 2 % of hydatid patients, even in endemic regions. Diagnosis of splenic hydatid cyst can be challenging due to the rarity of the condition and its nonspecific symptoms. Surgery is the mainstay of treatment. This case report discusses management options for such a rare condition. CASE PRESENTATION: We present a 33-year-old female patient with abdominal pain for six months and splenomegaly...
March 16, 2024: International Journal of Surgery Case Reports
https://read.qxmd.com/read/38511986/laparoscopic-nephrectomy-via-the-retroperitoneal-approach-for-autosomal-dominant-polycystic-kidney-disease-after-renal-transplant-a-case-report
#8
Kazuro Kikkawa, Hiraku Yamamoto, Yasuo Kohjimoto, Isao Hara
We report a case of laparoscopic nephrectomy via the retroperitoneal approach for autosomal dominant polycystic kidney disease after renal transplant. A 54-year-old male patient with end-stage renal failure because of autosomal dominant polycystic kidney disease underwent a living donor renal transplant and right nephrectomy via open surgery through a median abdominal incision 5 years previously. However, the left kidney gradually became enlarged. We performed laparoscopic left nephrectomy via the retroperitoneal approach...
February 2024: Experimental and Clinical Transplantation
https://read.qxmd.com/read/38511589/effect-of-dressing-with-different-antiseptic-agents-on-reproductive-parameters-in-rats-undergoing-abdominal-incision
#9
JOURNAL ARTICLE
G D Akarsu, E Erbaş, S A Akarsu
Antiseptic agents used in the postoperative period affect the functions of many tissues in the body, including the testicles. In this study, the effect of dressings administered with different antiseptic agents on testicular functions in rats that underwent abdominal incisions was investigated. A total of 48 Sprague-Dawley rats were used in the study. Each of the rats in the study group underwent a 4 cm-long skin and muscle operation. The incision was then stitched immediately. Antiseptics, hemp seed oil, hemp leaf oil, and cannabidiol oil were then administered to the rats for 10 days to provide antisepsis...
March 20, 2024: Polish Journal of Veterinary Sciences
https://read.qxmd.com/read/38506938/how-i-do-it-laparoscopic-intragastric-submucosal-dissection-lisd-for-gastric-and-gastro-oesophageal-junction-early-lesions
#10
JOURNAL ARTICLE
Maira Farrukh, Barbara Braden, Bruno Sgromo
PURPOSE: Laparoscopic intragastric submucosal dissection (LISD) is a novel approach to the resection of gastric lesion that are not amenable to conventional endoscopic approaches. The technique permits favourable access to lesions situated at the cardia and angular notch of the stomach, enables en-bloc resection of large areas of tissue, and can prevent the need of formal gastrectomy or oesophagectomy in selected patients. METHODS: All cases were deemed suitable for LISD by a multidisciplinary team panel following endoscopic assessment (using white light enhancement, chromoendoscopy and magnification endoscopy) that was integrated when needed with EUS, CT scan or PET scan...
March 20, 2024: Langenbeck's Archives of Surgery
https://read.qxmd.com/read/38503888/a-case-of-indirect-inguinal-bladder-hernia-treated-with-laparoscopic-transabdominal-preperitoneal-repair-with-high-peritoneal-incisional-approach
#11
JOURNAL ARTICLE
Hitomi Zotani, Tetsu Yamamoto, Ryoji Hyakudomi, Kiyoe Takai, Takahito Taniura, Kazunari Ishitobi, Noriyuki Hirahara, Yoshitsugu Tajima, Masaaki Hidaka
BACKGROUND: Inguinal herniation of the urinary bladder is uncommon and those descending into the scrotum are even rarer. Although open anterior repair has been used for inguinal bladder hernia, the efficacy of laparoscopic herniorrhaphy has been reported in recent years. CASE PRESENTATION: A 63-year-old man presented with an irreducible right groin and scrotal bulge associated with voiding difficulty. Abdominal ultrasonography showed a dislocation of the urinary bladder descending into the right scrotum...
March 20, 2024: Surgical Case Reports
https://read.qxmd.com/read/38489723/recurrence-complicated-with-peritoneal-dissemination-after-single-port-gasless-myomectomy-for-cellular-uterine-leiomyoma-a-case-report-and-literature-review
#12
JOURNAL ARTICLE
Yuanyuan Hu, Tongfu Feng
RATIONALE: Cellular uterine leiomyomas (CL) represent the prevailing subtype among uterine leiomyomas. In this study, we report a case of recurrent peritoneal disseminated uterine fibroids 2 years after single-port laparoscopic gasless myomectomy. This article endeavors to examine the potential limitations of the aforementioned surgical procedure and outline the distinguishing features of recurrent cases with primary postoperative pathology as CL. Additionally, it aims to provide a summary of previous retrospective studies on CL and propose the existence of immunohistochemical molecules that may serve as predictors for the postoperative recurrence of cellular uterine fibroids...
March 15, 2024: Medicine (Baltimore)
https://read.qxmd.com/read/38484258/-dumpling-suture-method-versus-traditional-suture-method-of-protective-loop-ileostomy-in-laparoscopic-anterior-rectal-resection-with-specimen-extraction-through-stoma-incision-a-retrospective-comparative-cohort-study
#13
JOURNAL ARTICLE
Jiani Gu, Jin Wang, Xingwang Hu, Wenjun Ding, Long Cui, Peng Du, Zhonglin Liang, Tingyu Wu
BACKGROUND: A diverting loop ileostomy (DLI) is performed in laparoscopic anterior rectal resection (LAR) surgery at high risk of anastomotic fistula. Minimally invasive surgery promotes postoperative recovery and cosmetics. To reduce abdominal trauma, specimen extraction through stoma incision (EXSI) is usually performed to avoid auxiliary abdominal incision with enlarged stomal incision. The traditional suture method (TSM) reduces the incision size by suturing the ends of the enlarged incision, leading to peristomal incisions and a higher risk of stomal complications...
March 1, 2024: International Journal of Surgery
https://read.qxmd.com/read/38481896/a-rare-case-report-on-postoperative-rehabilitation-in-hirschsprung-disease
#14
Shifa S Sheikh, H V Sharath, Nikita H Seth
Hirschsprung disease (HD) is characterized by the absence of ganglion cells in the myenteric and submucosal plexuses of the hindgut. Here, we report a case of an eight-year-old male child who had abdominal distension with a history of repetitive gas passage and a complaint of stool passage. In February 2023, the patient was diagnosed with Hirshsprung disease, for which a left-side colostomy was done. In November 2023, he underwent Hirshsprung stage 2 repair. He was operated on the 17th of December 2023 under general anaesthesia colostomy mobilization...
February 2024: Curēus
https://read.qxmd.com/read/38481283/postoperative-complications-and-unanticipated-healthcare-encounters-following-mini-laparotomy-vs-laparoscopic-robotic-assisted-sacrocolpopexy-a-comparative-retrospective-study
#15
JOURNAL ARTICLE
Henry H Chill, Alireza Hadizadeh, Claudia Paya-Ten, Angela Leffelman, Cecilia Chang, Nani P Moss, Roger P Goldberg
BACKGROUND: Pelvic organ prolapse is a debilitating condition impacting lives of millions of women worldwide. Sacrocolpopexy (SCP) is considered an effective and durable surgical technique for treatment of apical prolapse. The aim of this study was to compare short-term outcomes including postoperative complications and unanticipated healthcare encounters between patients who underwent SCP with a mini-laparotomy approach compared to patients treated with laparoscopic and robotic-assisted laparoscopic SCP...
March 13, 2024: BMC Women's Health
https://read.qxmd.com/read/38479884/investigation-of-preinguinal-approach-for-removal-of-urachal-abscess-in-three-japanese-black-cattle-older-than-18-months-of-age
#16
JOURNAL ARTICLE
Reiichiro Sato, Jun Hayashi, Naoyuki Fuke, Eren Saito, Kanako Hidaka, Hideki Saka, Hiroyuki Satoh, Adrian Steiner
This study investigated the diagnostic and surgical management of urachal abscessation involving the urinary bladder in three cattle aged >18 months. While the abdominal floor or paralumbar fossa are typically considered for accessing the urachus and bladder in calves and heifers, the distance is too great to perform the procedure under direct vision in adult cows. Therefore, a novel preinguinal approach was used for access in cows with urachal abscesses after 18 months. Access was successfully achieved in all the three cows through a preinguinal incision to the urachal abscess at the apex of the bladder...
March 13, 2024: Journal of Veterinary Medical Science
https://read.qxmd.com/read/38473027/a-unique-case-of-appendiceal-intussusception-inversion-a-case-in-bloom
#17
JOURNAL ARTICLE
Stylianos Mantalovas, Eleni Paschou, Ismini Kountouri, Christina Sevva, Konstantinos Papadopoulos, Panagiota Roulia, Marios Dagher, Styliani Laskou, Vasileios Lagopoulos, Charilaos Koulouris, Fedra Louloudopoulou, Periklis Kopsidas, Konstantinos Sapalidis, Isaak Kesisoglou, Christoforos Kosmidis
A 40-year-old female patient presented to a secondary facility with dull lower abdominal pain and a persistent low-grade fever. Her laboratory results showed elevated inflammation markers. A CT scan revealed two abscesses in the lesser pelvic region in direct contact with the apex of the appendix, the posterior wall of the uterus, and the right-side appendages. The patient responded well to intravenous antibiotics, and an MRI scan revealed the cause to be an appendiceal rupture. The patient was scheduled for an appendectomy...
March 6, 2024: Diagnostics
https://read.qxmd.com/read/38465720/l3w3-incisional-hernia-with-lod-robotic-etep-tar-repair-with-video
#18
JOURNAL ARTICLE
Victor Gheorghe Radu, Diana Teodora Cucu
video width="640" height="480" controls controlsList="nodownload" poster="https://www.revistachirurgia.ro/pdfs/video/Victor_Gheorghe_Radu_L3W3_Incisional_Hernia.jpg" style="margin-top: -20px;" source src="https://www.revistachirurgia.ro/pdfs/video/Victor_Gheorghe_Radu_L3W3_Incisional_Hernia.mp4" type="video/mp4" Your browser does not support the video tag. /video Introduction: The Rives-Stoppa procedure has emerged as the preferred method for ventral hernia repair, and the principles of this technique are similarly applied in minimally invasive surgery using the eTEP (enhanced view totally extraperitoneal) approach...
February 2024: Chirurgia
https://read.qxmd.com/read/38465099/successful-repair-with-strategic-omentectomy-and-meticulous-suturing-for-incarcerated-massive-umbilical-hernia-in-an-adult-a-case-report
#19
Toru Zuiki, Jun Ohki, Takashi Ui
This case report details the successful management of a massive incarcerated umbilical hernia in an obese adult patient. Strategic integration of omentectomy and meticulous suturing, excluding mesh repair due to comorbidities of obesity and poorly controlled diabetes, led to an uneventful postoperative course. The 65-year-old female underwent semi-emergency surgery, involving the repositioning of the incarcerated intestinal tract into the abdominal cavity through a substantial omentectomy. Closure of the hernia orifice was performed utilizing alternating absorbable interrupted sutures and non-absorbable far-near/near-far stitches...
February 2024: Curēus
https://read.qxmd.com/read/38465062/visceral-artery-revascularization-with-the-roof-top-approach-an-alternative-technique-with-great-exposure-of-the-suprarenal-aorta
#20
Konstantinos G Seretis, Theofanis Papas, Afroditi Antoniou, Sofia Tzamtzidou, Andreas M Lazaris
Due to the extensive collateral arterial network, symptomatic chronic mesenteric ischemia is a relatively uncommon condition and is associated with severe atherosclerotic disease of all major visceral arteries. Open surgical repair has been commonly used to restore blood supply to the visceral arteries, and the "roof-top" approach has been advocated as an alternative technique to traditional midline incision, mainly because of the great exposure of the suprarenal aorta that it offers. Roof-top approach, in other words, bilateral subcostal incision, is a totally abdominal approach to the suprarenal aorta, and as the title says, it is like a roof-top on the abdominal wall...
February 2024: Curēus
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