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Laparoscopy And Surgery

Mesrur Selcuk Silay, Lisette Hoen, Josine Quadackaers, Shabnam Undre, Guy Bogaert, Hasan Serkan Dogan, Radim Kocvara, Rien J M Nijman, Christian Radmayr, Serdar Tekgul, Raimund Stein
CONTEXT: The benefits and harms of intervention (surgical or radiological) versus observation in children and adolescents with varicocele are controversial. OBJECTIVE: To systematically evaluate the evidence regarding the short- and long-term outcomes of varicocele treatment in children and adolescents. EVIDENCE ACQUISITION: A systematic review and meta-analysis was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) statement...
October 10, 2018: European Urology
Artur Ludwin, Inga Ludwin, Bala Bhagavath, Wellington P Martins, Steven R Lindheim
OBJECTIVES: To demonstrate the hymen-sparing management of a blind hemivagina in obstructed hemivagina and ipsilateral renal anomaly (OHVIRA) syndrome with the use of transrectal ultrasound (TRUS)-guided vaginoscopic septoplasty supported by pre- and postoperative diagnostics with the use of a novel ultrasound technique: 3-dimensional saline-solution infusion contrast sonovaginocervicography (3D-SVC) with virtual speculoscopy. DESIGN: Video presentation of surgical and ultrasound techniques...
October 2018: Fertility and Sterility
Lei Zhan, Shun Yao, Shiying Sun, Qian Su, Jun Li, Bing Wei
OBJECTIVE: To investigate the levels of NLRC5 and autophagy in women with leiomyoma and endometriosis and the correlation between NLRC5 level and autophagy level. DESIGN: Case-control study. SETTING: Clinics. PATIENT(S): Sixty-five patients were recruited: 30 women with endometriosis were compared with 35 women with leiomyoma. INTERVENTION(S): Endometriosis was definitively diagnosed during surgery by laparoscopy or laparotomy and was confirmed by histopathological evaluation (n=30)...
October 2018: Fertility and Sterility
Simone Garzon, Ricciarda Raffaelli, Umberto Montin, Fabio Ghezzi
OBJECTIVE: To report a case of primary hepatic pregnancy complicated by acute hemoperitoneum that was treated with a laparoscopic approach. DESIGN: Case report and review of the literature. SETTING: Obstetrics and gynecology unit of a university hospital. PATIENT(S): A 37-year-old pregnant woman who presented with vaginal bleeding. INTERVENTION(S): Diagnosis by abdominal ultrasound and computed tomography...
October 2018: Fertility and Sterility
Joseph A Sujka, Justin Sobrino, Leo A Benedict, Hanna Alemayehu, Shawn St Peter, Richard Hendrickson
INTRODUCTION: Enteric duplication is a congenital anomaly with varied clinical presentation that requires surgical resection for definitive treatment. This had been approached with laparotomy for resection, but has changed with minimally invasive technique. The purpose of our study was to determine the demographics, natural history, operative interventions, and outcomes of pediatric enteric duplication cysts in a contemporary cohort. METHODS: With IRB approval, we performed a retrospective chart review of all patients less than 18 years old treated for enteric duplication between January 2006 and August 2016...
October 13, 2018: Pediatric Surgery International
Roberto Cirocchi, Nicola Fearnhead, Nereo Vettoretto, Diletta Cassini, Georgi Popivanov, Brandon Michael Henry, Krzysztof Tomaszewski, Vito D'Andrea, Justin Davies, Salomone Di Saverio
BACKGROUND: Nowadays sigmoidectomy is recommended as "gold standard" treatment for generalized purulent or faecal peritonitis from sigmoid perforated diverticulitis. This systematic review and meta-analysis aimed to assess effectiveness and safety of laparoscopic access versus open sigmoidectomy in acute setting. METHODS: A systematic literature search was performed for randomized controlled trials (RCTs) and non-RCTs published in PubMed, SCOPUS and Web of Science...
October 9, 2018: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
Ismail Pinar, Tina Fransgaard, Lau C Thygesen, Ismail Gögenur
BACKGROUND: Robotic technology has been proven to be a safe alternative to conventional laparoscopy with regards to the peri- and postoperative clinical outcomes. Oncological outcomes have been scarcely examined. The purpose of this study was to examine the disease-free survival in relation to the two surgical approaches: robot-assisted surgery and conventional laparoscopy. In addition, all-cause mortality and recurrence-free survival were investigated. METHODS: Between January 2010 and December 2015, patients, undergoing either laparoscopic or robot-assisted elective, curative-intended surgery for colorectal cancer were included...
October 11, 2018: Annals of Surgical Oncology
Jarosław Pieróg, Michał Bielewicz, Janusz Wójcik, Bartosz Kubisa, Krzysztof Kaseja, Krzysztof Safranow, Barbara Dołęgowska, Piotr Waloszczyk, Tomasz Grodzki
Aim: The aim of this study was to compare the metabolic response in the early postoperative period after radical resection of stage I and II oesophageal cancer applying a minimally invasive procedure and an open procedure involving classical laparotomy and thoracotomy. Material and methods: Serum concentrations of interleukin 6 (IL-6), procalcitonin (PCT), C-reactive protein (CRP), tumour necrosis factor-α (TNF-α), and total serum protein (TP) and leukocyte count (WBC) in blood collected on the day of surgery prior to the procedure (day 0) and on days 1, 2 and 7 after the surgery were measured in two groups of patients undergoing oesophageal resection due to cancer: applying a minimally invasive procedure involving laparoscopy and videothoracoscopy (group A) and applying a classical procedure involving full opening of the chest and abdominal cavity (group B)...
September 2018: Kardiochirurgia i Torakochirurgia Polska, Polish Journal of Cardio-Thoracic Surgery
Rachael Hemmert, Karen C Schliep, Sydney Willis, Charles Matthew Peterson, Germaine Buck Louis, Kristina Allen-Brady, Sara E Simonsen, Joseph B Stanford, Jiyoung Byun, Ken R Smith
BACKGROUND: Caffeine, alcohol, smoking and physical activity are known to alter sex steroid synthesis, which may affect hormone-dependent gynaecologic disease risk, such as endometriosis; however, few studies have assessed life style factors prior to endometriosis diagnosis. METHODS: Four hundred and seventy three women, ages 18-44 years, underwent laparoscopy or laparotomy, regardless of clinical indication, at 14 clinic sites, 2007-2009. Women with prior surgically confirmed endometriosis were excluded...
October 11, 2018: Paediatric and Perinatal Epidemiology
Shailesh Puntambekar, Ranjit Manchanda
Laparoscopy, with its many advantages, has revolutionized the field of pelvic surgery and enabled surgeons to gain a far greater understanding of pelvic anatomy. As technology evolves, our understanding is continuously improving. This article is a tribute to the anatomy of the pelvis, which itself has resisted evolutionary changes and remained the same, whereas our understanding of how to view and approach various organ structures has evolved.
October 2018: International Journal of Gynaecology and Obstetrics
Diego M Carrion, Mario Alvarez-Maestro, Juan Gómez Rivas, Yaroslav Brygadyr, Eugenia García-Fernandez, Luis Martínez-Piñeiro
Castleman's disease (CD) is an uncommon type of lymphoproliferative disorder. Its etiology and prevalence are unclear. The retroperitoneum is a very rare site for presentation of the unicentric variant, where it mimics malignant tumors. A 59-year-old man is referred to the urology outpatient clinic for the study of microhematuria found in a routine analysis. CT scan of the abdomen identified a solid, circumscribed mass, measuring 28 × 30 × 31 mm in the left para-aortic zone, with homogeneous contrast enhancement...
October 10, 2018: Urologia Internationalis
C Emi Bretschneider, David Sheyn, Robert Pollard, Cecile A Ferrando
OBJECTIVE: To describe the rate and 30-day outcomes after gender affirmation surgery in transgender men. METHODS: We conducted a cross-sectional population-based study. Patients with male gender who underwent hysterectomy for benign indications between 2013 and 2016 in the American College of Surgeons' National Surgical Quality Improvement database were identified. Propensity score matching was performed to ameliorate selection bias. Student t test and Mann-Whitney tests were used to compare continuous variables between two groups where appropriate...
October 5, 2018: Obstetrics and Gynecology
Elisa M Jorgensen, Anjie Li, Anna M Modest, Katherine Leung, Tiffany A Moore Simas, Hye-Chun Hur
OBJECTIVE: To evaluate the incidence of postoperative venous thromboembolism after gynecologic surgery by mode of incision. METHODS: We conducted a retrospective cohort study of all patients who underwent gynecologic surgery from May 2006 to June 2015 at two tertiary care academic hospitals in Massachusetts. Billing and diagnosis codes were used to identify surgeries and cases of venous thromboembolism. RESULTS: A total of 43,751 surgical encounters among 37,485 individual patients were noted during the study...
October 5, 2018: Obstetrics and Gynecology
Léon Maggiori, Jean Jacques Tuech, Eddy Cotte, Bernard Lelong, Quentin Denost, Mehdi Karoui, Eric Vicaut, Yves Panis
OBJECTIVE: To compare outcome of single-port laparoscopy (SPL) and multiport laparoscopy (MPL) laparoscopy for colonic surgery. SUMMARY OF BACKGROUND DATA: Benefits of SPL over MPL are yet to be demonstrated in large randomized trials. METHODS: In this prospective, double-blinded, superiority trial, patients undergoing laparoscopic colonic resection for benign or malignant disease were randomly assigned to SPL or MPL (NCT01959087). Primary outcome was length of theoretical hospital stay (LHS)...
November 2018: Annals of Surgery
Fatih Dal, Engin Hatipoğlu, Serkan Teksöz, Metin Ertem
Of all ingested foreign bodies, 2.4% comprise of sewing needles. Through perforation of gastrointestinal tract, which occurs in 1% of cases, they can migrate into the liver and pancreas. Foreign bodies in pancreas should be considered in the differential diagnosis of chronic abdominal pain. Computed tomography scans provide valuable information for the localization of the lesion, which guide the surgeon during the operation. Secondary to foreign bodies that migrate to the pancreas, complications with high mortality such as pancreatitis, pseudoaneurysm, and pancreas abscess can be seen...
2018: Turkish Journal of Surgery
Mateusz Wierdak, Magdalena Pisarska, Beata Kuśnierz-Cabala, Michał Kisielewski, Piotr Major, Jan S Witowski, Piotr Ceranowicz, Marcin Strzałka, Andrzej Budzyński, Michał Pędziwiatr
Introduction: Thanks to laparoscopy and enhanced recovery protocols (ERAS) it is possible to shorten hospitalization. Therefore, it seems reasonable to search for new early markers of infectious complications in order to select patients who are prone to development of complications. Aim: To assess the usefulness of serum levels of C-reactive protein, interleukin-6 and procalcitonin as early indicators of infectious complications in patients after laparoscopic colorectal surgery with ERAS...
September 2018: Wideochirurgia i Inne Techniki Mało Inwazyjne, Videosurgery and Other Miniinvasive Techniques
Yongke Liu, Dong Guo, Zhaojian Niu, Yuliang Wang, Guanghua Fu, Yanbing Zhou, Qingkai Xue, Xinliang Jin, Zhiqi Gong
Propose: The purpose of this study was to compare the accuracy of visceral fat area (VFA) and body mass index (BMI) in predicting the risk of laparoscopic-assisted gastrectomy. Methods: Clinicopathological and imaging data of 133 patients who underwent laparoscopy-assisted gastrectomy were recorded, including 17 cases of conversion to open surgery. The remaining 116 patients were retrospectively analyzed after we excluded 17 patients who had been transferred to laparotomy...
2018: Gastroenterology Research and Practice
Marco Milone, Michele Manigrasso, Morena Burati, Nunzio Velotti, Francesco Milone, Giovanni Domenico De Palma
BACKGROUND: Recently, it has been questioned if minimally invasive surgery for rectal cancer was surgically successful. We decided to perform a meta-analysis to determine if minimally invasive surgery is adequate to obtain a complete resection for curable rectal cancer. METHODS: A systematic search pertaining to evaluation between laparoscopic and open rectal resection for rectal cancer was performed until 30th November 2016 in the electronic databases (PubMed, Web of Science, Scopus, EMBASE), using the following search terms in all possible combinations: rectal cancer, laparoscopy, minimally invasive and open surgery...
2018: PloS One
Tatiana Catanzarite, Jasmine Tan-Kim, Shawn Adam Menefee
PURPOSE OF REVIEW: Work-related musculoskeletal disorders (WMSDs) are prevalent among surgeons and result in significant disability. We aimed to review the English-language literature regarding ergonomic risk, prevalence of WMSDs, and unique ergonomic considerations of gynecologic surgery. RECENT FINDINGS: Surgeon WMSDs are prevalent, with rates ranging from 66 to 94% for open surgery, 73-100% for conventional laparoscopy, 54-87% for vaginal surgery, and 23-80% for robotic-assisted surgery...
October 6, 2018: Current Opinion in Obstetrics & Gynecology
Tanitra Tantitamit, Chyi-Long Lee
OBJECTIVE: This report outlines our first experience of SLN mapping in NOTES technique which is the combination of the least invasive surgical approach and the least invasive way of assessing lymph node status. DESIGN: Descriptive study (Canadian Task Force Classification III) SETTING: Tertiary referral and educational center. PATIENTS: A total of 4 patients with endometrial cancer clinical stage1. INTERVENTIONS: NOTES with SLN mapping using indocyanine green (ICG)-based near-infrared fluorescence imaging technique...
October 5, 2018: Journal of Minimally Invasive Gynecology
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