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Laparoscopy And Surgery

Simone Ferrero, Valerio Gaetano Vellone, Fabio Barra, Carolina Scala
BACKGROUND/AIMS: Ulipristal acetate ([UPA], Esmya®) is an orally active selective progesterone-receptor modulator that has been approved as preoperative treatment for uterine myomas. This systematic review aims to summarize the available data on surgical outcomes of patients undergoing myomectomy by hysteroscopy or by laparoscopy after preoperative treatment with UPA. METHODS: this review was performed following PRISMA guidelines and was registered in PROSPERO (CRD42018092201)...
December 14, 2018: Gynecologic and Obstetric Investigation
Daiki Yasukawa, Yuki Aisu, Yusuke Kimura, Yuichi Takamatsu, Taku Kitano, Tomohide Hori
BACKGROUND Colostomy creation via intraperitoneal route is often performed during laparoscopic Hartmann's operation or abdominoperineal resection (APR). Herein, we report 3 rare cases of internal hernia associated with colostomy (IHAC). CASE REPORT The first case involved a 70-year-old man with IHAC after laparoscopic APR. Laparoscopy revealed the small intestine passed through a defect between the lifted sigmoid colon and left lateral abdominal wall in a cranial-to-caudal direction. The dislocated bowel with ischemic change was restored to its normal position and the lateral defect was covered with lateral peritoneum and greater omentum...
December 14, 2018: American Journal of Case Reports
Luis Enrique Becerra Coral, Lorena Natalia Gomez Ceron, Adriana Isabel Delgado Bravo
Peritonitis is one of the main complications of abdominal emergencies. Laparoscopy serves both for the diagnostic and therapeutic management of the acute abdomen; in expert hands the morbimortality of this method is minimal. OBJECTIVE: The objective is to verify the efficacy of laparoscopy in patients with secondary peritonitis performing a single surgery without the need for reinterventions, ensuring the least damage of the abdominal wall, avoiding laparotomy. MATERIAL AND METHODS: Retrospective study included patients with final diagnosis of peritonitis and managed with laparoscopic technique, covering a period from May 2011 to July 2016, admitted to Clínica Nuestra Señora de Fátima, Pasto, Colombia...
July 2018: Revista de Gastroenterología del Perú: órgano Oficial de la Sociedad de Gastroenterología del Perú
Taylor George, Eric H Williams, Richard Franklin, A Lee Dellon
BACKGROUND: An estimated 700,000 groin hernia repairs are performed in the United States each year. Studies have shown that up to 50% of patients who undergo groin hernia repair are affected by persistent pain beyond the first few days after surgery. At 2 to 5 years after either open or laparoscopic, mesh or without mesh, 10% to 12% of these patients will have persistent and disabling pain. If the ilioinguinal, iliohypogastric, or genitofemoral nerves are injured below the transversalis muscle layer, the traditional external, open approach to nerve resection will not help these patients...
January 2019: Annals of Plastic Surgery
Toru Imagami, Satoru Takayama, Yohei Maeda, Ryohei Matsui, Masaki Sakamoto, Hisanori Kani
A 78-year-old woman with lumboperitoneal (LP) shunt was diagnosed with advanced cancer of the ascending colon. Laparoscopic right hemicolectomy was performed without manipulating the catheter. The patient's postoperative course was uneventful, with no shunt-related complications or neurological deficit. The number of patients with cerebrospinal fluid (CSF) shunt who require abdominal surgery has been increasing. There are only few studies on laparoscopic surgery for patients with LP shunt, and the safety of pneumoperitoneum in the CSF shunt remains controversial...
2018: Case Reports in Surgery
S Linder, G Linder, C Månsson
PURPOSE: de Garengeot's hernia is a rare entity in which the appendix is located within a femoral hernia and is almost invariably encountered incarcerated in an emergency setting with concomitant appendicitis. In the literature, there are mostly single-case reports. The purpose of the present study was to perform a review of the literature to study the incidence, pathogenesis, demographics, clinical presentation, laboratory and radiological investigations, differential diagnosis, delay in diagnosis and treatment, operative findings, surgical technique, histological findings, the postoperative course, use of antibiotics, and complications regarding de Garengeot's hernia...
December 7, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
Yibin Zhu, Jianjian Xiang, Wei Liu, Qian Cao, Wei Zhou
Background and Aims: Laparoscopic approach is recommended as the first-choice option for simple ileocecal resections. However, there are no randomized trials that have focused on patients with Crohn's disease (CD) treated by laparoscopy and enhanced recovery pathway. The aim of the present study is to prospectively evaluate the feasibility, safety, and short-term outcomes of laparoscopy with enhanced recovery pathway for CD patients undergoing ileocecal resection. Methods: A consecutive cohort of 32 CD patients who underwent laparoscopic ileocecal resection between December 2015 and December 2016 was randomized to enhanced recovery after surgery (ERAS) group or standard care group...
2018: Gastroenterology Research and Practice
Ci Huang, Mun-Kun Hong, Tang-Yuan Chu, Dah-Ching Ding
Background: Adnexal torsion is a gynecologic emergency that requires surgical treatment. In this study, we reviewed the surgical outcomes of women with adnexal torsion in eastern Taiwan (Hualien county, area 4,629 km2 , 330,000 residents). Methods: This retrospective study included 42 women diagnosed with surgically-proven adnexal torsion from January 1, 2010, to September 31, 2015. We compared the symptoms, objective findings, and surgical outcomes of patients who underwent laparotomy or laparoscopy...
2018: PeerJ
A G Beburishvili, S I Panin, D V Mikhailov, M P Postolov
AIM: To improve the outcomes in patients with perforated duodenal ulcers. MATERIAL AND METHODS: Cohort study included 456 patients with perforated duodenal ulcer. High risk of mortality was determined in 9% of patients (n=40) considering Boey diagnostic criteria (1982, 1987). There were 19 women and 21 men aged 59±2.8 years. RESULTS: Perforated duodenal ulcer was followed by overall mortality near 3.8%. In high risk group this value was 17...
2018: Khirurgiia
H M Haug, E Johnson, T Mala, D T Førland, T T Søvik, H O Johannessen
INTRODUCTION: About 1% of paraesophageal hernias (PEH) require emergency surgery due to obstruction or gangrene. We present two complicated cases of incarcerated PEH. Presentation of cases: A patient aged 18 with trisomy 21 was admitted after four days of vomiting and epigastric pain. CT scan revealed a large PEH. The stomach was massively dilated with compression of adjacent viscera and the celiac trunk. The stomach was repositioned laparoscopically and deflated by endoscopy in an attempt to avoid resection...
November 30, 2018: International Journal of Surgery Case Reports
Javier F Magrina, Tatiana Cuesta Guardiola, Paul M Magtibay, Heidi E Kosiorek, Paul M Magtibay
STUDY OBJECTIVE: To estimate pulmonary complications and diaphragm recurrence after resection of diaphragm metastases by minimally invasive surgery (MIS) for epithelial ovarian cancer (EOC). DESIGN: Retrospective analysis. DESIGN CLASSIFICATION: III. SETTING: Mayo Clinic in Scottsdale, Arizona, from January 1, 2004, through January 31, 2014. PATIENTS AND INTERVENTIONS: Selected cohort of 29 patients undergoing diaphragm resection by MIS (robotics, n=21; laparoscopy, n=8) for EOC...
December 7, 2018: Journal of Minimally Invasive Gynecology
Mei Diao, Wei Cheng, Paul Kwong Hang Tam, Long Li
Pediatric laparoscopic surgery has developed rapidly in the past 20 years in mainland China with the help of international collaborative training programs. High-volume laparoscopic workload has enabled Chinese pediatric surgeons to innovate and gain experience within a short span of time. We feel that outcomes are comparable or even in some cases superior to that of open surgery. In this article, based on the Storz Lecture to the 65th BAPS Congress in Liverpool, we share our experience of this rapid development of pediatric laparoscopy...
November 6, 2018: Journal of Pediatric Surgery
Ozguc Takmaz, Esra Ozbasli, Savas Gundogan, Ercan Bastu, Cem Batukan, Suat Dede, Mete Gungor
Background and Objectives: To compare the symptom severity and health quality outcomes of women who underwent laparoscopic and robotic myomectomy. Methods: This was a prospective nonrandomized cohort study. The Uterine Fibroid Symptom and Health Related Quality of Life Questionnaire was administered to 33 laparoscopic myomectomy and 31 robotic myomectomy patients before and year after surgery. Symptom severity and health quality scores were compared between the preoperative and postoperative periods for laparoscopic and robotic myomectomy procedures...
October 2018: JSLS: Journal of the Society of Laparoendoscopic Surgeons
Patrícia Oliveira, Ana Duarte, André Guimarães, Armindo Fernandes, Catarina Ferreira, Diana Amorim, Filipa Gouveia, Joana Almeida, Madalena Braga, Mariana Oliveira, Mónica Durães, Rita Pichel, José Romão
INTRODUCTION: Chronic postoperative pain is the most frequent late complication of inguinal hernia repair surgery. The aim of this study is to evaluate the incidence of chronic post-hernioplasty pain in outpatient care at Centro Hospitalar do Porto, describe it, analyse its relation with other variables defined in the literature and study its functional interference. MATERIAL AND METHODS: We performed a retrospective cohort study between February and May 2016, using a structured telephone interview composed of questions from the authors and sections of published questionnaires, two of which are validated for the Portuguese language and culture...
November 30, 2018: Acta Médica Portuguesa
Ali Fuat Kaan Gök, Yiğit Soydaş, Adem Bayraktar, Selman Emirikçi, Mehmet İlhan, Ahmet Kemalettin Koltka, Mustafa Kayıhan Günay
BACKGROUND: The aim of this study was to compare the obstetric and surgical outcomes of laparoscopic appendectomy (LA) and open appendectomy (OA) performed for pregnant women at a single center. It was the hypothesis of this study that there would be no significant difference in the results. METHODS: The medical records of 57 consecutive pregnant women who underwent an appendectomy between January 2009 and September 2018 were reviewed retrospectively. The patients were divided into 2 groups: OA and LA...
November 2018: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
Alberto Arezzo, Nereo Vettoretto, Nader K Francis, Marco Augusto Bonino, Nathan J Curtis, Daniele Amparore, Simone Arolfo, Manuel Barberio, Luigi Boni, Ronit Brodie, Nicole Bouvy, Elisa Cassinotti, Thomas Carus, Enrico Checcucci, Petra Custers, Michele Diana, Marilou Jansen, Joris Jaspers, Gadi Marom, Kota Momose, Beat P Müller-Stich, Kyokazu Nakajima, Felix Nickel, Silvana Perretta, Francesco Porpiglia, Francisco Sánchez-Margallo, Juan A Sánchez-Margallo, Marlies Schijven, Gianfranco Silecchia, Roberto Passera, Yoav Mintz
BACKGROUND: The use of 3D laparoscopic systems is expanding. The European Association of Endoscopic Surgery (EAES) initiated a consensus development conference with the aim of creating evidence-based statements and recommendations for the surgical community. METHODS: Systematic reviews of the PubMed and Embase libraries were performed to identify evidence on potential benefits of 3D on clinical practice and patient outcomes. Statements and recommendations were prepared and unanimously agreed by an international surgical and engineering expert panel which were presented and voted at the EAES annual congress, London, May 2018...
December 4, 2018: Surgical Endoscopy
Carmine Noviello, Mercedes Romano, Alfonso Papparella, Andrea Ciavattini, Ascanio Martino, Giovanni Cobellis
Isolated tubal torsion (ITT) is a rare cause of acute abdominal pain. Preoperative diagnosis is difficult because of a lack of specific signs. Surgery is recommended to preserve the integrity of the tube. Seven patients of median age of 13 years (range 9 to 15) came to our observation for worsening abdominal pain, nausea and vomiting. On admission, all girls had blood tests and ultrasound. Laparoscopy was performed for diagnosis in all cases. The girls had one-month and one-year ultrasound and clinic follow up...
December 4, 2018: La Pediatria Medica e Chirurgica: Medical and Surgical Pediatrics
Erol Piskin, Mesut Ozdedeoglu, Bahtiyar Muhammedoglu, Yigit Mehmet Ozgun, Anhmet Kusdemir
PURPOSE: In this study, we compared the endocrine and cytokine reaction of the patients which laparoscopic and conventional appendectomy was done for acute appendicitis. MATERIALS AND METHOD: 50 patients who were operated for acute appendicitis in Ankara Atatürk Research and Training Hospital between the dates December 2013 and February 2014 were enrolled and grouped as either laparoscopic or conventional. Serum ACTH, IL-6 and CRP levels were obtained at induction of anesthesia and postoperative 6th hour...
November 29, 2018: Annali Italiani di Chirurgia
Lucio Tommaso De Paolis, Valerio De Luca
Minimally invasive techniques, such as laparoscopy and radiofrequency ablation of tumors, bring important advantages in surgery: by minimizing incisions on the patient's body, they can reduce the hospitalization period and the risk of postoperative complications. Unfortunately, they come with drawbacks for surgeons, who have a restricted vision of the operation area through an indirect access and 2D images provided by a camera inserted in the body. Augmented reality provides an "X-ray vision" of the patient anatomy thanks to the visualization of the internal organs of the patient...
December 4, 2018: Medical & Biological Engineering & Computing
A Sinha, E M Burns, A Latchford, S K Clark
Background: Laparoscopy is used increasingly in prophylactic surgery for patients with familial adenomatous polyposis (FAP) undergoing colectomy with ileorectal anastomosis (IRA). Little is known about the impact of laparoscopy on subsequent desmoid risk. This study documented the risk of desmoid in patients undergoing laparoscopic and open IRA. Methods: This was an observational study of patients with FAP and known germline APC mutation, undergoing IRA at a tertiary referral centre between 1996 and 2016...
December 2018: BJS open
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