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Trauma Laparoscopy

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https://www.readbyqxmd.com/read/29959617/atraumatic-splenic-rupture-in-a-peritoneal-dialysis-patient
#1
Chiharu Kinoshita, Pham Nguyen Quy, Masanori Honda
Splenic hemorrhage is a potentially life-threatening complication usually occurring after blunt trauma to the abdomen. Atraumatic splenic rupture (ASR) is an uncommon condition, and mostly results from pathology affecting the spleen, such as tumor infiltration or infection. Here, we report a case of atraumatic rupture of a normal spleen in a patient undergoing peritoneal dialysis, and review similar cases in the literature. The case involved a 58-year-old man with nephrotic syndrome who had been undergoing peritoneal dialysis for 1 year...
June 29, 2018: CEN Case Reports
https://www.readbyqxmd.com/read/29953097/-experience-of-reconstructive-laparoscopic-procedures-in-patients-with-terminal-colostomy
#2
I A Matveev, D T Khassiya, B K Gibert, T I Payusova
AIM: To analyze the ways and terms of training for laparoscopy-assisted reconstruction operations via learning curves analysis and to compare the outcomes obtained both during training for technique and after that. MATERIAL AND METHODS: There were 93 reconstructive laparoscopic procedures in 58 (62.36%) patients with terminal colostomy. All patients were operated by the same surgeon. Learning curves have been created and analyzed. RESULTS: Analysis showed that all surgical features are achieved by the 30th intervention indicating the end of learning period...
2018: Khirurgiia
https://www.readbyqxmd.com/read/29936979/not-all-operative-experiences-are-created-equal-a-19-year-analysis-of-a-single-center-s-case-logs
#3
Alexander R Cortez, Vikrom K Dhar, Jeffrey J Sussman, Timothy A Pritts, Michael J Edwards, R Cutler Quillin
BACKGROUND: Although national operative volumes have remained stable, surgical educators should appreciate the changing experience of today's surgical residents. We set out to evaluate operative volume trends at our institution and study the impact of resident learning styles on operative experience. MATERIALS AND METHODS: The Accreditation Council for Graduate Medical Education operative log data from 1999 to 2017 for a single general surgery residency program were examined...
September 2018: Journal of Surgical Research
https://www.readbyqxmd.com/read/29887689/prospective-nonrandomized-comparative-study-of-laparoscopic-versus-open-surgical-staging-for-endometrial-cancer-in-india
#4
Ansar P P, Ayyappan S, Vikash Mahajan
Laparoscopic procedures to treat endometrial cancer are currently emerging. At present, we have evidence to do laparoscopic oncologic resections for endometrial cancer as proven by many prospective studies from abroad such as LAP2 by GOG. So, we have decided to assess the safety and feasibility of such a study in our population with the following as our primary objectives: (1) to study whether laparoscopy is better compared to open approach in terms of duration of hospital stay, perioperative morbidity and early recovery from surgical trauma and (2) to study whether the laparoscopic approach is noninferior to the open approach in terms of number of lymph nodes harvested in lymphadenectomy and rate of conversion to open surgery...
June 2018: Indian Journal of Surgical Oncology
https://www.readbyqxmd.com/read/29862715/-design-and-implementation-of-the-glasses-free-three-dimensional-laparoscopy-system
#5
Dongxing Gu, Juanjuan Jiang, Jianjun Li, Zhuangzhi Yan
Minimally invasive surgery (MIS) has the advantages of small trauma, quick recovery and lower risk of the surgery. Compared with the traditional two-dimension laparoscopic technique, three-dimension laparoscopic system uses the double beam imaging system as well as the three-dimensional imaging display device so as to compensate for the lack of depth information in two-dimension laparoscopic imaging technique, reduce the surgeon's difficulty in using surgical instruments and enhance the accuracy of the surgery...
September 30, 2017: Zhongguo Yi Liao Qi Xie za Zhi, Chinese Journal of Medical Instrumentation
https://www.readbyqxmd.com/read/29807172/trauma-laparoscopy-a-prospect-of-skills-training-cohort-study
#6
O Y Matsevych, M Z Koto, C Aldous
BACKGROUND: Diagnostic laparoscopy is well-accepted in management of penetrating abdominal trauma (PAT) with the rate of missed injuries below 1%. However, there is a reluctance to accept therapeutic laparoscopy in trauma society. The possible reason is a lack of laparoscopic skills by trauma surgeons. Moreover, no formal laparoscopy training program for trauma exists. The aim of this study was to interrogated our laparoscopy training particularly in trauma setting, and to investigate a possible relation between the seniority of surgeons performing the procedures and the complication rates...
July 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29784584/pelvic-adhesions-and-fertility-where-are-we-in-2018
#7
M Canis, R Botchorishvili, N Bourdel, A-S Gremeau, S Curinier, B Rabischong
Peritoneal adhesions remain a major public health problem despite the development of laparoscopy. The rules of microsurgery must be known and followed during any pelvic surgery, even in patients who no longer have a desire for pregnancy. Anti-adhesion products are numerous. All have interest, confirmed by anatomical studies showing a smaller extent or a lesser severity of adhesions associated with their use. No studies, however, show clinical benefit in terms of improved pain or postoperative fertility. Pneumoperitoneum parameters, humidification, and lower abdominal pressure should be optimized to limit peritoneal trauma...
June 2018: Journal of Visceral Surgery
https://www.readbyqxmd.com/read/29770872/application-of-the-aast-egs-grade-for-adhesive-small-bowel-obstruction-to-a-multi-national-patient-population
#8
Matthew C Hernandez, Arianna Birindelli, John L Bruce, Johannes J P Buitendag, Victory Y Kong, Mircea Beuran, Johnathon M Aho, Ionut Negoi, Damian L Clarke, Salomone Di Saverio, Martin D Zielinski
BACKGROUND: The American Association for the Surgery of Trauma (AAST) anatomic severity grading system for adhesive small bowel obstruction (ASBO) has demonstrated to be a valid tool in North American patient populations. Using a multi-national patient cohort, we retrospectively assessed the validity the AAST ASBO grading system and estimated disease severity in a global population in order to correlate with several key clinical outcomes. METHODS: Multicenter retrospective review during 2012-2016 from four centers, Minnesota USA, Bologna Italy, Pietermaritzburg South Africa, and Bucharest Romania, was performed...
May 16, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/29754252/laparoscopic-single-incision-triangulated-umbilical-surgery-situs-pyeloplasty-a-description-of-the-first-32-cases
#9
Martin Habicher, Theodoros Tokas, Thomas Rw Herrmann, Udo Nagele
INTRODUCTION AND OBJECTIVES: Transumbilical laparoendoscopic (LESS) procedures reduce access trauma. Laparoendocopic single-incision triangulated umbilical surgery (SITUS) utilizes straight instruments in a triangulated fashion, via three trocars placed through a single umbilical incision. METHODS: Thirty-two consecutive patients underwent an SITUS pyeloplasty. Access is performed by incision of the umbilical fold by 3/4 of its circumference, a 5-mm camera port, and consequently, cranial and caudal 3 or 5 mm working trocars are placed at a distance of 3-6 cm, thus allowing triangulation...
May 12, 2018: World Journal of Urology
https://www.readbyqxmd.com/read/29673032/reducing-post-laparoscopy-shoulder-pain-are-simple-strategies-are-enough
#10
Jane Daniels
Laparoscopy-induced pain is still not fully understood. There are a number of theories regarding the mechanism of pain generation, focusing on both the mechanical trauma of the peritoneal distension and the effect of the insufflated carbon dioxide. The result is irritation of the phrenic nerve and diaphragm, causing referred pain in the shoulder and pain in the upper abdomen. This article is protected by copyright. All rights reserved.
April 19, 2018: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/29644264/laparoscopic-approach-to-the-management-of-penetrating-traumatic-diaphragmatic-injury
#11
Teo Li Tserng, Maria Benita Gatmaitan
Background: Traditionally, laparotomy/thoracotomy is the standard approach for thoracoabdominal injuries. However, it has a non-therapeutic rate of 12-40% and 40% morbidity. Laparoscopy, as a diagnostic and therapeutic modality, has evolved to be integral to general and subspecialty surgeons in the management of patients. However, its use in the field of trauma surgery has been limited. We present a case of traumatic diaphragmatic injury from a low velocity penetrating wound successfully repaired through laparoscopic approach...
August 2017: Trauma Case Reports
https://www.readbyqxmd.com/read/29613959/evaluation-and-management-of-traumatic-diaphragmatic-injuries-a-practice-management-guideline-from-the-eastern-association-for-the-surgery-of-trauma
#12
Amy A McDonald, Bryce R H Robinson, Louis Alarcon, Patrick L Bosarge, Heath Dorion, Elliott R Haut, Jeremy Juern, Firas Madbak, Srinivas Reddy, Patricia Weiss, John J Como
BACKGROUND: Traumatic diaphragm injuries (TDI) pose both diagnostic and therapeutic challenges in both the acute and chronic phases. There are no published practice management guidelines to date for TDI. We aim to formulate a practice management guideline for TDI using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) methodology. METHODS: The working group formulated five Patient, Intervention, Comparator, Outcome questions regarding the following topics: (1) diagnostic approach (laparoscopy vs...
July 2018: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/29607721/removing-a-metal-foreign-object-successfully-from-a-patient-s-retroperitoneal-space-using-laparoscopy-and-a-novel-navigation-system
#13
J H Wu, Y Yuan, L Q Jiang, Y Xia, Y Wang, S G Xu, P Y Zhou
Trauma with foreign objects retained within the human body has become a common surgical emergency condition. Traditional surgical methods often involve creating large incisions in soft tissue and may lead to additional complications during wound healing. We have developed a new method of removing foreign bodies from patients' abdomens by using laparoscopy with the help of a novel navigation system that provides accurate positioning. This approach is minimally invasive and simple. This is the first combination of both technologies in this field...
May 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/29589458/laparoscopic-treatment-of-bowel-perforation-after-blunt-abdominal-trauma-bat-in-children
#14
P Zahradnikova, J Babala, Ľ Sýkora, J Trnka, M Vidiscak, P Sinka, L Fedorová
Minimally invasive techniques have now become standard for the treatment of many surgical conditions in children. There are a few studies that describe the utility of laparoscopy in BAT in children. In this article, we describe the complete laparoscopic surgical treatment of two patients after a single blunt abdominal trauma, both with bowel perforation. In both cases, the perforation was identified and closed, one laparoscopically with an ongoing suture, the second jejune perforation was closed by laparoscopic-assisted techniques...
2018: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
https://www.readbyqxmd.com/read/29483377/laparoscopic-management-of-retroperitoneal-injuries-from-penetrating-abdominal-trauma-in-haemodynamically-stable-patients
#15
Modise Zacharia Koto, Oleh Y Matsevych, Fusi Mosai, Moses Balabyeki, Colleen Aldous
Background: Laparoscopy is increasingly utilised in the trauma setting. However, its safety and reliability in evaluating and managing retroperitoneal injuries are not known. Aim: The aim of this study was to analyse our experience with laparoscopic management of retroperitoneal injuries due to penetrating abdominal trauma (PAT) and to investigate its feasibility, safety and accuracy in haemodynamically stable patients. Methods: Over a 4-year period, patients approached laparoscopically with retroperitoneal injuries were analysed...
February 27, 2018: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/29470527/value-of-diagnostic-and-therapeutic-laparoscopy-for-patients-with-blunt-abdominal-trauma-a-10-year-medical-center-experience
#16
Heng-Fu Lin, Ying-Da Chen, Shyr-Chyr Chen
Laparoscopy has been used for the diagnosis and treatment for hemodynamically stable patients with penetrating abdominal trauma. This study evaluated whether diagnostic and therapeutic laparoscopy can be used as effectively in select patients with blunt abdominal trauma. All hemodynamically stable patients undergoing operations for blunt abdominal trauma over a 10-year period (2006-2015) at a tertiary medical center were included. Patients undergoing laparotomy were categorized as group A. Patients who underwent laparoscopy were categorized as group B...
2018: PloS One
https://www.readbyqxmd.com/read/29396276/evaluating-fitness-to-perform-in-surgical-residents-after-night-shifts-and-alcohol-intoxication-the-development-of-a-fit-to-perform-test
#17
Coen R H Huizinga, Marieke L de Kam, Hein B A C Stockmann, Joop M A van Gerven, Adam F Cohen, Koen E A van der Bogt
OBJECTIVE: To develop a self-test to measure clinical fitness to perform in surgical residents, with alcohol-induced impairment as reference. DESIGN: Observational, exploratory study to evaluate night shift-induced impaired performance in surgical residents followed by a randomized blinded, placebo-controlled, crossover study to evaluate impaired performance as a result of ethanol intoxication. Impairment was quantified using the Mini-NeuroCart, a psychomotor and cognitive test battery for assessment of subjective and objective measures of alertness, concentration, eye-hand coordination, mood, and self-assessed ability to perform...
July 2018: Journal of Surgical Education
https://www.readbyqxmd.com/read/29382226/the-safety-and-feasibility-of-the-single-port-laparoscopic-repair-of-intraperitoneal-bladder-rupture
#18
Jae Hoon Chung, Kyu Shik Kim, Hong Yong Choi, Hong Sang Moon, Yong Tae Kim, Sung Yul Park, Cheol Young Oh, Ki Soo Lee, Tae Hyo Kim, Seung Wook Lee
OBJECTIVE: To evaluate the efficacy and safety of laparoendoscopic single-site surgery (LESS) in the repair of intraperitoneal bladder rupture. PATIENTS AND METHODS: All consecutive patients who underwent LESS for intraperitoneal bladder rupture in three hospitals in Korea were included prospectively in this study. LESS was performed using a homemade single-port device composed of an Alexis wound retractor and a surgical glove. RESULTS: Of the 22 patients, 18 were male...
May 2018: Journal of Endourology
https://www.readbyqxmd.com/read/29375945/superior-mesenteric-artery-syndrome-the-dark-side-of-weight-loss
#19
Sakshi Sahni, Malan Shiralkar, Safra Mohamed, Robert Carroll, Barbara Jung, Ron Gaba, Cemal Yazici
Superior mesenteric artery (SMA) syndrome is a rare cause of small bowel obstruction (SBO) resulting from compression of the duodenum by the SMA. Patients at risk of developing SMA syndrome include those who have experienced rapid weight loss from chronic illnesses, malignancy, bariatric surgery, eating disorders, burns, trauma, or substance abuse. We present the case of a 54-year-old cachectic female patient who presented with sudden onset nausea, vomiting, and severe epigastric pain. Imaging studies revealed distention of the stomach and proximal portion of the duodenum with abrupt narrowing of the third part of the duodenum consistent with SMA syndrome...
November 18, 2017: Curēus
https://www.readbyqxmd.com/read/29370066/abdominal-trauma-surgery-during-recent-us-combat-operations-from-2002-to-2016
#20
Zsolt T Stockinger, Caryn A Turner, Jennifer M Gurney
BACKGROUND: Abdominal surgery constitutes approximately 13% of surgical procedures performed for combat injuries. This study examines the frequencies and type of abdominal surgical procedures performed during recent US Military operations. METHODS: A retrospective analysis of the Department of Defense Trauma Registry was performed for all Role 2 (R2) and Role 3 (R3) medical treatment facilities (MTFs), from January 2002 to May 2016. The 273 International Classification of Diseases, Ninth Revision, Clinical Modification procedure codes that were identified as abdominal surgical procedures were stratified into 24 groups based on anatomic and functional classifications and then grouped by whether they were laparoscopic...
July 2018: Journal of Trauma and Acute Care Surgery
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