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Simon A Joosten, Jun K Khoo, Bradley A Edwards, Shane A Landry, Matthew T Naughton, John B Dixon, Garun S Hamilton
Study Objectives: Weight loss fails to resolve obstructive sleep apnea (OSA) in most patients; however, it is unknown as to whether weight loss differentially affects OSA in the supine compared with nonsupine sleeping positions. We aimed to determine if weight loss in obese patients with OSA results in a greater reduction in the nonsupine apnea/hypopnea index (AHI) compared with the supine AHI, thus converting participants into supine-predominant OSA. Methods: Post hoc analysis of data from a randomized controlled trial assessing the effect of weight loss (bariatric surgery vs...
May 1, 2017: Sleep
Faryal Saleem, Faizan Malik, Saira Fatima
Enterobius vermicularis is a common intestinal nematode; however, rare extraintestinal Enterobius infections have been reported from different parts of the world. Here, we present a case of tubo-ovarian abscess in an otherwise healthy young sexually active female with no known comorbids with history of on and off lower abdominal pain for one year and high grade fever for one month. On the basis of further workup and radiological evaluation, a preoperative diagnosis of right sided tubo-ovarian abscess was made and salpingo-oophorectomy was performed laproscopically in July 2015...
April 2017: JPMA. the Journal of the Pakistan Medical Association
Kathryn Trandem, Monty A Aghazadeh, Alvin C Goh
Leiomyosarcoma, a rare and aggressive retroperitoneal tumor, arises from the smooth muscle of the tunica media. Accurate preoperative diagnosis is rare as the origin is often unclear, and its involvement of the vessels makes biopsy prohibitively dangerous (Maturen et al, 2013(6)). Herein, we describe the laparoscopic dissection of a retroperitoneal renal vein tumor using a robotic approach.
February 14, 2017: Urology
Niv Pencovich, Guy Lahat, Orit Goldray, Subhi Abu-Abeid, Joseph M Klausner, Shai Meron Eldar
BACKGROUND: Although considered a common bariatric procedure, laparoscopic adjustable gastric banding (LAGB) is associated with high rates of weight loss failure and long-term complications. PURPOSE: The purpose of this study was to re-assess the safety and outcome of conversion of failed LAGB to laparoscopic sleeve gastrectomy (LSG). MATERIALS AND METHODS: One hundred and nine patients underwent conversion from LAGB to LSG (78 females, mean age 43 ± 11...
May 2017: Obesity Surgery
L L LiYeung, T H Lui
INTRODUCTION: Symptomatic adrenal adenoma usually presents with systemic symptoms. Depending on the function of the adenoma, the patient can present with pheochromocytoma-like symptoms; primary hyperaldosteronism and Cushing syndrome (weight gain, weakness, depression, and bruising). CASE REPORT: A 41 year-old lady presented with multiple metatarsal and phalangeal fractures of the both feet without significant injury. DEXA scan showed evidence of osteoporosis. Investigations showed that the picture was compatible with adrenal Cushing syndrome...
October 2015: Journal of Orthopaedic Case Reports
Abhishek Laddha, Arvind Ganpule, Sahshikant Mishra, Ravindra Sabnis, Mahesh Desai
Management of distal ureter by en block resection during radical nephrectomy for upper urinary tract transitional cell carcinoma (TCC) is considered as standard of care. In this report, we describe our technique for management of lower ureter which utilizes both the endoscopic and laparoscopic approach. The nephrectomy including the dissection of the lower ureter was completed laproscopically. The ureteral orifice was scored using a hook passed through a 24 Fr nephroscope and secured .Transurethral suturing of the defect with SewRight SR5 device passed through the working channel of the 24 Fr nephroscope was done...
July 2016: Journal of Minimal Access Surgery
Abhishek Laddha, Arvind Ganpule, Sahshikant Mishra, Ravindra Sabnis, Mahesh Desai
Management of distal ureter by en block resection during radical nephrectomy for upper urinary tract transitional cell carcinoma (TCC) is considered as standard of care. In this report, we describe our technique for management of lower ureter which utilizes both the endoscopic and laparoscopic approach. The nephrectomy including the dissection of the lower ureter was completed laproscopically. The ureteral orifice was scored using a hook passed through a 24 Fr nephroscope and secured .Transurethral suturing of the defect with SewRight SR5 device passed through the working channel of the 24 Fr nephroscope was done...
April 27, 2016: Journal of Minimal Access Surgery
Jaber O Al Shammari, Nimer Al-Shadidi, Ahmad J Abdulsalam, Abdullah E Al-Daihani
INTRODUCTION: Gastric lipomas are rare benign mesenchymal tumors of the stomach. CASE REPORT: We report a 41 year old, morbid obese male, admitted for elective laparoscopic sleeve gastrectomy. Thorough preoperative assessment revealed a gastric lipoma in the antrum of the stomach measuring 3×3cm. Due to the patient's preference, surgical resection of the lipoma was done along with the laparoscopic sleeve gastrectomy procedure. DISCUSSION: In our case, we report a rare case of submucosal gastric lipoma successfully removed during a laparoscopic sleeve gastrectomy...
2016: International Journal of Surgery Case Reports
Hafeez Rahman, Nikita Trehan, Shuchita Singh, Meenakshi Goyal
STUDY OBJECTIVE: To demonstrate the technique of laparoscopic vaginal reconstruction in a rare case of mid-vaginal septum with secondary infertility. DESIGN: A step-by-step explanation of the technique using videos and pictures (Canadian Task Force classification IV). SETTING: Transverse vaginal septum is a rare condition, with an incidence of only 1 in 30,000 women. It is usually a congenital mullerian fusion defect; few cases of acquired septum have been reported...
July 2016: Journal of Minimally Invasive Gynecology
Johnson C Lee, Lauren A Whipple, Brian Binetti, T Paul Singh, Richard Agag
INTRODUCTION: Bulges and hernias after abdominal free flap surgery are uncommon with rates ranging from as low as 0-36%. In the free flap breast reconstruction population, there are no clear guidelines or optimal strategies to treating postoperative bulges. We describe our minimally invasive technique and outcomes in managing bulge complications in abdominal free flap breast reconstruction patients. METHODS: A retrospective review was performed on all abdominal free flap breast reconstruction patients at Albany Medical Center from 2011 to 2014...
January 21, 2016: Microsurgery
Ritima Dhir, Mirley Rupinder Singh, Tej Kishan Kaul, Anurag Tewari, Ripul Oberoi
BACKGROUND AND AIMS: Perioperative beta blockers are also being advocated for modulation of acute pain and reduction of intraoperative anesthetic requirements. This study evaluated the effect of perioperative use of esmolol, an ultra short acting beta blocker, on anesthesia and modulation of post operative pain in patients of laproscopic cholecystectomy. MATERIAL AND METHODS: Sixty adult ASA I & II grade patients of either sex, scheduled for laparoscopic cholecystectomy under general anesthesia, were enrolled in the study...
July 2015: Journal of Anaesthesiology, Clinical Pharmacology
Jyoti Bhalla, Neha Baduni, Pooja Bansal
BACKGROUND: Post-operative nausea and vomiting (PONV) is a 'big little' problem especially after laparoscopic surgeries. Palanosetron is a new potent 5 hydroxy tryptamine 3 antagonists. In this randomized double blind clinical study we compared the effects of i.v. ondansetron and palanosetron administered at the end of surgery in preventing post-operative nausea and vomiting in patients undergoing laparoscopic cholecystectomy under general anesthesia. MATERIALS AND METHODS: A total of 100 subjects between 18-60 years with Apfel score ≥2, were randomly assigned into one of the two groups, containing 50 patients each...
July 2015: Journal of Minimal Access Surgery
Gabriele Centini, Karolina Afors, Rouba Murtada, Jesus Castellano, Lucia Lazzeri, Rodrigo Fernandes, Arnoud Wattiez
STUDY OBJECTIVE: To show the laparoscopic technique to perform type C radical hysterectomy with a nerve-sparing approach and pelvic lymphadenectomy. DESIGN: Educational video with step-by-step explanation of the technique using videos and pictures to highlight the anatomic landmark that guides the procedure. SETTING: The goal of this procedure is to enlarge the resection of the paracervix at the junction with internal iliac vascular system, leaving the neural part of the structure under the deep uterine vein untouched...
May 2015: Journal of Minimally Invasive Gynecology
Muhammad Umer Ahmed, Azib Aftab, Haseeb Munaf Seriwala, Ali Mahmood Khan, Khurram Anis, Iqbal Ahmed, Shafiq Ur Rehman
The major aim of surgeons has always been a minimalist approach towards surgery, thereby reducing the complications associated with the surgery. The gold standard treatment for cholelithiasis with cholecystitis is currently the four port laparoscopic cholecystectomy (4 PLC). Recently, a newer technique has been introduced which uses a single port, rather than the four ports, for the removal of the gall bladder laparoscopically; it is known as Single Incision Laparoscopic Cholecystectomy (SILC). This is a comparatively minimal approach towards surgery...
November 2014: Global Journal of Health Science
Rachana Saha, Chanda Karki
INTRODUCTION: Laparoscopic surgery is one of the most common procedures performed for benign ovarian masses. The aim of the study was to analyze all benign ovarian masses treated laparoscopically to assess safety, feasibility and outcome. METHODS: A prospective study was carried out at Kathmandu Medical College Teaching Hospital, Sinamangal, Nepal. All the patients undergoing laparoscopic surgery for benign ovarian masses from 1st January 2012 to 31st December 2012 were included in the study...
October 2013: JNMA; Journal of the Nepal Medical Association
Andrzej Litarski, Jerzy Pawełczyk, Jarosław Majcherek, Dawid Janczak, Lech Pawłowski, Zuzanna Rucińska, Dariusz Janczak
UNLABELLED: Laparoscopic surgery has become a well approved method of abdominal hernias treatment in recent years. Due to the advancement of laparoscopy and the use of improved synthetic materials laparoscopic surgery is characterized not only by low complication but also by a short period of recovery after surgery. The aim of the study was a retrospective analysis of the results of laparoscopic abdominal hernia surgeries (IPOM). MATERIAL AND METHODS: Between year 2007 and 2012, 65 patients aged between 29 to 76 underwent laproscopic abdominal hernia surgeries due to either primary or postoperative abdominal hernias...
August 2014: Polski Przeglad Chirurgiczny
Koji Shiraishi, Kyoko Kikuta, Yutaka Nitta, Hideyasu Matsuyama
Primary aldosteronism (PA) during pregnancy is an extremely rare condition that may cause life threatening complications both for the mother and the fetus. A pregnant 31-year-old woman was referred to our hospital for the management of severe pregnancy hypertension at the beginning of her pregnancy. Her plasma aldosterone concentration (PAC) was markedly elevated (337 pg/ml), plasma rennin activity was suppressed (0.4 ng/ml/hr) and magnetic resonance imaging showed a 1.5 cm left adrenal tumor. PA due to an aldosterone producing-adenoma was diagnosed...
August 2014: Hinyokika Kiyo. Acta Urologica Japonica
Arvind Deswal, Binod Kumar Tamang, Anju Bala
OBJECTIVE: To determine the position of the aortic bifurcation, angle of aortic-common iliac bifurcation in relation to the lumbar vertebra, diameter of distal aorta, length of common iliac, diameter of iliac at bifurcation in cadavers. MATERIALS AND METHODS: The present study was done on 25 cadavers (16 males, 9 females) used for the dissection by 1st year MBBS students. The dissections were performed by anterior approach to the lumbar vertebra. The position of the aortic bifurcation, aortic bifurcation angle were measured in relation to lumbar vertebra...
July 2014: Journal of Clinical and Diagnostic Research: JCDR
A Colaiezzi, S Small, L Hoskins, M Holcomb
OBJECTIVE: Research on the neurocognitive profile of the autoimmune disorder anti-N-methyl-d-aspartate receptor (NMDAR) encephalitis is limited. The current case studies contribute to existing knowledge by investigating the neuropsychological sequelae of three patients, two of which are male, diagnosed with anti-NMDAR encephalitis during the acute rehabilitation phase. METHOD: Two patients with confirmed anti-NMDAR encephalitis were assessed using a battery of neuropsychological tests...
September 2014: Archives of Clinical Neuropsychology: the Official Journal of the National Academy of Neuropsychologists
Adriana Toro, Ahmed-Emad Mahfouz, Annalisa Ardiri, Michele Malaguarnera, Giulia Malaguarnera, Francesco Loria, Gaetano Bertino, Isidoro Di Carlo
Hepatic cavernous hemangioma accounts for 73% of all benign liver tumors with a frequency of 0.4-7.3% at autopsy and is the second most common tumor seen in the liver after metastases. Patients affected by hemangioma usually have their tumor diagnosed by ultrasound abdominal examination for a not well defined pain, but pain persist after treatment of the hemangioma. The causes of pain can be various gastrointestinal pathologies including cholelithiasis and peptic ulcer disease.The malignant trasformation is practically inexistent...
July 2014: Annals of Hepatology
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