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https://www.readbyqxmd.com/read/30239395/different-risk-factors-for-early-and-late-colorectal-anastomotic-leakage-in-a-nationwide-audit
#1
Cloë L Sparreboom, Julia T van Groningen, Hester F Lingsma, Michel W J M Wouters, Anand G Menon, Gert-Jan Kleinrensink, Johannes Jeekel, Johan F Lange
BACKGROUND: Anastomotic leakage remains a major complication after surgery for colorectal carcinoma, but its origin is still unknown. Our hypothesis was that early anastomotic leakage is mostly related to technical failure of the anastomosis, and that late anastomotic leakage is mostly related to healing deficiencies. OBJECTIVE: The aim of this study was to assess differences in risk factors for early and late anastomotic leakage. DESIGN: This was a retrospective cohort study...
September 19, 2018: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/30235734/complicated-meckel-s-diverticulum-presentation-modes-in-adults
#2
Alina Parvanescu, Matthieu Bruzzi, Thibault Voron, Camille Tilly, Franck Zinzindohoué, Jean-Marc Chevallier, Marco Gucci, Philippe Wind, Anne Berger, Richard Douard
Complicated Meckel's diverticulum represents a common etiology of acute abdomen in children. However, this condition is less frequent in adults. We reviewed the records of adult patients who underwent the surgical removal of complicated Meckel's diverticulum between 2001 and 2017 at 2 tertiary French medical centers. We then analyzed the clinical characteristics, mode of presentation, and management for all patients.The Meckel's diverticulum was resected in 37 patients (24 males and 13 females). The mean patient age was 46...
September 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/30235696/a-spontaneous-bilateral-tubal-pregnancy-a-case-report
#3
Hong Xu
RATIONALE: Ectopic pregnancy (EP) is a condition in which a fertilized oocyte implants outside the uterine. Spontaneous bilateral tubal pregnancies are the rarest form of ectopic and are considered spontaneous when no fertility treatments are involved. There are few prior cases. Here I report a case of spontaneous bilateral tubal pregnancy. PATIENT CONCERNS: A 24-year-old female with long lasting vaginal bleeding of 29 days duration. DIAGNOSES: Transvaginal ultrasound observed small complex masses on both adnexal sides without intrauterine gestational sac, and the hCG level was 21438 IU/L...
September 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/30235114/evaluation-of-haptic-feedback-on-bimanually-teleoperated-laparoscopy-for-endometriosis-surgery
#4
Sergio Jol Portoles Diez, Gianni Borghesan, Luc Joyeaux, Christel Meuleman, Jan Deprest, Danail Stoyanov, Sebastien Ourselin, Tom Vercauteren, Dominiek Reynaerts, Emmanuel Vander Poorten
Robotic minimal invasive surgery is gaining acceptance in surgical care. In contrast with the appreciated 3D vision and enhanced dexterity, haptic feedback is not offered. For this reason robotics is not considered beneficial for delicate interventions such the endometriosis. Overall, haptic feedback remains debatable and yet unproven except for some simple scenarios such as Fundamentals of Laparoscopic Surgery exercises. OBJECTIVE: The present work investigates the benefits of haptic feedback on more complex surgical gestures, manipulating delicate tissue through coordination between multiple instruments...
September 20, 2018: IEEE Transactions on Bio-medical Engineering
https://www.readbyqxmd.com/read/30233749/magnetic-resonance-imaging-findings-in-ovarian-torsion-post-in-vitro-fertilization
#5
Ishaq S Al Salmi, Faten Al-Douri, Ehsan A Haider, Terence M Menezes
Patients who get pregnant after being treated with in vitro fertilization (IVF) are at significantly increased risk of ovarian torsion compared to the general population and also in comparison to patients who get pregnant normally [1,2]. The risk is further increased in patients who develop ovarian hyperstimulation syndrome [1]. This possibility should be considered in this group of patients presenting with acute abdominal pain and immediate management should be commenced. Here, we report 2 patients who received treatment for infertility with IVF and developed ovarian torsion and we discuss their management including the imaging workup...
December 2018: Radiology Case Reports
https://www.readbyqxmd.com/read/30232616/intraoperative-confocal-laser-endomicroscopy-for-real-time-in-vivo-tissue-characterization-during-surgical-procedures
#6
David Fuks, Angelo Pierangelo, Pierre Validire, Marine Lefevre, Abdelali Benali, Guillaume Trebuchet, Aline Criton, Brice Gayet
INTRODUCTION: Probe-based confocal laser endomicroscopy (pCLE) is an innovative technique providing real-time, in vivo optical biopsies. A previous ex vivo phase of the study (PERSEE) allowed identifying accurate pCLE criteria for the diagnosis of hepatic and peritoneal surgical specimens. This study aimed at evaluating the pCLE role for in vivo intra-abdominal tissue characterization during digestive cancer surgical procedures. METHODS: Between October 2014 and July 2015, consecutive patients diagnosed with digestive cancers and scheduled for a surgical resection or an exploratory laparoscopy were prospectively enrolled...
September 19, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/30232568/laparoscopy-in-rwanda-a-national-assessment-of-utilization-demands-and-perceived-challenges
#7
Faith Robertson, Zeta Mutabazi, Patrick Kyamanywa, Georges Ntakiyiruta, Sanctus Musafiri, Tim Walker, Emmanuel Kayibanda, Constance Mukabatsinda, John Scott, Ainhoa Costas-Chavarri
BACKGROUND: Laparoscopy has proven to be feasible and effective at reducing surgical morbidity and mortality in low resource settings. In Rwanda, the demand for and perceived challenges to laparoscopy use remain unclear. METHODS: A mixed-methods study was performed at the four Rwandan national referral teaching hospitals. Retrospective logbook reviews (July 2014-June 2015) assessed procedure volume and staff involvement. Web-based surveys and semi-structured interviews investigated barriers to laparoscopy expansion...
September 19, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/30230393/risk-of-ovarian-torsion-is-reduced-in-gnrh-agonist-triggered-freeze-all-cycles-a-retrospective-cohort-study
#8
Murat Berkkanoglu, Kevin Coetzee, Hasan Bulut, Kemal Ozgur
Ovarian torsion (OT) in IVF is rare, however, the consequences are significant, which include ovariotomy. In the present study, it was aimed for the first time to compare the incidence of OT between hCG triggered cycles with ICSI and fresh transfer and GnRH-agonist triggered cycles with the ICSI-freeze-all and frozen embryo transfer (FET). In total, 15,577 ICSI cycles performed between 2001 and 2016 were categorised into two groups (Group 1, n: 9978): cycles with controlled ovarian stimulation (COS) and hCG-triggered (Group 2, n: 5599) and COS, with GnRH-agonist only triggered and freeze-all...
September 19, 2018: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/30228923/pediatric-pancreatic-tuberculosis-a-case-report-and-review-of-the-literature
#9
Yajun Zhang, Yuhong Tao
Pancreatic tuberculosis (TB) is an uncommon form of extrapulmonary TB and represents a diagnostic challenge for physicians. Pancreatic TB presents with nonspecific signs and symptoms and may mimic malignancy. However, pancreatic TB rarely occurs in children. Here, we present a case of a 5-year-old girl with pancreatic TB and markedly elevated serum cancer antigen- (CA-) 125 levels, thus raising the suspicion of malignancy, but positivity for Mycobacterium tuberculosis DNA was noted. The patient recovered after being administered standard antitubercular therapy for one year...
2018: Case Reports in Pediatrics
https://www.readbyqxmd.com/read/30225755/combined-transanal-minimally-invasive-surgery-tamis-and-retroperitoneal-laparoscopy-for-resection-of-lymph-node-recurrence-of-ovarian-cancer
#10
B Ielpo, V Simó, E Pastor, J Arredondo, A Villafañe, S Fuentes, L Padilla, V Orille, E Lorenzo, A Corona, M V Diago
No abstract text is available yet for this article.
September 17, 2018: Techniques in Coloproctology
https://www.readbyqxmd.com/read/30224291/what-to-do-when-good-quality-embryos-repeatedly-fail-to-implant
#11
REVIEW
Carol Coughlan
Recurrent implantation failure (RIF) is very distressing for couples and frustrating for their clinicians who seek to find a solution. RIF is defined as the failure to achieve a clinical pregnancy following the transfer of at least four good-quality embryos in a minimum of three fresh or frozen cycles in a woman of age below 40 years. An agreed local protocol regarding how couples with RIF should be further investigated and managed should be in place. Ovarian function should be assessed by measuring antral follicle count, FSH, and AMH...
August 2, 2018: Best Practice & Research. Clinical Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/30223315/comparison-of-intraperitoneal-versus-intravenous-dexamethasone-on-postoperative-nausea-and-vomiting-after-gynecological-laparoscopy-a-randomized-clinical-trial
#12
Eman A Ismail, Ghada M Abolfadl, Mustafa Bahlool
Background: The aim of the study was to compare the effect of intraperitoneal versus intravenous dexamethasone for the reduction of postoperative nausea and vomiting (PONV) after gynecological laparoscopic surgeries. Methods: Eighty adult female patients, American Society of Anesthesiologists physical status I-II, scheduled for gynecological laparoscopic surgery were randomized to receive 8 mg dexamethasone intravenously (IV) (n = 40) or intraperitoneally (IP) (n = 40)...
September 18, 2018: Korean Journal of Anesthesiology
https://www.readbyqxmd.com/read/30222527/comparison-of-short-term-outcomes-between-3d-and-2d-imaging-laparoscopic-colectomy-with-d3-lymphadenectomy-for-colon-cancer
#13
Jin Yoon, Sung Il Kang, Min Hyun Kim, Myung Jo Kim, Heung-Kwon Oh, Duck-Woo Kim, Sung-Bum Kang
BACKGROUND: Three-dimensional (3D) imaging for laparoscopy was introduced to overcome the limitations of conventional two-dimensional (2D) imaging that lacked depth perception and spatial orientation. This study aimed to evaluate the effect of 3D imaging in laparoscopic colectomy with D3 lymphadenectomy for colon cancer. METHODS: From February 2014 to October 2016, the prospective database of 278 consecutive patients with colon cancer was analyzed retrospectively; these patients underwent laparoscopic surgery with 2D (n = 111) and 3D (n = 167) imaging, with curative intent...
September 14, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/30222522/trends-in-robotic-pancreaticoduodenectomy-and-distal-pancreatectomy
#14
David Caba Molina, Fernando Lambreton, Rodrigo Arrangoiz Majul
BACKGROUND: Pancreatic surgery remains a challenge even to the most experienced surgeons. Despite significant advances in the field, morbidity and mortality continue to have elevated rates even in specialized, high-volume centers. The rise of laparoscopy in the past decades has improved outcomes for patients, but remains unused due to the technical complexities involved. METHODS: A literature search was performed using PubMed and Google Scholar databases. Key words used in the search include: "robotic surgery," "robotic pancreas surgery," "pancreas surgery," "minimally invasive pancreas surgery," "robotic pancreaticoduodenectomy," and "robotic distal pancreatectomy...
September 14, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/30222050/implementing-cognitive-training-into-a-surgical-skill-course-a-pilot-study-on-laparoscopic-suturing-and-knot-tying
#15
Benjamin De Witte, Franck Di Rienzo, Xavier Martin, Ye Haixia, Christian Collet, Nady Hoyek
Mini-invasive surgery-for example, laparoscopy-has challenged surgeons' skills by extending their usual haptic space and displaying indirect visual feedback through a screen. This may require new mental abilities, including spatial orientation and mental representation. This study aimed to test the effect of cognitive training based on motor imagery (MI) and action observation (AO) on surgical skills. A total of 28 postgraduate residents in surgery took part in our study and were randomly distributed into 1 of the 3 following groups: (1) the basic surgical skill, which is a short 2-day laparoscopic course + MI + AO group; (2) the basic surgical skill group; and (3) the control group...
September 15, 2018: Surgical Innovation
https://www.readbyqxmd.com/read/30217968/laparoscopic-trans-abdominal-right-adrenalectomy-for-a-large-primitive-adrenal-oncocytic-carcinoma-a-case-report-and-review-of-literature
#16
Valerio Panizzo, Barbara Rubino, Guglielmo Niccolò Piozzi, Paolo Ubiali, Anna Morandi, Marco Nencioni, Giancarlo Micheletto
BACKGROUND Adrenocortical oncocytic neoplasms (AONs) are extremely rare tumors. AONs are classified as: oncocytoma (AO), oncocytic neoplasm of uncertain malignant potential (AONUMP), and oncocytic carcinoma (AOC). Among the 162 reported cases of AONs in the literature, 30 cases were classified as malignant. Adrenalectomy is the treatment of choice for AON. CASE REPORT We report the case of a 48-year-old man with a primitive 12-cm mass affecting the right adrenal gland, detected by ultrasonography during follow-up for alcoholic liver cirrhosis...
September 15, 2018: American Journal of Case Reports
https://www.readbyqxmd.com/read/30217300/long-term-outcomes-of-laparoscopic-versus-open-d2-gastrectomy-for-advanced-gastric-cancer
#17
Zhengyan Li, Bofei Li, Bin Bai, Pengfei Yu, Bo Lian, Qingchuan Zhao
BACKGROUND: Technical safety and short-term surgical outcomes of laparoscopy-assisted gastrectomy (LAG) for advanced gastric cancer (AGC) have been investigated in many clinical trials. However, studies with large sample size and sufficient follow-up comparing LAG and open gastrectomy (OG) for AGC have seldom been reported. The purpose of this study was to compare the long-term outcomes of LAG versus open OG for AGC using a propensity score matching analysis. METHODS: We retrospectively evaluated 459 and 856 patients who underwent LG or OG with D2 lymph node dissection, respectively, for AGC between June 2007 and June 2012...
September 2018: Surgical Oncology
https://www.readbyqxmd.com/read/30216168/management-of-iatrogenic-bile-duct-injuries-multiple-logistic-regression-analysis-of-predictive-factors-affecting-morbidity-and-mortality
#18
Ela Ekmekcigil, Ömer Ünalp, Alper Uğuz, Ruslan Hasanov, Halil Bozkaya, Timur Köse, Mustafa Parıldar, Ömer Özütemiz, Ahmet Çoker
OBJECTIVE: Iatrogenic bile duct injuries remain a challenge for the surgeons to overcome. The predictive factors affecting morbidity and mortality are important for determining the best management modality. MATERIALS AND METHODS: The patients who referred to Ege University Faculty of Medicine after laparoscopy associated iatrogenic bile duct injury are grouped according to Strasberg-Bismuth classification system. The type and number of prior attempts, concomitant complications, and treatment modalities are analyzed using the SPSS version 18 (IBM, Chicago, IL, USA)...
August 28, 2018: Turkish journal of surgery
https://www.readbyqxmd.com/read/30215950/acute-appendicitis-efficient-diagnosis-and-management
#19
Matthew J Snyder, Marjorie Guthrie, Stephen Cagle
Appendicitis is one of the most common causes of acute abdominal pain in adults and children, with a lifetime risk of 8.6% in males and 6.7% in females. It is the most common nonobstetric surgical emergency during pregnancy. Findings from the history, physical examination, and laboratory studies aid in the diagnosis of acute appendicitis. Right lower quadrant pain, abdominal rigidity, and periumbilical pain radiating to the right lower quadrant are the best signs for ruling in acute appendicitis in adults. Absent or decreased bowel sounds, a positive psoas sign, a positive obturator sign, and a positive Rovsing sign are most reliable for ruling in acute appendicitis in children...
July 1, 2018: American Family Physician
https://www.readbyqxmd.com/read/30215157/feasibility-of-a-unidirectionally-progressive-pancreas-oriented-procedure-for-laparoscopic-d3-right-hemicolectomy
#20
Xiangbing Deng, Tao Hu, Mingtian Wei, Qingbin Wu, Tinghan Yang, Wenjian Meng, Ziqiang Wang
BACKGROUND: Complete mesocolic excision (CME) with central ligation or D3 lymphadenectomy has been reported to provide increased lymph node retrieval with the prospect of superior oncological results in colon cancer. However, right hemicolectomy with CME or D3 lymphadenectomy by laparoscopy is considered to be a technically challenging and time-consuming procedure with a higher risk of causing intraoperative injuries. Here, we introduce a novel laparoscopic approach for the D3 right hemicolectomy and report its feasibility, safety, and efficacy in cancer clearance...
September 13, 2018: Langenbeck's Archives of Surgery
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