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Gulay Erdogan Kayhan, Mukadder Sanli, Ulku Ozgul, Ramazan Kirteke, Saim Yologlu
STUDY OBJECTIVE: Multimodal analgesic strategies are recommended to decrease opioid requirements and opioid-induced respiratory complications in patients undergoing laparoscopic bariatric surgery. Recent studies have demonstrated that intravenous ibuprofen decreases opioid consumption compared with placebo. The primary aim of this study was to compare the effect of intravenous ibuprofen and intravenous acetaminophen on opioid consumption. We also aimed to compare postoperative pain levels and side effects of the drugs...
June 20, 2018: Journal of Clinical Anesthesia
Zhi-Cheng Deng, Wen-Zhu Jiang, Xiao-Dong Tang, Shuang-Hai Liu, Lei Qin, Hai-Xin Qian
BACKGROUND: The aim of this study was to investigate the long-term outcomes and perioperative outcomes of laparoscopic hepatectomy (LH) versus open hepatectomy (OH) for hepatocellular carcinoma (HCC) between well-matched patient groups. METHODS: We retrospectively reviewed data from 1535 hepatocellular carcinoma patients who underwent liver resection between January 2002 and December 2016 at two Chinese centres. Propensity score matching of patients in a ratio of 1:1 was conducted and 157 patients were matched...
June 20, 2018: International Journal of Surgery
Hyung Sun Kim, Joon Seong Park, Dong Sup Yoon
BACKGROUND: Laparoscopic distal pancreatectomy (LDP) is generally the treatment of choice for diseases of the pancreatic body and tail. Most surgeons prefer the spleen- and splenic vessel-preserving technique (SPVP-LDP) in benign/borderline pancreatic disease because complications of splenic infarction and gastric varices can arise after Warshaw technique. This study was aimed to determine the true learning curve of the SPVP-LDP procedure not LDP including Warshaw technique. METHODS: Data were collected retrospectively from all patients who underwent a LDP between June 2007 and April 2017 at Gangnam Severance Hospital...
June 22, 2018: Surgical Endoscopy
Zhibo Yan, Haifeng Zhang, Hanxiang Zhan, Dong Wu, Yugang Cheng, Qunzheng Wu, Guangyong Zhang
PURPOSE: This study aimed to present a modified laparoscopic keyhole parastomal hernia repair technique with in situ re-ostomy and show its safety and feasibility at a mid-term follow-up. METHODS: The technique begins with adhesiolysis during laparoscopy. An annular incision is made between the skin and stomal mucosa. Then, after all adhesions of the stomal bowel and its mesentery are separated from the hernial sac, the stomal bowel is delivered through the keyhole mesh...
June 22, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
Jerry T Dang, Noah J Switzer, Warren Y L Sun, Faizal Raghavji, Daniel W Birch, Shahzeer Karmali
BACKGROUND: Laparoscopic bariatric surgery (LBS) is effective for severe obesity but is invasive and costly. Intragastric balloons (IGBs) are increasingly popular as an alternative to LBS with modest short-term weight loss. However, IGBs are associated with complications and a comparison of the safety of IGB to LBS is warranted. OBJECTIVES: The objective of this study was to compare the safety profile of IGB with LBS through analysis of the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) database...
May 17, 2018: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
Özgül Aydemir, Fatma Eti Aslan, Ükke Karabacak, Özlem Akdaş
BACKGROUND: The exaggerated lithotomy position with the expertise of nurses can be successful solution for the patients who have the postoperative shoulder pain after laparoscopic cholecystectomy. AIMS: This study aimed to determine the effect of applying an exaggerated lithotomy positions to patients who had laparoscopic cholecystectomy to relieve shoulder pain. The study was conducted on nonrandomized groups and made as a semiexperimental study with a pretest/post-test control group design...
June 19, 2018: Pain Management Nursing: Official Journal of the American Society of Pain Management Nurses
Eyal Kord, Amnon Zisman, Guy Verhovsky, Amos Neheman
OBJECTIVE: Complete bladder duplication is a male predominant rare congenital malformation usually diagnosed at birth. Owing to the rarity of this anomaly, only few reports have discussed the surgical approach for this condition, with the open approach for excision being the most common. We hereby present a video of a laparoscopic resection of complete bladder and urethral duplication in a 1-year-old male. METHODS: The patient presented to our clinic with a red mucosal tissue protruding from a cutaneous opening at the dorsal base of the penis that has been present from birth...
June 12, 2018: Journal of Pediatric Urology
L Guilbert, P Joo, C Ortiz, E Sepúlveda, F Alabi, A León, T Piña, C Zerrweck
INTRODUCTION AND OBJECTIVES: Bariatric surgery is the best method for treating obesity and its comorbidities. Our aim was to provide a detailed analysis of the perioperative outcomes in Mexican patients that underwent surgery at a high-volume hospital center. MATERIALS AND METHODS: A retrospective study was conducted on all the patients that underwent bariatric surgery at a single hospital center within a time frame of 4 and one-half years. Demographics, the perioperative variables, complications (early and late), weight loss, failure, and type 2 diabetes mellitus remission were all analyzed...
June 19, 2018: Revista de Gastroenterología de México
Ryan Ladd, Mirna Becevic, Hope Misterovich, Karen Edison
Allergic contact dermatitis (ACD) is a common dermatologic disorder that is estimated to affect 15-20% of the general population. Because of its prevalence, it may be expected that ACD should be easily recognized. However, it can present with many clinical variations that may complicate diagnosis. Although ACD is a treatable condition, patients from rural and underserved areas suffer if timely access to specialty care is limited. Dermatology Extension for Community Healthcare Outcomes (Dermatology ECHO) telemedicine sessions were created to mentor rural primary care providers (PCPs)...
January 1, 2018: Journal of Telemedicine and Telecare
Luca Ferrario, Pietro Zerbi, Maria Rachele Angiolini, Alberto Agarossi, Eliana Riggio, Andrea Bondurri, Piergiorgio Danelli
INTRODUCTION: Leiomyomatosis peritonealis disseminata (LPD) is an uncommon disease featured by the presence of multiple nodules of smooth muscle cells scattered in the abdominal cavity. To date only about 150 cases have been reported in literature. We report a case of recurrent LPD after laparotomy. CASE PRESENTATION: In March 2016 a 36-year-old female, with a history of multiple previous laparoscopic myomectomies, consulted her gynaecologist complaining abdominal pain; a MRI was performed and reported multiple pelvic masses, subsequently excised during laparotomy...
June 18, 2018: International Journal of Surgery Case Reports
Piotr Major, Piotr Małczak, Michał Wysocki, Grzegorz Torbicz, Natalia Gajewska, Michał Pędziwiatr, Andrzej Budzyński
BACKGROUND: The prevalence of obesity is growing worldwide. Malnutrition has been identified as a risk factor, leading to higher morbidity rate and prolonged length of hospital. So far there are no high quality data on the impact of malnutrition on length of hospital stay and morbidity regarding bariatric surgery. The aim of the study was to assess association between nutritional status and outcomes bariatric surgeries. MATERIAL AND METHODS: The study was a prospective observational study...
June 19, 2018: International Journal of Surgery
Cüneyd Sevinç, Orkunt Özkaptan, Muhsin Balaban, Tahir Karadeniz, Abdullah As, Nuran Sevimli Kuşlu Çicek, Muzaffar Sarıyar, Selçuk Şahin, Volkan Tuğcu
OBJECTIVE: The aim of the study was to compare the different surgical approaches of two centers on outcomes of live donor laparoscopic nephrectomy. MATERIAL AND METHODS: The first 98 patients of each centre who underwent laparoscopic donor nephrectomy (LDN) or hand-assisted laparoscopic donor nephrectomy (HALDN) were included in the study. The following data were used for analyses: donor age, weight, height, body mass index (BMI), transfusion requirement, operative time, ischemia time and postoperative complications...
July 2018: Turkish Journal of Urology
Daniar K Osmonov, Amr A Faddan, Alexey V Aksenov, Carsten M Naumann, Leonid M Rapoport, Evgeny A Bezrukov, Dmitry G Tsarichenko, Klaus P Jünemann
OBJECTIVE: Surgical site infection (SSI) is defined as infection at or near surgical incisions within 30 days of an operative procedure and classified either incisional superficial and deep or organ/space. The aim of the study is to report and compare the incidence and management of SSIs after robot-assisted laparoscopic radical prostatectomy (RALP) and retropubic radical prostatectomy (RRP). MATERIAL AND METHODS: Within the last 4 years, we identified 285 patients that underwent RRP, n=187 (66%) or RALP, n=98 (34%)...
July 2018: Turkish Journal of Urology
Yuki Yokota, Yoshito Tomimaru, Kozo Noguchi, Takehiro Noda, Hisanori Hatano, Hirotsugu Nagase, Atsushi Hamabe, Masashi Hirota, Kazuteru Oshima, Tsukasa Tanida, Shunji Morita, Hiroshi Imamura, Takashi Iwazawa, Kenzo Akagi, Keizo Dono
INTRODUCTION: The clinical significance of laparoscopic cholecystectomy (LC) for acute cholecystitis in elderly patients aged 80 years or older has not been determined. This study aimed to investigate surgical outcomes of LC for acute cholecystitis in elderly patients compared to non-elderly patients. METHODS: Patients who underwent urgent LC for acute cholecystitis were enrolled. Older (≥80 years) and younger patients (<80 years) were compared for perioperative factors to assess surgical outcomes of LC...
June 21, 2018: Asian Journal of Endoscopic Surgery
Sina Schmidt, Tarek Ismail, Milo A Puhan, Christopher Soll, Stefan Breitenstein
PURPOSE: Surgical strategies for perforated diverticulitis (Hinchey stages III and IV) remain controversial. This systematic review aimed to compare the outcome of primary anastomosis, Hartmann procedure and laparoscopic lavage. METHODS: A systematic literature search was conducted through Medline, Embase, Cochrane Central Register and Health Technology Assessment Database to identify randomized and non-randomized controlled trials involving patients with perforated left-sided colonic diverticulitis comparing different surgical strategies...
June 2018: Langenbeck's Archives of Surgery
Der-Ming Chang, Wei-Jei Lee, Jung-Chien Chen, Kong-Han Ser, Pei-Ling Tsai, Yi-Chih Lee
BACKGROUND: Laparoscopic sleeve gastrectomy (LSG) has been validated as a safe and effective treatment for morbid obesity. However, data of the long-term outcome remains lacking. METHODS: A total of 1759 LSG was performed as primary bariatric procedure from 2005 to 2017 with mean age of 35.2 ± 10.3 years old (14-71), female 69.7%, mean body mass index (BMI) 37.9 ± 7.7 kg/m2 , and mean waist width 113.7 ± 17.9 cm. All patients were evaluated and managed under a strict multidisciplinary team approach...
June 21, 2018: Obesity Surgery
Bin-Bin Xu, Jun Lu, Zhi-Fang Zheng, Chang-Ming Huang, Chao-Hui Zheng, Jian-Wei Xie, Jia-Bin Wang, Jian-Xian Lin, Qi-Yue Chen, Long-Long Cao, Mi Lin, Ru-Hong Tu, Ze-Ning Huang, Ping Li, Ju-Li Lin
BACKGROUND: To determine whether laparoscopic surgery can be used in high-risk patients with gastric cancer. METHODS: The clinicopathological data of 3743 patients with primary gastric adenocarcinoma, collected from January 2007 to December 2014, were retrospectively analyzed. Patients who had ≥ 1 of the following conditions were defined as high-risk patients: (1) age ≥ 80 years; (2) BMI ≥ 30 kg/m2 ; (3) ASA (American Society of Anesthesiologists) grade ≥ 3; or (4) clinical T stage 4 (cT4)...
June 21, 2018: Surgical Endoscopy
Felix Berlth, Patrick S Plum, Seung-Hun Chon, Christian A Gutschow, Elfriede Bollschweiler, Arnulf H Hölscher
BACKGROUND: The impact of total minimally invasive esophagectomy (MIE) on early postoperative outcome and patient's survival is a matter of recent discussion. METHODS: We performed a 1:2 propensity score-matched comparison of 20 patients who underwent 3D-MIE and high intrathoracic esophagogastrostomy with 40 patients who underwent hybrid esophagectomy (HYBRID) with laparoscopic gastric mobilization and open transthoracic esophagectomy and the same anastomosis for esophageal adenocarcinoma in 2014 and 2015...
June 21, 2018: Surgical Endoscopy
Atsushi Koizumi, Shintaro Narita, Taketoshi Nara, Koichiro Takayama, Sohei Kanda, Kazuyuki Numakura, Hiroshi Tsuruta, Atsushi Maeno, Mingguo Huang, Mitsuru Saito, Takamitsu Inoue, Norihiko Tsuchiya, Shigeru Satoh, Hiroshi Nanjo, Tomonori Habuchi
Objective: To evaluate the positive surgical margin rates and locations in radical prostatectomy among three surgical approaches, including open radical prostatectomy, laparoscopic radical prostatectomy and robot-assisted radical prostatectomy. Methods: We retrospectively reviewed clinical outcomes at our institution of 450 patients who received radical prostatectomy. Multiple surgeons were involved in the three approaches, and a single pathologist conducted the histopathological diagnoses...
June 19, 2018: Japanese Journal of Clinical Oncology
Mohammad Golparvar, Simaa Zangouei Mofrad, Mohsen Mahmoodieh, Behrooz Kalidarei
Background: Laparoscopic bariatric surgeries in morbid obese patients may be associated with atelectasis, hypercapnia, and hypoxemia, intra and postoperatively. Several strategies are used for the prevention of these consequences. This study aimed to examine the effects of three different recruitment maneuvers comparatively during surgery and the influence of the maneuvers on some cardiopulmonary indices. Materials and Methods: In a clinical trial, ninety participants of laparoscopic surgery with body mass index higher than 40 were randomly divided into three equal groups...
2018: Advanced Biomedical Research
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