relaparatomy indications

BACKGROUND: Hernias after orthotopic liver transplant (OLT) occur in about 30 % of cases. Predisposing factors in liver cirrhotic patients of cases are ascites, low abdominal muscle mass and cachexia before and immunosuppression after OLT. Standard operative transplant-technique even in small hernias is to implant a mesh. For patients after liver transplantation a porcine non-cross linked biological patch being less immunogenic than synthetic and cross-linked meshes is chosen for ventral incisional hernia repair...

INTRODUCTION: Ileus due to adhesions is a common postoperative complication. However, there are only rare reports of this condition occuring in children. The aim of this study was to determinate the risk of incidence of intestinal adhesion ileus in children after abdominal operations. MATERIAL AND METHODS: Retrospective studies were carried out on a group of 94 children operated in the Department of Pediatric Surgery and Urology of the Polish Mother's Memorial Hospital - Research Institute in Łódź in the years 1996-2005, in whom adhesions were found on relaparotomy...

UNLABELLED: Oxygen radicals and radicals derived from nitrogen metabolism are important in wound and anostomotic healing. In particular, nitrous oxide, originating from induced nitrous oxide synthetase, retards the wound healing process by producing peroxynitride. Therefore induced nitric oxide synthase (INOS) inhibitors and peroxynitride cleansing agents seem helpful in promoting healing. The purpose of this study was to investigate the effects of N-acetylcysteine (antioxidant), ebselen (peroxynitride cleansing agent) and 1400w (INOS inhibitor) on experimental colonic anastomotic wound healing...

REASONS FOR PERFORMING STUDY: Early (acute) relaparotomy after surgery for equine colic is widely considered to be an acceptable treatment option for management of certain post operative complications. However, there is relatively little published information about resulting complication rates and short- and long-term outcomes. OBJECTIVES: To document the proportions, indications, complication rates and survival rates of horses undergoing acute relaparatomy following colic surgery...

UNLABELLED: The first description of the adrenal gland dates since 1563 by Eustachius in a study "Opscula anatomica". Despite earlier recognition of the presence of adrenals and division into cortex and medulla, the precise observations of Addison appeared in 1855 that the essential role of these glands was recognized in patients who died with adrenal destruction secondary to tuberculosis. Frankel first described a medulary adrenal tumour in 1886. In 1912 the pathologist Pick formulated the descriptive term pheochromocytoma...

We present a review of 41 cases of severe acute pancreatitis with pancreatic necrosis. This study was based on the use of closed surgery technique with continuous irrigation and rescheduled relaparatomies. The study was divided into two stages: the first one with 20 patients with no work protocol and the second one with 21 patients with a "strict protocol". The post-surgical morbility and the mortality were evaluated. There were 21 male patients and 20 female patients. The predominant etiology was the related to the biliary tract...

39 peripartal hysterectomies from 1983 to 1993 were divided into three groups. Indication, post-operative development and complications were analysed. The first group contains the planned Caesarean section hysterectomies. The patients (n = 18) in this group hat the smallest blood loss and fewest complications. The second group includes the hysterectomies after Caesarean section without emergency (n = 8). The main reason was the rupture of the uterus without clinical signs during delivery. The complication rate of this group was also low...

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The aim of the present study is, to describe the morbidity and mortality of 196 patients with an acute abdominal condition who underwent surgery at the Department of Gynecology and Obstetrics of the TU Munich between 1982 and 1986. This is a percentage of 2.7 of all 7,167 operations carried out during this period. 118 of these patients had an extrauterine pregnancy and were therefore excluded from the study. The second group of 79 patients, mostly with inflammatory diseases, were analyzed. In most of these cases the acute abdominal condition was caused by a tuboovarian abscess (48...

Of 3682 patients with abdominal surgery, 142 (3.86%) had emergency early reoperation. The average lethality was 43%. The highest lethality, 60%, was found in those with severe peritonitis; the lowest, 30%, in those with local infection. In comparison with the results of other authors and with previous evaluations, our results demonstrate that despite altered operative indications, increased age of patients, and high-risk operations, the lethality has not increased. The causes and reasons of this positive tendency are discussed...