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https://www.readbyqxmd.com/read/29470527/value-of-diagnostic-and-therapeutic-laparoscopy-for-patients-with-blunt-abdominal-trauma-a-10-year-medical-center-experience
#1
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/29461612/the-hyperthermic-intraoperative-intraperitoneal-chemotherapy-in-the-treatment-of-advanced-abdominopelvic-cancer-personal-experience-on-103-procedures-during-a-seventeen-year-period-in-a-single-italian-center
#2
D Di Miceli, C Cina, C Fiorillo, G B Doglietto, S Alfieri
OBJECTIVE: Integration of different therapeutic strategies in cancer surgery in the last years has led from treating primary lesions to the surgical treatment of metastases. The purpose of this paper is to report a single Italian center experience of treatment of peritoneal carcinosis of the abdominopelvic malignancies. PATIENTS AND METHODS: 103 HIPEC procedures were performed in 17 years on 94 selected patients affected by abdominopelvic cancer. The PCI score was calculated at laparotomy...
February 2018: European Review for Medical and Pharmacological Sciences
https://www.readbyqxmd.com/read/29443788/a-prospective-randomized-open-label-controlled-study-investigating-the-efficiency-and-safety-of-3-different-methods-of-rectus-sheath-block-analgesia-following-midline-laparotomy
#3
Martin Purdy, Mari Kinnunen, Merja Kokki, Maarit Anttila, Matti Eskelinen, Heidi Hautajärvi, Marko Lehtonen, Hannu Kokki
BACKGROUND: There is a controversy regarding the efficacy of rectus sheath block (RSB). The aim of the present study was to evaluate analgesic efficacy and safety of three different methods of RSB in postoperative pain management after midline laparotomy. METHODS: A prospective, randomized, controlled, open-label clinical trial with 4 parallel groups was conducted in a tertiary care hospital in Finland. A total of 57 patients undergoing midline laparotomy were randomized to the control group (n = 12) or to 1 of the 3 active RSB analgesia groups: single-dose (n = 16), repeated-doses (n = 12), or continuous infusion (n = 17)...
February 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29441339/early-postoperative-small-bowel-obstruction-after-laparotomy-for-trauma-incidence-and-risk-factors
#4
Wu Seong Kang, Yun Chul Park, Young Goun Jo, Jung Chul Kim
Purpose: This study aimed to investigate the incidence and risk factors of early postoperative small bowel obstruction (EPSBO) after laparotomy for trauma patients. Methods: From 2009 to 2016, consecutive patients who had undergone laparotomy for trauma were retrospectively evaluated. EPSBO was defined as the presence of signs and symptoms of obstruction between postoperative days 7 and 30, or obstruction occurring anytime within 30 days and lasting more 7 days...
February 2018: Annals of Surgical Treatment and Research
https://www.readbyqxmd.com/read/29396113/early-experience-with-ambulatory-robotic-ventral-rectopexy
#5
B Trilling, P-Y Sage, F Reche, S Barbois, P-A Waroquet, J-L Faucheron
OBJECTIVE OF THE STUDY: Ventral rectopexy can be performed robotically with only limited trauma for the patient, making its performance in an ambulatory setting potentially interesting. The aim of this study is to report our preliminary experience with ambulatory robotic ventral rectopexy in consecutive patients. PATIENTS AND METHODS: Ten consecutive patients underwent robotic ventral rectopexy for total rectal prolapse (n=8) or symptomatic enterocele (n=2) between February 2014 and April 2015...
January 26, 2018: Journal of Visceral Surgery
https://www.readbyqxmd.com/read/29394976/improving-outcomes-of-emergency-bowel-surgery-using-nela-model
#6
Rizwan Sultan, Hasnain Zafar
OBJECTIVE: To find outcomes of emergency bowel surgery and review the processes involved in the care of these patients on the same template used in National Emergency Laparotomy Audit (NELA). STUDY DESIGN: An audit. PLACE AND DURATION OF STUDY: Surgery Department, The Aga Khan University Hospital, Karachi, from December 2013 to November 2014. METHODOLOGY: Patients undergone emergency bowel surgery during the review period were included...
February 2018: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/29387958/the-effect-of-human-immunodeficiency-virus-status-on-outcomes-in-penetrating-abdominal-trauma-an-interim-analysis
#7
Deidre McPherson, Valentin Neuhaus, Rohin Dhar, Sorin Edu, Andrew J Nicol, Pradeep H Navsaria
BACKGROUND: The purpose of this study was to determine whether the outcomes of hemodynamically stable patients undergoing exploratory laparotomy for penetrating abdominal trauma differed as a result of their HIV status. METHODS: This was an observational, prospective study from February 2016 to May 2017. All hemodynamically stable patients with penetrating abdominal trauma requiring a laparotomy were included. The mechanism of injury, the HIV status, age, the penetrating abdominal trauma index (PATI), and the revised trauma score (RTS) were entered into a binary logistic regression model...
January 31, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/29379805/descriptive-analysis-of-right-and-left-sided-traumatic-diaphragmatic-injuries-case-series-from-a-single-institution
#8
Hassan Al-Thani, Gaby Jabbour, Ayman El-Menyar, Husham Abdelrahman, Ruben Peralta, Ahmad Zarour
Objective: To investigate the presentation, management and outcomes of left and right-sided traumatic diaphragmatic injury (TDI) in a single level I trauma center. Methods: This cross-sectional study was conducted during a 7-year period from 2008 to 2015 in a level I trauma center in Qatar. We included all the patients who presented with TDIs during the study period. Data included demographics, mechanism of injury, associated injuries, initial vitals, emergency department disposition, length of ICU and hospital stay, ventilator days, management, and outcomes...
January 2018: Bulletin of Emergency and Trauma
https://www.readbyqxmd.com/read/29374733/patients-with-increased-levels-of-the-oxidative-stress-biomarker-sod1-appear-to-have-diminished-postoperative-pain-after-midline-laparotomy-a-randomised-trial-with-special-reference-to-postoperative-pain-score-nrs
#9
Jari Kärkkäinen, Tuomas Selander, Martin Purdy, Petri Juvonen, Matti Eskelinen
BACKGROUND/AIM: The levels of the oxidative stress biomarker superoxide dismutase (SOD1) in plasma in relation to pain at rest 24 hours after (NRS24) midline laparotomy in patients with rectus sheath block (RSB) analgesia is unknown. PATIENTS AND METHODS: Initially, 56 patients (39 with cancer), each with an intravenous oxycodone pump as patient-controlled analgesia, were randomized to four groups: control group, no RSB (n=12), single-dose (n=16), repeated-dose (n=12) and continuous infusion (n=16) of RSB analgesia...
February 2018: Anticancer Research
https://www.readbyqxmd.com/read/29368085/selective-nonoperative-management-of-liver-gunshot-injuries
#10
Pradeep Navsaria, Andrew Nicol, Jake Krige, Sorin Edu, Sharfuddin Chowdhury
PURPOSE: Nonoperative management (NOM) of gunshot liver injuries (GLI) is infrequently practiced. The aim of this study was to assess the safety of selective NOM of GLI. METHODS: A prospective, protocol-driven study, which included patients with GLI admitted to a level 1 trauma center, was conducted over a 52-month period. Stable patients without peritonism or sustained hypotension with right-sided thoracoabdominal (RTA) and right upper quadrant (RUQ), penetrating wounds with or without localized RUQ tenderness, underwent contrasted abdominal CT scan to determine the trajectory and organ injury...
January 24, 2018: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/29366659/predictability-of-successful-trans-arterial-embolization-in-pelvic-fracture-bleeding-based-on-patient-initial-presentation
#11
Cheng-Cheng Tung, Jei-Feng Yu, Shou-Jen Lan
BACKGROUND: Pelvic fracture bleeding generally leads to hemorrhagic shock. Trans-arterial embolization (TAE) is regarded as the most useful treatment; however, the initial presentation of the patient can impact the effectiveness of TAE for pelvic fracture bleeding. The aim of this retrospective study is to explore whether the patient data at the initial presentation can predict the success of TAE for pelvic fracture bleeding. METHODS: Twenty-seven charts were retrospectively reviewed...
December 24, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29359034/surgically-treated-diaphragmatic-perforation-after-radiofrequency-ablation-for-hepatocellular-carcinoma
#12
Sachiko Nagasu, Koji Okuda, Ryoko Kuromatsu, Yoriko Nomura, Takuji Torimura, Yoshito Akagi
We review 6 cases of diaphragmatic perforation, with and without herniation, treated in our institution. All patients with diaphragmatic perforation underwent radiofrequency ablation (RFA) treatments for hepatocellular carcinoma (HCC) performed at Kurume University Hospital and Tobata Kyoritsu Hospital. We investigated the clinical profiles of the 6 patients between January 2003 and December 2013. We further describe the clinical presentation, diagnosis, and treatment of diaphragmatic perforation. The change in the volume of liver and the change in the Child-Pugh score from just after the RFA to the onset of perforation was evaluated using a paired t-test...
December 27, 2017: World Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/29354849/low-risk-of-intra-abdominal-infections-in-rectal-cancer-patients-treated-with-hartmann-s-procedure-a-report-from-a-national-registry
#13
Ingvar Sverrisson, Maziar Nikberg, Abbas Chabok, Kenneth Smedh
PURPOSE: To describe the postoperative surgical complications in patients with rectal cancer undergoing Hartmann's procedure (HP). METHODS: Data were retrieved from the Swedish Colorectal Cancer Registry for all patients with rectal cancer undergoing HP in 2007-2014. A retrospective analysis was performed using prospectively recorded data. Characteristics of patients and risk factors for intra-abdominal infection and re-laparotomy were analysed. RESULTS: Of 10,940 patients resected for rectal cancer, 1452 (13%) underwent HP (median age, 77 years)...
January 21, 2018: International Journal of Colorectal Disease
https://www.readbyqxmd.com/read/29350370/operative-and-non-operative-management-of-children-with-abdominal-gunshot-injuries
#14
Mehmet Şerif Arslan, Hikmet Zeytun, Serkan Arslan, Erol Basuguy, Mehmet Hanifi Okur, Bahattin Aydoğdu, Cemil Göya, İbrahim Uygun, Selçuk Otçu
BACKGROUND: Non-operative management (NOM) is a standard treatment method for solid organ injuries worldwide. There is no consensus on the management of gunshot wounds (GSW) because of the higher frequency of hollow viscus injuries (HVI) and the unpredictable depth of tissue damage produced by kinetic energy transfer during retardation of the bullet. Here we aimed to reevaluate indications for surgery and NOM based on our pediatric patients with abdominal GSW. METHODS: We performed a retrospective analysis of patients evaluated and treated for abdominal GSW at University of Dicle between January 2010 and October 2016...
January 2018: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
https://www.readbyqxmd.com/read/29330984/polydioxanone-versus-polypropylene-closure-for-midline-abdominal-incisions
#15
Samina Naz, Sohail Ahmed Memon, Mansoor Ali Jamali, Muhammad Rashid Ahmed, Tahmida Almani
BACKGROUND: Midline laparotomy is the most common technique of abdominal incisions because it is simple, provides adequate exposure to all four quadrants, and is rapid to open. A major problem after midline laparotomy remains the adequate technique of abdominal fascia closure. This study was conducted to see the role of Polydioxanone and Prolene for midline abdominal closure in terms of postoperative wound infection and wound pain. METHODS: This study was carried out at surgical unit II, Federal Government Services Hospital Islamabad...
October 2017: Journal of Ayub Medical College, Abbottabad: JAMC
https://www.readbyqxmd.com/read/29325783/validation-of-the-aast-egs-acute-cholecystitis-grade-and-comparison-with-the-tokyo-guidelines
#16
Matthew Hernandez, Brittany Murphy, Johnathan M Aho, Nadeem N Haddad, Humza Saleem, Muhammad Zeb, David S Morris, Donald H Jenkins, Martin Zielinski
BACKGROUND: Acute cholecystitis presents with heterogeneous severity. The Tokyo Guidelines 2013 is a validated method to assess cholecystitis severity, but the variables are multifactorial. The American Association for the Surgery of Trauma (AAST) developed an anatomically based severity grading system for surgical diseases, including cholecystitis. Because the Tokyo Guidelines represent the gold standard to estimate acute cholecystitis severity, we wished to validate the AAST emergency general surgery scoring system and compare the performance of both systems for several patient outcomes...
January 8, 2018: Surgery
https://www.readbyqxmd.com/read/29324540/metastatic-involvement-of-lesser-sac-in-advanced-epithelial-ovarian-cancer
#17
Asima Mukhopadhyay, Nicolò Bizzarri, Melissa Bradbury, Subir Sinha, Jaydip Bhaumik, C William Helm
OBJECTIVES: In advanced epithelial ovarian cancer (AOC), lesser sac (LS) metastasis particularly to the supragastric LS (SGLS) may be overlooked, resulting in unrecognized residual disease. We aimed to identify the frequency, distribution, and predictors of LS metastasis using laparoscopic evaluation at laparotomy and perioperative surgical complications associated with evaluation and resection/ablation. METHODS: Prospective observational study in consecutive patients with AOC undergoing laparotomy for primary or interval cytoreductive surgery in 2 centers between November 2013 and December 2016...
January 10, 2018: International Journal of Gynecological Cancer
https://www.readbyqxmd.com/read/29304519/effect-of-n-acetylserotonin-on-tlr-4-and-myd88-expression-during-intestinal-ischemia-reperfusion-in-a-rat-model
#18
Igor Sukhotnik, Yoav Ben Shahar, Salim Halabi, Nir Bitterman, Tatiana Dorfman, Yulia Pollak, Arnold Coran, Arie Bitterman
BACKGROUND:  Accumulating evidence indicates that changes in intestinal toll-like receptors (TLRs) precede histological injury in a rodent model of necrotizing enterocolitis. N-acetylserotonin (NAS) is a naturally occurring chemical intermediate in the biosynthesis of melatonin. A recent study has shown that treatment with NAS prevents gut mucosal damage and inhibits programmed cell death following intestinal ischemia-reperfusion (IR). The objective of this study was to determine the effects of NAS on TLR-4, myeloid differentiation factor 88 (Myd88), and TNF-α receptor-associated factor 6 (TRAF6) expression in intestinal mucosa following intestinal IR in a rat...
January 5, 2018: European Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29282600/cytoreductive-surgery-plus-hyperthermic-intraperitoneal-chemotherapy-for-patients-with-peritoneal-metastases-from-endometrial-cancer
#19
Tommaso Cornali, Paolo Sammartino, Nikolaos Kopanakis, Athina Christopoulou, Marialuisa Framarino Dei Malatesta, Elias Efstathiou, Alessandra Spagnoli, Antonio Ciardi, Daniele Biacchi, John Spiliotis
BACKGROUND: More information is needed for selection of patients with peritoneal metastases from endometrial cancer (EC) to undergo cytoreductive surgery (CRS) plus hyperthermic intraperitoneal chemotherapy (HIPEC). METHODS: This study analyzed clinical, pathologic, and treatment data for patients with peritoneal metastases from EC who underwent CRS plus HIPEC at two tertiary centers. The outcome measures were morbidity, overall survival (OS), and progression-free survival (PFS) during a median 5 year follow-up period...
December 27, 2017: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/29280122/-establishment-of-nomogram-model-to-predict-peritoneal-metastasis-in-colon-cancer-patients-without-distant-metastasis-by-preoperative-imaging-examination
#20
Xiaojie Wang, Pan Chi, Huiming Lin, Xingrong Lu, Ying Huang, Zongbin Xu, Shenghui Huang, Yanwu Sun, Daoxiong Ye
OBJECTIVE: To establish a nomogram model to predict the peritoneal metastasis in colon cancer patients without distant metastasis by preoperative imaging examination. METHODS: Clinicopathological data of colon cancer patients without distant metastasis by preoperative imaging examination who underwent surgery in our department between January 2000 and December 2014 were retrospectively analyzed. Predictors of peritoneal carcinomatosis were analyzed by univariate and Logistic multivariate analyses...
December 25, 2017: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
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