keyword
MENU ▼
Read by QxMD icon Read
search

planned re-laparotomy

keyword
https://www.readbyqxmd.com/read/27668078/local-repair-of-stoma-prolapse-case-report-of-an-in%C3%A2-vivo-application-of-linear-stapler-devices
#1
Margaret M Monette, Rodney T Harney, Melanie S Morris, Daniel I Chu
INTRODUCTION: One of the most common late complications following stoma construction is prolapse. Although the majority of prolapse can be managed conservatively, surgical revision is required with incarceration/strangulation and in certain cases laparotomy and/or stoma reversal are not appropriate. This report will inform surgeons on safe and effective approaches to revising prolapsed stomas using local techniques. PRESENTATION OF CASE: A 58 year old female with an obstructing rectal cancer previously received a diverting transverse loop colostomy...
November 2016: Annals of Medicine and Surgery
https://www.readbyqxmd.com/read/27542655/abbreviated-laparotomy-or-damage-control-laparotomy-why-when-and-how-to-do-it
#2
E J Voiglio, V Dubuisson, D Massalou, Y Baudoin, J L Caillot, C Létoublon, C Arvieux
The goal of abbreviated laparotomy is to treat severely injured patients whose condition requires an immediate surgical operation but for whom a prolonged procedure would worsen physiological impairment and metabolic failure. Indeed, in severely injured patients, blood loss and tissue injuries enhance the onset of the "bloody vicious circle", triggered by the triad of acidosis-hypothermia-coagulopathy. Abbreviated laparotomy is a surgical strategy that forgoes the completeness of operation in favor of a physiological approach, the overriding preference going to rapidity and limiting the procedure to control the injuries...
August 2016: Journal of Visceral Surgery
https://www.readbyqxmd.com/read/27530309/bogota-bag-use-in-planned-re-laparotomies
#3
Oktay Karakose, Mehmet Fatih Benzin, Huseyin Pülat, Mehmet Zafer Sabuncuoglu, Huseyin Eken, Ismail Zihni, Ibrahim Barut
BACKGROUND Planned re-laparotomies are a series of surgical interventions that are rarely used and have a high mortality rate. The aim of this study was to investigate the factors affecting mortality and the effectiveness of the use of the Bogota bag for temporary closure of the abdomen in patients for whom re-laparotomy was planned. MATERIAL AND METHODS A retrospective examination was made of data of patients in whom a Bogota bag was used in planned re-laparotomies for various reasons in the General Surgery Department of Suleyman Demirel University Medical Faculty between June 2008 and April 2014...
2016: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://www.readbyqxmd.com/read/27266505/non-perforation-tension-pneumoperitoneum-resulting-from-primary-non-aerobic-bacterial-peritonitis-in-a-previously-healthy-middle-aged-man-a-case-report
#4
Ognyan Georgiev Milev, Plamen Cekov Nikolov
BACKGROUND: Tension pneumoperitoneum is a rare surgical emergency in which free intraperitoneal gas accumulates under pressure. The known sources of free gas are perforated hollow viscera. We believe this is the first published case of a tension non-perforation pneumoperitoneum secondary to anaerobic gas production. This occurred in a background of primary non-aerobic bacterial peritonitis, which developed in an immunocompetent adult man. CASE PRESENTATION: A previously healthy 45-year-old Bulgarian man presented with a 3-week history of abdominal pain...
2016: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/27217334/the-surgical-approach-to-near-total-small-bowel-infarction-in-a-patient-with-massive-portomesenteric-thrombosis-case-report
#5
Savino Occhionorelli, Alessandra La Manna, Rocco Stano, Lucia Morganti, Giorgio Vasquez
AIM: To describe an acute portomesenteric venous thrombosis, with massive small bowel infarction, which is managed with small bowel resection, primary anastomosis, and open abdomen management (OAM). CASE REPORT: A 76-year-old male patient was admitted to the surgical ward, complaining spread abdominal pain. Contrast Enhanced Computed Tomography (CECT) diagnosed massive bowel ischemia, caused by portomesenteric thrombosis. He had negative coagulation tests for thrombophilia, while he presented concomitant risk factors (cancer, previous venous thrombosis, obesity)...
May 23, 2016: Annali Italiani di Chirurgia
https://www.readbyqxmd.com/read/26815893/planned-re-laparotomy-and-the-need-for-optimization-of-physiology-and-immunology
#6
L Kobayashi, R Coimbra
Planned re-laparotomy or damage control laparotomy (DCL), first described by Dr. Harlan Stone in 1983, has become a widely utilized technique in a broad range of patients and operative situations. Studies have validated the use of DCL by demonstrating decreased mortality and morbidity in trauma, general surgery and abdominal vascular catastrophes. Indications for planned re-laparotomy include severe physiologic derangements, coagulopathy, concern for bowel ischemia, and abdominal compartment syndrome. The immunology of DCL patients is not well described in humans, but promising animal studies suggest a benefit from the open abdomen (OA) and several human trials on this subject are currently underway...
April 2014: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/26715412/a-case-of-pancreatic-cancer-with-concomitant-median-arcuate-ligament-syndrome-treated-successfully-using-an-allograft-arterial-transposition
#7
Sebahattin Celik, Kristina I Ringe, Cristian E Boru, Victor Constantinica, Hüseyin Bektas
An association of pancreatic cancer and median arcuate ligament syndrome (MALS) is a rare and challenging situation in terms of treatment. A 60-year-old man diagnosed with pancreatic cancer underwent laparotomy. A pancreaticoduodenectomy was planned, but during the resection part of the operation, a celiac artery stenosis was noticed. The patient was diagnosed with MALS causing almost total celiac artery occlusion, with no radiological solution. The patient was re-operated the next day, and an iliac artery allograft was used for aorta-proper hepatic artery reconstruction, concomitant with the total pancreaticoduodenectomy...
2015: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/26236391/surgical-management-of-aast-grades-iii-v-hepatic-trauma-by-damage-control-surgery-with-perihepatic-packing-and-definitive-hepatic-repair-single-centre-experience
#8
Krstina Doklestić, Branislav Stefanović, Pavle Gregorić, Nenad Ivančević, Zlatibor Lončar, Bojan Jovanović, Vesna Bumbaširević, Vasilije Jeremić, Sanja Tomanović Vujadinović, Branislava Stefanović, Nataša Milić, Aleksandar Karamarković
BACKGROUND: Severe liver injury in trauma patients still accounts for significant morbidity and mortality. Operative techniques in liver trauma are some of the most challenging. They include the broad and complex area, from damage control to liver resection. MATERIAL AND METHOD: This is a retrospective study of 121 trauma patients with hepatic trauma American Association for Surgery of Trauma (AAST) grade III-V who have undergone surgery. Indications for surgery include refractory hypotension not responding to resuscitation due to uncontrolled hemorrhage from liver trauma; massive hemoperitonem on Focused assessment by ultrasound for trauma (FAST) and/or Diagnostic peritoneal lavage (DPL) as well as Multislice Computed Tomography (MSCT) findings of the severe liver injury and major vascular injuries with active bleeding...
2015: World Journal of Emergency Surgery: WJES
https://www.readbyqxmd.com/read/26061406/implementing-a-pro-forma-for-multidisciplinary-management-of-an-enterocutaneous-fistula-a-case-study
#9
Sohel Samad, Chukwuemeka Anele, Mansoor Akhtar, Samer Doughan
Optimal management of patients with an entercocutaneous fistula (ECF) requires utilization of the sepsis, nutrition, anatomy, and surgical procedure (SNAP) protocol. The protocol includes early detection and treatment of sepsis, optimizing patient nutrition through oral and parenteral routes, identifying the fistula anatomy, optimal fistula management, and proceeding to corrective surgery when appropriate. The protocol requires multidisciplinary team (MDT) coordination among surgeons, nurses, dietitians, stoma nurses, and physiotherapists...
June 2015: Ostomy/wound Management
https://www.readbyqxmd.com/read/25294535/laparoscopic-versus-open-ladd-s-procedure-for-intestinal-malrotation-in-adults
#10
Lane L Frasier, Glen Leverson, Ankush Gosain, Jacob Greenberg
BACKGROUND: Intestinal malrotation results from errors in fetal intestinal rotation and fixation. While most patients are diagnosed in childhood, some present as adults. Laparoscopic Ladd's procedure is an accepted alternative to laparotomy in children but has not been well-studied in adults. This study was designed to investigate outcomes for adults undergoing laparoscopic Ladd's repair for malrotation. METHODS: We performed a single-institution retrospective chart review over 11 years...
June 2015: Surgical Endoscopy
https://www.readbyqxmd.com/read/25118481/en-bloc-pelvic-resection-with-concomitant-rectosigmoid-colectomy-and-immediate-anastomosis-as-part-of-primary-cytoreductive-surgery-for-patients-with-advanced-ovarian-cancer
#11
Y Yildirim, I E Ertas, U Nayki, P Ulug, C Nayki, I Yilmaz, E Gultekin, A Dogan, A Aykas, S Ulug, A Ozdemir, U Solmaz
OBJECTIVE: To assess the authors' experiences in en bloc pelvic resection with concomitant rectosigmoid colectomy and primary anastomosis as a part of primary cytoreductive surgery for patients with advanced ovarian cancer. MATERIALS AND METHODS: Atotal of 22 patients with FIGO Stage IIB-IV epithelial ovarian cancer who underwent en bloc pelvic resection with anastomosis were retrospectively reviewed. Data analyses were carried out using SPSS 10.0 and descriptive statistics, Kaplan-Meier survival curves, and Log Rank (Mantel-Cox) test were used for statistical estimations...
2014: European Journal of Gynaecological Oncology
https://www.readbyqxmd.com/read/24855078/prolapsed-giant-sigmoid-lipoma-a-rare-cause-of-adult-ischaemic-intussusception
#12
Mark Elliott, Jennifer Martin, Fred Mullan
Intussusception is a rare cause of obstruction in adults and has a variable, non-specific presentation. Adult intussusception is usually associated with an underlying organic pathology, such as a benign or malignant tumour which acts as the lead point. Prolapse of the lead-point mass through the anal canal is an extremely rare presentation with very few reported cases in the literature. We describe a case of a 67-year-old man who presented with rectal prolapse of a large soft tissue mass. CT of the abdomen and barium enema revealed partial intussusception of an upper sigmoid lipomatous polyp...
2014: BMJ Case Reports
https://www.readbyqxmd.com/read/24800353/management-and-maternal-outcome-in-morbidly-adherent-placenta
#13
Nighat Sultana, Sobia Mohyuddin, Tahira Jabbar
BACKGROUND: Morbidly adherent placenta (MAP) with its variants is one of the most feared complications causing high morbidity and mortality in obstetrics. The objective of this study was to analyse different management options and maternal outcome in diagnosed cases of morbidly adherent placenta. METHODS: Descriptive case series was carried out in Obstetrics and Gynaecology Department, Combined Military Hospital, Rawalpindi and one private hospital from Jan 2008 to Dec 2010...
April 2011: Journal of Ayub Medical College, Abbottabad: JAMC
https://www.readbyqxmd.com/read/24215058/massive-mesenteric-and-portal-venous-thrombosis-secondary-to-hormone-replacement-therapy
#14
D G Watt, O Shapter, D Mittapalli, W G Murray
Hormone replacement therapy increases risk of deep venous thrombosis (DVT) mainly in the extremities and lungs. There are reports of mesenteric ischemia secondary to oral contraceptive pills but no reports on hormone replacement therapy and mesenteric thrombosis. The authors present a case of a 44-year-old obese (BMI 32) woman, on long-term hormone replacement therapy, presented with thrombosis of portal, splenic and superior mesenteric veins. She underwent surgical resection of ischemic bowel and planned re-look laparotomies with further resections and jejuno-ileal anastomosis at final laparotomy...
November 2013: Scottish Medical Journal
https://www.readbyqxmd.com/read/23680127/efficacy-and-safety-of-active-negative-pressure-peritoneal-therapy-for-reducing-the-systemic-inflammatory-response-after-damage-control-laparotomy-the-intra-peritoneal-vacuum-trial-study-protocol-for-a-randomized-controlled-trial
#15
RANDOMIZED CONTROLLED TRIAL
Derek J Roberts, Craig N Jenne, Chad G Ball, Corina Tiruta, Caroline Léger, Zhengwen Xiao, Peter D Faris, Paul B McBeth, Christopher J Doig, Christine R Skinner, Stacy G Ruddell, Paul Kubes, Andrew W Kirkpatrick
BACKGROUND: Damage control laparotomy, or abbreviated initial laparotomy followed by temporary abdominal closure (TAC), intensive care unit resuscitation, and planned re-laparotomy, is frequently used to manage intra-abdominal bleeding and contamination among critically ill or injured adults. Animal data suggest that TAC techniques that employ negative pressure to the peritoneal cavity may reduce the systemic inflammatory response and associated organ injury. The primary objective of this study is to determine if use of a TAC dressing that affords active negative pressure peritoneal therapy, the ABThera Open Abdomen Negative Pressure Therapy System, reduces the extent of the systemic inflammatory response after damage control laparotomy for intra-abdominal sepsis or injury as compared to a commonly used TAC method that provides potentially less efficient peritoneal negative pressure, the Barker's vacuum pack...
May 16, 2013: Trials
https://www.readbyqxmd.com/read/23445689/emergency-treatment-of-violent-trauma-clinical-cases-and-surgical-treatment-of-penetrating-thoracoabdominal-perineal-and-anorectal-trauma
#16
William Zuccon, Roberto Paternollo, Luca Del Re, Andrea Cordovana, Giovanni De Murtas, Giacomo Gaverini, Giulia Baffa, Claudio Lunghi
AIM: The authors analyse clinical cases of penetrating thoracic, abdominal, perineal and anorectal injury and describe the traumatic event and type of lesion, the principles of surgical treatment, the complication rate and follow up. MATERIALS AND METHODS: In the last 24 months, we analyzed 10 consecutive cases of penetrating thoracic and abdominal wounds [stab wound (n=7), with evisceration (n=4), gunshot wound (n=1)], and penetrating perineal and anorectal wounds (impalement n=4)...
January 2013: Annali Italiani di Chirurgia
https://www.readbyqxmd.com/read/22606429/postoperative-bowel-perforation-due-to-heterotopic-ossification-myositis-ossificans-traumatica-a-case-report-and-review-of-the-literature
#17
Victoria Valinluck Lao, Oliver B Lao, Edgar Figueredo
Heterotopic ossification (HO) is the ectopic development of normal bone within soft tissue that can occur after traumatic injury. It is uncommon and may be missed or misdiagnosed, which can lead to complications. We report the case of an 84-year-old male with a previous history of a laparotomy who underwent resection of an intra-abdominal tumor through a midline incision. On postoperative day six, the patient was taken to the operating room, as succus was draining from the incision. Upon re-exploration, sharp bone-like material was found in the wound directly adjacent to an enterotomy...
2011: Case Reports in Gastrointestinal Medicine
https://www.readbyqxmd.com/read/22372758/thrombotic-thrombocytopenic-purpura
#18
Charlotte Kaiser, Ulrich Gembruch, Viktor Janzen, Anne-Sybil Gast
A 34-year old primipara was admitted to hospital with dichorionic-diamniotic twins in 26+3 weeks of gestation. In suspicion of HELLP-syndrome, caesarean section was performed at 27+4 weeks of gestation, because of platelet count was reduced to 44000/µl. A re-laparotomy had to be performed because of intra-abdominal bleedings. The patient was given seven packed thrombocytes and five packed erythrocytes. The patient complained about blurred vision. The right corner of the mouth was slightly depressed in terms of a facial nerve paresis...
October 2012: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/21988045/-outcome-of-laparotomy-for-severe-secondary-peritonitis
#19
Massimo Chiarugi, Sonia Panicucci, Christian Galatioto, Mirene Luciani, Rudi Mancini, Monica Cucinotta, Chiara Bagnato, Mariangela Mazzillo, Elise Pouli, Massimo Seccia
BACKGROUND: Temporary abdominal closure with planned re-operations is a treatment method for several critical abdominal conditions. Aim of the study was to evaluate the effectiveness of laparostomy and the risk factors for survival in patients presenting with severe secondary peritonitis (SSP). METHODS: 52 patients (mean age 66.5) with a SSP were analyzed. The peritonitis developed spontaneously (n=34) or complicated a recent surgical operation (n=18). 18 patients were operated on for a bowel cancer and 6 of them had a metastatic disease...
September 2011: Annali Italiani di Chirurgia
https://www.readbyqxmd.com/read/21783337/factors-influencing-early-postoperative-recovery-after-cytoreductive-surgery-and-hyperthermic-intraperitoneal-chemotherapy
#20
E Arakelian, L Gunningberg, J Larsson, K Norlén, H Mahteme
BACKGROUND: Cytoreductive surgery (CRS) combined with hyperthermic intraperitoneal chemotherapy (HIPEC) can prolong survival in selected patients with peritoneal carcinomatosis (PC). However, there is little data on patients' recovery process after this complex treatment. This study aimed to describe the in-hospital postoperative recovery and factors related to the recovery of patients who undergo CRS and HIPEC. METHOD: A retrospective audit of the electronic health record (EHR) was undertaken for 76 PC patients (42 women, 34 men) treated primarily with CRS and HIPEC between 2005 and 2006 in Sweden...
October 2011: European Journal of Surgical Oncology
keyword
keyword
91471
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"