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https://www.readbyqxmd.com/read/29909089/safety-of-laparoscopic-surgery-for-benign-diseases-during-pregnancy-a-nationwide-retrospective-cohort-study
#1
Daisuke Shigemi, Shotaro Aso, Hiroki Matsui, Kiyohide Fushimi, Hideo Yasunaga
STUDY OBJECTIVE: To compare fetal, maternal, and operative outcomes of laparoscopic surgery versus laparotomy for major benign diseases including appendicitis, cholecystitis, adnexal masses, and uterine myoma during pregnancy. DESIGN: Retrospective cohort study (Canadian Task Force classification II-2). SETTING: The Diagnosis Procedure Combination database, a national inpatient database for acute-care inpatients in Japan. PATIENTS: 6,018 eligible patients underwent abdominal surgery (4,047 laparotomy and 1,971 laparoscopy patients) from July 2010 through March 2016...
June 14, 2018: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29901596/multiple-gastrointestinal-metastases-of-squamous-cell-lung-cancer-a-case-report
#2
Xinyu Li, Songhe Li, Zhiming Ma, Shutao Zhao, Xudong Wang, Dacheng Wen
RATIONALE: Gastrointestinal multiple metastases of lung cancer are extremely rare. The majority of gastrointestinal metastasis cases are diagnosed at a late stage and the prognosis is extremely poor. This report describes the clinical characteristics and outcomes of a patient with gastrointestinal multiple metastases from squamous-cell lung cancer, with special emphasis on the diagnosis and treatment of metastatic lung cancer. PATIENT CONCERNS: A 61-year-old man who presented with progressive abdominal distention was admitted to our hospital...
June 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29901515/total-pancreatectomy-and-islet-autotransplantion-for-chronic-and-recurrent-acute-pancreatitis
#3
Kendall R McEachron, Melena D Bellin
PURPOSE OF REVIEW: We reviewed the current state of total pancreatectomy with islet autotransplantation (TPIAT) for chronic pancreatitis and recurrent acute pancreatitis (RAP). RECENT FINDINGS: An increasing number of centers in the United States and internationally are performing TPIAT. In selected cases, TPIAT may be performed partially or entirely laparoscopically. Islet isolation is usually performed at the same center as the total pancreatectomy surgery, but new data suggest that diabetes outcomes may be nearly as good when a remote center is used for islet isolation...
June 8, 2018: Current Opinion in Gastroenterology
https://www.readbyqxmd.com/read/29898583/disability-after-major-abdominal-surgery-determinants-of-recovery-of-walking-ability-in-elderly-patients
#4
Lucia Petrucci, Serena Monteleone, Susanna Ricotti, Erica Giromini, Mariangela Gullace, Emilia Ambrosini, Giorgio Ferriero, Elena Dalla Toffola
BACKGROUND: Increased life expectancy and improved surgical techniques have led to a sharp rise in healthcare resource consumption by older patients. In these patients early recovery of walking ability after abdominal surgery may shorten length of hospital stay and reduce overall healthcare costs, but it is important to understand what factors determine this recovery. AIM: To assess preoperative and postoperative determinants of walking ability recovery after major abdominal surgery in older patients...
June 11, 2018: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/29893777/particulate-wear-debris-osteolysis-acute-urinary-retention-and-delirium-as-late-complications-of-hip-arthroplasty
#5
Carmen Benitez, Javier Pérez-Jara, Luis Garcia-Paino, Teresa Montenegro, Encarnacion Martin, Arturo Vilches-Moraga
Intrapelvic mass formation as a result of particulate wear debris induced osteolysis is a recognised late complication of cementless total hip arthroplasty. Clinical presentation typically involves hip and/or leg pain resulting in functional impairment, and obstructive urinary symptoms developing 3-20 years after surgery. An acute confusional state has never been described in this scenario. We report the case of an 86-year-old gentleman with a diagnosis of dementia brought to our emergency department with an acute confusional state...
June 8, 2018: Age and Ageing
https://www.readbyqxmd.com/read/29890968/pyosalpinx-complicating-chronic-hydrosalpinx-in-a-50-year-old-virgo-woman-a-case-report
#6
Yannick Hurni, Marta Bonollo, Ludovica Ferrero, Gianmarco Taraschi, Claudia Canonica, Sophie Venturelli Reyes Lozano
BACKGROUND: Pelvic inflammatory disease is an infection of the upper genital tract, including the uterus, ovaries, uterine tubes, and pelvic peritoneum. Tubo-ovarian abscess and pyosalpinx are common complications associated with pelvic inflammatory disease. They are usually encountered in sexually active women, but rare cases in Virgos have also been described. CASE PRESENTATION: Here, we report the case of a 50-year-old Virgo woman presenting with pyosalpinx secondary to previous laparotomic sigmoidectomy for acute diverticulitis...
June 11, 2018: BMC Women's Health
https://www.readbyqxmd.com/read/29888718/surgical-management-of-anorectal-foreign-bodies
#7
H Cinar, M Berkesoglu, M Derebey, E Karadeniz, C Yildirim, K Karabulut, T Kesicioglu, K Erzurumlu
Purpose: Anorectal foreign bodies (AFBs) inserted into anus constitute one of the most important problems needing surgical emergency due to its complications. We describe our experience in the diagnosis and treatment of AFBs retained in the rectosigmoid colon. Materials and Methods: Between the years 2006 and 2015, a total of 11 patients diagnosed with AFBs were admitted to an emergency room and general surgery clinics. They were diagnosed and treated in four different hospitals in four different cities in Turkey...
June 2018: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/29888630/a-critical-appraisal-of-advances-in-the-diagnosis-of-diverticular-disease
#8
Antonio Tursi
Diverticulosis of the colon is a common condition, and about one fourth of those people develop symptoms, which is called "diverticular disease" (DD). Since there are still some concerns about the diagnosis of diverticular disease, the aim of this review was to analyse current and evolving advances in its diagnosis. Area covered: Analysis of clinical, radiology, laboratory and endoscopic tools to pose a correct diagnosis of DD was performed according to current PubMed literature. Expert commentary: A combination of clinical characteristic of the abdominal pain and fecal calprotectin expression may help to differentiate between Symptomatic Uncomplicated Diverticular Disease (SUDD) and Irritable Bowel Syndrome (IBS)...
June 9, 2018: Expert Review of Gastroenterology & Hepatology
https://www.readbyqxmd.com/read/29886888/-acute-abdominal-vasculitis-in-rheumatic-diseases
#9
Line Uhrenholt, Lars S Jensen, Thomas S Jakobsen, Salome Kristensen, Jens Frederik Dahlerup, Einar Pahle, Michael F Nielsen
Mesenteric vasculitis is the most common abdominal manifestation of vasculitis and can present as acute abdominal pain. Mesenteric vasculitis is most frequent in systemic lupus erythematosus and polyarteritis nodosa in adulthood and immunoglobulin A-vasculitis in childhood. Involvement of other organs is also seen. The diagnosis can be challenging, but detailed clinical assessment in combination with diagnostic tests often identifies the underlying cause. Medical treatment is used, when the abdominal manifestation is considered reversible, while surgery is used in unstable patients or patients with non-reversible conditions...
June 11, 2018: Ugeskrift for Laeger
https://www.readbyqxmd.com/read/29886210/the-debatable-choice-of-iliac-inflow-source-for-redo-femoropopliteal-and-infrapopliteal-bypass
#10
Roberto Gabrielli, Franco Ciocca, Angelica Dante, Aldo Musilli, Maurizio Maiorano, Marco Ventura
BACKGROUND: Redo area region operation is associated with a significant morbidity such as neurovascular injury, infection and lymphorrhea. The traditional management of occluded femoro-popliteal grafts often includes redissection of a scarred groin to obtain adequate inflow via the common femoral artery. These procedures are more technically demanding and require more expertise and judgment than the primary operation. We describe a case of using the ipsilateral iliac branch prosthesis of aorto-bifemoral as inflow for iliac-peroneal bypass, avoiding the previous groin incisions, to minimize the local complications related to a redo groin dissection and to decrease the operative time required to obtain an adequate inflow source...
June 7, 2018: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/29880039/bilateral-dermoid-ovarian-torsion-in-a-young-woman-a-case-report
#11
Saeed Baradwan, Wed Sendy, Sameer Sendy
BACKGROUND: Of all patients undergoing emergency surgery for acute pelvic pain, approximately 2.7% of cases are caused by ovarian torsion. We report a rare occurrence of bilateral ovarian torsion in a young woman. CASE PRESENTATION: We report the case of a 20-year-old white woman who presented with sudden onset of severe lower abdominal pain and nausea. Similar episodes of pain were experienced in the previous few months and diagnosed as a case of bilateral ovarian cyst...
June 8, 2018: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/29866228/partial-cecum-necrosis-as-a-rare-cause-of-acute-abdominal-pain-in-an-elderly-patient
#12
Onder Karabay, Mustafa Genco Erdem, Mustafa Hasbahceci
Partial necrosis of the cecum is a rare form of ischemic colitis with unknown etiology. A 68-year female patient was admitted due to a severe pain in the right lower quadrant of the abdomen for one week. One month ago, she had coronary artery bypass graft surgery with carotid endarterectomy. During physical examination, tenderness and rebound tenderness at the right lower quadrant were detected. Computed tomography showed a 7-mm tubular structure extending from the back of the cecum to the lower border of the liver...
June 2018: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/29862156/breast-abscess-due-to-salmonella-paratyphi-a-case-reports-with-review-of-literature
#13
Sonu Agrawal, Vishwanath Singh Yadav, Anurag Srivastava, Arti Kapil, Benu Dhawan
Salmonella paratyphi A causes paratyphoid fever which is characterized by acute onset of fever, abdominal pain, diarrhoea, nausea and vomiting. Localized disease can occur following both overt and silent bacteremia followed by seeding of bacteria at distant sites. Salmonella species though associated with abscess formation in various organs,are rarely associated with breast abscess. We report 2 cases of breast abscess due to Salmonella enterica serotype paratyphi A. Appropriate sampling, surgery supplemented by a comprehensive microbiological work up aided in pathogen identification and appropriate antibiotic administration for a successful outcome of these patients...
May 2018: Intractable & Rare Diseases Research
https://www.readbyqxmd.com/read/29860235/efficacy-of-scheduled-return-visits-for-emergency-department-patients-with-non-specific-abdominal-pain
#14
Annemieke E Boendermaker, Constant W Coolsma, Marloes Emous, Ewoud Ter Avest
INTRODUCTION: Many patients presenting with abdominal pain to emergency departments (EDs) are discharged without a definitive diagnosis. For these patients, often designated as having non-specific abdominal pain, re-evaluation is often advocated. We aimed to investigate how often re-evaluation changes the diagnosis and clinical management and discern factors that could help identify patients likely to benefit from re-evaluation. METHODS: This was a retrospective study conducted in the Netherlands between 1 January 2014 and 31 December 2015 of patients asked to return to the ED after an initial presentation with acute non-traumatic abdominal pain...
June 2, 2018: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/29859537/carcinosarcoma-of-the-parotid-gland-with-abdominal-metastasis-a-case-report-and-review-of-literature
#15
Chang Gok Woo, Seung-Myoung Son
BACKGROUND: Carcinosarcoma of the salivary gland is a rare aggressive malignant tumor, composed of a mixture of carcinomatous and sarcomatous components. The most common metastatic sites include the lungs, bones, and central nervous system. CASE PRESENTATION: This report describes a rare case of carcinosarcoma of the parotid gland with an osteosarcoma as sarcomatous component in a 72-year-old man who had a history of low anterior resection for rectal cancer. Six months after parotidectomy, he presented abdominal pain as a symptom of abdominal metastasis by the sarcomatous component...
June 2, 2018: World Journal of Surgical Oncology
https://www.readbyqxmd.com/read/29859449/a-gastrointestinal-stromal-tumor-of-the-jejunum-presenting-with-an-intratumoral-abscess-a-case-report-and-a-literature-review
#16
Soichi Ito, Yuma Tsuchitani, Yuro Kim, Souhei Hashimoto, Yuichi Miura, Takuji Uemura, Kazunori Katsura, Takayuki Abe, Koichiro Sato, Hirotaka Kato
INTRODUCTION: Gastrointestinal stromal tumors (GISTs) are the most common mesenchymal tumors of the gastrointestinal tract. The small intestine is the second-most frequent location where GISTs occur after the stomach. Attention should be paid to small intestinal GISTs because they infrequently present with acute abdomen, which necessitates emergency surgery. This report describes a patient with a small intestinal GIST developing a giant intratumoral abscess, in whom emergency surgery was performed...
May 29, 2018: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29850426/complications-of-endovascular-aneurysm-repair-of-the-thoracic-and-abdominal-aorta-evaluation-and-management
#17
REVIEW
Dania Daye, T Gregory Walker
In recent decades, endovascular aneurysm repair or endovascular aortic repair (EVAR) has become an acceptable alternative to open surgery for the treatment of thoracic and abdominal aortic aneurysms and other aortic pathologies such as the acute aortic syndromes (e.g., penetrating aortic ulcer, intramural hematoma, dissection). Available data suggest that endovascular repair is associated with lower perioperative 30-day all-cause mortality as well as a significant reduction in perioperative morbidity when compared to open surgery...
April 2018: Cardiovascular Diagnosis and Therapy
https://www.readbyqxmd.com/read/29809191/-comparative-analysis-of-diagnostic-scales-of-acute-appendicitis-alvarado-ripasa-and-air
#18
Martín A Bolívar-Rodríguez, Benny A Osuna-Wong, Ana B Calderón-Alvarado, Jaime Matus-Rojas, Edgar Dehesa-López, Felipe de Jesús Peraza-Garay
Introduction: Acute appendicitis is the most common surgical disease in emergency surgery, however, it remains a diagnostic problem and represents a challenge despite the experience and the different clinical and paraclinical diagnostic methods. Objective: To evaluate in a comparative way the scale of Alvarado, AIR and RIPASA to determine which one is best as a diagnostic test of acute appendicitis in our population in order to arrive to an accurate diagnosis in the shortest possible time and cost...
2018: Cirugia y Cirujanos
https://www.readbyqxmd.com/read/29806754/endovascular-repair-versus-open-repair-in-the-treatment-of-ruptured-aortic-aneurysms-a-systematic-review
#19
Bruno Amato, Francesco Fugetto, Rita Compagna, Valeria Zurlo, Andrea Barbetta, Giuseppe Petrella, Giovanni Aprea, Michele Danzi, Aldo Rocca, Stefano De Fraciscis, Raffaele Serra
INTRODUCTION: Rupture of abdominal aortic aneurysm remains a fatal event in up to 65% of cases and emergency open surgery (ruptured open aneurysm repair or rOAR) has a great intraoperative mortality of about 30-50%. The introduction of endovascular repair of abdominal aortic aneurysm (ruptured endovascular aneurysm repair or rEVAR) has rapidly challenged the conventional approach to this catastrophic event. The purpose of this systematic review is to compare the outcomes of open surgical repair and endovascular interventions...
May 25, 2018: Minerva Chirurgica
https://www.readbyqxmd.com/read/29798988/-diagnosis-and-treatment-of-gallstone-intestinal-obstruction
#20
S V Kharitonov, I B Rannev, S S Kharitonov
AIM: To analyze informative value of radiological examination in diagnosis of acute gallstone intestinal obstruction. MATERIAL AND METHODS: Diagnosis and treatment of 7 patients with acute gallstone intestinal obstruction have been analyzed. Diagnostic protocol included radiography of abdominal cavity, sonography and computed tomography. RESULTS: Computed tomography within the first hours after hospitalization is highly informative to diagnose gallstone intestinal obstruction if other methods are ineffective...
2018: Khirurgiia
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