9,721 results match your criteria Pneumoperitoneum


Anesthesia for peroral endoscopic myotomy in Japan.

Curr Opin Anaesthesiol 2019 Apr 15. Epub 2019 Apr 15.

Department of Anesthesiology, Nagasaki University School of Medicine, Nagasaki, Japan.

Purpose Of Review: Peroral endoscopic myotomy (POEM) was developed in Japan as a less invasive treatment for esophageal achalasia requiring general anesthesia under positive pressure ventilation. In 2018, the Japan Gastroenterological Endoscopy Society published the first guidelines describing the standard care for POEM. Based on these guidelines, we discuss the typical approach to anesthesia during POEM for the management of esophageal achalasia in Japan. Read More

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http://dx.doi.org/10.1097/ACO.0000000000000742DOI Listing

Endoscopic submucosal dissection for gastric ectopic pancreas: a single-center experience.

World J Surg Oncol 2019 Apr 16;17(1):69. Epub 2019 Apr 16.

Department of Gastroenterology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450000, China.

Background And Objective: Endoscopic submucosal dissection (ESD) is a minimal invasive technology and could allow "en bloc" resection for superficial gastric tumors. The aim of this study is to evaluate the safety and feasibility of ESD for gastric ectopic pancreas (EP).

Methods: A total of 93 patients diagnosed with ectopic pancreas who underwent ESD between January 2011 and June 2017 were enrolled. Read More

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https://wjso.biomedcentral.com/articles/10.1186/s12957-019-1
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http://dx.doi.org/10.1186/s12957-019-1612-xDOI Listing
April 2019
1 Read

Comparison of two methods for endoscopic full-thickness resection of gastrointestinal lesions using OTSC.

Minim Invasive Ther Allied Technol 2019 Apr 16:1-9. Epub 2019 Apr 16.

a Department of Gastroenterology , Beijing Friendship Hospital, Capital Medical University, National Clinical Research Center for Digestive Diseases, Beijing Digestive Disease Center, Beijing Key Laboratory for Precancerous Lesion of Digestive Diseases , Beijing , China.

Background And Aims: The aim of this study was to compare and analyze the feasibility and safety of two methods of endoscopic full-thickness resection (EFTR) for the management of challenging epithelial and subepithelial neoplasms that are not amenable to resection techniques.

Material And Methods: This was a retrospective case series study of patients who underwent one of two methods of EFTR, resection using ESD knives and post-resection closure with OTSC (Group 1), or closure with OTSC and secondary EFTR with snare (Group 2).

Results: Of 11 patients, six were in Group 1 and five in Group 2. Read More

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http://dx.doi.org/10.1080/13645706.2019.1602544DOI Listing
April 2019
1 Read

Intraperitoneal nebulization versus intraperitoneal instillation of ropivacaine for postoperative pain management following laparoscopic donor nephrectomy.

Korean J Anesthesiol 2019 Apr 15. Epub 2019 Apr 15.

Department of Anesthesiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.

Background: Laparoscopic donor nephrectomy is considered less painful compared to open nephrectomy but is still associated with the significant postoperative pain. Studies reported that intraperitoneal instillation of local anesthetic provides uncertain pain relief after laparoscopic surgery. This randomized double-blind study aims to evaluate the effect of intraperitoneal nebulization of ropivacaine on postoperative pain relief after laparoscopic donor nephrectomy. Read More

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http://dx.doi.org/10.4097/kja.d.18.00290DOI Listing

Spontaneous pneumoperitoneum in two extremely preterm infants during nasal intermittent positive pressure ventilation.

Pediatr Int 2019 Apr 14. Epub 2019 Apr 14.

Department of Pediatric Surgery, Keimyung University, Dongsan Medical Center, Daegu, South Korea.

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http://dx.doi.org/10.1111/ped.13805DOI Listing

The effects of a recruitment manoeuvre with positive end-expiratory pressure on lung compliance in patients undergoing robot-assisted laparoscopic radical prostatectomy.

J Clin Monit Comput 2019 Apr 9. Epub 2019 Apr 9.

Department of Anesthesiology and Pain Medicine, Juntendo University School of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo, 113-8421, Japan.

The effects of a recruitment manoeuvre (RM) with positive end-expiratory pressure (PEEP) on lung compliance (C) are not well characterised in robot-assisted laparoscopic radical prostatectomy (RARP). Patients were allocated to group R (n = 10; with an RM) or C (n = 9; without an RM). An RM involved sustained inflation of 30 cmHO for 30 s. Read More

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http://dx.doi.org/10.1007/s10877-019-00306-yDOI Listing
April 2019
1 Read

Laparoscopic diverting loop ileostomy for spontaneous colon perforation in advanced ovarian cancer.

Authors:
John O Schorge

Gynecol Oncol Rep 2019 May 20;28:84-85. Epub 2019 Mar 20.

Department of Obstetrics and Gynecology, Tufts Medical Center, Boston, MA 02111, United States of America.

Objective: Neoadjuvant chemotherapy for advanced ovarian cancer is associated with reduced morbidity in the elderly (Meyer et al., 2018). Spontaneous colonic perforation often leads to multisystem organ failure and death (Carter and Durfee, 2007; Rose and Piver, 1995). Read More

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http://dx.doi.org/10.1016/j.gore.2019.03.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6434062PMC
May 2019
1 Read

Nonoperative management of pneumoperitoneum after colonoscopy.

Proc (Bayl Univ Med Cent) 2018 Oct 19;31(4):465-466. Epub 2018 Oct 19.

Department of Internal Medicine, Scott and White Medical Center and Texas A&M College of MedicineTempleTexas.

Pneumoperitoneum is often a sign of a perforated viscus and is considered a surgical emergency, as it can lead to enteric contamination within the peritoneal cavity with subsequent peritonitis and sepsis. Management of asymptomatic pneumoperitoneum can pose a dilemma to physicians. Here, we present and discuss a rare case of a 60-year-old man who developed a pneumoperitoneum after a colonoscopy. Read More

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http://dx.doi.org/10.1080/08998280.2018.1498722DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6413994PMC
October 2018
1 Read

Preoperative Pneumoperitoneum: Low-Risk Surgical Adjunct to the Surgical Management of Dense Abdominal Adhesions.

J Vasc Interv Radiol 2019 Apr 1. Epub 2019 Apr 1.

Surgery, Keck School of Medicine, University of Southern California, 1500 San Pablo Street, Los Angeles, CA 90033.

Surgical lysis of intra-abdominal adhesions is associated with a high rate of complications. This brief report presents 24 patients with dense intra-abdominal adhesions who underwent preoperative progressive pneumoperitoneum (PPP) prior to surgical lysis of adhesions. PPP was successfully performed in 23 patients, with few adverse events, resulting in subjectively improved ease of intraoperative tissue dissection. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10510443183159
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http://dx.doi.org/10.1016/j.jvir.2018.10.012DOI Listing
April 2019
7 Reads

Effects of a multifaceted individualized pneumoperitoneum strategy in elderly patients undergoing laparoscopic colorectal surgery: A retrospective study.

Medicine (Baltimore) 2019 Apr;98(14):e15112

Department of Operation Room, Liaocheng People's Hospital, Liaocheng, Shandong, China.

Background: Laparoscopic colorectal surgery may adversely affect respiration, circulation, and acid-base balance in elderly patients, owing to the relatively long duration of CO2 absorption. We conducted this retrospective study to determine the safety and efficacy of warmed, humidified CO2 pneumoperitoneum in elderly patients undergoing laparoscopic colorectal surgery.

Methods: We enrolled 245 patients between January 2016 and August 2018. Read More

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http://dx.doi.org/10.1097/MD.0000000000015112DOI Listing

Effects of positive end-expiratory pressure on intraocular pressure and optic nerve sheath diameter in robot-assisted laparoscopic radical prostatectomy: A randomized, clinical trial.

Medicine (Baltimore) 2019 Apr;98(14):e15051

Department of Anesthesiology and Pain Medicine, Anesthesia and Pain Research Institute.

Background: There has been no study of the effect of post end-expiratory pressure (PEEP) on intraocular or intracranial pressure during pneumoperitoneum with steep Trendelenburg positioning. We investigated the effects of 5 cmH2O of PEEP on intraocular pressure and optic nerve sheath diameter as a surrogate for intracranial pressure in robot-assisted laparoscopic radical prostatectomy.

Methods: Fifty patients scheduled for robot-assisted laparoscopic radical prostatectomy were divided into a zero-PEEP (ZEEP) group and a 5 cmH2O of PEEP (PEEP) group. Read More

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http://dx.doi.org/10.1097/MD.0000000000015051DOI Listing
April 2019
1 Read

An individualised versus a conventional pneumoperitoneum pressure strategy during colorectal laparoscopic surgery: rationale and study protocol for a multicentre randomised clinical study.

Trials 2019 Apr 3;20(1):190. Epub 2019 Apr 3.

Department of Anaesthesiology, Hospital Universitari i Politècnic La Fe, Valencia, Spain.

Background: A recent study shows that a multifaceted strategy using an individualised intra-abdominal pressure titration strategy during colorectal laparoscopic surgery results in an acceptable workspace at low intra-abdominal pressure in most patients. The multifaceted strategy, focused on lower to individualised intra-abdominal pressures, includes prestretching the abdominal wall during initial insufflation, deep neuromuscular blockade, low tidal volume ventilation settings and a modified lithotomy position. The study presented here tests the hypothesis that this strategy improves outcomes of patients scheduled for colorectal laparoscopic surgery. Read More

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http://dx.doi.org/10.1186/s13063-019-3255-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6446296PMC

Joint consensus on anesthesia in urologic and gynecologic robotic surgery: specific issues in management from a task force of the SIAARTI, SIGO, and SIU.

Minerva Anestesiol 2019 Mar 29. Epub 2019 Mar 29.

Department of Critical Care Area Monaldi Hospital, Ospedali dei Colli, Naples, Italy.

Introduction: Proper management of patients undergoing robotic-assisted urologic and gynecologic surgery must consider a series of peculiarities in the procedures for anesthesiology, critical care medicine, respiratory care, and pain management. Although the indications for robotic-assisted urogynecologic surgeries have increased in recent years, specific guidance documents are still lacking.

Evidence Acquisition: Multidisciplinary group including anesthesiologists, gynecologists, urologists, and a clinical epidemiologist systematically reviewed the relevant literature and provided a set of recommendations and unmet needs on peculiar aspects of anesthesia in this field. Read More

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http://dx.doi.org/10.23736/S0375-9393.19.13360-3DOI Listing
March 2019
1 Read

[Transanal total mesorectal excision and organ function preservation].

Zhonghua Wei Chang Wai Ke Za Zhi 2019 Mar;22(3):224-227

Department of Gastroenterological Surgery, Laboratory of Surgical Oncology, Laboratory of General Surgery, Beijing Key Laboratory of Colorectal Cancer Diagnosis and Treatment Research, Peking University People's Hospital, Peking 100044, China.

Thanks to endoscopic assistance and the pressure effect of pelvic pneumoperitoneum, transanal total mesorectal excision (taTME) can better expose the surgical field of distal mesorectal space, and may have a prospect for the preservation of pelvic nerves and organ function. The transanal minimally invasive surgery (TAMIS) platform may decrease the injury of internal anal sphincter and protect anal function. Current data show that taTME procedure has similar results on postoperative anal function, urinary function and sexual function compared to transabdominal TME procedure. Read More

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Effects of propofol on the inflammatory response during robot-assisted laparoscopic radical prostatectomy: a prospective randomized controlled study.

Sci Rep 2019 Mar 27;9(1):5242. Epub 2019 Mar 27.

Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine, Gangnam Severance Hospital, 211 Eonju-ro, Gangnam-gu, Seoul, 06273, Korea.

Robot-assisted laparoscopic radical prostatectomy (RALRP) is a minimally invasive procedure; however, some amount of surgical trauma that can trigger systemic inflammation remains. Moreover, pneumoperitoneum during RALRP induces ischemia-reperfusion injury (IRI). Propofol, an anesthetic, is known to have anti-inflammatory and antioxidant properties. Read More

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http://dx.doi.org/10.1038/s41598-019-41708-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6437140PMC

Pneumatosis Cystoides Intestinalis with Pneumoperitoneum.

N Engl J Med 2019 Mar;380(13):e17

Cambridge University Hospitals, Cambridge, United Kingdom

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http://dx.doi.org/10.1056/NEJMicm1808960DOI Listing
March 2019
3 Reads

Laparoscopy-induced severe renal failure after appendectomy.

J Surg Case Rep 2019 Mar 21;2019(3):rjz079. Epub 2019 Mar 21.

Colorectal Surgery Department, University Hospital Donostia, San Sebastian, Spain.

Laparoscopy has gained importance in the abdominal emergency surgery field. Acute appendicitis is one of the major indications for emergency surgery, being laparoscopy the gold standard approach. We report a case of a 39-years-old female presenting with acute kidney injury (AKI) after laparoscopy. Read More

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http://dx.doi.org/10.1093/jscr/rjz079DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6428156PMC
March 2019
1 Read

A Case of Pneumomediastinum and Pneumoperitoneum with Concurrent Massive Subcutaneous Emphysema due to Repositioning of a Tracheostomy Tube.

Cureus 2019 Jan 14;11(1):e3881. Epub 2019 Jan 14.

Internal Medicine, Brookdale University Hospital Medical Center, New York, USA.

Tracheostomy is a common procedure seen in critically ill patients that require long term ventilatory support. As with all airway access procedures, tracheotomy with prolonged tracheal tube placement comes with possible risks such as tracheal scarring, tracheal rupture, pneumothorax, tracheoesophageal fistula among others. Another possible complication, though rare, is escape of free air into the surrounding tissue, as well as pneumomediastinum (PM). Read More

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http://dx.doi.org/10.7759/cureus.3881DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6420328PMC
January 2019
1 Read

Pneumomediastinum, pneumoperitoneum, and pneumoretroperitoneum caused by Escherichia coli retroperitoneal abscess in a diabetic patient.

Kaohsiung J Med Sci 2019 Apr 19;35(4):246-247. Epub 2019 Mar 19.

Department of Emergency Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.

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http://dx.doi.org/10.1002/kjm2.12047DOI Listing

Airway Closure during Surgical Pneumoperitoneum in Obese Patients.

Anesthesiology 2019 Mar 14. Epub 2019 Mar 14.

From the Department of Anesthesiology and Intensive Care Medicine, Catholic University of The Sacred Heart (D.L.G., G.M.A., A.R., F.B., F.C., L.P., B.R., A.M.D., L.S., G.C., M.A.) Anesthesia, Emergency and Intensive Care Medicine, Fondazione Policlinico Universitario A. Gemelli IRCCS (D.L.G., G.M.A., A.R., F.B., F.C., L.P., B.R., A.M.D., L.S., G.C., M.A.) Department of Obstetrics and Gynecology, Catholic University of The Sacred Heart (B.C., M.D., L.T., V.G., G.S.) Gynecologic Oncology, Fondazione Policlinico Universitario A. Gemelli IRCCS (B.C., M.D., L.T., V.G., G.S.) Department of Internal Medicine, Catholic University of The Sacred Heart (F.V.) Respiratory Medicine, Fondazione Policlinico Universitario A. Gemelli IRCCS (F.V.), Rome, Italy.

What We Already Know About This Topic: Airway closure has been described in chronic obstructive pulmonary disease, acute respiratory distress syndrome, and cardiac arrest patientsThis phenomenon makes tidal inflation start only after a critical airway opening pressure is overcomeAlthough previously reported during general anesthesia, airway closure was partially misinterpreted WHAT THIS ARTICLE TELLS US THAT IS NEW: Airway closure affects a relevant proportion of obese patients undergoing general anesthesia in supine position, with a variable degree of airway opening pressureWith Trendelenburg pneumoperitoneum, airway opening pressure increases consistently with esophageal pressure and pneumoperitoneum insufflation pressure: consequently, transalveolar pressure, lung volumes, and alveolar recruitment do not varyAirway closure yields bedside misinterpretation of respiratory mechanics and underestimation of actual alveolar pressure in the intraoperative settingIt is an occult phenomenon that generates an airway pressure threshold, whereby inspiratory gas does not inflate the lung unless the airway opening pressure is exceeded BACKGROUND:: Airway closure causes lack of communication between proximal airways and alveoli, making tidal inflation start only after a critical airway opening pressure is overcome. The authors conducted a matched cohort study to report the existence of this phenomenon among obese patients undergoing general anesthesia.

Methods: Within the procedures of a clinical trial during gynecological surgery, obese patients underwent respiratory/lung mechanics and lung volume assessment both before and after pneumoperitoneum, in the supine and Trendelenburg positions, respectively. Read More

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http://dx.doi.org/10.1097/ALN.0000000000002662DOI Listing
March 2019
1 Read

[Pre- and intra-operative methods of increasing abdominal compliance in surgery of ventral hernias].

Ugeskr Laeger 2019 Mar;181(10)

Treatment of ventral hernias with "loss of domain" is a surgical challenge, and in this review, an overview of the current literature is presented. Abdominal compliance can be increased intra-operatively by performing component separation and/or organ reduction but leads to increased post-operative morbidity. As a result, preoperative methods, which increase abdominal compliance, are of interest: tissue expanders, progressive pneumoperitoneum, and botulinum toxin A. Read More

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March 2019
3 Reads

Tension Pneumoperitoneum: A Rare Presentation Of Megacystis Microcolon Intestinal Hypoperistalsis Syndrome.

J Ayub Med Coll Abbottabad 2019 Jan-Mar;31(1):136-137

Department of Radiology, Shifa International Hospital, Islamabad, Pakistan.

Megacystis microcolon intestinal hypoperistalsis syndrome also known as Berdon syndrome is characterized by enlarged urinary bladder, small colon and reduced or absent intestinal peristalsis. We report a case of 4 days old female suffering from MMIHS presenting with tension pneumoperitoneum. To the best of our knowledge, this is the first reported case of MMIHS, having this unusual presentation. Read More

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Conservative Management of Asymptomatic Pneumoperitoneum; Report of Two Cases.

Arch Acad Emerg Med 2019 3;7(1):e12. Epub 2019 Jan 3.

Department of Radiology, Tabriz University of Medical Sciences, Tabriz, Iran.

Peptic ulcer disease is a common gastrointestinal disorder, the prevalence of which has reduced in recent years due to effective new treatments. Peptic ulcer perforation is an emergent life-threatening condition that causes pneumoperitoneum and septic shock. It often requires surgical procedures. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6377218PMC
January 2019
1 Read

Abdominal Compliance and Laparoscopy: A Review.

Authors:
Douglas E Ott

JSLS 2019 Jan-Mar;23(1)

School of Engineering, Department of Biomedical Engineering and Stetson School of Business and Economics, Mercer University.

Background And Objectives: Creating and maintaining a pneumoperitoneum to perform laparoscopy is governed by gas laws and the limiting physical constraints of the abdomen.

Methods: A review of how gas, biomechanical and physical properties affect the abdomen and a systematic structured Medline and PubMed search was conducted to identify relevant studies related to the topic.

Results: Abdominal compliance is a measure of ease of abdominal expansion and is determined by the elasticity of the abdominal wall and diaphragm. Read More

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http://dx.doi.org/10.4293/JSLS.2018.00080DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6383692PMC

Optic nerve sheath diameter-guided extubation plan in obese patients undergoing robotic pelvic surgery in steep Trendelenburg position: A report of three cases.

Indian J Anaesth 2019 Feb;63(2):138-141

Department of Anesthesia and Pain Management, Max Superspeciality Hospital, New Delhi, India.

Robotic pelvic surgery requires steep Trendelenburg positioning with pneumoperitoneum which causes raised thoracic and intracranial pressures. In obese patients, the basal thoracic pressures are high. Increased intrathoracic pressure can decrease the cranial venous flow leading to deficient intracranial absorption of cerebrospinal fluid and a further increase in intracranial pressure. Read More

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http://dx.doi.org/10.4103/ija.IJA_88_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6383485PMC
February 2019
3 Reads

Comparison of postoperative analgesic efficacy of low-dose bolus intravenous dexmedetomidine and intraperitoneal dexmedetomidine with bupivacaine in patients undergoing laparoscopic cholecystectomy: A randomised, controlled trial.

Indian J Anaesth 2019 Feb;63(2):106-113

Department of Anesthesiology and Critical Care, University College of Medical Sciences and Guru Teg Bahadur Hospital, Shahdara, Delhi, India.

Background And Aims: Recently, low-dose intravenous (IV) dexmedetomidine has been evaluated for obtunding the pneumoperitoneum-induced haemodynamic changes and its analgesic efficacy in laparoscopic cholecystectomy. The aim was to determine the postoperative analgesic efficacy of low-dose bolus of 0.5 μg/kg dexmedetomidine via IV and intraperitoneal (IP) route in laparoscopic cholecystectomy. Read More

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http://dx.doi.org/10.4103/ija.IJA_440_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6383482PMC
February 2019
2 Reads

Peritonitis and pneumoperitoneum after successful emergency pericardiocentesis in the case of a Chilaiditi syndrome.

J Geriatr Cardiol 2019 Jan;16(1):60-62

Department of Cardiology, Helios University Hospital and University of Witten/Herdecke, Wuppertal, Arrenbergerstr, Wuppertal, Germany.

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http://dx.doi.org/10.11909/j.issn.1671-5411.2019.01.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6379237PMC
January 2019
1 Read

A rare radiological finding in an infant with respiratory distress.

Sudan J Paediatr 2018 ;18(2):61-63

Department of Pediatrics, School of Medicine, Aristotle University of Thessaloniki, University General Hospital AHEPA, Thessaloniki, Greece.

We report the case of an infant who presented with respiratory distress at the Emergency Department. A chest radiograph showed interposition of colon loops between the right hemidiaphragm and liver, while abdominal and thoracic ultrasound examinations were normal. The aforementioned radiological finding was considered to be Chilaiditi's sign. Read More

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http://dx.doi.org/10.24911/SJP.106-1521149016DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6378576PMC
January 2018

Pulse Pressure Variation Can Predict the Hemodynamic Response to Pneumoperitoneum in Dogs: A Retrospective Study.

Vet Sci 2019 Feb 20;6(1). Epub 2019 Feb 20.

Department of Emergency and Organ Transplantation, Section of Veterinary Clinics and Animal Production; University of Bari, 70010 Bari, Italy.

Pneumoperitoneum may induce important hemodynamic alterations in healthy subjects. Pulse pressure variation (PPV) is a hemodynamic parameter able to discriminate preload dependent subjects. Anesthesia records of dogs undergoing laparoscopy were retrospectively evaluated. Read More

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http://dx.doi.org/10.3390/vetsci6010017DOI Listing
February 2019

Acute Kidney Injury Induced by Pneumoperitoneum Pressure Via a Mitochondrial Injury-dependent Mechanism in a Rabbit Model of Different Degrees of Hydronephrosis.

Urology 2019 Feb 19. Epub 2019 Feb 19.

Department of Urology, Renmin Hospital of Wuhan University, Wuhan, Hubei, China. Electronic address:

Objective: To clarify the effect of mitochondrial injury during laparoscopic surgery of the kidney in different degrees of hydronephrosis in rabbit model.

Methods: A total of 90 rabbits were randomly allocated into 3 groups (groups PN, PM, and PS, ie, rabbits without, with mild and with severe hydronephrosis, respectively). The rabbits in the PM group (n = 30) and PS group (n = 30) underwent surgical procedures that induced mild and severe left hydronephrosis, respectively. Read More

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http://dx.doi.org/10.1016/j.urology.2019.02.006DOI Listing
February 2019
2.188 Impact Factor

Subject-specific modelling of pneumoperitoneum: model implementation, validation and human feasibility assessment.

Int J Comput Assist Radiol Surg 2019 May 20;14(5):841-850. Epub 2019 Feb 20.

Department of Surgery and Cancer, Imperial College London, London, UK.

Purpose: The aim of this study is to propose a model that simulates patient-specific anatomical changes resulting from pneumoperitoneum, using preoperative data as input. The framework can assist the surgeon through a real-time visualisation and interaction with the model. Such could further facilitate surgical planning preoperatively, by defining a surgical strategy, and intraoperatively to estimate port positions. Read More

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http://dx.doi.org/10.1007/s11548-019-01924-2DOI Listing
May 2019
1 Read

Does Surgical Management Alter Outcome in Necrotizing Enterocolitis?

Clin Perinatol 2019 03 12;46(1):89-100. Epub 2018 Dec 12.

Section of Pediatric Surgery, Department of Surgery, C.S. Mott Children's Hospital, University of Michigan, 1540 East Hospital Drive, SPC 4211, Ann Arbor, MI 48108, USA. Electronic address:

Necrotizing enterocolitis occurs in 14% of infants less than 1000 g. Preoperative management varies widely, and the only absolute indication for surgery is pneumoperitoneum. Multiple biomarkers and scoring systems are under investigation, but clinical practice is still largely driven by surgeon judgment. Read More

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http://dx.doi.org/10.1016/j.clp.2018.09.008DOI Listing
March 2019
1 Read

Safety first: significant risk of air embolism in laparoscopic gasketless insufflation systems.

Surg Endosc 2019 Feb 15. Epub 2019 Feb 15.

Department of Surgery, St. Luke's Regional Medical Center, Boise, ID, USA.

Background: Gasketless laparoscopic insufflator systems are marketed for the ability to prevent desufflation of pneumoperitoneum during laparoscopy. However, surgeons raised concern for possible introduction of non-absorbable room air, including oxygen (O), with these systems. A community-university collaborative was created to test this hypothesis. Read More

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http://dx.doi.org/10.1007/s00464-019-06683-4DOI Listing
February 2019

Pneumatosis intestinalis after molecular targeted therapy.

World Neurosurg 2019 Feb 11. Epub 2019 Feb 11.

Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA. Electronic address:

Background: Pneumoperitoneum after surgical manipulation of the abdomen implies a perforation. Rare cases of non-operated cancer patients, largely with gastrointestinal or genitourinary cancers, have been noted to have radiological findings of pneumatosis intestinalis and/or pneumoperitoneum as a complication of molecular-targeted therapy (MTT) without confounding factors for perforation. We present a patient with a cranial malignancy treated with bevacizumab who subsequently manifested with pneumatosis intestinalis. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750193033
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http://dx.doi.org/10.1016/j.wneu.2019.01.225DOI Listing
February 2019
5 Reads

Post-extubation continuous positive airway pressure improves oxygenation after pediatric laparoscopic surgery: A randomized controlled trial.

Acta Anaesthesiol Scand 2019 May 14;63(5):620-629. Epub 2019 Feb 14.

Anesthesia and Intensive Care Department, Faculty of Medicine, Assiut University, Assiut, Egypt.

Background: Effects of intraoperative recruitment maneuvers (RMs) on oxygenation and pulmonary compliance are lost during recovery if high inspired oxygen and airway suctioning are used. We investigated the effect of post-extubation noninvasive CPAP mask application on the alveolar arterial oxygen difference [(A-a) DO ] after pediatric laparoscopic surgery.

Methods: Sixty patients (1-6 years) were randomly allocated to three groups of 20 patients, to receive zero end-expiratory pressure (ZEEP group), RM with decremental PEEP titration only (RM group), or followed with post-extubation CPAP for 5 minutes (RM-CPAP group). Read More

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http://dx.doi.org/10.1111/aas.13324DOI Listing
May 2019
1 Read

Pulmonary Barotrauma Including Huge Pulmonary Interstitial Emphysema in an Adult with Status Asthmaticus: Diagnostic and Therapeutic Challenges.

Eur J Case Rep Intern Med 2018 25;5(5):000823. Epub 2018 May 25.

Medical Intensive Care Unit, Farhat Hached Hospital, Sousse, Tunisia.

Introduction: Pulmonary interstitial emphysema is a rare finding defined as abnormal air collection inside the lung interstitial tissues. Described more frequently in ventilated new-borns, pulmonary interstitial emphysema is an uncommon barotrauma-related complication in adults. Management and clinical sequelae are poorly described. Read More

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https://www.ejcrim.com/index.php/EJCRIM/article/view/823
Publisher Site
http://dx.doi.org/10.12890/2018_000823DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6346923PMC
May 2018
6 Reads

A Randomized Controlled Trial to Study the Effect of Intravenous Clonidine and Intravenous Fentanyl on Perioperative Hemodynamics during Laparoscopic Cholecyctetomy.

Mymensingh Med J 2019 Jan;28(1):230-236

Dr Vibhor Gupta, Post Graduate, Lady Hardinge Medical College, Delhi University, Delhi, India; E-mail:

Peritoneal insufflation and laryngoscopy & intubation cause alteration of hemodynamics to a certain extent. The aim of this double blind, randomized controlled trial was to know and compare the effect of I.V. Read More

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January 2019

Laparoscopic Mesorectal Excision in Obesity: Novel Insights and Technical Strategies.

Dis Colon Rectum 2019 Mar;62(3):380-384

Colorectal Surgery Division, Department of Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.

Introduction: Obesity is a burgeoning problem worldwide. Although beneficial in obese patients, conventional laparoscopic mesorectal excision for rectal cancer is technically challenging, with a higher conversion rate to open compared with nonobese patients. We describe novel strategies to circumvent these difficulties. Read More

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http://dx.doi.org/10.1097/DCR.0000000000001319DOI Listing
March 2019
7 Reads
3.749 Impact Factor

Minimally Invasive Multidisciplinary Approach to Chronic Giant Inguinoscrotal Hernias.

Surg Innov 2019 Feb 8:1553350619828888. Epub 2019 Feb 8.

1 Anne Arundel Medical Center, Annapolis, MD, USA.

Background: Giant inguinoscrotal hernias (GIH) are defined as groin hernias extending below the mid-thigh when standing, often significantly encumbering activities of daily living. To date, there are no reports utilizing the combination of progressive pneumoperitoneum (PPP), botulinum toxin A injection (BTI), and enhanced view-totally extraperitoneal (eTEP) technique for GIH repair. In this report, we present 2 such cases of this unique minimally invasive multidisciplinary approach to address GIH. Read More

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http://dx.doi.org/10.1177/1553350619828888DOI Listing
February 2019
3 Reads

Tension pneumoperitoneum: Case report of a rare form of acute abdominal compartment syndrome.

Int J Surg Case Rep 2019 29;55:112-116. Epub 2019 Jan 29.

Department of Medicine, Universidad de Los Andes, Bogotá, Colombia.

Introduction: Tension pneumoperitoneum is a severe and rare form of pneumoperitoneum with concomitant hemodynamic instability and respiratory failure. It is a variant of abdominal compartment syndrome (ACS) causing an abrupt increase in intra-abdominal pressure.

Presentation Of Case: We present a case of pneumoperitoneum, after an endoscopic mucosal resection with the development of ACS. Read More

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http://dx.doi.org/10.1016/j.ijscr.2019.01.014DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6360270PMC
January 2019
2 Reads

Interventions to reduce shoulder pain following gynaecological laparoscopic procedures.

Cochrane Database Syst Rev 2019 Jan 30;1:CD011101. Epub 2019 Jan 30.

Women's Centre, Gloucestershire Hospitals NHS Foundation Trust, Gloucester Royal Hospital, Gloucester, UK, GL1 3NN.

Background: Laparoscopy is a common procedure used to diagnose and treat various gynaecological conditions. Shoulder-tip pain (STP) as a result of the laparoscopy occurs in up to 80% of women, with potential for significant morbidity, delayed discharge and readmission. Interventions at the time of gynaecological laparoscopy have been developed in an attempt to reduce the incidence and severity of STP. Read More

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http://dx.doi.org/10.1002/14651858.CD011101.pub2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6353625PMC
January 2019
1 Read

Robotic-Assisted Urologic Surgery in Infants: Positioning, Trocar Placement, and Physiological Considerations.

Front Pediatr 2018 7;6:411. Epub 2019 Jan 7.

Institute for Pediatric Urology, Komansky Children's Hospital, New York Presbyterian-Weill Cornell, New York, NY, United States.

Pediatric robotic-assisted laparoscopic procedures are becoming increasingly common. They have been shown to be safe in younger patients, including infants. Successful adoption of robotic-assisted surgery in infants requires an understanding of the technical factors unique to this patient population. Read More

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http://dx.doi.org/10.3389/fped.2018.00411DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6330297PMC
January 2019
2 Reads

Amyotrophic lateral sclerosis and anesthesia: a case series and review of the literature.

J Anesth 2019 Apr 17;33(2):257-265. Epub 2019 Jan 17.

Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, 200 First St SW, Rochester, MN, 55905, USA.

Purpose: Amyotrophic lateral sclerosis (ALS) is a progressive neurodegenerative disease that leads to death due to respiratory failure. This report describes the perioperative characteristics of ALS patients who underwent procedures with anesthesia at our institution.

Methods: We reviewed perioperative records of ALS patients who underwent procedures with anesthesia from January 1, 2014, through December 31, 2015. Read More

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http://dx.doi.org/10.1007/s00540-019-02611-xDOI Listing
April 2019
4 Reads

Feasibility of robot-assisted prostatectomy performed at ultra-low pneumoperitoneum pressure of 6 mmHg and comparison of clinical outcomes vs standard pressure of 15 mmHg.

BJU Int 2019 Jan 17. Epub 2019 Jan 17.

OhioHealth Robotic Urologic Surgery, Dublin, OH, USA.

Objectives: To evaluate the feasibility of performing robot-assisted laparoscopic prostatectomy (RALP) at an ultra-low pressure of 6 mmHg and to assess the potential impact on its clinical outcomes, as compared to those of a historical cohort of patients in which RALP was performed at a pressure of 15 mmHg.

Patients And Methods: We evaluated 600 consecutive RALP procedures, performed by a single surgeon, including 300 procedures performed at 6 mmHg and the previous 300 performed at 15 mmHg. We compared preoperative patient characteristics and outcomes including pain scores, morphine equivalents, length of stay (LOS) and complications. Read More

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http://dx.doi.org/10.1111/bju.14682DOI Listing
January 2019
2 Reads

Effective kissing stent to severe stenosis of the superior mesenteric artery replacing the common hepatic artery.

CVIR Endovasc 2018 25;1(1):18. Epub 2018 Sep 25.

Department of Cardiovascular Surgery and Department of Cardiology, Yokohama Sakae Kyosai Hospital, 132, Katsuracho, Sakae-ku Yokohama-shi, Kanagawa 247-8581 Japan.

Background: Endovascular therapy (ET) for chronic mesenteric ischemia (CMI) is a effective treatment to relieve the symptoms, such as postprandial abdominal pain, food fear, and progressive weight loss. CMI is not known to be caused by rare anatomical variation of severe stenosis of the superior mesenteric artery (SMA), with replaced the common hepatic artery to the SMA. The treatment of such a rare anatomical variation using ET technique has not been discribed. Read More

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http://dx.doi.org/10.1186/s42155-018-0025-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6319509PMC
September 2018
5 Reads

Impact of Capnoperitoneum on Renal Perfusion and Urine Production in Infant and Adolescent Pigs: Crystalloid versus Colloid Fluid Resuscitation.

Eur J Pediatr Surg 2019 Jan 16. Epub 2019 Jan 16.

Department of Pediatric Surgery, Hannover Medical School, Hannover, Germany.

Background:  Infants are likely to develop anuria during laparoscopy which is uncommon in older patients. The reason for this susceptibility remains unknown. We compared the impact of CO pneumoperitoneum on renal perfusion and urine production in piglets compared with adolescent pigs. Read More

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http://dx.doi.org/10.1055/s-0038-1677486DOI Listing
January 2019
14 Reads

Developments and perspectives of laparoscopic liver resection in the treatment of hepatocellular carcinoma.

Authors:
Zenichi Morise

Surg Today 2019 Jan 16. Epub 2019 Jan 16.

Department of Surgery, Fujita Health University School of Medicine, 1-98 Dengakugakubo Kutsukakecho, Toyoake, Aichi, Japan.

Laparoscopic liver resection (LLR) was introduced in the early 1990s, initially for partial resection of the anterolateral segments, from where it has expanded in a stepwise fashion. Movement restriction makes bleeding control demanding. Managing pneumoperitoneum pressure with inflow control can inhibit venous bleeding and create a dry surgical field for easier hemostasis. Read More

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http://dx.doi.org/10.1007/s00595-019-1765-9DOI Listing
January 2019

Intraocular pressure change during laparoscopic sacral colpopexy in patients with normal tension glaucoma.

Int Urogynecol J 2019 Jan 14. Epub 2019 Jan 14.

Department of Urology, Komatsu Municipal Hospital, Ishikawa, Japan.

Introduction And Hypothesis: The steep Trendelenburg position, high pneumoperitoneum pressure, and longer surgical time may lead to significantly increased intraocular pressure (IOP), which could result in unexpected eye disease complications, including perioperative visual loss (POVL). We monitored IOP to induce early laparoscopic sacral colpopexy (LSC) safely.

Methods: This prospective study enrolled 39 patients with pelvic organ prolapse (POP), including 10 with eye diseases (6 with normal tension glaucoma and 4 with a narrow anterior chamber and normal range IOP). Read More

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http://link.springer.com/10.1007/s00192-018-03866-w
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http://dx.doi.org/10.1007/s00192-018-03866-wDOI Listing
January 2019
15 Reads