9,678 results match your criteria Pneumoperitoneum


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
1 Read

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

Acta Anaesthesiol Scand 2019 Feb 14. 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
February 2019

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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http://dx.doi.org/10.12890/2018_000823DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6346923PMC

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

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
1 Read

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

Int J Surg Case Rep 2019 Jan 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
January 2019
1 Read

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
January 2019

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

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

J Anesth 2019 Jan 17. 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
January 2019
1 Read

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
1 Read

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
4 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
7 Reads

Pneumatosis cystoides intestinalis: A rare benign cause of chronic pain and bloating with pneumoperitoneum.

Rev Gastroenterol Mex 2019 Jan 9. Epub 2019 Jan 9.

Departamento de Gastroenterología, Instituto Nacional de Ciencias Médicas y Nutrición «Salvador Zubirán», Ciudad de México, México.

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http://dx.doi.org/10.1016/j.rgmx.2018.11.003DOI Listing
January 2019

A neonate with pneumoperitoneum and cyanosis of lower limbs skin during esophagogastroduodenoscopy.

Dig Liver Dis 2019 Jan 3. Epub 2019 Jan 3.

Department of Internal Medicine, Toyama Prefectural Central Hospital, Toyama, Japan.

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http://dx.doi.org/10.1016/j.dld.2018.12.015DOI Listing
January 2019
2 Reads

Laparoscopic Access: Direct Trocar Insertion Versus Open Technique.

J Laparoendosc Adv Surg Tech A 2019 Jan 10. Epub 2019 Jan 10.

1 Department of Surgical Gastroenterology, Command Hospital, Lucknow, India.

Introduction: Creation of pneumoperitoneum and laparoscopic entry into the abdominal cavity are crucial initial steps of laparoscopic surgery and associated with bowel and major vessel injuries. Various methods have been described in literature such as Veress needle, open access technique (OAT), direct trocar insertion (DTI), and optical port. There is no consensus on the safest method of gaining access to the peritoneal cavity to create a pneumoperitoneum. Read More

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http://dx.doi.org/10.1089/lap.2018.0408DOI Listing
January 2019
3 Reads

A Rare Cause of Pneumoperitoneum - Pictures in Clinical Medicine.

Intern Med 2019 Jan 10. Epub 2019 Jan 10.

Department of Internal Medicine, Chu Shang Show Chwan Hospital, Taiwan.

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http://dx.doi.org/10.2169/internalmedicine.2211-18DOI Listing
January 2019

Hemodynamic effects of anesthesia type in patients undergoing laparoscopic transabdominal preperitoneal inguinal hernia repair under spinal vs general anesthesia.

Hernia 2019 Jan 2. Epub 2019 Jan 2.

Department of Surgery, University Hospital of Larissa, 41110, Larissa, Greece.

Purpose: General anesthesia has been used as a standard type of anesthesia for laparoscopic inguinal hernia repair by the transabdominal preperitoneal (TAPP) approach, regional anesthesia being occasionally used in high-risk patients. We had previously designed a controlled randomized trial, comparing spinal with general anesthesia in non-high-risk patients undergoing TAPP inguinal hernia repair. Our results suggested that spinal anesthesia offers some advantages in postoperative pain and additional opioid consumption during the early postoperative period. Read More

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http://dx.doi.org/10.1007/s10029-018-01874-9DOI Listing
January 2019

Reduction in postoperative ileus rates utilizing lower pressure pneumoperitoneum in robotic-assisted radical prostatectomy.

J Robot Surg 2019 Jan 2. Epub 2019 Jan 2.

Department of Urological Surgery, Metro Health: University of Michigan Health, Grand Rapids, MI, USA.

Robotic-assisted radical prostatectomy (RARP) is the most commonly performed surgery for prostate cancer. This is a study comparing differences in postoperative outcomes between pneumoperitoneum pressures of 15 mmHg and 12 mmHg. Retrospective chart review was performed on 400 patients undergoing RARP over a 5 year period. Read More

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http://link.springer.com/10.1007/s11701-018-00915-w
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http://dx.doi.org/10.1007/s11701-018-00915-wDOI Listing
January 2019
1 Read

Effects of CO pneumoperitoneum on proliferation, apoptosis, and migration of gastrointestinal stromal tumor cells.

Surg Endosc 2019 Jan 2. Epub 2019 Jan 2.

Department of General Surgery, Shanghai Tenth people's Hospital, Tongji University, No. 301 Middle Yanchang Road, Shanghai, 200072, People's Republic of China.

Background: The purpose of the study was to investigate the proliferation and migration capability of human gastrointestinal stromal tumor line GIST-T1 after exposure to different pressures and times of CO pneumoperitoneum.

Methods: We established simulated CO pneumoperitoneum environment in vitro and divided the human GIST cell GIST-T1 into open control group, 8 mmHg CO pneumoperitoneum treatment group and 15 mmHg CO pneumoperitoneum treatment group. Each group was divided into two subgroups respectively cultured for 1 h and 3 h. Read More

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http://dx.doi.org/10.1007/s00464-018-06633-6DOI Listing
January 2019
1 Read

Comparison of supraglottic airway devices in laparoscopic surgeries: A network meta-analysis.

J Clin Anesth 2018 Dec 28;55:52-66. Epub 2018 Dec 28.

Department of Anesthesiology and Pain Medicine, Chung-Ang University, College of Medicine, Seoul, Republic of Korea.

Study Objective: To review all randomized controlled trials (RCTs) on supraglottic airway devices (SADs) used in laparoscopy and compare their oropharyngeal leak pressure (OLP) and peak inspiratory pressure (PIP) before and after pneumoperitoneum, and success rate of gastric tube insertion rate.

Design: Systematic review and network meta-analysis of RCTs.

Setting: Laparoscopic surgeries using SADs. Read More

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http://dx.doi.org/10.1016/j.jclinane.2018.12.044DOI Listing
December 2018

Secondary extramedullary plasmacytoma of sigmoid colon in a patient with multiple myeloma: a case report.

J Med Case Rep 2018 Dec 25;12(1):379. Epub 2018 Dec 25.

Computed Tomography Department, Konstantpouleio General Hospital Nea Ionia, Athens, Greece.

Background: Extramedullary plasmacytoma is an uncommon tumor that most often involves the nasopharynx or upper respiratory tract. Extramedullary plasmacytoma is a type of plasma cell neoplasm that can present as a primary tumor or secondary to another plasma cell neoplasm, such as multiple myeloma. Secondary extramedullary plasmacytoma is usually noted in the advanced stages of the disease. Read More

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http://dx.doi.org/10.1186/s13256-018-1888-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6305571PMC
December 2018
1 Read

Sudden Airway Collapse After Pneumoperitoneum With Undiagnosed Tracheomalacia in a Morbidly Obese 12-Year-Old Boy Undergoing Laparoscopic Cholecystectomy: A Case Report.

A A Pract 2018 Dec 19. Epub 2018 Dec 19.

From the Department of Anesthesiology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.

Tracheomalacia is characterized by the collapse of the tracheal wall due to the softening of the tracheal cartilage and myoelastic tissues. We describe the case of a 12-year-old morbidly obese boy, without previous medical issues, scheduled for elective laparoscopic cholecystectomy. Immediately after pneumoperitoneum was established, mechanical ventilation could not be performed. Read More

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http://dx.doi.org/10.1213/XAA.0000000000000950DOI Listing
December 2018
1 Read

Life-saving pneumoperitoneum.

BMJ Case Rep 2018 Nov 28;11(1). Epub 2018 Nov 28.

Department of Paediatric Intensive Care, St Mary's Hospital, London, UK.

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http://dx.doi.org/10.1136/bcr-2018-227397DOI Listing
November 2018
1 Read

Right pneumothorax secondary to colonoscopic perforation: a case.

G Chir 2018 Nov-Dec;39(6):375-377

Aim: The purpose of this study is to determine the anatomical aspects, mechanisms, risk factors and appropriate management of development of pneumothorax during a routine colonoscopy.

Clinical Case: We report a case of an accidental bowel wall injury during diagnostic colonoscopic with consequent pneumoperitoneum; this was followed by expansion of gas through diaphragmatic fenestration perhaps congenital, in right pleural cavity causing pneumothorax.

Discussion: Rarely, colonic perforation during colonoscopy can occur into the extraperitoneal space, thus leading to the passage and diffusion of air along the fascial planes and large vessels, possibly causing pneumoretroperitoneum, pneumomediastinum, pneumopericardium, pneumothorax, and subcutaneous emphysema. Read More

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December 2018
1 Read

Comparison of the Technical Feasibility and Safety of Three Contained Morcellation Techniques: A Pilot Study in an Animal Model.

J Minim Invasive Gynecol 2018 Dec 16. Epub 2018 Dec 16.

Department of Gynecologic Oncology, Cancer Institute Hospital (Drs. Aoki, Kanao, Nomura, Okamoto, Hisa, Sugihara, Omatsu, Tanigawa, and Takeshima), Tokyo, Japan.

Study Objective: To compare 3 laparoscopic contained morcellation techniques in terms of feasibility and safety.

Design: Pilot study in an animal model (Canadian Task Force classification II-1).

Setting: Gynecologic oncology department at a cancer institute in Japan. Read More

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http://dx.doi.org/10.1016/j.jmig.2018.12.008DOI Listing
December 2018

[Fast-track rehabilitation for acute cholecystitis: intermediate outcomes of prospective randomized trial].

Khirurgiia (Mosk) 2018 (12):13-20

Chair of Faculty-Based Surgery #1 of the Faculty of Medicine Pirogov Russian National Research Medical University, Moscow, Russia.

Aim: To analyze an efficacy of FT-protocol in patients with acute cholecystitis.

Material And Methods: Prospective randomized study included 102 patients (45 of main group (FT) and 57 of control groups). Patients did not differ by TG13 severity index. Read More

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http://dx.doi.org/10.17116/hirurgia201812113DOI Listing
January 2018

Retroperitoneal hematoma from lumbar artery as an unusual complication after rectal perforation with massive retroperitoneal emphysema.

J Surg Case Rep 2018 Dec 12;2018(12):rjy332. Epub 2018 Dec 12.

Department of Gastroenterological Surgery, Division of Cancer Medicine Graduate School of Medicine, Kanazawa University, Kanazawa, Ishikawa, Japan.

The patient was a 54-year-old woman diagnosed with adult Still's disease, undergoing high-dose steroid and immunosuppressant therapy for 5 years, who was admitted to our hospital with abdominal pain. Computed tomography (CT) revealed pneumoperitoneum around the rectum and a large quantity of retroperitonal emphysema around the inferior vena cava, aorta and left kidney. An emergency laparotomy was performed. Read More

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https://academic.oup.com/jscr/article/doi/10.1093/jscr/rjy33
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http://dx.doi.org/10.1093/jscr/rjy332DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6290385PMC
December 2018
3 Reads

Effectiveness of new parameters in the evaluation of pneumoperitoneum-related acute kidney injury in rats

Turk J Med Sci 2018 Dec 12;48(6):1278-1284. Epub 2018 Dec 12.

Department of General Surgery, School of Medicine, Gazi University, Ankara, Turkey

Background/aim: Pneumoperitoneum with high pressure results in decreased glomerular filtration rates (GFRs). Cystatin-C (Cys-C), neutrophil gelatinase-associated lipocalin (NGAL), and interleukin 18 (IL-18) are new parameters in the evaluation of GFR instead of creatinine. The aim of this study is to show the effects of pneumoperitoneum on renal function with the help of these new acute kidney injury markers. Read More

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http://dx.doi.org/10.3906/sag-1602-124DOI Listing
December 2018

Isolated tension pneumoperitoneum following endobronchial ultrasound-guided transbronchial needle aspiration complicated by cardiac peri-arrest: A case report.

Monaldi Arch Chest Dis 2018 12 12;88(3):999. Epub 2018 Dec 12.

San Raffaele Scientific Institute, Department of Thoracic Surgery.

Transbronchial needle aspiration under endobronchial ultrasound guidance (EBUS-TBNA) is recommended for the diagnosis and staging of lung cancer. Major complications following EBUS-TBNA are uncommon. We report a case of isolated tension pneumoperitoneum following EBUS-TBNA under deep sedation in an 80-year-old male patient affected by a right hilar mass suspicious for lung cancer. Read More

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http://dx.doi.org/10.4081/monaldi.2018.999DOI Listing
December 2018
1 Read

Laparoscopic Resection of Advanced Colorectal Cancer in a Patient with Lumboperitoneal Shunt.

Case Rep Surg 2018 14;2018:6826079. Epub 2018 Nov 14.

Department of Surgery, Nagoya Tokushukai General Hospital, 2-52 Kouzouji-cho kita, Kasugai-City, Aichi 487-0016, Japan.

A 78-year-old woman with lumboperitoneal (LP) shunt was diagnosed with advanced cancer of the ascending colon. Laparoscopic right hemicolectomy was performed without manipulating the catheter. The patient's postoperative course was uneventful, with no shunt-related complications or neurological deficit. Read More

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https://www.hindawi.com/journals/cris/2018/6826079/
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http://dx.doi.org/10.1155/2018/6826079DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6261403PMC
November 2018
8 Reads

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 2018 Nov;62(11):896-899

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://www.ijaweb.org/text.asp?2018/62/11/896/244838
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http://dx.doi.org/10.4103/ija.IJA_370_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6236783PMC
November 2018
13 Reads

Not all neonates with oesophageal atresia and tracheoesophageal fistula are a surgical emergency.

J Pediatr Surg 2018 Nov 7. Epub 2018 Nov 7.

Department of Paediatric Surgery, Evelina Children's Hospital, Guy's and St Thomas' NHS Foundation Trust, London, UK. Electronic address:

Aim: Infants with oesophageal atresia and distal tracheoesophageal fistula (OA-TOF) occasionally require endotracheal intubation prior to definitive surgery. This creates the risk of preferential ventilation of the fistula leading to gastric distention and subsequent perforation. We aimed to reassess the risk of preoperative positive-pressure ventilation and update recommendations for emergency surgery in this cohort. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.10.074DOI Listing
November 2018
2 Reads

En bloc laparoscopic radical nephrectomy with inferior vena cava thrombectomy: A single-institution experience.

Int J Urol 2018 Dec 3. Epub 2018 Dec 3.

Department of Urology, Kobe City Medical Center General Hospital, Kobe, Hyogo, Japan.

Objective: To report the outcomes of laparoscopic radical nephrectomy with inferior vena cava thrombectomy for right renal cell carcinoma at Kobe City Medical Center General Hospital, Kobe, Hyogo, Japan.

Method: A retrospective review of the clinical records of five patients who underwent laparoscopic radical nephrectomy with inferior vena cava thrombectomy for right renal cell carcinoma between 2013 and 2017 was carried out. The surgical procedure included ligation and cutting of the right renal artery, followed by kidney mobilization. Read More

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http://doi.wiley.com/10.1111/iju.13873
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http://dx.doi.org/10.1111/iju.13873DOI Listing
December 2018
10 Reads

Is transperitoneal laparoscopic radical nephrectomy suitable for patients with a history of abdominal surgery?

Asian J Endosc Surg 2018 Dec 2. Epub 2018 Dec 2.

Department of Urology, Keio University School of Medicine, Tokyo, Japan.

Introduction: Laparoscopic radical nephrectomy is the gold standard for treatment of renal cell carcinoma. However, previous abdominal surgery is generally regarded as a contraindication to the laparoscopic approach because it causes intraperitoneal adhesions, which are thought to interfere with subsequent laparoscopic procedures inside the abdominal cavity. Few studies have examined the influence of prior surgery on laparoscopic nephrectomy. Read More

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http://dx.doi.org/10.1111/ases.12673DOI Listing
December 2018
1 Read

Laparoscopic splenectomy: a new approach.

Clinics (Sao Paulo) 2018 Nov 29;73:e16536. Epub 2018 Nov 29.

Cancer Center, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China.

Objectives: To introduce a new laparoscopic splenectomy (LS) approach.

Methods: Sixteen patients underwent LS with general anaesthesia and carbon dioxide pneumoperitoneum. The details of the surgery are as follows: 1. Read More

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6257254/?report
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http://dx.doi.org/10.6061/clinics/2018/e16-536DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6257254PMC
November 2018
10 Reads

Transhepatic forceps biopsy combined with biliary drainage in obstructive jaundice: safety and accuracy.

Eur Radiol 2018 Dec 3. Epub 2018 Dec 3.

Department of Interventional and Diagnostic Imaging, University Hospital of Caen, Avenue de la Côte de Nacre, 14033, Caen Cedex, France.

Purpose: This study was conducted in order to investigate the safety and accuracy of percutaneous transluminal forceps biopsy (PTFB) during percutaneous biliary drainage (PTBD) in patients with a suspicion of malignant biliary stricture.

Material And Methods: Fifty consecutive patients with obstructive jaundice underwent PTFB during PTBD. Biopsy specimens were obtained using 5. Read More

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http://dx.doi.org/10.1007/s00330-018-5852-xDOI Listing
December 2018
2 Reads

Changes of diaphragmatic excursion and lung compliance during major laparoscopic pelvic surgery: A prospective observational study.

PLoS One 2018 29;13(11):e0207841. Epub 2018 Nov 29.

Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.

Major laparoscopic pelvic surgery requires steep Trendelenburg position with pneumoperitoneum for a long time. We investigated the effect of Trendelenburg position with pneumoperitoneum on diaphragmatic excursion and lung compliance during major laparoscopic pelvic surgery using M-mode sonography. Twenty patients undergoing elective pelviscopic radical hysterectomy were included in this study. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0207841PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6264802PMC
November 2018
1 Read

Massive Subcutaneous Emphysema, Pneumoperitoneum, Pneumoretroperitoneum, and Pneumoscrotum following Endoscopic Retrograde Cholangiopancreatography in a Living Liver Donor.

Int J Organ Transplant Med 2018 1;9(3):132-135. Epub 2018 Aug 1.

Department of Surgery and Liver Transplant Institute, Inonu University Faculty of Medicine, 244280, Malatya, Turkey.

Despite having many advantages, living donor liver transplantation has not been adopted by western countries due to risk of nearly life-threatening complications after living donor hepatectomy (LDH). Herein, we aimed at presenting the management of a 19-year-old patient who suffered life-threatening complications after right lobe LDH. A multiple detector computed tomography (MDCT) revealed a bilioma at the cut surface of the remnant liver, for which a transhepatic drainage catheter was placed. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6252177PMC
August 2018
1 Read

Histoplasmosis-induced ileal perforation in a patient with acquired immune deficiency syndrome: Case report.

JGH Open 2018 Aug 27;2(4):166-168. Epub 2018 Jun 27.

Gastroenterology Service, Clinica Angloamericana Lima Peru.

Intestinal involvement with disseminated histoplasmosis is common in some populations infected with human immunodeficiency virus (HIV)/acquired immune deficiency syndrome (AIDS), especially in those who come from tropical zones. We report the case of a 29-year-old male patient, from a tropical zone, with HIV infection and a CD value less than 50 cells/mm, with a history of abdominal pain, fever, diarrhea, and weight loss. On presentation, he was pale, sweaty, and had abdominal rebound tenderness. Read More

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http://dx.doi.org/10.1002/jgh3.12048DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6152463PMC
August 2018
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Chilaiditi's sign, a cause of pseudo-pneumoperitoneum: A case report.

SAGE Open Med Case Rep 2018 19;6:2050313X18812213. Epub 2018 Nov 19.

Hospital Segamat, Segamat, Malaysia.

The differentiation between a pseudo-pneumoperitoneum and true pneumoperitoneum on an initial chest radiograph is challenging but essential to clinical practice. The former is managed conservatively whereas the latter may require surgical intervention. Chilaiditi's sign describes a rare incidental radiological finding of gas filled bowel interpositioned between the right hemi-diaphragm and the liver, which is visible on a plain abdominal or chest radiograph. Read More

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http://dx.doi.org/10.1177/2050313X18812213DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6247481PMC
November 2018
14 Reads

Efficacy and safety of endoscopic resection for small submucosal tumors originating from the muscularis propria layer in the gastric fundus.

Surg Endosc 2018 Nov 26. Epub 2018 Nov 26.

Endoscopy Center, Zhongshan Hospital of Fudan University, 180 Fenglin Road, Shanghai, 200032, China.

Background: Gastric small submucosal tumors (SMTs) are becoming increasingly common. However, the fundus of stomach is regarded as a difficult area for endoscopic resection (ER). In this study, we investigated the efficacy, safety, and long-term outcomes of ER for small SMTs of the gastric fundus in a large series of patients, research that was previously lacking. Read More

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http://link.springer.com/10.1007/s00464-018-6549-6
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http://dx.doi.org/10.1007/s00464-018-6549-6DOI Listing
November 2018
6 Reads

Effect of different doses of ulinastatin on cellular immunity and hepatorenal functions in patients undergoing laparoscopic colorectalcarcinoma surgery.

Pak J Pharm Sci 2018 Sep;31(5(Special)):2311-2314

First Affiliated Hospital of Jiamusi University, Jiamusi, China.

The effect of different doses of ulinastatin on cellular immunity and hepatorenal functions in patients undergoing laparoscopic colorectal-carcinoma surgery was observed and analyzed. The 200 patients with laparoscopic colorectal-carcinoma surgery in our hospital were selected as research subjects and divided into 4 groups containing equal patients, namely, saline group, 0.5 x 104U/kg ulinastatin group, 1 x 104U/kg ulinastatin group, and 1. Read More

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September 2018
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Purse-string sutures using novel endoloops and repositionable clips for the closure of large iatrogenic duodenal perforations with single-channel endoscope: a multicenter study.

Surg Endosc 2018 Nov 20. Epub 2018 Nov 20.

Digestive Endoscopy Department, The First Affiliated Hospital, Nanjing Medical University, 300 Guangzhou Road, Nanjing, 210029, China.

Background: Serious complications due to perforation restrict the development of duodenal endoscopic treatment. The key stage for remediation is the successful endoscopic closure to prevent peritonitis and the need for surgical intervention. This report aimed to present a new simple method for the closure of large iatrogenic duodenal perforations with purse-string sutures using the novel endoloops and repositionable clips through a single-channel endoscope. Read More

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http://dx.doi.org/10.1007/s00464-018-6586-1DOI Listing
November 2018
14 Reads

Effect of pneumoperitoneum with warmed humidified or standard-temperature carbon dioxide during laparoscopy on core body temperature, cardiorespiratory and thromboelastography variables, systemic inflammation, peritoneal response, and signs of postoperative pain in healthy mature dogs.

Am J Vet Res 2018 Dec;79(12):1321-1334

OBJECTIVE To evaluate effects of pneumoperitoneum created with warmed humidified CO (WHCO) during laparoscopy on core body temperature, cardiorespiratory and thromboelastography variables, systemic inflammation, peritoneal response, and signs of postoperative pain in healthy mature dogs. ANIMALS 6 mature purpose-bred dogs. PROCEDURES In a randomized crossover study, each dog was anesthetized twice, and pneumoperitoneum was created with standard-temperature CO (STCO; 22°C and 0% relative humidity) and WHCO (37°C and 98% relative humidity). Read More

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https://avmajournals.avma.org/doi/10.2460/ajvr.79.12.1321
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http://dx.doi.org/10.2460/ajvr.79.12.1321DOI Listing
December 2018
7 Reads

Tension Pneumoperitoneum after Hanging.

Am Surg 2018 Mar;84(3):e108-e109

Division of Trauma and Critical Care, Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, California, USA.

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Multiple spontaneous small bowel perforations due to clozapine-Case report.

Int J Surg Case Rep 2018 1;53:262-264. Epub 2018 Nov 1.

General Surgery Department of Centro Hospitalar do Oeste, Portugal.

Introduction: Spontaneous free perforation of the small bowel is unusual. There are many causes of spontaneous small bowel free perforation such as: immune-mediated or inflammatory, infections, drugs and biological agents, congenital, metabolic, vascular and neoplasm. A severe adverse effect of antipsychotic drugs is intestinal ischemia, which could lead to perforation. Read More

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http://dx.doi.org/10.1016/j.ijscr.2018.10.067DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6240700PMC
November 2018
9 Reads