9,625 results match your criteria Pneumoperitoneum


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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November 2018

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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December 2018

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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December 2018

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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November 2018
3 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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December 2018

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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November 2018

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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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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TACTICS OF TREATMENT OF PERFORATIVE GASTRODUODENAL ULCER.

Klin Khir 2016 Oct(10):15-6

The covered perforation of gastroduodenal ulcer constitutes certain difficulties in diag' nosis, causing distortion of clinical symptoms. The diagnosis is usually established with delay. In the clinic during 7 years in 24 patients the covered perforative aperture of gas' troduodenal ulcer was revealed, constituting 6. Read More

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October 2016

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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November 2018
3 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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November 2018
2 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

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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November 2018
6 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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December 2018
3 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 Nov 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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November 2018
5 Reads

Comparisons of Pressure-controlled Ventilation with Volume Guarantee and Volume-controlled 1:1 Equal Ratio Ventilation on Oxygenation and Respiratory Mechanics during Robot-assisted Laparoscopic Radical Prostatectomy: a Randomized-controlled Trial.

Int J Med Sci 2018 20;15(13):1522-1529. Epub 2018 Oct 20.

Department of Anesthesiology and Pain Medicine, and Anesthesia and Pain Research Institute, Yonsei University College of Medicine, Seoul, Republic of Korea.

During robot-assisted laparoscopic radical prostatectomy (RALP), steep Trendelenburg position and carbon dioxide pneumoperitoneum are inevitable for surgical exposure, both of which can impair cardiopulmonary function. This study was aimed to compare the effects of pressure-controlled ventilation with volume guarantee (PCV with VG) and 1:1 equal ratio ventilation (ERV) on oxygenation, respiratory mechanics and hemodynamics during RALP. Eighty patients scheduled for RALP were randomly allocated to either the PCV with VG or ERV group. Read More

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October 2018
3 Reads

Pneumoperitoneum: Not Always due to an Intestinal Perforation!!

J Indian Assoc Pediatr Surg 2018 Oct-Dec;23(4):240-241

Department of Pediatric Surgery, VMMC and Safdarjung Hospital, New Delhi, India.

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November 2018

High-pressure carbon dioxide pneumoperitoneum induces oxidative stress and mitochondria-associated apoptotic pathway in rabbit kidneys with severe hydronephrosis.

Int J Mol Med 2019 Jan 8;43(1):305-315. Epub 2018 Nov 8.

Department of Urology, Renmin Hospital of Wuhan University, Wuhan, Hubei 430000, P.R. China.

The primary aim of the present study was to investigate the potential effect of high‑pressure carbon dioxide (CO2) pneumoperitoneum on kidneys with severe hydronephrosis and to investigate the possible underlying mechanism. A total of 18 rabbits underwent a surgical procedure inducing severe hydronephrosis. Rabbits were then divided at random into three groups (n=6 each) and subjected to intraabdominal pressure of 0, 8 or 18 mmHg, respectively. Read More

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January 2019
1 Read

Transperitoneal versus retroperitoneal laparoscopic adrenalectomy for large pheochromocytoma: Comparative outcomes.

Int J Urol 2018 Nov 14. Epub 2018 Nov 14.

Department of Urology, Graduate School of Medicine, Yamaguchi University, Ube, Yamaguchi, Japan.

Objectives: To evaluate operative and oncological outcomes of laparoscopic adrenalectomy through a transperitoneal approach and retroperitoneal approach for large (>5 cm in diameter) pheochromocytomas.

Methods: We retrospectively compared the results of a transperitoneal approach with those of a retroperitoneal approach in 22 patients (mean age 57.5 years, range 38-76 years) with unilateral large pheochromocytomas (12 right, 10 left). Read More

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November 2018
1 Read

Pneumatosis intestinalis a trap for the unwary: Case series and literature review.

Int J Surg Case Rep 2018 Nov 2;53:214-217. Epub 2018 Nov 2.

Royal Alexandra Hospital, Corsebar Rd, Paisely, PA2 9PN, Scotland, UK. Electronic address:

Introduction: Pneumatosis Intestinalis (PI) can present with a broad range of presentations from chronic and non-specific to acute and life threatening. It is paradoxically one of the few conditions where a pneumoperitoneum found in the diagnostic workup is not necessarily an indication for laparotomy.

Presentation Of Cases: The first case is of a 75 year old gentlemen who attended the emergency department after several weeks of worsening abdominal pain and weight loss. Read More

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November 2018
4 Reads

Clinical signs of retroperitoneal abscess from colonic perforation: Two case reports and literature review.

Medicine (Baltimore) 2018 Nov;97(45):e13176

Department and Clinic of Gastrointestinal and General Surgery, Medical University, Wroclaw. Poland.

Rationale: Retroperitoneal colonic perforation is a rare cause of retroperitoneal abscess. It presents, more frequently in frail elderly patients, with heterogeneous signs and symptoms which hamper the clinical diagnosis. Subcutaneous emphysema with pneumomediastinum and iliopsoas muscle abscess are unusual signs. Read More

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November 2018
5 Reads

Effects of Carbon Dioxide Insufflation and Trendelenburg Position on Brain Oxygenation During Laparoscopy in Children.

Surg Laparosc Endosc Percutan Tech 2018 Nov 1. Epub 2018 Nov 1.

Department of Pediatric Surgery, Izmir Katip Celebi University, Cigli.

Purpose: Laparoscopic appendectomy has become more popular compared with the open appendectomy in children, but there are limited data on the effects of pneumoperitoneum and Trendelenburg position on cerebral oxygenation. This study was designed to evaluate the changes in cerebral saturation using near-infrared spectroscope during laparoscopic surgery in children.

Methods: The children underwent laparoscopic (LAP Group, n=22) or open appendectomy (OPEN Group, n=22). Read More

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November 2018
3 Reads

Transvaginal natural orifice transluminal endoscopic surgery in the diagnosis of ascites of unknown origin.

Gastrointest Endosc 2018 Oct 31. Epub 2018 Oct 31.

Department of Gastroenterology and Hepatology, the General Hospital of the Chinese People's Liberation Army, Beijing, China. Electronic address:

Background And Aims: Natural orifice transluminal endoscopic surgery (NOTES) has been established in animal models and human studies, but few clinical studies have investigated transvaginal NOTES in the diagnosis of unexplained refractory ascites. We aimed to assess the feasibility, efficacy, and safety of transvaginal NOTES for the diagnosis of unexplained ascites in female patients.

Methods: A prospective study was done involving 3 female patients with unexplained ascites. Read More

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October 2018
9 Reads

Effect of dexmedetomidine on intracranial pressures during laparoscopic surgery: A randomized, placebo-controlled trial.

J Anaesthesiol Clin Pharmacol 2018 Jul-Sep;34(3):341-346

Department of General Surgery, AIIMS, Patna, Bihar, India.

Background And Aims: Laparoscopic surgeries cause an increase in intracranial pressure (ICP) after creation of pneumoperitoneum. Sonographically measured, optic nerve sheath diameter (ONSD) correlates well with changes in ICP. Dexmedetomidine (Dex), an α agonist is extensively used in day-care surgeries, although its effect on ICP during laparoscopy in humans has not been reported in the literature. Read More

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November 2018

Comment to Jejunal Diverticulitis Mimicking Small Bowel Perforation: Case Report and Review of the Literature.

Chirurgia (Bucur) 2018 Sept-Oct;113(5):719

Dear Editor, I would like to congratulate the authors of this well written article and to thank them for the contribution to the literature. There is, however, one point that needs to be addressed, and that is the outcomes of surgical versus conservative treatment. Areview article1 has published data on 266 patients (106 patients derived from published case reports containing individual patient data, 113 patients derived from the Norwegian patient registry and data on 47 patients as historical controls from a previous publication and used as historical controls(Chendrasekhar et al2). Read More

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October 2018
2 Reads

A Novel Non-Gas Endospray for Applying Fibrin Glue in Laparoscopic Surgery.

J Invest Surg 2018 Oct 31:1-6. Epub 2018 Oct 31.

b Department of Surgery , Munakata Medical Association Hospital , Fukuoka , Japan.

Purpose: Fibrin glue and polyglycolic acid felt are used for tissue repair in various surgical procedures. However, using a spray device to apply fibrin sealant during laparoscopic surgery can increase the intraperitoneal pressure, which can cause complications such as air embolism. We developed a novel non-gas endospray for use in laparoscopic surgery. Read More

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October 2018

Laparoscopic Rectopexy in a Patient With Pulmonary Hypertension Associated With Scleroderma: A Case Report.

A A Pract 2018 Oct 26. Epub 2018 Oct 26.

From the Departments of Anesthesia.

We report the perioperative management of a patient with pulmonary hypertension under new-generation treatments who underwent laparoscopic surgery. Preoperatively, arterial catheter, central venous line, and transesophageal echocardiography probe were inserted in addition to standard monitoring. Intraoperatively, inhaled nitric oxide was used because of increasing pressure in the right heart chambers related to the Trendelenburg position and the pneumoperitoneum. Read More

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October 2018
2 Reads

Single-Port Laparoscopic Assisted Transcrotal Orchidopexy for Palpable Inguinal Canalicular Cryptorchidism Accompany With Indirect Inguinal Hernia.

Front Pediatr 2018 9;6:293. Epub 2018 Oct 9.

Department of Pediatric Surgery, The Second Hospital of Hebei Medical University, Shijiazhuang, China.

To assess the outcomes of a novel laparoscopic assisted transcrotal orchidopexy (LATO) combined with percutaneous extraperitoneal closure (PEC) for palpable inguinal canalicular cryptorchidism accompany with indirect inguinal hernia, and evaluate its safety and efficiency. A retrospective cohort study for single-port LATO-PEC and traditional inguinal orchidopexy (TIO) was performed between 2011 and 2014. Totally 53 children with both palpable inguinal canalicular testes and indirect inguinal hernia were included. Read More

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October 2018
6 Reads

Combination of botulinum toxin A, progressive pre-operative pneumoperitoneum for the repair of loss domain inguinal hernias.

ANZ J Surg 2018 Oct 24. Epub 2018 Oct 24.

Department of Surgery, University Hospital Lozano Blesa, Zaragoza, Spain.

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October 2018
1 Read

Incidence and Outcomes of Perforated Peptic Ulcers in Children: Analysis of the Kid's Inpatient Database and Report of Two Cases Treated by Laparoscopic Omental Patch Repair.

J Laparoendosc Adv Surg Tech A 2018 Oct 23. Epub 2018 Oct 23.

1 Division of Pediatric Surgery, Department of Surgery, Saint Louis University School of Medicine , Saint Louis, Missouri.

Introduction: Peptic ulcer disease (PUD) is a rare condition in children. Perforated peptic ulcer (PPU), a complication of PUD has an estimated mortality between 1.3% and 20%. Read More

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October 2018
1 Read

Identifying the needs for teaching fundamental knowledge of laparoscopic surgery: a cross-sectional study in Japan.

Surg Endosc 2018 Oct 22. Epub 2018 Oct 22.

Department of Gastroenterological Surgery II, Hokkaido University Graduate School of Medicine, Sapporo, Japan.

Background: Recently, laparoscopic surgery (LS) has become a more common procedure than traditional open surgery. Although LS-related adverse events have been reported, there is no formal, standardized curriculum to teach the fundamentals of LS in Japan. Understanding surgeons' knowledge regarding LS is crucial for developing an educational curriculum. Read More

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October 2018
6 Reads

The role of intraoperative parameters on predicting laparoscopic abdominal surgery associated acute kidney injury.

BMC Nephrol 2018 Oct 22;19(1):289. Epub 2018 Oct 22.

Division of Nephrology, Department of Medicine, Faculty of Medicine, Chulalongkorn University, Rama IV Road, Pathumwan, Bangkok, 10330, Thailand.

Background: Laparoscopic abdominal surgery has been widely used to reduce the length of hospital stay and complications from open abdominal surgery. During the operation, the creation of pneumoperitoneum is used for better visualization of the operating field. However, the effect of pneumoperitoneum on kidney function is unknown. Read More

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October 2018
9 Reads

Cardiac arrest caused by intramyometrial injection of vasopressin during a robotic-assisted laparoscopic myomectomy.

J Int Med Res 2018 Oct 21:300060518805596. Epub 2018 Oct 21.

Department of Anaesthesiology and Pain Medicine, Eulji University Medical Centre, Daejeon, Republic of Korea.

Vasopressin is a locally-injected vasoconstrictor used to reduce bleeding during gynaecological surgery. However, even in these cases, vasopressin can induce adverse effects, including bradycardia, myocardial infarction and cardiac arrest. Elevated blood concentrations of vasopressin may induce the sympathoinhibitory reflex by increasing blood pressure and augment the sympathoinhibitory reflex by activating the area postrema. Read More

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October 2018
7 Reads

Assessment of laparoscopic training for gynecological malignancies using Thiel-embalmed human cadavers.

Mol Clin Oncol 2018 Nov 7;9(5):511-514. Epub 2018 Sep 7.

Department of Obstetrics and Gynecology, Ehime University Graduate School of Medicine, Toon, Ehime 791-0295, Japan.

The introduction of laparoscopic surgery has also been beneficial for patients with gynecological malignancies. In this respect, surgeons should receive related training in the context of human resource development. Hands-on training was introduced using Thiel-embalmed human cadavers (THCs) in 2014. Read More

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November 2018
4 Reads

[Spontaneous neonatal gastric perforation: about a case].

Pan Afr Med J 2018 29;30:72. Epub 2018 May 29.

Université de Lubumbashi, Département de Chirurgie, Faculté de Médecine, Cliniques Universitaires de Lubumbashi, Service de Chirurgie, République Démocratique du Congo.

Spontaneous neonatal gastric perforation is rare. We report the case of a full term 4-day old newborn who required resuscitation at birth. On the second day of life he had extensive abdominal distension. Read More

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October 2018

Surgical techniques and convalescence recommendations vary greatly in laparoscopic groin hernia repair: a nationwide survey among experienced hernia surgeons.

Surg Endosc 2018 Oct 19. Epub 2018 Oct 19.

Center for Perioperative Optimization, Department of Surgery, Herlev Hospital, University of Copenhagen, Herlev Ringvej 75, 2730, Herlev, Copenhagen, Denmark.

Background: Laparoscopic groin hernia repair has become increasingly popular. In Denmark, all groin hernia repairs are registered in the Danish Hernia Database. However, many surgical technical parameters are not registered in neither the hernia database nor in other national registries or the patient files. Read More

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October 2018
6 Reads

Prevalence and risk factors for hypokalemia in patients scheduled for laparoscopic colorectal resection and its association with post-operative recovery.

BMC Gastroenterol 2018 Oct 19;18(1):152. Epub 2018 Oct 19.

Department of Anesthesiology, The Third Affiliated Hospital of Sun Yat-Sen University, 600th Tianhe Road, Tianhe District, 510360, Guangzhou City, People's Republic of China.

Background: Perioperative serum potassium levels are closely associated with postoperative clinical outcomes after gastrointestinal surgery. The aim of our retrospective study was to identify the prevalence and risk factors for preoperative hypokalemia (before pneumoperitoneum) and to evaluate the influence of preoperative hypokalemia on the recovery of postoperative gastrointestinal function.

Methods: In this retrospective study, patients scheduled for laparoscopic colorectal resection from November 11 2014 to October 20 2016, were considered for inclusion. Read More

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October 2018
1 Read

Physical examination score predicts need for surgery in neonates with necrotizing enterocolitis.

J Perinatol 2018 Dec 18;38(12):1644-1650. Epub 2018 Oct 18.

Golisano Children's Hospital, Rochester, NY, USA.

Objective: To evaluate the utility of a standardized physical exam score (PE-NEC) in predicting need for surgery or death in neonates with necrotizing enterocolitis (NEC).

Methods: This prospective, multicenter, observational study was conducted from 3/1/14 to 2/29/16 with three regional perinatal centers in upstate New York. Infants with NEC Bell's Stage ≥ 2 had physical exams and laboratory data recorded at 12-24 h intervals for 48 h following diagnosis. Read More

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December 2018

A new technique in laparoscopic abdominal access (Evsen Method, Modified Veress Technique).

Ginekol Pol 2018 ;89(9):481-484

DİCLE UNİVERSİTY, DİYARBAKIR/TURKEY, 21200 DİYARBAKIR, Turkey.

Objectives: The most important step in laparoscopic surgery is to safely establish the pneumoperitoneum, especially since approximately half of the complications occur during the initial entry into the abdomen. There is a distinct need to modify the available methods to reduce therate of adverse events in laparoscopic entry. In this study, a modified Veress technique (MVT) or Evsen method is introduced. Read More

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January 2018
1 Read

Closed vs. open method of pneumoperitonium at infra-umbilical site in laparoscopic surgery - A comparative study.

J Pak Med Assoc 2018 Oct;68(10):1478-1482

Department of Surgery, Quaid-e-Azam Medical College/ Bahawal Victoria Hospital, Bahawalpur, Pakistan.

Objective: To assess the safety profile of closed and open method of pneumoperitonium by comparing access and closure time during laparoscopic surgery and complications.

Methods: This quassi-experimental study was conducted at Bahawal Victoria Hospital, Bahawalpur, Pakistan, from September 15, 2013, to September 15, 2016, and comprised patients who were block-randomised into two equal groups. The first half constituted Group A where pneumoperitonium was created by closed method, while the latter half was designated as Group B where the open method was employed. Read More

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October 2018

Comparison of the effects of desflurane and total intravenous anesthesia on the optic nerve sheath diameter in robot assisted laparoscopic radical prostatectomy: A randomized controlled trial.

Medicine (Baltimore) 2018 Oct;97(41):e12772

Department of Anesthesiology and Pain Medicine, Konyang University Hospital, Daejeon, Republic of Korea.

Background: Optic nerve sheath diameter (ONSD) is a well-known surrogate marker for intracranial pressure during robot-assisted laparoscopic radical prostatectomies (RALP). ONSD during RALP is known to increase due to elevated intracranial pressure as a result of the steep Trendelenburg position and carbon dioxide pneumoperitoneum. We aimed to compare the effects of total intravenous anesthesia (TIVA) and desflurane anesthesia (DES) on ONSD during RALP. Read More

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October 2018
2 Reads

Educational training in laparoscopic gynecological surgery based on ethanol-glycerol-lysoformin-preserved body donors.

Ann Anat 2019 Jan 9;221:157-164. Epub 2018 Oct 9.

Department of Obstetrics and Gynecology, Kiel School of Gynecological Endoscopy, University Hospitals of Schleswig-Holstein, Campus Kiel, Germany. Electronic address:

Purpose: Educational training of laparoscopic skills performed on body donors is considered the gold standard prior to surgery in living patients. Appropriate, safe, and feasible fixation of body donors, reflecting true-to-life conditions of tissues, is an essential prerequisite for training workshops.

Materials And Methods: Here we describe and evaluate a modified ethanol-glycerol-lysoformin-based fixation technique. Read More

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January 2019
10 Reads

Canine and feline emphysematous gastritis may be differentiated from gastric emphysema based on clinical and imaging characteristics: Five cases.

Vet Radiol Ultrasound 2018 Oct 11. Epub 2018 Oct 11.

The Royal (Dick) School of Veterinary Studies and Roslin Institute, The University of Edinburgh, Roslin, EH25 9RG, UK.

Gastric pneumatosis is an imaging finding defined as the presence of gas foci in the gastric wall. In humans, this imaging feature can result from one of two separate clinical entities: life-threatening emphysematous gastritis or clinically benign gastric emphysema. This retrospective case series study describes the clinical and imaging features in five animals diagnosed with spontaneous gastric pneumatosis without gastric dilatation-volvulus. Read More

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October 2018
1 Read

Leaping dolphin sign: Pneumoperitoneum.

J Med Imaging Radiat Oncol 2018 Oct;62 Suppl 1:87

Department of Radiology, Concord Repatriation General Hospital, Concord, New South Wales, Australia.

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October 2018
1 Read

[Comparison of standard and fast track rehabilitation in patients with acute appendicitis. Intermediate results of multicenter prospective randomized trial].

Khirurgiia (Mosk) 2018 (9):15-23

Pirogov Russian National Research Medical University, Moscow, Russia; City Clinical Hospital #1 of Moscow Healthcare Department, Moscow, Russia.

Aim: To analyze outcomes of fast track rehabilitation in patients with acute appendicitis.

Material And Methods: Prospective, randomized multi-center trial including 86 patients was conducted. There were 38 patients in the main group and 48 in the control group. Read More

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January 2018
1 Read

New technique of intragastric sleeve: viability and survival in a pig model.

An Acad Bras Cienc 2018 Jul-Sep;90(3):3075-3080

Laboratory of Animal Medicine and Surgery, State University of Northern Rio de Janeiro, Av. Alberto Lamego, 2000, Parque Califórnia, 28035-200 Campos dos Goitacazes, RJ, Brazil.

Developing a less invasive, practical and cost-effective operative technique for obesity treatment represents a pressing need for our society. In this way, intragastric single port sleeve by endoplication was tested in six pigs during 18 weeks. Celiotomy was performed with animal placed in dorsal decubitus position. Read More

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March 2018
2 Reads

Nonsurgical management of traumatic pneumoperitoneum in a cat.

J Vet Emerg Crit Care (San Antonio) 2018 Nov 9;28(6):591-595. Epub 2018 Oct 9.

Department of Diagnostic Imaging, University of Glasgow Veterinary School, Glasgow, Scotland.

Objective: To describe the nonsurgical management of a cat with traumatic pneumoperitoneum.

Case Series Summary: A 4-year-old cat was presented following vehicular polytrauma. Thoracic radiographs revealed 4 rib fractures, a scapular fracture, and pneumothorax. Read More

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November 2018
2 Reads

A Novel Strategy of Laparoscopic Insufflation Rate Improving Shoulder Pain: Prospective Randomized Study.

J Gastrointest Surg 2018 Oct 8. Epub 2018 Oct 8.

Division of General Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, No. 325, Sec. 2, Cheng-Kung Road, Neihu, 114, Taipei, Taiwan.

Background: Laparoscopic surgery is the main trend method in a variety of surgical fields. Post-operative shoulder pain remains a bothersome issue although many surgical techniques have been applied to minimize it. A simple novel approach to reduce shoulder pain without adverse effects during and after laparoscopic surgery is desired. Read More

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October 2018
3 Reads

Anesthetic management and associated complications of peroral endoscopic myotomy: A case series.

World J Gastrointest Endosc 2018 Sep;10(9):193-199

Division of Anesthesiology, Department of Surgery Related, Kobe University Graduate School of Medicine, Kobe 650-0017, Japan.

Aim: To investigate the anesthetic management of peroral endoscopic myotomy (POEM) and its associated complications.

Methods: This study was a single-center, retrospective, observational study comprising a case series of all patients who underwent POEM in our hospital from April 2015 to November 2016. We collected data regarding patient characteristics, anesthetic methods, surgical factors, and complications using an electronic chart. Read More

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September 2018
6 Reads