10,101 results match your criteria Pneumoperitoneum


Robotic assisted dual kidney transplantation with monolateral iliac vessels.

Urology 2020 Jul 1. Epub 2020 Jul 1.

Smt. G. R. Doshi and Smt. K. M. Mehta Institute of Kidney Diseases and Research Centre & Dr. H. L. Trivedi Institute of Transplantation Sciences, Civil Hospital Campus, Asarwa, Ahmedabad-380016, India.

Objective: To demonstrate the surgical technique of dual kidney transplantation in ipsilateral iliac fossa using da Vinci Si robotic platform METHODS: Dual kidneys from expanded criteria deceased donor (ECD) were used in single recipients using robotic platform in 6 recipients. Following bench surgery, both kidneys were again placed into preservation fluid and ice-box. Robot was docked between two legs of the recipient. Read More

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http://dx.doi.org/10.1016/j.urology.2020.06.030DOI Listing

Severe hypoxaemia during pneumoperitoneum for laparoscopic appendicectomy because of atrial septal defect.

J Cardiovasc Med (Hagerstown) 2020 Aug;21(8):618-619

Department of Cardiology, Santa Maria della Misericordia, Rovigo, Italy.

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http://dx.doi.org/10.2459/JCM.0000000000000946DOI Listing

Operative Gynecological Laparoscopy Under Conscious Sedation.

JSLS 2020 Apr-Jun;24(2)

Camran Nezhat Institute, Palo Alto, CA, USA.

Background And Objectives: Operative laparoscopy is generally performed under general anesthesia. Local anesthesia and conscious sedation may be useful in select short procedures. In the present study, we evaluated safety and efficacy of operative laparoscopy under conscious sedation. Read More

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http://dx.doi.org/10.4293/JSLS.2020.00020DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7316526PMC

Evaluation of enhanced recovery after surgery program components implemented in laparoscopic appendectomy: prospective randomized clinical study.

Sci Rep 2020 Jul 1;10(1):10749. Epub 2020 Jul 1.

Pirogov Russian National Research Medical University, State Clinical Hospital Named After V.M. Buyanov, Moscow, Russia.

Background: Laparoscopic appendectomy (LA) is a widely used surgical procedure. Patients often suffer from considerable postoperative pain and indigestion, which prolongs their in-hospital stay. Almost 10% of patients develop postoperative complications. Read More

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http://dx.doi.org/10.1038/s41598-020-67591-5DOI Listing

UNDERWATER ENDOSCOPIC MUCOSAL RESECTION FOR NON-PEDUNCULATED COLORECTAL LESIONS. A PROSPECTIVE SINGLE-ARM STUDY.

Arq Gastroenterol 2020 Apr-Jun;57(2):193-197

Universidade de São Paulo, Faculdade de Medicina, Departamento de Gastroenterologia, Instituto do Câncer do Estado de São Paulo, São Paulo, SP, Brasil.

Background: Underwater endoscopic mucosal resection (UEMR) has emerged as a revolutionary method allowing resection of colorectal lesions without submucosal injection. Brazilian literature about this technique is sparse.

Objective: The aim of this study was evaluate the efficacy and safety of UEMR technique for removing non-pedunculated colorectal lesions in two Brazilian tertiary centers. Read More

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http://dx.doi.org/10.1590/S0004-2803.202000000-37DOI Listing
January 2020

Combined Robotic Surgery for Double Renal Masses and Prostate Cancer: Myth or Reality?

Medicina (Kaunas) 2020 Jun 26;56(6). Epub 2020 Jun 26.

Department of Surgical and Biomedical Sciences, Urology Clinic of Perugia, Perugia University, 06100 Perugia, Italy.

With the widespread use of imaging modalities performed for the staging of prostate cancer, the incidental detection of synchronous tumors is increasing in frequency. Robotic surgery represents a technical evolution in the treatment of solid tumors of the urinary tract, and it can be a valid option in the case of multi-organ involvement. We reported a case of synchronous prostate cancer and bifocal renal carcinoma in a 66-year-old male. Read More

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http://dx.doi.org/10.3390/medicina56060318DOI Listing

Effect of pneumoperitoneum pressure and the depth of neuromuscular block on renal function in patients with diabetes undergoing laparoscopic pelvic surgery: study protocol for a double-blinded 2 × 2 factorial randomized controlled trial.

Trials 2020 Jun 29;21(1):585. Epub 2020 Jun 29.

Department of Anesthesiology, Chinese Academy of Medical Sciences & Peking Union Medical College Hospital, Beijing, 100730, China.

Background: Patients with diabetes mellitus are at a high risk of developing postoperative acute kidney injury. For patients receiving laparoscopic surgery, standard-pressure pneumoperitoneum (SPP) currently applied in clinical practice also undermines renal perfusion. Several studies have shown that low-pressure pneumoperitoneum (LPP) might reduce pressure-related ischemic renal injury. Read More

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http://dx.doi.org/10.1186/s13063-020-04477-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7322917PMC

Pneumoperitoneum after transoral endoscopic thyroidectomy vestibular approach.

Laryngoscope Investig Otolaryngol 2020 Jun 30;5(3):580-583. Epub 2020 May 30.

Department of Otolaryngology Head and Neck Surgery Singapore General Hospital Singapore.

Background: Transoral endoscopic thyroidectomy vestibular approach (TOETVA) is a relatively safe procedure with comparable safety profile as open thyroidectomy. While gas insufflation complications such as subcutaneous emphysema and pneumomediastinum have been reported postoperatively, there have been no reports of pneumoperitoneum.

Case Report: Our patient underwent an uneventful TOETVA to remove her left thyroid lobe. Read More

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http://dx.doi.org/10.1002/lio2.393DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7314460PMC

Safe surgery during the coronavirus disease 2019 crisis.

ANZ J Surg 2020 Jun 28. Epub 2020 Jun 28.

Research Audit and Academic Surgery, Royal Australasian College of Surgeons, Adelaide, South Australia, Australia.

Background: Coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has created a global pandemic. Surgical care has been impacted, with concerns raised around surgical safety, especially in terms of laparoscopic versus open surgery. Due to potential aerosol transmission of SARS-CoV-2, precautions during aerosol-generating procedures and production of surgical plume are paramount for the safety of surgical teams. Read More

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http://dx.doi.org/10.1111/ans.16089DOI Listing

Prevention of Postoperative Prolonged Air Leak After Pulmonary Resection.

Thorac Surg Clin 2020 Aug 22;30(3):305-314. Epub 2020 May 22.

Division of Thoracic Surgery, Department of Surgery, Boston Medical Center, Boston University School of Medicine, Boston University, 88 East Newton Street, Collamore Building, Suite 7380, Boston, MA 02118, USA. Electronic address:

Postoperative prolonged air leaks (PALs) occur after thoracic surgery in which lung parenchyma is resected, divided, or manipulated. These air leaks can place patients at risk for intensive care unit readmissions, longer hospital length of stay, and infectious complications. Studies have been conducted to identify patients who are at risk for air leak and several methods have been examined for the prevention and treatment of PALs. Read More

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http://dx.doi.org/10.1016/j.thorsurg.2020.04.007DOI Listing

Re: 'Clinical impact of leakage in patients with handsewn vs stapled anastomosis after right hemicolectomy: a retrospective study'. https://doi.org/10.1111/codi.15098.

Colorectal Dis 2020 Jun 24. Epub 2020 Jun 24.

Department of Coloproctology, University of Edinburgh, Western General Hospital, Edinburgh, UK.

We read with interest this paper exploring outcomes from anastomotic leak (AL) after right hemicolectomy in which AL was diagnosed in 116/961 patients (12%). Whilst the authors do acknowledge this as particularly high, we feel several points merit further discussion. First, diagnosis of leak was heavily reliant on C-reactive protein (CRP) level with 'clinical or radiological examination' performed in any patient with CRP>125 mg/l on Day 4. Read More

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http://dx.doi.org/10.1111/codi.15207DOI Listing

Recommendations of the Brazilian College of Surgeons for laparoscopic surgery during the COVID-19 pandemic.

Rev Col Bras Cir 2020 Jun 3;47:e20202570. Epub 2020 Jun 3.

Hospital Copa D'Or, Cirurgião - Rio de Janeiro - RJ - Brasil.

During the current COVID-19 pandemic, the surgical community faces the possible risk of infection of health care professionals involved in the surgical procedure. This leaves to concerns and questions referred to the most adequate surgical approach at this moment. With the objective of guiding surgeons, and based in many different protocols published until now, the Brazilian College of surgeons brings recommendations about this subject. Read More

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http://dx.doi.org/10.1590/0100-6991e-20202570DOI Listing

Laparoscopic or robotic intraoperative management to minimize aerosol dispersion: Adaptations to the context of the COVID-19 pandemic.

Rev Col Bras Cir 2020 Jun 3;47:e20202558. Epub 2020 Jun 3.

Instituto Morrell, Cirurgia do Aparelho Digestivo Minimamente Invasiva e Robótica - São Paulo - SP - Brasil.

The coronavirus infection, also known as SARS-COV2, has proven to be potentially fatal, representing a major global health problem. Its spread after its origin in the city of Wuhan, China has resulted in a pandemic with the collapse of the health system in several countries, some with enormous social impact and expressive number of deaths as seen in Italy and Spain. Extreme intra and extra-hospital measures have been implemented to decrease the transmission and dissemination of the COVID-19. Read More

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http://dx.doi.org/10.1590/0100-6991e-20202558DOI Listing

Less is more: clinical impact of decreasing pneumoperitoneum pressures during robotic surgery.

J Robot Surg 2020 Jun 22. Epub 2020 Jun 22.

Department of Obstetrics and Gynecology, New York University School of Medicine, New York, NY, USA.

The objective of this study was to investigate the effects of decreasing insufflation pressure during robotic gynecologic surgery. The primary outcomes were patient-reported postoperative pain scores and length of stay. Secondary outcomes include surgical time, blood loss, and intraoperative respiratory parameters. Read More

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http://dx.doi.org/10.1007/s11701-020-01104-4DOI Listing

Spontaneous Recurrent Pneumoperitoneum due to Opioid-Induced Constipation: A Case Report.

Cureus 2020 May 20;12(5):e8205. Epub 2020 May 20.

Internal Medicine, Jersey Shore University Medical Center (Perth Amboy), Perth Amboy, USA.

Long-term treatment with or addiction to methadone and other opiates can lead to serious complications such as opioid-induced constipation (OIC). Here we report a case where a long-term opioid user presents in the ER in respiratory distress. Radiographic findings concerning pneumoperitoneum and cooperation with specialists lead to a diagnosis of stercoral colitis with possible micro-perforations. Read More

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http://dx.doi.org/10.7759/cureus.8205DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7303506PMC

Severe Intraoperative Bradycardia during Laparoscopic Cholecystectomy due to Rapid Peritoneal Insufflation.

Case Rep Anesthesiol 2020 6;2020:8828914. Epub 2020 Jun 6.

Department of Anesthesia and Intensive Care, Jahra Hospital, Al Jahra, Kuwait.

Laparoscopy is becoming increasingly popular in gynecological and general surgical operations. There are complications that are inherent to the laparoscopy techniques; amongst them is intraoperative vagal-mediated bradycardia that results from peritoneal stretching. This can occur due to high flow rate of gas during peritoneal insufflation, a practice still happening nowadays. Read More

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http://dx.doi.org/10.1155/2020/8828914DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7294365PMC

A rare cause of pneumoperitoneum due to clostridium perfringens in a cirrhotic patient.

Acta Chir Belg 2020 Jul 1:1-3. Epub 2020 Jul 1.

Department of General, Visceral and Transplantation Surgery, University Hospital, Tübingen, Germany.

Abdominal gas gangrene caused by Clostridium perfringens is a rare differential diagnosis to pneumoperitoneum caused by bowel perforation. There are only a handful of case reports on this topic. We present the case of a 58 year old cirrhotic patient who represented to our ER after complicated surgery for retroperitoneal liposarcoma. Read More

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http://dx.doi.org/10.1080/00015458.2020.1785218DOI Listing

Are urologists in trouble by SARS-CoV-2? Reflexions and recommendations for specific interventions.

BJU Int 2020 Jun 19. Epub 2020 Jun 19.

Medical University Innsbruck, Department of Urology, Anichstrasse 35, 6020, Innsbruck, Austria.

Objective: We aim to assess the risk of infection during urologic surgeries. Therefore possible hazards in tissue, blood, urine and aerosolized particles generated during surgery, are evaluated. Understanding the risk, recommendations for clinical practice are provided. Read More

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http://dx.doi.org/10.1111/bju.15141DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7323234PMC

Percutaneous endoscopic gastrostomy in small infants unable to swallow safely.

Pediatr Int 2020 Jun 17. Epub 2020 Jun 17.

Department of Pediatric Surgery, Istanbul Medeniyet University, Faculty of Medicine, Goztepe Training and Research Hospital, Istanbul, Turkey.

Background: The data about PEG insertions in small infants is limited with inclusion of older children in most studies. We aimed to evaluate the safety of PEG placement in infants weighing ≤5 kg together with their follow-up results.

Methods: A retrospective evaluation of the records between January 2005 and December 2019 was done. Read More

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http://dx.doi.org/10.1111/ped.14351DOI Listing
June 2020
0.731 Impact Factor

Laparoscopic Sleeve Gastrectomy Affects Coagulation System of Obese Patients.

Obes Surg 2020 Jun 17. Epub 2020 Jun 17.

Department of General Surgery, Beijing Shijitan Hospital, Capital Medical University, Beijing, China.

Background: Laparoscopic sleeve gastrectomy (LSG) is nowadays the most popular bariatric procedure for obesity. However, whether LSG increases the risk of thrombosis remains unclear. The aim of this study was to investigate potential effects of LSG on coagulation system. Read More

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http://dx.doi.org/10.1007/s11695-020-04769-wDOI Listing
June 2020
3.747 Impact Factor

Combining Appleby with RAMPS - Laparoscopic Radical Antegrade Modular Pancreatosplenectomy with Celiac Trunk Resection.

J Gastrointest Surg 2020 Jun 17. Epub 2020 Jun 17.

Department of Surgery, St Elizabeth's Medical Center, Tufts University School of Medicine, 11 Nevins St., Suite 201, Boston, MA, 02135, USA.

Background: Radical Antegrade Modular Pancreatosplenectomy (RAMPS) minimizes the risk of a positive retroperitoneal margin and maximizes lymph node harvest in distal pancreatic cancers.1-7 In those with celiac trunk involvement, resection of the celiac trunk (modified Appleby procedure) is a surgical option in which postoperative liver perfusion relies on blood flow via superior mesenteric artery (SMA) and gastroduodenal artery (GDA).8, 9 PATIENT: A 66-year-old male was diagnosed with a 3. Read More

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http://dx.doi.org/10.1007/s11605-020-04686-4DOI Listing

Low-pressure pneumoperitoneum with deep neuromuscular blockade in metabolic surgery to reduce postoperative pain: a randomized pilot trial.

Surg Endosc 2020 Jun 18. Epub 2020 Jun 18.

Department of Surgery, Franciscus Gasthuis & Vlietland, Kleiweg 500, 3045 PM, Rotterdam, The Netherlands.

Background: For metabolic laparoscopic surgery, higher pressures up to 20 mmHg are often used to create a surgical field of sufficient quality. This randomized pilot study aimed to determine the feasibility, safety and tolerability of low intraabdominal pressure (IAP) and deep neuromuscular blockade (NMB) to reduce postoperative pain.

Methods: In a teaching hospital in the Netherlands, 62 patients eligible for a laparoscopic Roux-en-Y gastric bypass (LRYGB) were randomized into one of four groups in a 2 × 2 factorial design: deep/moderate NMB and standard (20 mmHg)/low IAP (12 mmHg). Read More

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http://dx.doi.org/10.1007/s00464-020-07719-wDOI Listing

The Clinical Application of a Self-developed Gasless Laparoendoscopic Operation Field Formation Device on Patients Undergoing Cholecystectomy.

Surg Laparosc Endosc Percutan Tech 2020 Jun 5. Epub 2020 Jun 5.

Center of Gallbladder Disease, Institute of Gallstone Disease, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, China.

Background: We have designed a new gasless laparoscopic operation field formation (LOFF) device for cholecystectomy which was successfully tested on animal model. The goal of this study is to investigate the feasibility, safety and effectiveness of this LOFF device on patients undergoing cholecystectomy.

Methods: Patients with cholecystolithiasis or gallbladder polyps who underwent single port cholecystectomy from June 2015 to May 2016 were retrospectively reviewed. Read More

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http://dx.doi.org/10.1097/SLE.0000000000000809DOI Listing

The effect of low- versus normal-pressure pneumoperitoneum during laparoscopic colorectal surgery on the early quality of recovery with perioperative care according to the enhanced recovery principles (RECOVER): study protocol for a randomized controlled study.

Trials 2020 Jun 17;21(1):541. Epub 2020 Jun 17.

Department of Surgery, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6525 GA, Nijmegen, The Netherlands.

Background: There is increasing evidence for the use of lower insufflation pressures during laparoscopic surgery. Deep neuromuscular blockade allows for a safe reduction in intra-abdominal pressure without compromising the quality of the surgical field. While there is considerable evidence to support superior surgical conditions during deep neuromuscular blockade, there is only a limited amount of studies investigating patient outcomes. Read More

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http://dx.doi.org/10.1186/s13063-020-04496-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7301516PMC

Management of COVID-19-Positive Pediatric Patients Undergoing Minimally Invasive Surgical Procedures: Systematic Review and Recommendations of the Board of European Society of Pediatric Endoscopic Surgeons.

Front Pediatr 2020 7;8:259. Epub 2020 May 7.

Department of Pediatric Surgery, Queen Fabiola Children's Hospital, University of Brussels, Brussels, Belgium.

Hospital response to the COVID-19 outbreak has involved the cancellation of elective, deferrable surgeries throughout Europe in order to ensure capacity for emergent surgery and a selection of elective but non-deferrable surgeries. The purpose of this document is to propose technical strategies to assist the pediatric surgeons to minimize the potential aerosolization of viral particles in COVID-19 patients undergoing urgent or emergent surgical treatment using laparoscopic approaches, based on the currently available literature. The situation and recommendations are subject to change with emerging information. Read More

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http://dx.doi.org/10.3389/fped.2020.00259DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7232605PMC

Laparoscopic and Robotic Urology Surgery during Global Pandemic COVID19.

Int Braz J Urol 2020 Jun 17;46. Epub 2020 Jun 17.

Urology Associates of Rochester, Rochester General Hospital, Rochester, New York, US.

Known laparoscopic and robotic assisted approaches and techniques for the surgical management of urological malignant and benign diseases are commonly used around the World. During the global pandemic COVID19, urology surgeons had to reorganize their daily surgical practice. A concern with the use of minimally invasive techniques arose due to a proposed risk of viral transmission of the coronavirus disease with the creation of pneumoperitoneum. Read More

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http://dx.doi.org/10.1590/S1677-5538.IBJU.2020.S113DOI Listing

Minimally invasive urologic surgery is safe during COVID-19: experience from two high-volume centers in Italy.

J Robot Surg 2020 Jun 15. Epub 2020 Jun 15.

Urologic Clinic, "Santa Maria della Misericordia" Hospital, University of Udine, Udine, Italy.

Potential risks of COVID-19 spread during minimally invasive procedures caused several concerns among surgeons, despite the lack of high-level evidence. Urological robotic and laparoscopic surgery is performed in elective setting in almost all occasions, thus allowing adequate planning and stratification. Two high-volume urological centers in Italy performed 77 robotic and laparoscopic surgeries during the "lockdown" period and adopted various strategies to prevent contamination. Read More

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http://dx.doi.org/10.1007/s11701-020-01099-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7295143PMC

Pneumomediastinum, Pneumothorax, Pneumoperitoneum, and Subcutaneous Emphysema Complicating Extubation of a Difficult Airway Using an Airway Exchange Catheter: Is Oxygen Insufflation Innocent?: A Case Report.

A A Pract 2020 May;14(7):e01228

From the Department of Anesthesia, Ain Shams University, Cairo, Egypt.

Airway exchange catheter is a valuable tool where an airway is anticipated to be difficult to reintubate. We report a case of subcutaneous emphysema, pneumomediastinum, pneumoperitoneum, and pneumothorax after extubation using an exchange catheter. There was an iatrogenic tracheal tear during airway management that filled the connected spaces with oxygen insufflation through the catheter. Read More

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http://dx.doi.org/10.1213/XAA.0000000000001228DOI Listing

Open Laparoscopic-assisted Repair of Abdominal Wall Hernia and Bulge.

Plast Reconstr Surg Glob Open 2019 Dec 31;7(12):e2534. Epub 2019 Dec 31.

Department of Oral and Maxillofacial Surgery, Plastic Surgery, Gunma University Graduate School of Medicine, Gunma, Japan.

Rectus abdominalis musculocutaneous (RAM) flaps have numerous uses in the treatment of large defects. However, flap harvesting can result in abdominal wall incisional hernia and bulge, which are challenging problems. Most of these problems occur below the arcuate line abdominal wall. Read More

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http://dx.doi.org/10.1097/GOX.0000000000002534DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7288880PMC
December 2019

[Spontaneous idiopathic pneumoperitoneum: about a case].

Pan Afr Med J 2020 16;35:76. Epub 2020 Mar 16.

Service de Chirurgie Générale du Centre Hospitalier Régional Lomé-Commune, Lomé, Togo.

Pneumoperitoneum, in the majority of cases, is caused by a perforation of the gastrointestinal tract whose treatment is usually surgical. It rarely occurs spontaneously. This study reports an unusual presentation of pneumoperitoneum which has put the surgeon in a massive diagnostic and therapeutic dilemma. Read More

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http://dx.doi.org/10.11604/pamj.2020.35.76.11193DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7250192PMC

Malignant Brenner tumour of the ovary manifesting as distal intestinal obstruction and perforation.

BMJ Case Rep 2020 Jun 11;13(6). Epub 2020 Jun 11.

Department of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi, India

A rare case of malignant Brenner tumour of ovary manifesting with intestinal perforation due to colonic infiltration is elaborated in the present report. Brenner's tumour accounts for 1%-2% of all ovarian neoplasms and malignant Brenner tumour is even rarer and only about 5% of Brenner tumours are malignant. A 62-year-old woman came to surgical emergency with 1-month history of abdominal pain, vomiting and constipation with a palpable mass in right iliac fossa. Read More

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http://dx.doi.org/10.1136/bcr-2020-235394DOI Listing

Pneumoperitoneum due to ruptured tubo-ovarian abscess.

ANZ J Surg 2020 Jun 12. Epub 2020 Jun 12.

Department of Surgery, Joetsu General Hospital, Joetsu City, Japan.

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http://dx.doi.org/10.1111/ans.16075DOI Listing

[A comparative study of "constant volume" animal model and "constant pressure" animal model of intra-abdominal hypertension].

Zhonghua Wei Zhong Bing Ji Jiu Yi Xue 2020 Apr;32(4):498-501

Department of Tumor Surgery, the Affiliated Hospital of Shanxi Datong University, Datong 037005, Shanxi, China. Corresponding author: Wang Hongye, Email:

Objective: To select the animal model more consistent with the pathophysiology of abdominal compartment syndrome (ACS) through the comparative study of the methods of multiple water sacs superimposed compression and gas perfusion.

Methods: Ten experimental pigs were randomly divided into two groups (n = 5): the "constant volume model" (constant volume model group) and the "constant pressure model" (constant pressure model group) of intra-abdominal hypertension. The models were prepared by the method of water sac superposition and pressurization, and artificial pneumoperitoneum respectively. Read More

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http://dx.doi.org/10.3760/cma.j.cn121430-20200227-00201DOI Listing

An abdominal spacer that does not require surgical removal and allows drainage of abdominal fluids in patients undergoing carbon ion radiotherapy.

PLoS One 2020 10;15(6):e0234471. Epub 2020 Jun 10.

Big Data Center for Integrative Analysis, Gunma University Initiative for Advance Research, Maebashi, Gunma, Japan.

Abdominal spacers are useful for maintaining the distance between the target tumors and surrounding tissues, such as the gastrointestinal tract, in patients treated with carbon ion radiotherapy. Surgical intervention to remove the spacers is sometimes necessary because of abdominal infections triggered by long-term spacer placement or intestinal perforation. Therefore, spacers that do not require surgical removal and provide effective drainage against abdominal infections are urgently needed. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0234471PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7286516PMC

A systematic review of the use of progressive preoperative pneumoperitoneum since its inception.

Hernia 2020 Jun 9. Epub 2020 Jun 9.

Abdominal Wall Surgery Department, Hospital Politécnico y Universitario la Fe, Avinguda de Fernando Abril Martorell, 106, 46026, Valencia, Spain.

Introduction: Preoperative progressive pneumoperitoneum (PPP) is a technique that has been used since 1947 to expand the abdominal cavity volume, for presurgical preparation of patients with large hernias. This systematic review attempts to answer some unresolved questions about PPP, while using the evidence to clarify the different forms that the procedure has taken over time.

Purpose: The purpose of the paper was to analyze the literature about PPP and gather information about the procedure and its indications, advantages, and disadvantages. Read More

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http://dx.doi.org/10.1007/s10029-020-02247-xDOI Listing

Radiographic findings predictive of irreducibility and surgical resection in ileocolic intussusception.

Pediatr Radiol 2020 Jun 9. Epub 2020 Jun 9.

Department of Radiology, Emory University/Children's Healthcare of Atlanta, 1405 Clifton Rd., Atlanta, GA, 30329, USA.

Background: Ileocolic intussusception is a common cause of intestinal obstruction in young children. Radiographs may be of limited value in the diagnosis of intussusception and are sometimes utilized primarily to exclude pneumoperitoneum before therapeutic enema reduction.

Objective: The goal of this study was to determine if radiographic findings in ileocolic intussusception can offer prognostic information regarding the outcome of therapeutic air enema and, for those requiring surgical intervention, surgical outcomes and/or complications. Read More

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http://dx.doi.org/10.1007/s00247-020-04695-0DOI Listing

Temporary percutaneous radiologic gastrojejunostomy with single gastropexy.

Acta Radiol 2020 Jun 9:284185120929707. Epub 2020 Jun 9.

Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.

Background: Although the effectiveness of percutaneous radiologic gastrojejunostomy (PRGJ) has been reported, a detailed description of the indications and clinical effectiveness of temporary PRGJ is still limited.

Purpose: To evaluate the clinical effectiveness and technical feasibility of temporary PRGJ using the modified Chiba-needle technique with single gastropexy.

Material And Methods: Temporary PRGJ using the modified Chiba-needle technique with single gastropexy was performed in 27 consecutive patients (19 men, 8 women; mean age = 61 years; age range = 32-77 years) for esophageal perforation (n = 18) or postoperative gastroparesis (n = 9). Read More

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http://dx.doi.org/10.1177/0284185120929707DOI Listing

Tension pneumoperitoneum following EBUS.

BMJ Case Rep 2020 Jun 7;13(6). Epub 2020 Jun 7.

Digestive Endoscopy Unit, Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda, Milano, Italy

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http://dx.doi.org/10.1136/bcr-2020-236518DOI Listing

Pneumoperitoneum Modifies Serum and Tissue CCL2-CCL5 Expression in Mice.

JSLS 2020 Apr-Jun;24(2)

Department of Woman, Child, and General and Specialized Surgery, University of Campania "Luigi Vanvitelli," Naples, Italy.

Background And Objectives: Laparoscopy is the preferred method when operating in the abdomen. In this study, we evaluated systemic and morphological peritoneal cytokine modifications (RANTES/CCL5 and MCP-1/CCL2) due to CO pneumoperitoneum in rats.

Methods: Twenty-five prepubertal Sprague-Dawley rats were randomized into three groups. Read More

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http://dx.doi.org/10.4293/JSLS.2020.00017DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7242020PMC

Effect of an individualized versus standard pneumoperitoneum pressure strategy on postoperative recovery: a randomized clinical trial in laparoscopic colorectal surgery.

Br J Surg 2020 Jun 7. Epub 2020 Jun 7.

Research Group in Perioperative Medicine, Castellón, Spain.

Background: It remains uncertain whether individualization of pneumoperitoneum pressures during laparoscopic surgery improves postoperative recovery. This study compared an individualized pneumoperitoneum pressure (IPP) strategy with a standard pneumoperitoneum pressure (SPP) strategy with respect to postoperative recovery after laparoscopic colorectal surgery.

Methods: This was a multicentre RCT. Read More

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http://dx.doi.org/10.1002/bjs.11736DOI Listing

Predictive Factors of Admission in Outpatient Laparoscopic Surgery.

Cir Esp 2020 Jun 1. Epub 2020 Jun 1.

Servicio de Anestesiología, Reanimación y Terapéutica del Dolor, Hospital Universitari i Politècnic La Fe de Valencia, Valencia, España.

Introduction: The aim of the study is to analyze the rate of no planificated hospitalization after ambulatory surgical procedures by laparoscopy, and identify associated risk factors to failure in the ambulatory manage of this patients.

Methods: A prospective observational study was performed during 18 months and included 297 patients treated with ambulatory laparoscopies performed at University Hospital La Fe of Valencia. The need for hospital admission, same day after surgery, was considered the main variable. Read More

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http://dx.doi.org/10.1016/j.ciresp.2020.04.023DOI Listing

Extensive colonic pneumatosis. Conservative or Surgical approach?

Rev Esp Enferm Dig 2020 Jun 4. Epub 2020 Jun 4.

Cirugía General y del Aparato Digestivo, Hospital Clínico Universitario de Valencia, España.

Intestinal pneumatosis is a radiologic finding that consists of the presence of air in the intestinal wall. The etiology is extensive and can range from a benign entity to one that compromises the patients´ life. It is important to know and recognize the differences between them as the surgical management will depend on it. Read More

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http://dx.doi.org/10.17235/reed.2020.6825/2019DOI Listing

Implementing preoperative Botulinum toxin A and progressive pneumoperitoneum through the use of an algorithm in giant ventral hernia repair.

Hernia 2020 Jun 3. Epub 2020 Jun 3.

Department of General and HPB Surgery and Liver Transplantation, Ghent University Hospital, Ghent, Belgium.

Background: Repair of large ventral hernias with loss of domain can be facilitated by preoperative Botulinum toxin A (BTA) injections and preoperative progressive pneumoperitoneum (PPP). The aim of this study is to evaluate the outcomes of ventral hernioplasty using a standardized algorithm, including component separation techniques, preoperative BTA and PPP.

Methods: All patients between June 2014 and August 2018 with giant hernias (either primary or incisional) of more than 12 cm width were treated according to a previously developed standardized algorithm. Read More

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http://dx.doi.org/10.1007/s10029-020-02226-2DOI Listing

Effects of ultrasound guided ganglion stellate blockade on intraoperative and postoperative hemodynamic responses in laparoscopic gynecologic surgery.

Wideochir Inne Tech Maloinwazyjne 2020 Jun 11;15(2):351-357. Epub 2019 Nov 11.

Endometriosis Research Center, Iran University of Medical Sciences, Tehran, Iran.

Introduction: Laparoscopic gynecologic surgery is one of the most well-known procedures. Pneumoperitoneum with carbon dioxide insufflation can cause unfavorable hemodynamic effects due to catecholamine and vasopressin release.

Aim: To examine the effects of stellate ganglion block on hemodynamic response and postoperative pain. Read More

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http://dx.doi.org/10.5114/wiitm.2019.89653DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7233162PMC
June 2020
1.092 Impact Factor

Laparoscopic Central Bisectionectomy Including Resection of the Segment 7 Using the Extrahepatic Glissonean Approach and Hepatic Vein Guidance.

Ann Surg Oncol 2020 Jun 2. Epub 2020 Jun 2.

Department of Surgery, Police General Hospital, Bangkok, Thailand.

Background: Certain variations in liver anatomy can aid in parenchymal-preserving hepatectomy.1,2 Inferior right hepatic vein (IRHV) is an accessory vein in the right side of liver draining segment 6.2 We present a case of 67-year-old man with HBV cirrhosis. Read More

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http://dx.doi.org/10.1245/s10434-020-08668-3DOI Listing

Enhancing safety of laparoscopic surgery in COVID-19 era: clinical experience with low-cost filtration devices.

Eur J Trauma Emerg Surg 2020 Jun 1. Epub 2020 Jun 1.

Section for Surgical Research, Department of Surgery, Medical University of Graz, Graz, Austria.

Background: Surgery in the era of the current COVID-19 pandemic has been curtailed and restricted to emergency and certain oncological indications, and requires special attention concerning the safety of patients and health care personnel. Desufflation during or after laparoscopic surgery has been reported to entail a potential risk of contamination from 2019-nCoV through the aerosol generated during dissection and/or use of energy-driven devices. In order to protect the operating room staff, it is vital to filter the released aerosol. Read More

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http://dx.doi.org/10.1007/s00068-020-01413-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7266121PMC

Laparoscopic image of carbon dioxide embolism during laparoscopic hepatectomy: a case report.

JA Clin Rep 2020 May 30;6(1):39. Epub 2020 May 30.

Matsuyama Red Cross Hospital, 1 Bunkyocho, Matsuyama City, Ehime, Japan.

Background: Carbon dioxide embolism is a life-threatening complication of laparoscopic hepatectomy.

Case Presentation: A 59-year-old man was admitted for laparoscopic hepatectomy. Approximately 5 h after commencing the operation, we observed a gradual decline in the SpO from 100 to 94%, reduction in the ETCO from 44 to 19 mmHg, reduction in the systolic blood pressure from 100 to 82 mmHg, and elevation of the heart rate from 82 to 120 beats/min. Read More

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http://dx.doi.org/10.1186/s40981-020-00345-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7261313PMC

Hindbrain-related syringomyelia and raised intra-abdominal pressure: implications for safety of laparoscopic and robotic surgery.

Ann Ital Chir 2020 May 25;9. Epub 2020 May 25.

Background: The causative role played by intra-abdominal pressure (IAP) in the syringogenesis of the Chiari 1 malformation syringomyelia has been still not adequately studied. The aim of this study is to validate the transmedullary theory about the hindbrain-related syrinx, also discussing the implications for safety of these patients related to the use of high-pressure CO2 pneumoperitoneum during laparoscopic and robotic surgery.

Methods: Fourteen patients with a hindbrain-related syrinx were candidate for a posterior fossa decompression. Read More

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