10,829 results match your criteria Pneumoperitoneum


Tension pneumoperitoneum following colonic perforation due to barotrauma.

BMJ Case Rep 2022 Jun 24;15(6). Epub 2022 Jun 24.

Surgery, Jawaharlal Institute of Postgraduate Medical Education, Puducherry, Tamil Nadu, India

Barotrauma of the colorectum is an uncommon entity that usually occurs after colonoscopy. Perforation of the colon by non-iatrogenic barotrauma of the colon, with tension pneumoperitoneum, is very rare. We present a case of a male patient in his 20s with colon barotrauma caused by industrial compressed air, causing perforation of the transverse colon, with multiple serosal tears throughout the colon. Read More

View Article and Full-Text PDF

Robotic-assisted Total Hysterectomy with Low Pneumoperitoneal Pressure (6 mmHg) and Use of Surgical Plume Evacuator System to Minimize Potential Airborne Particles According to the Joint Statement on Minimally Invasive Gynecologic Surgery during the COVID-19 Pandemic: A Case Report from Japan.

Gynecol Minim Invasive Ther 2022 Apr-Jun;11(2):127-130. Epub 2022 May 4.

Department of Gynecologic Oncology, Kawasaki Medical School, Okayama, Japan.

We presented a case of uncontrolled genital bleeding caused by subserosal fibroid and treated by robotic-assisted hysterectomy during the coronavirus disease 2019 (COVID-19) pandemic. A 49-year-old woman had severe anemia with hypermenorrhea due to submucosal fibroid. Hysterectomy was deemed necessary to control genital bleeding. Read More

View Article and Full-Text PDF

Diagnostic performance of artificial intelligence approved for adults for the interpretation of pediatric chest radiographs.

Sci Rep 2022 Jun 17;12(1):10215. Epub 2022 Jun 17.

Department of Radiology, Research Institute of Radiological Science and Center for Clinical Imaging Data Science, Yongin Severance Hospital, Yonsei University College of Medicine, 363, Dongbaekjukjeon-daero, Giheung-gu, Yongin-si, Gyeonggi-do, 16995, Republic of Korea.

Artificial intelligence (AI) applied to pediatric chest radiographs are yet scarce. This study evaluated whether AI-based software developed for adult chest radiographs can be used for pediatric chest radiographs. Pediatric patients (≤ 18 years old) who underwent chest radiographs from March to May 2021 were included retrospectively. Read More

View Article and Full-Text PDF

Efficacy of endoscopic anterior fundoplication with a novel ultrasonic surgical endostapler for gastroesophageal reflux disease: Six-month results from a multicenter prospective trial.

Endosc Ultrasound 2022 Jun 8. Epub 2022 Jun 8.

Department of Gastroenterology and Hepatology, The First Medical Center, Chinese PLA General Hospital, Beijing, China.

Background And Objectives: Endoscopic therapy is an option for the treatment of refractory gastroesophageal reflux disease (GERD). We aimed to evaluate the efficacy and safety of transoral incisionless fundoplication with the Medigus ultrasonic surgical endostapler (MUSE™) for refractory GERD.

Materials And Methods: Patients with 2 years of documented GERD symptoms and at least 6 months of proton-pump inhibitors (PPIs) therapy were enrolled in four medical centers from March 2017 to March 2019. Read More

View Article and Full-Text PDF

Plasmablastic Lymphoma Presenting With Rectosigmoid Perforation in a Human Immunodeficiency Virus-Positive Patient.

Cureus 2022 May 13;14(5):e24964. Epub 2022 May 13.

Department of Colorectal Surgery, University of Illinois at Chicago, Chicago, USA.

Plasmablastic lymphoma (PBL) is a rare variant of diffuse large B-cell lymphoma (DLBCL) associated with human immunodeficiency virus (HIV)-positive patients. It accounts for only 2% of all acquired immune deficiency syndrome (AIDS)-related lymphomas (ARLs). We present the case of a 45-year-old male who presented to the emergency department (ED) with a three-month history of abdominal pain, diarrhea, and unintentional 50-lb weight loss. Read More

View Article and Full-Text PDF

Small Bowel Injury Due to Electrocautery Excision of Umbilical Granuloma in a Four-Month-Old Child.

Cureus 2022 May 12;14(5):e24940. Epub 2022 May 12.

General Surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, IND.

Many surgeons are familiar with small bowel perforation-a breach in the continuity of the bowel wall resulting in spillage of contents into the peritoneal cavity. Usually, patients present with severe abdominal pain, and radiological investigations suggest pneumoperitoneum. However, intestinal perforation secondary to electrocautery used for umbilical granuloma excision is rare. Read More

View Article and Full-Text PDF

[Hand-assisted Laparoscopic Surgery: experience with an original technique].

Rev Fac Cien Med Univ Nac Cordoba 2022 06 6;79(2):150-155. Epub 2022 Jun 6.

Lahey Hospital & Medical Center.

Introduction: Hand-assisted laparoscopic colorectal surgery (HALS) is an alternative to straight laparoscopic approach (SL) that requires the use of a specific device to maintain the pneumoperitoneum. Our group has described an original double glove technique to replace it. Our purpose was to compare perioperative outcomes of patients undergoing HALS using this original technique vs SL. Read More

View Article and Full-Text PDF

Laparoscopic versus Open Ovariectomy in Bitches: Changes in Cardiorespiratory Values, Blood Parameters, and Sevoflurane Requirements Associated with the Surgical Technique.

Animals (Basel) 2022 Jun 2;12(11). Epub 2022 Jun 2.

Rof-Codina Veterinary Teaching Hospital, Faculty of Veterinary, Universidade de Santiago de Compostela, 27002 Lugo, Spain.

The aim of this study was to examine the cardiorespiratory and blood changes associated with pneumoperitoneum (PNP) in laparoscopic ovariectomy (LAP Ove), as well as sevoflurane requirements, comparing them to those determined in open surgery (LPT Ove). The study was performed in 16 bitches submitted to LAP or LPT Ove. The cardiorespiratory and end-tidal sevoflurane concentration values were recorded as follows: at the beginning of surgery (T1), after the right ovary resection (T2), after the left ovary resection (T3), and after surgical closure (T4). Read More

View Article and Full-Text PDF

Solve study: a study to capture global variations in practices concerning laparoscopic cholecystectomy.

Surg Endosc 2022 Jun 9. Epub 2022 Jun 9.

South Tyneside and Sunderland NHS Foundation Trust, Sunderland, UK.

Background: There is a lack of published data on variations in practices concerning laparoscopic cholecystectomy. The purpose of this study was to capture variations in practices on a range of preoperative, perioperative, and postoperative aspects of this procedure.

Methods: A 45-item electronic survey was designed to capture global variations in practices concerning laparoscopic cholecystectomy, and disseminated through professional surgical and training organisations and social media. Read More

View Article and Full-Text PDF

Robot-assisted laparoscopic calyceo-pyelostomy for vascular compression of the upper calyx (Fraley Syndrome).

Urology 2022 Jun 6. Epub 2022 Jun 6.

Grenoble-Alpes University Hospital, Division of Urologic Surgery and Kidney Transplant, Avenue des Maquis du Grésivaudan, 38700, La Tronche, France.

Background: Fraley's Syndrome is a rare anatomic vascular malformation described in 1966 where an aberrant crossing vessel compresses the upper infundibulum and leads to upper calyx massive dilation. It is mostly asymptomatic and the diagnosis often missed; however, surgery is usually required for symptomatic cases. Open surgery is still frequently used while minimally invasive management is anecdotal in the literature. Read More

View Article and Full-Text PDF

How we do it: Laparoscopic cholecystectomy in patients with severe obesity.

Turk J Surg 2021 Dec 31;37(4):413-416. Epub 2021 Dec 31.

Clinic of Hepatopancreaticobiliary Surgery, University Hospitals Plymouth NHS Trust, Plymouth, United Kingdom.

The number of patients with obesity is set to rise, as is the proportion with severe obesity. These patients are a high-risk subgroup who present addi- tional challenges to the surgeon when performing laparoscopic cholecystectomy. It is important that all surgeons who perform this procedure have a safe strategy they can revert to. Read More

View Article and Full-Text PDF
December 2021

The Role of AirSeal in Robotic Urologic Surgery: A Systematic Review.

J Laparoendosc Adv Surg Tech A 2022 Jun 7. Epub 2022 Jun 7.

Department of Urology, Icahn School of Medicine at Mount Sinai Hospital, New York, New York, USA.

The adoption of a valveless trocar system in robotic surgery has allowed for stable pneumoperitoneum and constant smoke evacuation. The reported benefits of this system are improved visualization, lower abdominal pressures resulting in a decrease in cardiopulmonary complications, ileus, and postoperative pain. We endeavored to perform a systematic review of the available literature on the clinical and systems-based outcomes of AirSeal™ during robotic urologic surgery. Read More

View Article and Full-Text PDF

Prediction of blood pressure changes associated with abdominal pressure changes during robotic laparoscopic low abdominal surgery using deep learning.

PLoS One 2022 6;17(6):e0269468. Epub 2022 Jun 6.

Department of Anesthesiology and Pain Medicine, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Republic of Korea.

Background: Intraoperative hypertension and blood pressure (BP) fluctuation are known to be associated with negative patient outcomes. During robotic lower abdominal surgery, the patient's abdominal cavity is filled with CO2, and the patient's head is steeply positioned toward the floor (Trendelenburg position). Pneumoperitoneum and the Trendelenburg position together with physiological alterations during anesthesia, interfere with predicting BP changes. Read More

View Article and Full-Text PDF

bacteremia and its implications: A case report.

IDCases 2022 20;29:e01516. Epub 2022 May 20.

Department of Infectious Disease, University Medical Center, 1800 W Charleston Blvd, Las Vegas, NV 89102, United States.

Background: The species is a gram positive, anaerobic, rod-shaped microbe that is known to produce many toxins. Most infections by the species involve , , and . However, other types of species are also clinically relevant, such as and . Read More

View Article and Full-Text PDF

Evaluation of perfusion index as an objective tool to assess analgesia during laparoscopic surgeries under general anaesthesia.

Indian J Anaesth 2022 Apr 20;66(4):260-265. Epub 2022 Apr 20.

Department of Anaesthesiology, Bangalore Medical College and Research Institute, Bengaluru, Karnataka, India.

Background And Aims: Changes in the sympathetic nervous system by pain can impact smooth muscle tone and can alter perfusion. This can be monitored by perfusion index (PI). It is a non-invasive, indirect, and continuous measure of peripheral perfusion. Read More

View Article and Full-Text PDF

Pneumoperitoneum point-of-care ultrasound findings.

Pediatr Neonatol 2022 May 21. Epub 2022 May 21.

Division of Pediatrics and Neonatal Critical Care, "Antoine Béclère" Medical Centre, Paris Saclay University Hospitals, APHP, Clamart, France; Physiopathology and Therapeutic Innovation Unit-INSERM U999, Paris Saclay University, Le Plessis Robinson, France.

View Article and Full-Text PDF

Jejunal perforation secondary to kick during kick-boxing practice: laparoscopic management.

Medicina (B Aires) 2022 ;82(3):448-451

Departamento de Cirugía General, Sanatorio Allende, Córdoba, Argentina.

Small bowel injury in a sports setting is a rare occurrence with a paucity of reported cases. A 30-year old male patient consulted for generalized abdominal pain subsequent to secondary blunt abdominal trauma during kick-boxing practice. A computed tomography scan of the abdomen and pelvis revealed a moderate amount of free fluid in both the parietocolic space and the rectovesical pouch, with perihepatic pneumoperitoneum. Read More

View Article and Full-Text PDF

Heart-Rate-Corrected QT Interval Response to Ramosetron during Robot-Assisted Laparoscopic Prostatectomy: A Randomized Trial.

J Pers Med 2022 May 18;12(5). Epub 2022 May 18.

Department of Anesthesiology and Pain Medicine, Severance Hospital, Anesthesia and Pain Research Institute, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul 03722, Korea.

Ramosetron, often used to prevent postoperative nausea and vomiting, might cause heart-rate-corrected (QTc) interval prolongation, as might robot-assisted laparoscopic prostatectomy (RALP), which requires a steep Trendelenburg position and CO pneumoperitoneum. This study aimed to determine how ramosetron administration affects the QTc interval in patients treated with RALP. Fifty-six subjects were randomly assigned to ramosetron (n = 28) or control (n = 28) groups. Read More

View Article and Full-Text PDF

The Impact of Steep Trendelenburg Position on Intraocular Pressure.

J Clin Med 2022 May 18;11(10). Epub 2022 May 18.

Department of Ophthalmology, William Harvey Hospital, East Kent Hospitals University NHS Foundation Trust, Ashford TN24 0LZ, UK.

Intraocular pressure occurring during the Trendelenburg position may be a risk for postoperative visual loss and other ocular complications. Intraocular pressure (IOP) higher than 21 mmHg poses a risk for ocular impairment causing several conditions such as glaucoma, detached retina, and postoperative vision loss. Many factors might play a role in IOP increase, like peak expiratory pressure (PIP), mean arterial blood pressure (MAP), end-tidal CO (ETCO) and surgical duration and some others (anaesthetic and neuromuscular blockade depth) contribute by reducing IOP during procedures requiring both pneumoperitoneum and steep Trendelenburg position (25-45° head-down tilt). Read More

View Article and Full-Text PDF

How we acquire suturing skills for laparoscopic hepaticojejunostomy.

Asian J Endosc Surg 2022 May 24. Epub 2022 May 24.

Department of Pediatric Surgery, Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly, Kagoshima University, Kagoshima, Japan.

Laparoscopic choledochal cyst excision and hepaticojejunostomy is a representative surgical procedure requiring laparoscopic suturing including needle driving and knot tying. Laparoscopic needle driving and knot tying is a highly technically demanding skill, especially in small infants and children. We developed a laparoscopic hepaticojejunostomy simulator for training. Read More

View Article and Full-Text PDF

Effect of ketorolac tromethamine combined with dezocine prior administration on hemodynamics and postoperative analgesia in patients undergoing laparoscopic hernia repair.

Medicine (Baltimore) 2022 May 20;101(20):e29320. Epub 2022 May 20.

Department of Anesthesiology, No. 980 Hospital of Joint Logistic Support Force (Bethune International Peace Hospital), Shijiazhuang, China.

Objective: To observe the effect of Ketorolac tromethamine combined with dezocine prior administration on hemodynamics and postoperative sedation in patients undergoing laparoscopic hernia repair.

Methods: 100 male patients aged 60 to 80 years old, a line to elective laparoscopic inguinal hernia repair, were randomly divided into four groups: control group (Group A) and dezocine group (Group B), ketorolac tromethamine group (Group C), ketorolac tromethamine combined with dezocine group (Group D). Patients were administrated with 0. Read More

View Article and Full-Text PDF

Pneumoperitoneum from congenital defect of the gastric musculature.

Authors:
Fei Jiang Jun Li

Rev Esp Enferm Dig 2022 May 24. Epub 2022 May 24.

Radiology, Yantai Affiliated Hospital of Binzhou Medical University, China.

A neonate at 31 weeks of gestation presented with aggravated abdominal distention on the 2th day after birth. The birth weight was 2110 g. Radiography of the abdomen showed pneumoperitoneum. Read More

View Article and Full-Text PDF

Horizontal and vertical beam radiographs in vomiting dogs to diagnose mechanical gastrointestinal ileus: A diagnostic imaging comparative study.

Open Vet J 2022 Mar-Apr;12(2):281-289. Epub 2022 Apr 20.

Fundació Hospital Clínic Veterinari, Universitat Autònoma de Barcelona, 08193, Bellaterra, Barcelona, Spain.

Background: The horizontal beam (HB) view has been used in the identification of pneumothorax, pleural effusion, and pneumoperitoneum in small animals. Based on the literature, there were no published data evaluating the utility of HB radiography in vomiting dogs to differentiate between patients with or without mechanical gastrointestinal ileus.

Aim: The purpose of this prospective pilot study was to determine the utility of HB radiograph as an additional view in vomiting dogs to differentiate patients with or without mechanical gastrointestinal ileus; and describe if there are any radiographic image characteristics associated with the HB view for patients with mechanical gastrointestinal ileus. Read More

View Article and Full-Text PDF

Safety of laparoscopic appendectomy for the management of acute appendicitis during pregnancy.

Authors:
Youn Young Park

J Minim Invasive Surg 2021 Jun;24(2):64-65

Department of Surgery, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.

Laparoscopic appendectomy during pregnancy is widely accepted as a safe procedure in Korea, where the rate of laparoscopic surgery is high. Although the Society of American Gastrointestinal and Endoscopic Surgeons guideline currently mentions laparoscopic appendectomy as the treatment of choice for pregnant patients with appendicitis, some concerns arising from pneumoperitoneum during laparoscopic surgery exist in maternal postoperative and fetal outcomes. Further effort to provide firm evidence to clarify the safety of laparoscopic appendectomy during pregnancy is still needed. Read More

View Article and Full-Text PDF

Gasless single-port laparoscopic cholecystectomy.

J Minim Invasive Surg 2021 Sep;24(3):152-157

Department of Surgery, Shikoku Central Hospital, Shikokuchuo, Japan.

Purpose: Single-port laparoscopic surgery is anticipated to become the future of minimally invasive surgery. We have devised an alternative approach for laparoscopic cholecystectomy by inserting a single port at the umbilicus and using the abdominal wall-lifting method, without establishing pneumoperitoneum.

Methods: Retrospective analysis of 130 patients undergoing laparoscopic cholecystectomy was done to compare the conventional laparoscopic cholecystectomy (CLC) (n = 69) and the novel single-port laparoscopic cholecystectomy (SLC) using the abdominal wall-lifting method (n = 61). Read More

View Article and Full-Text PDF
September 2021

Non-operative management of pneumoperitoneum following cardiopulmonary resuscitation.

J Surg Case Rep 2022 May 18;2022(5):rjac219. Epub 2022 May 18.

School of Medicine, University of California San Francisco, San Francisco, CA 94143, USA.

Spontaneous pneumoperitoneum in a patient with a tracheostomy tube following cardiopulmonary resuscitation is exceedingly rare, with little experimental nor observational data to guide evidence-based management. We present the case of a 75-year-old woman with a tracheostomy tube who developed pneumoperitoneum following CPR. The patient experienced pulseless electrical activity arrest requiring nine rounds of chest compressions to return to spontaneous circulation. Read More

View Article and Full-Text PDF

Accidental peritoneum-cutaneous fistula after insufflation of preoperative progressive pneumoperitoneum in a large incisional hernia with loss of domain.

BMJ Case Rep 2022 May 19;15(5). Epub 2022 May 19.

General Surgery, Hospital La Fe, Valencia, Comunidad Valenciana, Spain.

Preoperative progressive pneumoperitoneum has represented an important advancement in achieving the reintroduction of large herniated volumes into the abdominal cavity. However, this technique is not free of complications. We present a case of a man in his 70s with an accidental peritoneal-cutaneous fistula, secondary to the excessive pressure of the pneumoperitoneum, during the preparation of a large incisional hernia with loss of domain intervention. Read More

View Article and Full-Text PDF

DECOMP Report: Answers surgeons expect from an abdominal wall imaging exam.

Rev Col Bras Cir 2022 27;49:e20223172. Epub 2022 Apr 27.

- Universidade Federal do Rio Grande do Sul, Cirurgia - Porto Alegre - RS - Brasil.

Abdominal wall (AW) hernias are a common problem faced by general surgeons. With an essentially clinical diagnosis, abdominal hernias have been considered a simple problem to be repaired. However, long-term follow-up of patients has shown disappointing results, both in terms of complications and recurrence. Read More

View Article and Full-Text PDF

Extensive Colonic Pneumatosis, Pneumoperitoneum, Pneumomediastinum and Subcutaneous Emphysema - a Rare Pattern of Complications in Acute Lymphoblastic Leukemia.

J Belg Soc Radiol 2022 25;106(1):16. Epub 2022 Apr 25.

Centro Hospitalar Universitário de São João, PT.

Intestinal pneumatosis associated with pneumoperitoneum, pneumomediastinum, and subcutaneous emphysema is an extremely rare complication of leukemia; even though its imaging appearance can be alarming, a benign treatment-associated etiology should always be considered in this subset of patients so that unnecessary interventions can be avoided. Read More

View Article and Full-Text PDF

Effects of sevoflurane versus propofol on cerebral autoregulation during anaesthesia for robot-assisted laparoscopic prostatectomy.

Anaesth Intensive Care 2022 May 15:310057X211061158. Epub 2022 May 15.

Sydney Medical School, University of Sydney, Sydney, Australia.

Robot-assisted laparoscopic prostatectomy requires a pneumoperitoneum combined with steep Trendelenburg positioning, and these conditions can be associated with impairment of cerebral autoregulation. The objective of this study was to determine if choice of anaesthetic agent affects the preservation of cerebral autoregulation during robot-assisted laparoscopic prostatectomy. We randomly assigned 30 patients to maintenance of general anaesthesia with either propofol or sevoflurane. Read More

View Article and Full-Text PDF