10,476 results match your criteria Pneumoperitoneum

Preoperative Progressive Pneumoperitoneum and Botulinum Toxin Type A in Patients With Large Parastomal Hernia.

Front Surg 2021 7;8:683612. Epub 2021 Jun 7.

Department of Gastrointestinal Surgery and Hernia Center, The Sixth Affiliated Hospital of Sun Yat-sen University, Guangdong Institute of Gastroenterology, Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases, Supported by National Key Clinical Discipline, Guangzhou, China.

The combination of preoperative progressive pneumoperitoneum (PPP) and botulinum toxin type A (BTA) in adjuvant treatment of large parastomal hernia (LPH) has not been reported in the previous literature. From February 2018 to June 2019, 16 patients were diagnosed with LPH in our hospital were included in this study. All patients received PPP and BTA treatment to expand abdominal volume and extend abdominal muscle before surgery. Read More

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Hemodynamics and anesthetic effect of propofol combined with remifentanil in patients undergoing laparoscopic ovarian cystectomy under laryngeal mask airway anesthesia.

Am J Transl Res 2021 15;13(5):5404-5411. Epub 2021 May 15.

Department of Anesthesiology, Sichuan Provincial Maternity and Child Health Care Health Hospital Chengdu 610045, Sichuan Province, China.

Objective: To study the effect of propofol combined with remifentanil on hemodynamics and anesthetic effect in patients undergoing laparoscopic ovarian cystectomy under laryngeal mask airway (LMA) anesthesia.

Methods: From December 2018 to December 2019, gynecological patients who underwent laparoscopic ovarian cystectomy in our hospital were chosen and randomly separated into control group (group A) and combination group (group B). In the group B, patients were anesthetized with remifentanil combined with propofol. Read More

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Tension Pneumoperitoneum Attributable to COVID-19.

Am J Trop Med Hyg 2021 Jun 17. Epub 2021 Jun 17.

Department of Surgery, Okayama City Hospital, Okayama, Japan.

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Inbag Morcellation Applied to the Laparoscopic Surgery of Leiomyoma: A Randomized Controlled Trial.

Biomed Res Int 2021 26;2021:6611448. Epub 2021 May 26.

Department of Gynecology, Hôpital Femme Mère Enfant, Hospices Civils de Lyon HCL, 59 Boulevard Pinel, 69000 Lyon, France.

Objective: To evaluate the efficacy and safety of an endoscopic bag during laparoscopic morcellation of leiomyoma or myomatous uterus.

Materials And Methods: A total of 48 patients with symptomatic leiomyoma were randomized for laparoscopic morcellation in two groups: group A with a specific endoscopic bag or group B without any bag. The primary outcome measure was the detection of smooth muscle cells from washing after power morcellation determined by peritoneal cytology and immunohistochemistry (IHC). Read More

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Vissza a jövőbe: gastro-oesophagealis junctio subepitheliális tumorának laparoszkópos transgastricus resectiója.

Magy Seb 2021 Jun 16;74(2):43-48. Epub 2021 Jun 16.

1 Debreceni Egyetem Klinikai Központ, Sebészeti Klinika, 4032 Debrecen, Mórizs Zsigmond körút 22.

Összefoglaló. Esetismertetés: A gyomor subepitheliális tumorainak laparoszkópos ékresectiója egy széleskörűen elfogadott és alkalmazott eljárás. A gastro-oesophagealis junctio (GOJ) közeli elváltozások esetén ez a technika azonban a gyomorbemenet szűkületének magas kockázata miatt erősen korlátozott. Read More

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Comparison of intragastric pressure between endotracheal tube and supraglottic airway devices in laparoscopic hepatectomy: A randomized, controlled, non-inferiority study.

Medicine (Baltimore) 2021 Jun;100(24):e26287

Department of Anaesthesiology and Pain Medicine.

Background: Supraglottic airway (SGA) devices do not definitively protect the airway from regurgitation of gastric contents. Increased gastric pressure and long operation time are associated with development of complications such as aspiration pneumonia. The aim of this study was to compare intragastric pressure between second-generation SGA and endotracheal tube (ETT) devices during long-duration laparoscopic hepatectomy. Read More

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Acute abdomen with pneumoperitoneum without hollow viscus perforation.

ANZ J Surg 2021 Jun 14. Epub 2021 Jun 14.

Department of General Surgery, Prince of Wales Hospital, Sydney, New South Wales, Australia.

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Complications of Veress Needle Versus Open Technique in Abdominal Surgeries.

Cureus 2021 May 9;13(5):e14926. Epub 2021 May 9.

Department of Surgery, Ministry of National Guard - Health Affairs, Riyadh, SAU.

Introduction In any laparoscopic procedure, the first and most important step is abdominal entry. This is followed by the creation of pneumoperitoneum, which is essential for lifting the abdominal wall off of the internal organs and visualizing the entered space. However, the entry and establishment of pneumoperitoneum are not without risks and complications, the most serious of which include vascular injuries and bowel perforations in all the different techniques used. Read More

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Safety and efficacy of low pressure pneumoperitoneum in laparoscopic colorectal surgery.

K Slim J Joris

Br J Surg 2021 Jun 11. Epub 2021 Jun 11.

Francophone Group for Enahnced Recovery After Surgery (GRACE).

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Intraperitoneal Urinary Bladder Rupture as a Cause of Pneumoperitoneum.

Am Surg 2021 Jun 10:31348211025765. Epub 2021 Jun 10.

Division of Trauma Surgery and Critical Care, Jai Prakash Narayan Apex Trauma Centre, 28730All India Institute of Medical Sciences (AIIMS), New Delhi, India.

The most common cause of pneumoperitoneum in trauma patients is hollow viscus injury; however, in patients with pneumoperitoneum on imaging and normal hollow viscus during the laparotomy, other rare causes of pneumoperitoneum like intraperitoneal urinary bladder rupture should be ruled out. Urinary bladder can rupture either extraperitoneally or intraperitoneally or both. Rupture of the urinary bladder is commonly seen in patients with abdominal trauma; however, pneumoperitoneum is usually not seen in patients with traumatic bladder rupture. Read More

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Silent Sigmoid Colon Diverticular Perforation: A Case Report.

Cureus 2021 May 8;13(5):e14900. Epub 2021 May 8.

Internal Medicine, Detroit Medical Center Sinai-Grace Hospital, Detroit, USA.

Colonic perforation is associated with high mortality rates, and it requires prompt diagnosis and intervention to ensure favorable patient outcomes. The condition usually presents with typical peritoneal signs and symptoms, but atypical presentations can be a diagnostic challenge. In this report, we present a case of sigmoid diverticulosis perforation in an elderly patient who had no symptoms after the perforation developed. Read More

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Gastrointestinal perforation secondary to COVID-19: Case reports and literature review.

Medicine (Baltimore) 2021 May;100(19):e25771

Department of Internal Medicine-College of Medicine-Imam Abdulrahman Bin Faisal University -King Fahd Hospital of the University-Khobar-Eastern Province-Saudi Arabia.

Introduction: Corona virus disease-2019 (COVID-19) presents primarily with respiratory symptoms. However, extra respiratory manifestations are being frequently recognized including gastrointestinal involvement. The most common gastrointestinal symptoms are nausea, vomiting, diarrhoea and abdominal pain. Read More

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Effect of oral gabapentin premedication on hemodynamic parameters and postoperative pain in patients of laparoscopic cholecystectomy: A randomized double-blind controlled study.

J Anaesthesiol Clin Pharmacol 2021 Jan-Mar;37(1):67-72. Epub 2021 Apr 10.

Department of Surgery, University College of Medical Sciences and Guru Tegh Bahadur Hospital, Delhi, India.

Background And Aims: Carbon dioxide (CO) pneumoperitoneum created during laparoscopic cholecystectomy causes adverse hemodynamic changes such as rise in arterial pressure. The aim of this study was to assess the effect of oral gabapentin premedication on hemodynamic parameters in addition to postoperative nausea and vomiting (PONV) and pain in patients of laparoscopic cholecystectomy conducted under general anesthesia.

Material And Methods: Randomly selected 60 American Society of Anesthesiologists (ASA) class I patients scheduled for laparoscopic cholecystectomy were premedicated with either gabapentin 1200 mg (Group GB) or placebo (Group PL) 2 h prior to induction of anesthesia. Read More

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Brain injury in preterm infants with surgical necrotizing enterocolitis: clinical and bowel pathological correlates.

Pediatr Res 2021 Jun 8. Epub 2021 Jun 8.

Department of Data Science, University of Mississippi Medical Center, Jackson, MS, USA.

Background: The objective of this study was to determine the risk factors and outcomes of white matter brain injury (WMBI) on magnetic resonance imaging (MRI) at term-equivalent age in infants with surgical necrotizing enterocolitis (NEC).

Methods: This retrospective study compared clinical/pathological information between infants with and those without WMBI.

Results: Out of 69 infants with surgical NEC, 17 (24. Read More

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Quality of recovery in patients under low- or standard-pressure pneumoperitoneum. A randomised controlled trial.

Acta Anaesthesiol Scand 2021 Jun 7. Epub 2021 Jun 7.

University of Arizona College of Medicine, Phoenix, AZ, USA.

Background: The use of low-pressure pneumoperitoneum seems to be capable of reducing complications such as post-operative pain. However, the quality of evidence supporting this conclusion is low. Both the lack of investigator blinding to both intra-abdominal pressure and to method of neuromuscular blockade represent key sources of bias. Read More

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The "Dark Side" of Pneumoperitoneum and Laparoscopy.

Minim Invasive Surg 2021 19;2021:5564745. Epub 2021 May 19.

Department of Woman, Child, and General and Specialized Surgery, University of Campania Luigi Vanvitelli, Largo Madonna Delle Grazie N. 1, Naples 8013, Italy.

Laparoscopic surgery has been one of the most common procedures for abdominal surgery at pediatric age during the last few decades as it has several advantages compared to laparotomy, such as shorter hospital stays, less pain, and better cosmetic results. However, it is associated with both local and systemic modifications. Recent evidence demonstrated that carbon dioxide pneumoperitoneum might be modulated in terms of pressure, duration, temperature, and humidity to mitigate and modulate these changes. Read More

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Effect of Two Different Doses of Dexmedetomidine on the Hemodynamics of "Hypertensive Patients" Undergoing Laparoscopic Cholecystectomy.

Anesth Essays Res 2020 Jul-Sep;14(3):401-405. Epub 2021 Mar 22.

Department of Anesthesiology, KGMU, Lucknow, Uttar Pradesh, India.

Context: In laparoscopic cholecystectomy, pneumoperitoneum results in tachycardia, hypertension, and increased myocardial oxygen demand. These changes are more pronounced in hypertensive patients. The intravenous administration of dexmedetomidine attenuates sympathoadrenal response and provides better hemodynamic stability intraoperatively. Read More

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Endoscopic Treatment of Iatrogenic Perforation of Sigmoid Diverticulum: A Case Report of Multidisciplinary Management.

Clin Endosc 2021 Jun 7. Epub 2021 Jun 7.

Department of Surgical, Oncological and Oral Science, Palermo University Hospital, Palermo, Italy.

Iatrogenic perforations are severe complications of gastrointestinal endoscopy; therefore, their management should be adequately planned. A 77-year-old man with a history of diverticulosis underwent a colonoscopy for anemia. During the procedure, an iatrogenic perforation occurred suddenly in the sigmoid colon, near a severe angle among the numerous diverticula. Read More

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Effect of total intravenous anesthesia or inhalation anesthesia on postoperative quality of recovery in patients undergoing total laparoscopic hysterectomy: A randomized controlled trial.

J Clin Anesth 2021 Oct 2;73:110374. Epub 2021 Jun 2.

Jiangsu Province Key Laboratory of Anesthesiology, Xuzhou Medical University, 209 Tongshan, Xuzhou, Jiangsu, China; Department of Anesthesiology, The Affiliated Hospital of Xuzhou Medical University, No.99 Huaihai West Road, Xuzhou, Jiangsu, China. Electronic address:

Study Objective: To investigate the effect of propofol-based total intravenous anesthesia (TIVA) or sevoflurane-based inhalation anesthesia on postoperative quality of recovery in patients undergoing total laparoscopic hysterectomy.

Design: A prospective randomized controlled trial.

Setting: An operating room, a postoperative recovery area, and a hospital ward. Read More

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October 2021

Emphysematous cholangitis with pneumoperitoneum at ERCP.

Gastrointest Endosc 2021 Jun 1. Epub 2021 Jun 1.

Division of Gastroenterology and Hepatology, Mayo Clinic, Scottsdale, Arizona.

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The patient-side surgeon plays a key role in facilitating robot-assisted intracorporeal ileal conduit urinary diversion in men.

J Robot Surg 2021 Jun 3. Epub 2021 Jun 3.

Department of Urology, Tokushima University Graduate School of Biomedical Sciences, 3-18-15 Kuramoto, Tokushima, 770-8503, Japan.

The influence of the console surgeon on the feasibility and outcome of various robot-assisted surgeries has been evaluated. These variables may be partially affected by the skills of the patient-side surgeon (PSS), but this has not been evaluated using objective data. This study aimed to describe the surgical techniques of the PSS in robot-assisted radical cystectomy (RARC) and intracorporeal ileal conduit (ICIC) urinary diversion and objectively examine the changes in surgical outcomes with increasing PSS experience. Read More

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Outcomes and Loop Pattern Analysis of a Road-Map Technique for ERCP with Side-Viewing Duodenoscope in Patients with Billroth II Gastrectomy (with Video).

J Pers Med 2021 May 12;11(5). Epub 2021 May 12.

Department of Gastroenterology, Ajou University School of Medicine, 164 Worldcup-ro, Yeongtong-gu, Suwon 16499, Korea.

Endoscopic retrograde cholangiopancreatography (ERCP) in patients who have undergone a Billroth II gastrectomy is a major challenge. This study aimed to evaluate the outcomes of the road-map technique for duodenal intubation using a side-viewing duodenoscope for ERCP in Billroth II gastrectomy patients with naïve papilla, and to analyze the formation and release patterns of common bowel loops that occur when the duodenoscope navigates the afferent limb. The duodenoscopy approach success rate was 85. Read More

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Pneumovesicoscopic correction of primary vesicoureteral reflux (VUR) in children. - Our Initial experience.

J Endourol 2021 Jun 1. Epub 2021 Jun 1.

Hopital Militaire Ain Naadja, 484654, Kouba, Alger, Algeria;

Purpose The main objective of our prospective,descriptive,monocentric,longitudinal study is to demonstrate the feasibility of vesicoscopic cross-trigonal ureteral reimplantation under CO2 pneumovesicum in treatment on primary vesicoureteral reflux,analyze results and specify the age limit of this approach.

Methods: A total of 60 patients underwent transvesicoscopic ureteral reimplantation (33 boys, 27 girls) by the same surgeon from Mai 2011 to Mai 2015. All patients had primary vesicoureteral reflux,and surgery was performed because of breakthrough urinary tract infection despite antibiotic prophylaxis, persistent high grade of vesicoureteral reflux especially in association with significant renal scarring, mean age at operation was 47. Read More

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Non-surgical spontaneous pneumoperitoneum in a COVID-19 positive patient with severe bilateral pneumonia.

Cir Esp (Engl Ed) 2021 Jun-Jul;99(6):469-471. Epub 2021 May 24.

Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario de Guadalajara, Guadalajara, Spain.

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Automated Quantitative Relaxometry for Deep Neuromuscular Blockade in Robot-Assisted Prostatectomy.

Rom J Anaesth Intensive Care 2020 Jul 10;27(1):29-34. Epub 2020 Aug 10.

Professor and Senior Consultant, Institute of Anesthesiology, University Hospital Zurich, 8091 Zurich, Switzerland.

Purpose: During pneumoperitoneum (PP) for robot-assisted prostatectomy, a deep neuromuscular block (NMB) is necessary. New relaxometry equipment permits maintenance of profound NMB in order to improve patient safety and surgical conditions.

Methods: Twenty adult patients undergoing robot-assisted prostatectomy were included. Read More

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Comparisons of surgical conditions of deep and moderate neuromuscular blockade through multiple assessments and the quality of postoperative recovery in upper abdominal laparoscopic surgery.

J Clin Anesth 2021 Oct 27;73:110338. Epub 2021 May 27.

Department of Anesthesiology and Pain Medicine, Chonnam National University Hospital, Chonnam National University Medical School, Gwangju, South Korea. Electronic address:

Study Objective: To determine the effect of deep neuromuscular blockade (NMB) on surgical field conditions through multiple assessments during pneumoperitoneum and evaluate the effect of the depth of intraoperative NMB on the quality of postoperative recovery over multiple time periods.

Design: Prospective randomized study.

Setting: Operating room of a university hospital. Read More

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October 2021

Tension pneumopericardium and pneumoperitoneum: a rare complication of pericardiocentesis.

Can J Anaesth 2021 May 28. Epub 2021 May 28.

Department of Anesthesiology, Intensive Care, Emergency Medicine, Transfusion Medicine, and Pain Therapy, Protestant Hospital of the Bethel Foundation, Bielefeld University Hospital, Campus Bielefeld-Bethel, University of Bielefeld, Bielefeld, Germany.

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Laparoscopic-Assisted Percutaneous Endoscopic Gastrostomy Reduces Major Complications in High-Risk Pediatric Patients.

Pediatr Gastroenterol Hepatol Nutr 2021 May 4;24(3):273-278. Epub 2021 May 4.

Division of Surgery, Department of Pediatrics, University of Szeged, Szeged, Hungary.

Purpose: Percutaneous endoscopic gastrostomy (PEG) is a safe method to feed patients with feeding difficulty. This study aimed to compare the outcomes of conventional PEG and laparoscopic-assisted PEG (L-PEG) placement in high-risk pediatric patients.

Methods: In our tertiary pediatric department, 90 PEG insertions were performed between 2014 and 2019. Read More

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Trocar insertion in enhanced-view totally extra-peritoneal (eTEP) repair of inguinal hernias.

J Minim Access Surg 2021 May 6. Epub 2021 May 6.

Department of General Surgery, Grant Medical College and Sir JJ Group of Hospitals, Mumbai, Maharashtra, India.

Background: The enhanced view totally extra-peritoneal (eTEP) repair is a useful modification of the classic TEP operation which offers a more panoramic view of the operative field with greater flexibility in port positioning. It can offer greater ease of surgery in large, irreducible or bilateral inguinal hernias due to its improved ergonomics. Misunderstanding the myo-fascial anatomy, incorrect positioning or sequence of trocar insertion can lead to inadvertent peritoneal injury with pneumoperitoneum, impeding the operating surgeon. Read More

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Optimising working space for laparoscopic pyeloplasty in infants: Preliminary observations with the SGPGI Protocol.

J Minim Access Surg 2021 May 1. Epub 2021 May 1.

Department of Pediatric Surgery, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.

Aims: This study aimed to test the efficacy of SGPGI protocol to minimise bowel distension and optimise working space for laparoscopic pyeloplasty in infants.

Methodology: All infants who underwent laparoscopic pyeloplasty for unilateral pelvi-ureteric junction obstruction (PUJO) between January 2017 and March 2020 were included in the study. The patient cohort was divided into two groups: Group A and B. Read More

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