729 results match your criteria laparotomy finally

Challenging diagnostic work-up of a massive fluid-filled structure in the cranial abdomen of a cat.

Tierarztl Prax Ausg K Kleintiere Heimtiere 2021 Oct 12. Epub 2021 Oct 12.

Small Animal Clinic, University of Veterinary Medicine Hannover, Foundation.

A 9-year-old female, neutered European shorthair cat was presented with acute vomiting, obvious jaundice and painful enlargement of the abdomen. Icteric skin and mucous membranes in addition to severe bilirubinaemia (mainly direct bilirubin) and a large increase in liver enzyme activities were the main findings at the initial examination. Radio- and ultrasonographic evaluation revealed a massive fluid-filled structure caudal to the liver displacing abdominal organs, in particular the stomach. Read More

View Article and Full-Text PDF
October 2021

Data Collection for the Fourth Multicentre Confidential Enquiry into Perioperative Equine Fatalities (CEPEF4) Study: New Technology and Preliminary Results.

Animals (Basel) 2021 Aug 30;11(9). Epub 2021 Aug 30.

Departamento de Medicina y Cirugía Animal, Facultad de Veterinaria, Universidad Cardenal Herrera-CEU, CEU Universities, 46115 Valencia, Spain.

It is almost 20 years since the largest observational, multicentre study evaluating the risks of mortality associated with general anaesthesia in horses. We proposed an internet-based method to collect data (cleaned and analysed with R) in a multicentre, cohort, observational, analytical, longitudinal and prospective study to evaluate peri-operative equine mortality. The objective was to report the usefulness of the method, illustrated with the preliminary data, including outcomes for horses seven days after undergoing general anaesthesia and certain procedures using standing sedation. Read More

View Article and Full-Text PDF

Uterine torsion and intrauterine growth restriction: Case report and systematic literature review.

J Obstet Gynaecol Res 2021 Sep 26. Epub 2021 Sep 26.

Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.

Purpose: Uterine torsion (UT) in pregnancy is a rare condition in obstetric practice. It is defined as a rotation of the uterus of more than 45° around its long axis. Presentations are varied and, most of the time, this condition is recognized at laparotomy or cesarean section (CS). Read More

View Article and Full-Text PDF
September 2021

Abdominal cocoon syndrome, a case report of a rare disease entity causing intestinal obstruction.

Int J Surg Case Rep 2021 Sep 13;87:106401. Epub 2021 Sep 13.

Alzaiem Alazhari University - Department of Surgery, Sudan.

Introduction And Importance: Abdominal cocoon syndrome is a rare condition characterized by small bowel encapsulation by a fibrous membrane or a cocoon-like sac. It is an uncommon cause of intestinal obstruction. Less than 300 cases have been reported from all over the world. Read More

View Article and Full-Text PDF
September 2021

The use of selective splenic vascular control in laparoscopic splenic vessels and spleen preservation distal pancreatectomy.

Gland Surg 2021 Aug;10(8):2528-2534

Department of Pancreatic-Biliary Surgery, First Hospital of China Medical University, Shenyang, China.

Background: In the process of laparoscopic splenic vessels and spleen preservation distal pancreatectomy (LsvSPDP), because the splenic blood vessels have many small branches, how to safely separate the splenic blood vessels from the pancreas has always been the focus and difficulty of this operation. Many cases were switched to laparotomy, or the Warshaw method due to the inability to control bleeding during the separation of the splenic blood vessels. Therefore, we tried to use the selective splenic vascular control method when separating the splenic blood vessels to observe its effect on the conditions of the surgical patients during and after the operation. Read More

View Article and Full-Text PDF

Transcervical Versus Laparotomy Embryo Recovery: What Strategy Is Best for Embryo Bank Formation in the Canindé Goat Conservation Program?

Biopreserv Biobank 2021 Sep 2. Epub 2021 Sep 2.

Faculty of Veterinary, State University of Ceará, Fortaleza, Brazil.

By allowing for the creation of embryo banks, reproductive biotechnologies play an essential role in the preservation of endangered goat breeds' genetic diversity. This study focused on comparing both available embryo collection methods [laparotomy (LAP) vs. nonsurgical embryo recovery (NSER)] in Canindé goats to create an embryo bank for later use in a breed conservation program. Read More

View Article and Full-Text PDF
September 2021

Robot-Assisted Total Mesorectal Excision Versus Laparoscopic Total Mesorectal Excision: A Retrospective Propensity Score Matched Cohort Analysis In Experienced Centers.

Dis Colon Rectum 2021 Aug 17. Epub 2021 Aug 17.

Department of Surgery, Meander Medical Center, Amersfoort, the Netherlands Department of Surgery, University Medical Center Groningen, Groningen, the Netherlands Department of Surgery, Amphia Hospital, Breda, the Netherlands Department of Surgery, St. Antonius Hospital, Nieuwegein, the Netherlands Department of Surgery, Tergooi Hospital, Hilversum, the Netherlands Department of Surgery, Laurentius Hospital, Roermond, the Netherlands Department of Surgery, Diakonessenhuis, Utrecht, the Netherlands.

Background: The superiority of robot-assisted over laparoscopic total mesorectal excision has not been proven. Most studies do not take into account the learning curve while comparing the surgical technique.

Objective: This study aims to compare laparoscopic with robot-assisted total mesorectal excision performed by surgeons who completed the learning curve of the technique. Read More

View Article and Full-Text PDF

Machine Learning to Predict Fascial Dehiscence after Exploratory Laparotomy Surgery.

J Surg Res 2021 Aug 26;268:514-520. Epub 2021 Aug 26.

Department of Anesthesiology and Pain Medicine, Naval Medical Center Portsmouth, Portsmouth, Virginia; Naval Biotechnology Group, Naval Medical Center Portsmouth, Portsmouth, Virginia; Investigation performed at Naval Medical Center Portsmouth, Portsmouth Virginia; Uniformed Services University of the Health Sciences.

Background: Fascial dehiscence following exploratory laparotomy is associated with significant morbidity and increased mortality. Previously published risk prediction models for fascial dehiscence are dated and limit a surgeon's ability to perform reliable risk assessment intraoperatively. We sought to determine if machine learning can predict fascial dehiscence after exploratory laparotomy. Read More

View Article and Full-Text PDF

Delayed primary fascia closure of Björck grade 4 open abdomen with enteroatmospheric fistulas after repeated surgery for adhesive small bowel obstruction: a case report.

BMC Surg 2021 Aug 26;21(1):333. Epub 2021 Aug 26.

Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, 305-8575, Tsukuba, Ibaraki, Japan.

Background: An open abdomen with frozen adherent bowels is classified as grade 4 in Björck's open abdomen classification, and skin grafting after wound granulation is a typical closure option. We achieved delayed primary fascia closure for a patient who developed open abdomen with enteroatmospheric fistulas due to severe adherent small bowel obstruction. We present here the details of his management. Read More

View Article and Full-Text PDF

Chest wall infarction following bilateral internal thoracic harvesting for coronary revascularization in a patient with previous aortic abdominal aneurysm surgery: A rare complication.

J Card Surg 2021 Nov 27;36(11):4416-4418. Epub 2021 Aug 27.

Cardiac Surgery B Department, Carmen, Louis Pradel Hospital, Bron, France.

A 75 years old man with previous aortic abdominal aneurysm surgery through a transverse laparotomy underwent bilateral internal thoracic artery to coronary artery bypass grafting. He immediately thereafter developed a severe chest and upper abdominal walls ischemia with metabolic acidosis, and finally deep sternum wound infection and upper abdominal wall necrosis. He benefitted from sternal reconstruction and vaccum assisted treatment, with delayed pectus major flap reconstruction. Read More

View Article and Full-Text PDF
November 2021

Concealed mesenteric ischemia after total knee arthroplasty: A case report.

World J Clin Cases 2021 Aug;9(22):6515-6521

Department of Orthopedics and Traumatology, The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou 310006, Zhejiang Province, China.

Background: In critical care medicine, mesenteric ischemia (MI) is a life-threatening disease that can be present in both critically ill patients and those undergoing major surgery. For the first time, we report a case of concealed MI with a long course after knee arthroplasty.

Case Summary: A male patient underwent left total knee arthroplasty for gouty arthritis and developed a persistent fever and persistently high levels of serum infection markers after surgery. Read More

View Article and Full-Text PDF

Minimally invasive surgery of the pancreas: a narrative review of current practice.

Transl Gastroenterol Hepatol 2021 25;6:38. Epub 2021 Jul 25.

Division of Pediatric Surgery, Emory University School of Medicine, Atlanta, GA, USA.

Minimally invasive surgery has moved from the fringe of pediatric surgery to the mainstream to address a variety of problems. Pancreatic pathology, though uncommon and complex, is frequently amenable to laparoscopic intervention. Indications for pediatric pancreatic operative intervention includes trauma, congenital hyperinsulinemia and neoplasm. Read More

View Article and Full-Text PDF

Emergency surgery for hemobilia due to hepatic artery pseudoaneurysm rupture complicated by Mirizzi syndrome type II: a case report.

BMC Surg 2021 Aug 5;21(1):318. Epub 2021 Aug 5.

Department of Gastrointestinal Surgery, Shinko Hospital, 1-4-47, Wakinohama-cho, Chuo-ku, Kobe, Hyogo, 6510072, Japan.

Background: Hemobilia refers to bleeding into the biliary tract. Hepatic artery pseudoaneurysm (HAP) rupture is an uncommon cause of hemobilia, and cases of HAP associated with Mirizzi syndrome are extremely rare. Although transarterial embolization is recommended as the first-line treatment for hemobilia, surgery is sometimes required. Read More

View Article and Full-Text PDF

Hemorrhagic shock caused by primary splenic pregnancy with spontaneous splenic rupture.

J Obstet Gynaecol Res 2021 Oct 2;47(10):3716-3719. Epub 2021 Aug 2.

China-Japan Union Hospital of Jilin University, Changchun, China.

The subject, splenic pregnancy, is very rare and interesting with about a few cases reported to date. This case report describes a healthy 17-year-old girl admitted to our hospital who complained of amenorrhea for 30 days, intermittent abdominal pain for 3 days and worsening for 1 h. The serum human chorionic gonadotropin (hCG) was greater than 10000. Read More

View Article and Full-Text PDF
October 2021

Recurrent oncocytic adrenocortical carcinoma: implementing diagnostic criteria in a case report with the longest survival.

Ann Ital Chir 2021 ;92:293-298

Introduction: Oncocytic adrenocortical tumors represent a subtype of the adrenal cortex neoplasms. These tumors can be divided into oncocytomas, oncocytic neoplasms of uncertain malignancy and carcinomas (OACs). To date, only 34 cases of OAC have been reported. Read More

View Article and Full-Text PDF

Fallopian tube cancer- challenging to diagnose but not as infrequent as originally thought.

J Community Hosp Intern Med Perspect 2021 10;11(3):393-396. Epub 2021 May 10.

Department of Medicine, University of Connecticut Health Center, Trinity Health of New England - Saint Francis Hospital, Hartford, USA.

: Primary fallopian tube carcinoma (PFTC) is a rare gynecological malignancy though its prevalence may be underestimated given that most 'ovarian' serous cancers originate in the fallopian tube. Its diagnosis is challenging due to its vague signs and symptoms on presentation and it is frequently under-diagnosed pre-operatively. : We present a case of a pre-menopausal woman who presented with vaginal bleeding. Read More

View Article and Full-Text PDF

Comparison of the complications between minimally invasive surgery and open surgical treatments for early-stage cervical cancer: A systematic review and meta-analysis.

PLoS One 2021 1;16(7):e0253143. Epub 2021 Jul 1.

Division of Gynecology and Obstetrics, Life Science Park of Zhongguancun, Peking University International Hospital, Changping District, Beijing, China.

Background: This meta-analysis comprehensively compared intraoperative and postoperative complications between minimally invasive surgery (MIS) and laparotomy in the management of cervical cancer. Even though the advantages of laparotomy over MIS in disease-free survival and overall survival for management of gynecological diseases have been cited in the literature, there is a lack of substantial evidence of the advantage of one surgical modality over another, and it is uncertain whether MIS is justifiable in terms of safety and efficacy.

Methods: In this meta-analysis, the studies were abstracted that the outcomes of complications to compare MIS (laparoscopic or robot-assisted) and open radical hysterectomy in patients with early-stage (International Federation of Gynecology and Obstetrics classification stage IA1-IIB) cervical cancer. Read More

View Article and Full-Text PDF

Traumatic Abdominal Wall Hernia-A Series of 12 Patients and a Review of the Literature.

World J Surg 2021 09 17;45(9):2742-2746. Epub 2021 Jun 17.

Département de Chirurgie D'Urgence Et de Chirurgie Générale, , Hospices Civils de Lyon, Hôpital Edouard Herriot, 5 Place d'Arsonval, 69003, Lyon, France.

Background: The traumatic abdominal wall hernia (TAWH) is strongly associated with blunt abdominal trauma. The importance of the CT scan cannot be underestimated-the diagnosis of TAWH is easy to miss clinically, but simple to spot radiologically. We report a case series of patients managed in a French-level one trauma centre, to contribute our experience in the detection and management of associated injuries, and of the hernia itself. Read More

View Article and Full-Text PDF
September 2021

CXCL2-CXCR2 axis mediates αV integrin-dependent peritoneal metastasis of colon cancer cells.

Clin Exp Metastasis 2021 08 11;38(4):401-410. Epub 2021 Jun 11.

Section of Surgery, Department of Clinical Sciences, Malmö, Skåne University Hospital, Lund University, 20502, Malmö, Sweden.

Peritoneal metastasis is an insidious aspect of colorectal cancer. The aim of the present study was to define mechanisms regulating colon cancer cell adhesion and spread to peritoneal wounds after abdominal surgery. Mice was laparotomized and injected intraperitoneally with CT-26 colon carcinoma cells and metastatic noduli in the peritoneal cavity was quantified after treatment with a CXCR2 antagonist or integrin-αV-antibody. Read More

View Article and Full-Text PDF

[Gastric metastasis of breast cancer treated as stage IV gastric cancer for 13 years: a case report].

Nihon Shokakibyo Gakkai Zasshi 2021 ;118(6):555-561

Department of Gastroenterology, Japanese Red Cross Nagoya First Hospital.

A 52-year-old woman had a surgical history of breast cancer. A follow-up blood test showed that the level of carcinoembryonic antigen was elevated. Esophagogastroduodenoscopy revealed a Borrmann type IV tumor in the stomach, and biopsy revealed poorly differentiated adenocarcinoma with signet ring cells. Read More

View Article and Full-Text PDF

Postoperative delirium after long-term general anesthesia in elderly patients, how to reduce it?: Protocol of a double-blinded, randomized, placebo-controlled trial.

Medicine (Baltimore) 2021 Jun;100(22):e25885

Xinqiao Community Health Service Center, Shapingba District, Chongqing, China.

Background: Long operation duration (>4 hours' anesthesia) of laparotomy in elderly patients would increase the risk of postoperative delirium (POD), which is characterized by acute cognitive dysfunction, changes in the level of consciousness, obvious attention disorder, emotional disorder, and sleep-waking cycle disorder. The occurrence of POD is closely related to the risk of death, and it will also seriously affect the cognitive function of patients, prolong postoperative hospital stays, and increase medical expenses. It is known that dexmetomidine could function in sedation, analgesia and anti-sympathetic effect, and it also could simulate the normal sleep state of human body, but there is still a lack of clinical study of dexmedetomidine on the incidence of POD in elderly patients undergoing long-term general anesthesia in laparotomy. Read More

View Article and Full-Text PDF

Conservative management of grade 4 and 5 renal injuries: A high-volume trauma center experience.

Urologia 2021 Jun 2:3915603211022293. Epub 2021 Jun 2.

Department of Urology, General Hospital of Athens "G. Gennimatas", Athens, Greece.

Introduction: Traumatic renal injuries represent a major public health issue concerning mostly young men. Over the last decades there is growing debate regarding the management of high-grade renal injuries due to the emerging role of conservative treatment. The aim of this study is to present our experience in the conservative management of patients presenting with grade 4 or grade 5 renal injuries in our department. Read More

View Article and Full-Text PDF

Technique for Reduced Trocar Decapsulation of a Giant Nonparasitic Splenic Cyst.

Surg Laparosc Endosc Percutan Tech 2021 Jun 10. Epub 2021 Jun 10.

International School Reduced Scar Laparoscopy, Brussels, Belgium.

Background: Minimally invasive surgery is adopted for patients presenting benign splenic cysts. Reduced port laparoscopy is an evolution of conventional laparoscopy, which can be applied for splenic cysts as well. In this video, a 3-trocar laparoscopic decapsulation of a giant nonparasitic splenic cyst is reported. Read More

View Article and Full-Text PDF

Bilateral penetrating renal trauma in 9 Years old syrian girl: A case report.

Maher Al-Hajjaj

Urol Case Rep 2021 Sep 3;38:101672. Epub 2021 Apr 3.

Urology Resident, Aleppo University Hospital, Aleppo, Syria.

Although retroperitoneal is a protected place, the kidney is the most common organ to be injured by genitourinary system trauma. In this paper, we present an extremely rare case of bilateral penetrating renal trauma in a 9- year-old girl caused by a gunshot. A laparotomy was done which showed grade IV and V injury to the left and right kidney respectively. Read More

View Article and Full-Text PDF
September 2021

Peritoneal Pseudocyst Causing Acute Abdomen as a Complication of Cronh's Disease.

Acta Medica (Hradec Kralove) 2021 ;64(1):55-59

Second Department of Propedeutic Surgery, Laiko General Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.

Peritoneal pseudocysts (PPs) in patients who are diagnosed with Crohn's disease (CD), is a rarely diagnosed entity with unknown epidemiology, etiology and pathogenesis. We present the case of a 30-year old male with known CD who presented with an acute abdomen because of a PP. PPs are developed as a complication caused in patients, suffering from mainly thee conditions. Read More

View Article and Full-Text PDF
September 2021

A case of idiopathic retroperitoneal fibrosis presenting as gallbladder carcinoma.

BMC Surg 2021 Mar 25;21(1):162. Epub 2021 Mar 25.

Department of Surgery, Changxing People's Hospital, No. 66, Taihu Road, Changxing, Huzhou, 313100, Zhejiang, China.

Background: Retroperitoneal fibrosis (RPF) is a rare disease with a poor prognosis characterized by systemic inflammation and fibroinflammatory tissue. Idiopathic RPF (IRPF) accounts for approximately two-thirds of RPF cases.

Case Presentation: A 56-year-old female patient with abdominal distension was admitted to Changxing Hospital. Read More

View Article and Full-Text PDF

Ovarian torsion in a twin pregnancy at 32 weeks and 6 days: A case-report.

J Gynecol Obstet Hum Reprod 2021 Jun 15;50(6):102117. Epub 2021 Mar 15.

Department of Obstetrics and Gynecology, CHU Lyon, Hôpital Femme Mère Enfant, 59 Bd Pinel, 69500, Bron, France.

Background: Ovarian torsion during pregnancy is a rare event and occurs mostly during the first trimester. This is the first case describing the diagnosis and management of an ovarian torsion at 33 weeks in a twin pregnancy with a normal term delivery.

Case Summary: The patient presented with irregular uterine contraction due to an acute abdominal pain in the right iliac fossa. Read More

View Article and Full-Text PDF

The Roles of Lactobacillus Acidophilus and Pectin in Preventing Postoperative Sepsis and Intestinal Adaptation in a Rat Model of Short Bowel Syndrome.

Probiotics Antimicrob Proteins 2021 Oct 14;13(5):1355-1362. Epub 2021 Mar 14.

Department of Pathobiology, Faculty of Veterinary Medicine, University of Tabriz, Tabriz, Iran.

One of the primary causes of morbidity and mortality in those with short bowel syndrome (SBS) is sepsis, caused by bacterial translocation (BT). Since synbiotics can cease gut-related bacterial overgrowth, they may serve as a supportive dietary supplement-based strategy after gastrointestinal surgery. This study was conducted to determine the effects of Lactobacillus acidophilus and pectin on BT and gut adaptation after extensive small bowel resection in the rat. Read More

View Article and Full-Text PDF
October 2021

Case Report: A Rare Condition of Abdominal Pain: Chemotherapy Induced Portal Vein Pneumatosis Mimicking the Bowel Necrosis.

Front Surg 2021 22;8:620908. Epub 2021 Feb 22.

Department of Gastrointestinal Surgery, West China Hospital, Sichuan University, Chengdu, China.

Portal vein pneumatosis is the presence of air in the portal venous system, which is one of the classic radiologic features of bowel ischemia or necrosis. However, there are several other morbidities that can have portal vein pneumatosis as a complication. This is a case of a 44-year-old man who suffered from severe abdominal pain after chemotherapy for soft tissue sarcoma of his left hip. Read More

View Article and Full-Text PDF
February 2021

[Epithelial ovarian cancers and minimally invasive cytoreductive surgery after neoadjuvant chemotherapy: A systematic review].

Gynecol Obstet Fertil Senol 2021 Oct 23;49(10):736-743. Epub 2021 Feb 23.

Service de chirurgie cancérologique gynécologique et du sein, hôpital européen Georges-Pompidou, AP-HP.CUP, Paris, France; Inserm, équipe labellisée Ligue nationale contre le cancer, CNRS, USPC, centre de recherche des Cordeliers, Sorbonne Université, Université Paris Descartes, Université Paris-Diderot, Paris, France. Electronic address:

Introduction: Advanced epithelial ovarian cancer (EOC) is associated with high mortality and often managed first with neoadjuvant chemotherapy (NACT) followed by debulking surgery. Laparoscopic surgery with or without robotic assistance (Minimally Invasive Surgery (MIS)) may represent a beneficial option for these patients. The objective of this literature review is to clarify the place of MIS in the management of advanced EOC for selected patients. Read More

View Article and Full-Text PDF
October 2021