5,297 results match your criteria perforation repair


Strangulated richter's hernia with caecum necrosis. Case report.

Ann Ital Chir 2021 Sep 2;92. Epub 2021 Sep 2.

Aim: Describe a rare case of Richter's hernia with caecum incarceration into a right femoral hernia and provide a narrative literature review about its surgical management.

Material And Methods: A 46-year-old woman presented to the Emergency Department and to our surgical unit with a two-days history of worsening abdominal pain in the right lower quadrant without nausea or vomiting, associated with an irreducible lump. Computed tomography of the abdomen described a right inguinal hernia containing small bowel with perivisceral fluid in it without signs of small bowel occlusion nor perforation. Read More

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September 2021

Unusual Presentation of COVID Pneumonia as Esophageal Rupture Ended With Successful Management.

Cureus 2021 Aug 21;13(8):e17348. Epub 2021 Aug 21.

Radiology, Stony Brook University, Port Jefferson, USA.

Coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), is a severe respiratory syndrome. It started as an epidemic in Wuhan, China, and then become a global pandemic. COVID-19 usually presents with respiratory symptoms, including cough and shortness of breath, accompanied by fever. Read More

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A new hybrid stent using endoscopic vacuum therapy in treating esophageal leaks: a prospective single-center experience of its safety and feasibility with mid-term follow-up.

Dis Esophagus 2021 Sep 24. Epub 2021 Sep 24.

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

Self-expandable metal stents (SEMS) and endoscopic vacuum therapy (EVT) are endoscopic options for treating leaks of the esophagus. VACStent® is a variant of SEMS that aims to combine the advantages of SEMS and EVT in one device. Due to this unique construction, VACStent® can build a barrier to the leak and facilitate wound healing with EVT, all while maintaining intestinal passage. Read More

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September 2021

Reconstruction of Large Acquired Palatal Defects Using Facial-Submental Artery Island Flap.

J Craniofac Surg 2021 Sep 22. Epub 2021 Sep 22.

Department of Oral and Maxillofacial Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.

Objective: To evaluate the feasibility and clinical effect of facial-submental artery island flap (FSAIF) in the repair of palatal defects, and to provide reference for the clinical application of submental artery island flap.

Methods: Nine patients with palatal defects, the range of nasal palatal perforation defects were 3 cm × 4cm to 3 cm × 6 cm (median 3 cm × 5.4 cm), were repaired by FSAIF, and the sizes of FSAIF were 4 cm × 9cm to 4 cm × 12 cm (median 4 cm × 10. Read More

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September 2021

Iatrogenic bladder perforation post laparoscopic totally extraperitoneal inguinal hernia repair: Troubleshooting with laparoscopic approach.

J Minim Access Surg 2021 Oct-Dec;17(4):584-585

Department of General and Laparoscopic Surgery, Dr. L H Hiranandani Hospital, Mumbai, Maharashtra, India.

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September 2021

The role of laparoscopic management in perforated gastric cancer.

Ann Surg Treat Res 2021 Sep 31;101(3):151-159. Epub 2021 Aug 31.

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

Purpose: Perforated gastric cancer is an extremely rare condition and usually presents in advanced stage with poor prognosis. Surgical strategies are still controversial regarding the extent to which complete resection or primary repair is performed and the application of laparoscopic techniques. We aim to determine the role of laparoscopic 2-stage approach in perforated gastric cancer. Read More

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September 2021

Morphological and Molecular Evaluation of the Tissue Repair following Nasal Septum Biopsy in a Sheep Model.

Cartilage 2021 Sep 19:19476035211046040. Epub 2021 Sep 19.

Department of Biology, Faculty of Science, University of Zagreb, Zagreb, Croatia.

Objective: Nasal septal pathologies requiring surgical intervention are common in the population. Additionally, nasal chondrocytes are becoming an important cell source in cartilage tissue engineering strategies for the repair of articular cartilage lesions. These procedures damage the nasal septal cartilage whose healing potential is limited due to its avascular, aneural, and alymphatic nature. Read More

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September 2021

New machine learning scoring system for predicting postoperative mortality in gastroduodenal ulcer perforation: A study using a Japanese nationwide inpatient database.

Surgery 2021 Sep 16. Epub 2021 Sep 16.

Department of Clinical Epidemiology and Health Economics, School of Public Health, University of Tokyo, Japan.

Background: Conventional prediction models for estimating risk of postoperative mortality in gastroduodenal ulcer perforation have suboptimal prediction ability. We aimed to develop and validate new machine learning models and an integer-based score for predicting the postoperative mortality.

Methods: We retrospectively identified patients with gastroduodenal ulcer perforation who underwent surgical repair, using a nationwide Japanese inpatient database. Read More

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September 2021

Colon diverticulosis adherent to mesh plug migration after laparoscopic hernia repair: A case study and review of literature.

Int J Surg Case Rep 2021 Sep 13;87:106403. Epub 2021 Sep 13.

Mubarak AlKabeer Hospital, Jabriya, Hawalli, Kuwait.

Introduction: Inguinal hernia repair has evolved from open suture methods to mesh repair which is preformed either open or laparoscopically. Mesh hernia repair has improved the outcome in regards to patient care and recurrence rate but it is also associated with a number of complications. The complications of mesh hernia repair such as deep seated infections, mesh erosion and mesh perforation into nearby viscera has been scarcely reported in literature. Read More

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September 2021

Sublingual Microcirculatory Evaluation of Extracorporeal Hemoadsorption with CytoSorb® in Abdominal Sepsis: A Case Report.

Blood Purif 2021 Sep 15:1-5. Epub 2021 Sep 15.

Department of Intensive Care Medicine, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.

Cytokemia is associated with microcirculatory alterations often with persistent loss of coherence between the micro- and macrocirculation, linked to organ failure and poor outcome of septic patients. Addition of a hemoadsorbant filter to an extracorporeal circuit next to conventional treatment of septic shock results in the hematological clearance of cytokines, hypothetically leading to normalization of the microcirculation and thus organ perfusion. Bedside sublingual microcirculatory assessment using handheld vital microscopy allows real-time direct visualization of the microcirculation and its response to therapy. Read More

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September 2021

Delayed Upper Aerodigestive Tract Perforation from Anterior Cervical Spine Hardware: Treatment and Swallowing Outcomes.

Dysphagia 2021 Sep 12. Epub 2021 Sep 12.

Department of Otolaryngology-Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, TN, USA.

Delayed upper aerodigestive tract (UADT) perforation is a rare complication of anterior cervical spinal hardware. The purpose of this study was to investigate swallowing outcomes between treatment approaches for delayed UADT perforation. A retrospective chart review was performed on patients with anterior cervical hardware and delayed UADT perforation who were treated at a single tertiary care center between 2000 and 2020. Read More

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September 2021

Mesenteroaxial Gastric Volvulus: A Case Report.

JNMA J Nepal Med Assoc 2021 May 25;59(237):506-509. Epub 2021 May 25.

Kathmandu Medical College Teaching Hospital, Kathmandu, Nepal.

Gastric volvulus is defined as an abnormal rotation of the stomach. Classical textbook presentation may not always be present. Meticulous assessment and broadened differential diagnosis are thus crucial. Read More

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Robotic or laparoscopic treatment of cesarean scar defects or cesarean scar pregnancies with a uterine sound guidance.

Taiwan J Obstet Gynecol 2021 Sep;60(5):821-826

Department of Obstetrics and Gynecology, Far Eastern Memorial Hospital, Banqiao, New Taipei, Taiwan; Department of Obstetrics and Gynecology, National Taiwan University College of Medicine and the Hospital, Taipei, Taiwan; Graduate School of Biotechnology and Bioengineering, Yuan Ze University, Taoyuan, Taiwan. Electronic address:

Objective: To evaluate the feasibility and effectiveness of robotic/laparoscopic repair of cesarean scar defects or cesarean scar pregnancies with a uterine sound.

Materials And Methods: All consecutive women with cesarean scar defects or cesarean scar pregnancies who underwent robotic/laparoscopic repair with a bent uterine sound guidance were reviewed. Subjective changes in symptoms and objective changes in the depth and width of cesarean scar defects after surgery were reviewed. Read More

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September 2021

A pore-forming protein-induced surface-enhanced Raman spectroscopic strategy for dynamic tracing of cell membrane repair.

iScience 2021 Sep 14;24(9):102980. Epub 2021 Aug 14.

State Key Laboratory of Analytical Chemistry for Life Science, School of Chemistry and Chemical Engineering, Nanjing University, Nanjing 210023, P.R. China.

The plasma membrane repair holds significance for maintaining cell survival and homeostasis. To achieve the sensitive visualization of membrane repair process for revealing its mechanism, this work designs a perforation-induced surface-enhanced Raman spectroscopy (SERS) strategy by conjugating Raman reporter (4-mercaptobenzoic acid) loaded gold nanostars with pore-forming protein streptolysin O (SLO) to induce the SERS signal on living cells. The SERS signal obviously decreases with the initiation of membrane repair and the degradation of SLO pores due to the departure of gold-nanostar-conjugated SLO. Read More

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September 2021

The use of acellular porcine corneal stroma xenograft (BioCorneaVet ) for the treatment of deep stromal and full thickness corneal defects: A retrospective study of 40 cases (2019-2021).

Vet Ophthalmol 2021 Sep 3. Epub 2021 Sep 3.

Centro Veterinario Specialistico, Roma, Italy.

Objective: To document the effectiveness and outcome of corneal grafting using acellular porcine corneal stroma (APCS) for veterinary use (BioCorneaVet ) to restore corneal integrity in dogs.

Methods: A review of medical records of patients that underwent keratoplasty with APCS graft to repair deep corneal defects, descemetoceles, and perforations between 2019 and 2021 was carried out. Only animals with intact dazzle reflex, consensual PLR before the surgery and a minimum follow-up of four weeks were considered for the study, with forty dogs (1 eye each) meeting the inclusion criteria. Read More

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September 2021

Comparing two different techniques to repair pediatric anterior tympanic membrane perforations.

Int J Pediatr Otorhinolaryngol 2021 Aug 30;150:110903. Epub 2021 Aug 30.

Division of Otolaryngology - Head and Neck Surgery, University of Utah, USA. Electronic address:

Objective: Compare outcomes between a microscopic and endoscopic technique for anterior tympanic membrane (TM) perforation.

Methods: Results of microscopic overlay (MT) and endoscopic tympanoplasty (ET) for management of anterior TM perforations from a single surgeon.

Results: There were 28 patients in the MT group and 35 in the ET group. Read More

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Endonasal and Endoscopic Repair of Nasal Septal Perforation with an Autologous Fascia Lata Graft.

Facial Plast Surg Aesthet Med 2021 Sep 1. Epub 2021 Sep 1.

Department of Otolaryngology, National Taiwan University Hospital, Taipei, Taiwan.

We propose a novel technique utilizing both a headlight and an endoscope to repair large iatrogenic septal perforations using autologous fascia lata grafts and extended pedicled mucosal flaps. The use of an autologous fascia graft, a fat graft, and an extended pedicled mucosal flap enables the closure of a large and anterior perforation of the nasal septum. This approach is an effective and applicable method for nasal septal perforation repair. Read More

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September 2021

Complex gastroschisis: a new indication for fetal surgery?

Ultrasound Obstet Gynecol 2021 Sep 1. Epub 2021 Sep 1.

Michael E. DeBakey Department of Surgery, Texas Children's Hospital and Baylor College of Medicine, Houston, TX, USA.

Gastroschisis (GS) is a congenital abdominal wall defect in which the bowel eviscerates from the abdominal cavity. It is a non-lethal isolated anomaly and its pathogenesis is hypothesized to occur as a result of two hits, i.e. Read More

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September 2021

Bowel Anastomosis After or Before HIPEC: A Comparative Study in Patients Undergoing CRS+HIPEC for Peritoneal Surface Malignancy.

Ann Surg Oncol 2021 Aug 30. Epub 2021 Aug 30.

Manipal Comprehensive Cancer Centre, Manipal Hospital, Bangalore, India.

Background: Anastomotic leak after cytoreductive surgery (CRS) with hyperthermic intraperitoneal chemotherapy (HIPEC) remains a dreaded complication. There is no consensus statement regarding the optimal timing for bowel anastomoses to perform after or before HIPEC.

Methods: Patients who underwent CRS+HIPEC and had at least one bowel anastomosis were retrospectively analyzed to evaluate if timing of anastomosis done after or before HIPEC had an impact on bowel complication rates (anastomotic leak and perforation). Read More

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Endoscopic Vacuum Therapy via Pharyngostomy: Novel Access for Management of Upper Gastrointestinal Defects.

Am Surg 2021 Aug 29:31348211041567. Epub 2021 Aug 29.

Surgery Department, 5786Ochsner Clinic Foundation, New Orleans, LA, USA.

Background: Perforation and anastomotic leakage of the upper gastrointestinal tract (UGI) has a high mortality and morbidity rate. Recently, UGI leaks have been treated with endoscopic vacuum therapy (EVT). However, this technique traditionally requires multiple EVT changes and a prolonged and uncomfortable nasoenteric intubation. Read More

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Gastric Perforation During MRI After Ingestion of Ferromagnetic Foreign Bodies.

Clin Pract Cases Emerg Med 2021 Aug;5(3):362-364

Desert Regional Medical Center, Department of Emergency Medicine, Palm Springs, California.

Case Presentation: A 65-year-old male with schizophrenia and intellectual disability ingested what was reported to be two AA batteries, prior to a scheduled magnetic resonance imaging (MRI) study. He developed severe abdominal pain and presented to the emergency department the following day with hypovolemic/septic shock. General surgery retrieved two metal sockets and a clevis pin from the stomach prior to surgical repair of a gastric perforation. Read More

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A Comparative Study of Early Mucosal Healing Following Hot Polypectomy and Cold Polypectomy.

Med Sci Monit 2021 08 25;27:e933043. Epub 2021 Aug 25.

Department of Gastroenterology, Juntendo University School of Medicine, Tokyo, Japan.

BACKGROUND Cold polypectomy (CP) and hot polypectomy (HP) are both accepted methods for polypectomy. In recent years, the use of CP has increased for reasons of safety. However, there have been few investigations of conditions at follow-up early after resection. Read More

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Endoscopic transtympanic cartilage push-through myringoplasty without tympanomeatal flap elevation for tympanic membrane perforation.

Authors:
Fengming Gu

Acta Otolaryngol 2021 Aug 21:1-4. Epub 2021 Aug 21.

Department of Otology and Skull Base Surgery, Eye and ENT Hospital, Fudan University, Shanghai, China.

Background: The elevation of the tympanomeatal flap in endoscopic myringoplasty will cause considerable tissue damage.

Objective: To analyze anatomic and audiological results of tympanic membrane perforation underwent endoscopic transtympanic cartilage push-through myringoplasty without tympanomeatal flap elevation (EPM) and their relationship with the size of perforation.

Methods: A clinical retrospective study was performed on 75 cases of tympanic membrane perforation that underwent EPM from January 2019 to March 2021. Read More

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In-Office Repair of Tympanic Membrane Perforation.

Otol Neurotol 2021 Aug 20. Epub 2021 Aug 20.

Department of Otolaryngology - Head and Neck Surgery, Massachusetts Eye and Ear, Boston Department of Otolaryngology - Head and Neck Surgery, University of Massachusetts Medical School, Worcester, Massachusetts.

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Does MTA provide a more favourable histological response than other materials in the repair of furcal perforations? A systematic review.

Int Endod J 2021 Aug 21. Epub 2021 Aug 21.

Postgraduate Program in Dentistry, Dental School, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.

Background: There is no consensus on which furcal perforation repair material induces a more favourable histological response. This systematic review of laboratory studies provides an overview of the studies comparing repair materials in animal models.

Objectives: To evaluate whether mineral trioxide aggregate (MTA) yields a more favourable histological response than other materials when used to repair furcal perforations in animal experimental models. Read More

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The Contribution of a Collagen Patch Coated With Fibrin Glue in Sealing Upper Gastrointestinal Defects: An Experimental Study.

In Vivo 2021 Sep-Oct;35(5):2697-2702

Laboratory of Experimental Surgery, University of Thessaly, Larissa, Greece.

Background/aim: We aimed to evaluate the safety and efficacy of sealing primary upper gastrointestinal (GI) perforations with a collagen patch coated with fibrin glue (Tachosil).

Materials And Methods: Thirty New Zealand rabbits were used in this study. An iatrogenic gastric perforation was created, and primary repair was performed on the control group. Read More

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Ingested removable partial denture causing esophageal perforation in a patient with autism: Management and prevention.

J Prosthet Dent 2021 Aug 15. Epub 2021 Aug 15.

Thoracic Surgeon and Associate Professor, Section of Thoracic Surgery, Department of Surgery, Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.

A 60-year-old woman with autism and a repetitive swallowing behavior ingested a removable partial denture that impacted in the proximal esophagus. Attempts at endoscopic removal were unsuccessful. Esophageal perforation was recognized, necessitating emergency transcervical surgical exploration, esophagotomy with foreign body removal, and repair of the esophageal perforation. Read More

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Subclavian Artery Perforation and Mediastinal Hematoma Following Transradial Percutaneous Coronary Intervention.

JACC Case Rep 2021 Aug 30;3(9):1206-1210. Epub 2021 Jun 30.

Department of Cardiology, Royal Derby Hospital, University Hospitals of Derby and Burton NHS Trust, Derby, United Kingdom.

We present a case of subclavian artery perforation with mediastinal hematoma following elective percutaneous coronary intervention. A conservative approach was preferred over invasive correction. Although no outcome data exist specifically for subclavian artery injury, registry data in patients with iatrogenic aortic dissection suggest that long-term outcomes are good without vascular repair. Read More

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Identification of a small pericardial effusion on contrast-enhanced computed tomography indicating cardiac perforation and pericardial injury following blunt trauma: A case report.

Trauma Case Rep 2021 Oct 3;35:100515. Epub 2021 Aug 3.

Emergency and Critical Care Center, Mie University Hospital, Japan.

Blunt trauma may cause cardiac perforation requiring emergency surgical repair. Cardiac perforations are usually diagnosed by the presence of a pericardial effusion on echocardiography. However, cardiac perforations and pericardial effusions are sometimes too small to detect, resulting in underdiagnosis. Read More

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October 2021