Current Issue : July - September Volume : 2020 Issue Number : 3 Articles : 7 Articles
Background: Internal hernia (IH) is a serious complication following laparoscopic Roux-en-Y gastric bypass (LRYGB),\nand closure of mesenteric defect has been recommended to reduce this complication. But what kind of material\nabout suture and how to close the mesenteric defects were still controversial. The main aim of this study was to\ncompare the incidence rate of internal hernia after LRYGB between patients with different surgical techniques.\nMethod: Three hundred and thirty-one patients underwent LRYGB between June 2004 and December 2017 in one\nsingle institute were retrospective analysed. The IH rate was evaluated according to different surgical methods and\nsurgical materials before and 12 months after LRYGB.\nResults: All the cases were subdivided into three groups based on the suturing method, Roux limb position, and\nSuture material. The mean follow up time was................
Background: We herein report a rare case of an ectopic bronchogenic cyst of the gastric cardia. The initial\ndiagnosis was a gastrointestinal stromal tumor (GIST); however, postoperative pathologic examination confirmed\nthat it was a bronchogenic cyst.\nCase presentation: A 62-year-old woman visited our hospital for abdominal pain. The diagnosis prior to surgery\nwas a GIST. Computed tomography imaging showed that the mass was located in the gastric cardia on the side of\nthe lesser curvature. During the surgical exploration, it was noted that the tactility of the mass was not consistent\nwith a GIST. Thus, we decided to perform local resection of the mass and part of the gastric wall without wedge\nresection. The pathological examination revealed a bronchogenic cyst.\nConclusions: This case suggests that a bronchogenic cyst should be considered as a differential diagnosis of a\nGIST. It is also a unusual but necessary situation should be considered when explaining the etiology of a\nbronchogenic cyst....
To evaluate the necessity and safety of preoperative oral carbohydrates in enhanced recovery after surgery (ERAS) protocols for\ndiabetes mellitus patients. We searched PubMed, EMBASE, the Cochrane Library, Chinese Biomedical Literature Database, China\nNational Knowledge Infrastructure, and WANFANG databases for articles published through September 2018. We used the\nCochrane risk-of-bias tool to assess the methodological quality of included studies. Literature screening, data extraction, and\nquality evaluation were performed independently by two investigators. Of the 6328 retrieved articles, five eligible randomized\ncontrolled trials were included. Two were from China and three were from Germany, Sweden, and Canada. Preoperative oral\ncarbohydrates may facilitate control of preoperative blood glucose, improve postoperative insulin resistance in diabetes patients,\nand decrease the occurrence of adverse reactions. However, the overall quality of the included studies was low. The available\nevidence shows that preoperative oral carbohydrates are probably beneficial for patients with diabetes mellitus. High-quality, large\nrandomized controlled trials are needed to verify our findings and provide quantitative results....
Background: Robot-assisted thoracoscopic surgery (RATS) is useful for surgery in the apical region of the chest\ncavity, as it narrows towards the head. Here, we describe a nonfunctional, rib-invasive paraganglioma arising in the\nposterior mediastinum that was successfully removed using RATS combined with chest wall resection.\nCase presentation: A 31-year-old woman presented with a posterior mediastinal mass on chest computed\ntomography (CT) scan during a medical check-up 2 years prior. Positron emission tomography/computed\ntomography scan with F-18 fluorodeoxyglucose revealed a mass associated with standardized uptake maximum\nvalue of 2.69. With a preoperative diagnosis of neurogenic tumor by CT-guided percutaneous fine-needle aspiration\nbiopsy, we performed robot-assisted tumor resection combined with chest wall resection. The wristed instruments\nof the robotic surgical system have increased range of motion and enabled the tumor resection without organ\ninjury in the thoracic cavity. Histopathology examination revealed a non-functional paraganglioma with rib invasion.\nConclusions: RATS is a useful technique, enabling safer and easier resection of a mediastinal tumor adjacent to\nsurrounding organs....
Introduction: Esophageal foreign bodies are important and serious cause of\nmorbidity and mortality in both children and adults, usually as a result of serious\ncomplications, such as perforation, necrosis, mediastinitis, and fistulation.\nTherefore, rapid and accurate diagnosis with subsequent removal is very important.\nClinical Case: We present and discuss the presentation, diagnosis\nand surgical management of a 6-year-old with a 2-year history of ingested\ncoin locked in the oesophagus. Discussion: Diagnosis was established by upper\ngastrointestinal endoscopy, barium swallow and chest x-ray. The coin was\nremoved by open surgery via oesophagotomy through right thoracotomy after\nfailed retrieval via rigid oesophagoscopy. Conclusion: Surgical treatment\nin the form of esophagotomy via thoracotomy may be necessary in some cases\nof impacted foreign bodies in the esophagus where endoscopic removal is\nunsuccessful....
Bowel preparation traditionally refers to the removal of bowel contents via mechanical cleansing measures. Although it has\nbeen a common practice for more than 70 years, its use is based mostly on expert opinion rather than solid evidence.\nMechanical bowel preparation in minimally invasive and vaginal gynecologic surgery is strongly debated, since many studies\nhave not confirmed its effectiveness, neither in reducing postoperative infectious morbidity nor in improving surgeonsâ??\nperformance. A comprehensive search of Medline/PubMed and the Cochrane Library Database was conducted, for related\narticles up to June 2019, including terms such as â??mechanical bowel preparation,â? â??vaginal surgery,â? â??minimally invasive,â? and\nâ??gynecology.â? We aimed to determine the best practice regarding bowel preparation before these surgical approaches. In\nprevious studies, bowel preparation was evaluated only via mechanical measures. The identified randomized trials in laparoscopic\napproach and in vaginal surgery were 8 and 4, respectively. Most of them compare different types of preparation, with\npatients being separated into groups of oral laxatives, rectal measures (enema), low residue diet, and fasting. The outcomes of\ninterest are the quality of the surgical field, postoperative infectious complications, length of hospital stay, and patientsâ??\ncomfort during the whole procedure. The results are almost identical regardless of the procedureâ??s type. Routine administration\nof bowel preparation seems to offer no advantage to any of the objectives mentioned above. Taking into consideration the fact\nthat in most gynecologic cases there is minimal probability of bowel intraluminal entry and, thus, low surgical site infection\nrates, most scientific societies have issued guidelines against the use of any bowel preparation regimen before laparoscopic or\nvaginal surgery. Nonetheless, surgeons still do not use a specific pattern and continue ordering them. However, according to\nrecent evidence, preoperative bowel preparation of any type should be omitted prior to minimally invasive and vaginal\ngynecologic surgeries....
The Pica syndrome is an eating disorder characterized by an excessive or abnormal\ndesire to consume a non-nourishing substance which can be relatively\nharmless, or potentially harmful for the health. It is a rare affection secondary\nto the accumulation of diverse nature foreign bodies inside the digestive tract\nand more especially at the stomach level. Gastro-intestinal localization is the\nmost frequent, and can remain long time asymptomatic. Treatment is surgical.\nWe report 3 cases of digestive complication of Pica syndrome. The first\none was operated for gastric perforation due to nail (53 nails, a pin and bands\nof tape recorder cassette ingested), the second one for trichobezoar and the\nlast had a subocclusion by pieces of granite....
Loading....