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Background Natural orifice specimen extraction has been used to minimize the incidence of surgical wound complications. We developed the procedure for complete laparoscopic colectomy with transvaginal specimen extraction using the reduced port surgery technique with the primary aim of attenuating abdominal wall damage. Methods We prospectively collected data on seven patients who underwent complete laparoscopic colectomy using transvaginal specimen extraction with a 10-mm abdominal incision for right-sided colon cancer from January 2014 to December 2021. Median operative time was 219 minutes, median blood loss was 23 ml, median number of harvested lymph nodes was 21, and median margins were 17. 0 cm for the proximal margin and 9. 5 cm for the distal margin. There were no issues more acute than Clavien's Grade II, and there was no mortality. Once more common use intravenous analgesics from day 1 to discharge was one.
Source link: https://doi.org/10.1007/s10151-022-02636-7
Background: Patients with abdominal surgical emergencies often arrive in low-income countries and are then transferred to referral hospitals for surgical care. Transfer time and outcomes are expected to be explored in LICs, although the connection between transfer time and outcomes has yet to be explored in LICs. We wanted to see the effect of transfer delays on postoperative outcomes among patients undergoing emergency abdominal surgery in Malawi. This is a retrospective review of the acute care surgery database at Kamuzu Central Hospital, Malawi's referral hospital. To determine the relationship between transfer time and postoperative complications and mortality, we used logistic regression modeling. Conclusion : Among patients in Malawi needing emergency abdominal surgery, transfer delays are associated with elevated postoperative complications and mortality rates.
Source link: https://doi.org/10.1007/s00268-022-06592-z
Background: The objective was to investigate the safety of maltodextrin and fructose administered orally before major abdominal surgery. The intervention group was given 800 mL and 400 mL of a maltodextrin and fructose beverage at 10 h and two h before MAS, respectively, and the control group was treated with water under the same experimental conditions as the control group. After MAS, the IRI and fasting insulin were markedly lower in the IG and fasting insulin were much lower in the IG than CG. At 1 h before MAS, the IG's scores for anxiety, appetite, and nausea were much lower in the IG than CG. Conclusions and recommendations can be helpful in preoperative subjective stability and reduced postoperative insulin resistance without causing increased risk of gastro intestinal pain.
Source link: https://doi.org/10.1007/s00268-022-06455-7
During a minimally invasive LPLND for rectal cancer, we determined the time required for registration and reporting error for the root of the superior gluteal artery, superior vesical artery, and the obturator for amen. Thousands of patients with LPLND for rectal cancer at the University of Tokyo Hospital between September 2020 and May 2021 were enrolled. The mean TRE of the superior gluteal artery, the root of the obturator or superior vesical artery, and the obturator for amen were 55. 7 mm, 53. 2 mm, and 55. 2 mm with the intra-abdominal records, respectively. Conclusions: When stereotactactic navigation devices are used for minimally invasive LPLND, the use of intra-abdominal landmarks for registration is a viable option that may lead to quicker and more accurate navigation than using body surface landmarks.
Source link: https://doi.org/10.1007/s10151-022-02643-8
Purpose: Specifically, the postoperative period after abdominal solid tumor surgery is critical due to complications. Results The overall complication rate was 10% and they were chylous leak, acute renal failure, hemorrhagi, intestinal blockage, surgical site infection, thromboembolism, and peripheric neuronal disease was a common occurrence. Although the number of benign or malignant disease in groups with or without complications was not similar, male patients had more difficulties than female patients, according to Clavian's u2013Dindo classification: 2 grade I, 23 grade II, 9 grade IIIb, 5 grade IVa, and 1 grade V. Increased postoperative complications were associated with more than one surgery aimed at tumor resection. After extragonadal germ cell tumor and hepatic tumors, the incidence of complications was the greatest. Conclusions The postoperative effects of abdominal tumor surgery are different in children.
Source link: https://doi.org/10.1007/s00383-022-05163-6
Background Neutropenic enterocolitis, or typhlitis, is a condition that is typically associated with severe neutropenia in the setting of chemotherapy, and it benefits from early diagnosis. It has been linked to neutropenia in the case of human immunodeficiency virus, but not in a patient with HIV who was not neutropenic on arrival. On the day, we introduced a patient with HIV who was not neutropenic on arrival but later found to have NE, but not NE. Case study A 27-year-old male with a history of HIV and epilepsy appeared with worry about a breakthrough seizure. parament: 3. 9 u00d7 109/L, absolute neutrophil count 3. 14, and undetectable viral load. However, even with a normal ANC and CD4 count above 200 cells/mm3, it should be considered in patients with HIV with these signs.
Source link: https://doi.org/10.1186/s12245-022-00439-z
Revision of ovarian and fallopian tube cancer tissue tumor formation as extra-abdominal lymph nodes to learn the diagnostic challenges and prognostic characteristics of these conditions. paraphrasedoutput:U201d tube cancer,u201d u201c tube tumors,u201d lymph nodes,u201d extra-abdominal lymph nodes,u201d u201c tumor lymph nodes, u201d tu201d u201d n201d u201d nodes,u201d u201d,u201d u201d u201c fallopian tube cancer, u201d u201du201d u201d nodes,u201du201d u201d u201du201d u201d u201du201d u201d u201cu201du201d u201d Distant manifestations of ovarian cancer can occur through the lymphatic system and, less often, through hematogenous diffusion. These modes of transmission may be present in virtually no symptoms related to the primary cancer site and can also support distant disease at the initial presentation. Extra-abdominal lymph node involvement poses a medical threat to oncologists and oncologic gynecologists alike, with no or mild signs of disease in the pelvic cavity, and even in situations where no macroscopic disease is seen in the pelvic cavity.
Source link: https://doi.org/10.1007/s43032-022-01049-z
Background Post-partum abdominal wall insufficiency with rectus diastasis is present in more than half of women after pregnancy. This review was designed to investigate the effectiveness of onlay mesh combined with abdominoplasty, as well as the patients' well-being. Two hundred patients with PPAWI underwent surgery for onlay mesh and abdominoplasty. Before the procedure and six months later, a questionnaire seeking the patient's sexual and social life, as well as the presence of back pain was completed. Conclusions The onlay procedure with abdominoplasty was found to be safe and fast. In all patients, back pain was alleviated or minimalized. After the procedure, the patients'u2019 symptoms were strongly related to the front abdominal wall's morphological condition, which was positively linked to the procedure's recovery. PPAWI's psychological and social repercussions are likely to encourage the surgical societies to introduce a new disease called PPAWIS, which would cause the surgical societies to investigate a new disease.
Source link: https://doi.org/10.1186/s12893-022-01757-y
History We experienced the challenging aspiration pneumonia during the induction of anesthesia in elective abdominal surgery, which was not followed by the traditional fasting period. Case study The 64-year-old male was supposed to gastrojejunostomy as a result of gastrointestinal obstruction. In many cases, the common fasting period would have reduced aspiration pneumonia. However, even in rare cases of abdominal pain-free cases, we should consider the massive gastric residual contents, especially in vulnerable cases. We recommend that point-of-care gastric ultrasonography be performed in suspicious situations before anesthesia is initiated.
Source link: https://doi.org/10.1186/s40981-022-00549-w
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