Laparoscopic ureteral reimplantation.
[Laparoscopic ureteral reimplantation.] Arch Esp Urol. 2017 May;70(4):412-421 Authors: González Rodríguez I, Gil Ugarteburu R, Fernández-Pello Montes S, Díaz Méndez B, Blanco Fernández R, Mosquera Madera J Abstract Although the laparoscopic ureteral reimplantation (LUR) has a history of over 20 years, its presence in the literature is relatively sparse, almost always in the form of small case series with low statistical power, which has prevented consistent results. It has proven to be a safe and effective technique, improving the safety profile and perioperative complications compared to open ureteral reimplantation (OUR). The few long-term results suggest a similar success rate between the open and laparoscopic approaches. Although we do not found in the literature a strong evidence of the benefits of anti-reflux reimplantation techniques in adults, most of the published series include these procedures. Ureteral reimplantation is considered the treatment of choice in ureteral injuries below the iliac vessels. This is its main indication now. Intraoperative recognition of the injury and immediate LUR avoid other complications, but most of ureteral injuries are diagnosed in the early postoperative period. Although the classical recommendations advise urinary diversion and delayed treatment, the immediate approach is feasible, and indeed seems to improve results in complications, stay and long-term renal function. ...
Response Letter to the "ISPD Peritonitis Recommendations: 2016 Update on Prevention and Treatment". Perit Dial Int. 2017 Sep-Oct;37(5):584-585 Authors: van Gelder MK, van Eck van der Sluijs A, van Maarseveen EM, Klouwenberg PMCK, Abrahams AC PMID: 28931701 [PubMed - in process]
Authors: Szeto CC, Li PK PMID: 28931702 [PubMed - in process]
AbstractBackgroundPostoperative adhesions are the major cause of postoperative complications including intestinal obstruction, infertility, and chronic pelvic pain. In order to reduce postoperative adhesions, Terumo Corporation (Tokyo, Japan) has developed an adhesion barrier system (TCD-11091) which is easy to use at the treatment site in various surgical procedures including laparoscopic surgeries. We conducted a prospective randomized single-blind study in patients who underwent laparotomy with ileostomy.Methods and ResultsOne hundred twenty-six patients were randomly assigned to TCD-11091 group (n = 62) or no...
ConclusionEven though there is no strong evidence to support its use, utilization rates of mesh for laparoscopic PEHR remained high and stable between 2011 and 2014 in the USA. The use of mesh was not associated with a higher incidence of postoperative complications.
CONCLUSION: DS can provide faster symptom relief but LapGJ can provide improved oral intake, better compliance to chemotherapy, and longer survival. Therefore, LapGJ should be the first choice in gastric outlet obstruction patients for long-term and better quality of life. PMID: 28932728 [PubMed]
Conclusions OTSC is effective for endoluminal closure of iatrogenic perforations and results in a significant decrease in surgery rate. [...] © Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents | Abstract | open access Full text
CONCLUSION: Repair of a common bile duct defect with a decellularized ureteral graft appears to be feasible. A T-tube or intraluminal stent was necessary to reduce postoperative complications. PMID: 28082809 [PubMed - in process]
AbstractPelvic inflammatory disease (PID) is an ascending infection of the female genital tract caused by the spread of bacteria from the vagina to the pelvic reproductive organs and occasionally the peritoneum. The most common causative organisms are sexually transmitted. PID is a significant source of morbidity among reproductive age women both as a cause of abdominal pain and as a common cause of infertility. Its clinical presentation is often nonspecific, and the correct diagnosis may first come to light based on the results of imaging studies. MRI is well suited for the evaluation of PID and its complications due to i...
In this report we present the case of an 8-year-old boy with phlegmonous appendicitis and accompanying rotavirus infection who on the fourth day after appendectomy developed postrenal acute renal failure with anuria due to bilateral ureteric obstruction. Bilateral ureteral catheterization resulted in a quick restoration of diuresis and complete recovery of renal function. To date, only several pediatric cases with similar complication of acute appendicitis have been described in the literature.
Conclusion: Scrotal abscess needs a high index of suspicion for predisposing pathology, especially in infants. Laparoscopy is safe and effective in the management of the MGD and ectopic ureter.