Learning Curve Analysis of Laparoscopic Kasai Portoenterostomy

Journal of Laparoendoscopic&Advanced Surgical Techniques , Vol. 0, No. 0.
Source: Journal of Laparoendoscopic and Advanced Surgical Techniques - Category: Surgery Source Type: research

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Condition:   Vesico-vaginal Fistula Intervention:   Procedure: vesico-vaginal fistula robot assisted laparoscopic repair Sponsor:   Central Hospital, Nancy, France Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Conclusions: POEM is safe and effective in the treatment of achalasia and spastic esophageal disorders even after failed prior interventions. PMID: 31744270 [PubMed - as supplied by publisher]
Source: Clinical Endoscopy - Category: Gastroenterology Tags: Clin Endosc Source Type: research
lo MF Abstract BACKGROUND: Pneumoperitoneum and nonphysiological positioning required for robotic surgery increase cardiopulmonary risk because of the use of larger airway pressures (Paws) to maintain tidal volume (VT). However, the quantitative partitioning of respiratory mechanics and transpulmonary pressure (PL) during robotic surgery is not well described. We tested the following hypothesis: (1) the components of driving pressure (transpulmonary and chest wall components) increase in a parallel fashion at robotic surgical stages (Trendelenburg and robot docking); and (2) deep, when compared to routine (moderat...
Source: Anesthesia and Analgesia - Category: Anesthesiology Authors: Tags: Anesth Analg Source Type: research
Authors: Karaca O, Pınar HU Abstract Postoperative opioid administration can cause various side effects, such as drowsiness, respiratory distress, postoperative nausea, and vomiting. The use of non-opioid medications as part of a multimodal analgesia method has been increasingly suggested in the management of acute postsurgical pain. Erector spinae plane block (ESPB), which is a regional anesthesia technique, blocks both visceral and somatic nerve fibers. Though it is infrequently used in young patients, presently described is a series of cases in which ESPB was successfully used in the performance of pediatric la...
Source: Agri Dergisi - Category: Anesthesiology Tags: Agri Source Type: research
ConclusionThere does not appear to be a survival advantage with the use of diverting loop ileostomy with colonic lavage compared to TAC for fulminant CDI. However, diverting loop ileostomy with colonic lavage results in increased rates of colonic preservation, restoration of intestinal continuity, and laparoscopic surgery. This review is limited by the small number of included studies.
Source: International Journal of Colorectal Disease - Category: Gastroenterology Source Type: research
To evaluate the diagnostic accuracy of intra-operative laparoscopic imaging tools in reference to histopathology for detecting endometriotic lesions and to compare them to conventional white light inspection by performing a systematic review with meta-analysis.
Source: The Journal of Minimally Invasive Gynecology - Category: OBGYN Authors: Source Type: research
HK is a 37-year-old who had laparoscopic excision of stage three endometriosis 3 years prior with disease in the cul-de-sac and side walls. Her symptoms improved post-operatively without adjuvant medical treatment and she was considering oocyte vitrification.
Source: The Journal of Minimally Invasive Gynecology - Category: OBGYN Authors: Tags: IMAGES IN Gynecological Surgery Source Type: research
ConclusionA tailored approach is now employed and seen more so in hernia surgery and this fact is referred to and highlighted in the contemporaneous hernia guidelines published to date. In addition, with the increasing complexity of abdominal wall surgery, the number of procedures actually performed by trainees is no longer considered adequate to overcome any recognized learning curve. Therefore, to supplement general surgery training young surgeons should be offered a clinical fellowship to obtain an additional qualification as an abdominal wall surgeon and thus improve their clinical and operative experience under superv...
Source: Hernia - Category: Sports Medicine Source Type: research
AbstractPurpose of reviewWe sought to understand the key aspects to optimize in the perioperative period when treating an elderly surgical patient with inflammatory bowel disease.Recent findingsAddressing preoperative polypharmacy, frailty, and nutrition is important in the elderly population. Understanding intraoperative principles of oncologic risk and pouch formation and the advantages of laparoscopy are key. Postoperative-enhanced recovery pathways and VTE prophylaxis are essential for high-quality care.SummaryPreoperative, perioperative, and postoperative factors can greatly impact elderly patients ’ surgical outcomes.
Source: Current Treatment Options in Gastroenterology - Category: Gastroenterology Source Type: research
Publication date: Available online 20 November 2019Source: Urology Case ReportsAuthor(s): Eric M. Chevli, Tyler J. Maiers, David J. Abramowitz, Shervin Badkhshan, John J. BodkinAbstract:Situs inversus totalis (SIT) is a rare condition with left-right mirror imaging of both abdominal and thoracic organs. While this configuration is rarely of medical importance, an understanding of this unique anatomy is essential in the setting of surgical intervention. Here we review a case of renal cell carcinoma (RCC) in the setting of SIT. The patient underwent a hand-assisted laparoscopic radical nephrectomy. Pathology revealed pT3aNxM...
Source: Urology Case Reports - Category: Urology & Nephrology Source Type: research
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