Evaluation of the Impact of Preoperative Education in Ambulatory Laparoscopic Cholecystectomy. A Prospective, Double-Blind Randomized Trial

Conclusions We did not find differences due to intensive preoperative education. However, we think that a correct information protocol should be integrated into the patient's preoperative preparation. Registered in ISRCTN number ISRCTN83787412.
Source: Cirugia Espanola - Category: Surgery Source Type: research

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CONCLUSIONS Gut microbiome of PCS patients was dominated by Proteobacteria in feces and contained little Firmicutes and Bacteroidetes. The enhanced abundance of Proteobacteria might be the highly pathogenic risk factor for chronic abdominal pain and diarrhea in PCS patients. PMID: 31563920 [PubMed - in process]
Source: Medical Science Monitor - Category: Research Tags: Med Sci Monit Source Type: research
The back pain and odd growth seemed to indicate cancer. But one doctor had a different idea entirely.
Source: NYT Health - Category: Consumer Health News Authors: Tags: Gallstones laparoscopic cholecystectomy Medicine and Health Doctors Source Type: news
CONCLUSIONThe anatomical variation in SIT can influence the localization of symptoms in patient with cholelithiasis leading to a delay in diagnosis and management. Laparoscopic cholecystectomy can be safely performed in these cases. However, it is considered technically challenging procedure and often requires alteration in the technique.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
Publication date: Available online 27 April 2019Source: The LancetAuthor(s): Aafke H van Dijk, Sarah Z Wennmacker, Philip R de Reuver, Carmen S S Latenstein, Otmar Buyne, Sandra C Donkervoort, Quirijn A J Eijsbouts, Joos Heisterkamp, Klass H in het Hof, Jan Janssen, Vincent B Nieuwenhuijs, Henk M Schaap, Pascal Steenvoorde, Hein B A C Stockmann, Djamila Boerma, Gert P Westert, Joost P H Drenth, Marcel G W Dijkgraaf, Marja A Boermeester, Cornelius J H M van LaarhovenSummaryBackgroundInternational guidelines advise laparoscopic cholecystectomy to treat symptomatic, uncomplicated gallstones. Usual care regarding cholecystecto...
Source: The Lancet - Category: General Medicine Source Type: research
ConclusionLap ECBD avoided ionizing radiation for choledocholithiasis during pregnancy, and can combined with LC as an effective minimally invasive procedure for complicated gallstone disease.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
AbstractCholelithiasis affects approximately 15% of the US population. Rising trends in obesity and metabolic syndrome have contributed to an increase in diagnosis of cholelithiasis. There are several risk factors for cholelithiasis, both modifiable and nonmodifiable. Women are more likely to experience cholelithiasis than are men. Pregnancy, increasing parity, and obesity during pregnancy further increase the risk that a woman will develop cholelithiasis. The classic presentation of persons experiencing cholelithiasis, specifically when gallstones obstruct the common bile duct, is right upper quadrant pain of the abdomen ...
Source: Journal of Midwifery and Women's Health - Category: Midwifery Authors: Tags: Review Source Type: research
Koichi Inukai, Eri Tsuji, Nobuhiro Takashima, Minoru YamamotoJournal of Minimal Access Surgery 2019 15(2):164-166Gallstone is a rare cause of bowel obstruction and is associated with high rates of morbidity and mortality. Here, we report a case of gallstone ileus treated by laparoscopic two-stage procedure. A 65-year-old man, without a history of any surgery, presented to our hospital with abdominal pain and vomiting. His abdominal computed tomography revealed gallstone ileus with cholecystoduodenal fistula. Then, enterolithotomy was performed as an emergency laparoscopic surgery. After 1 year of the surgery, a second lapa...
Source: Journal of Minimal Access Surgery - Category: Surgery Authors: Source Type: research
Conclusion: Patients with complicated acute pancreatitis with infected pancreatic necrosis represent a challenge in their treatment due to the serious nature of the condition and the morbidity associated with it. A therapeutic option is presented with the combined use of negative pressure therapy (ABThera™) and mesh-mediated fascial traction. With this report we propose a potential line of research to determine its role in the treatment of these patients, as well as their possible advantages and complications. PMID: 30768066 [PubMed - in process]
Source: Cirugia y Cirujanos - Category: Surgery Authors: Tags: Cir Cir Source Type: research
CONCLUSIONLaparoscopic subtotal cholecystectomy is a useful technique for patients with Mirizzi syndrome to avoid bile duct injury.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
BackgroundAcute biliary pain is the most common presentation of gallstone disease. Untreated patients risk recurrent pain, cholecystitis, obstructive jaundice, pancreatitis and multiple hospital presentations. We examine the outcome of implementing a policy to offer laparoscopic cholecystectomy on index presentation to patients with biliary colic in a tertiary hospital in Australia.MethodsThis is a retrospective cohort study of adult patients presenting to the emergency department (ED) with biliary pain during three 12 ‐month periods. Outcomes in Group A, 3 years prior to policy implementation, were compared with groups ...
Source: ANZ Journal of Surgery - Category: Surgery Authors: Tags: Original Article Source Type: research
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