Effect of decompressive laparotomy on organ function in patients with abdominal compartment syndrome: a systematic review and meta-analysis

Decompressive laparotomy has been advised as potential treatment for abdominal compartment syndrome (ACS) when medical management fails; yet, the effect on parameters of organ function differs markedly in the ...
Source: Critical Care - Category: Intensive Care Authors: Tags: Research Source Type: research

Related Links:

To understand the national trends in laparotomy compared to laparoscopy for patients undergoing an abdominal colpopexy with a concurrent hysterectomy and to more fully characterize the 30-day complications for this subset of patients.
Source: American Journal of Obstetrics and Gynecology - Category: OBGYN Authors: Tags: Oral Poster Source Type: research
Our objective was to evaluate the efficacy and safety of thoracic epidural vs. transversus abdominis plane block (TAP) in women undergoing laparotomy for benign and malignant gynecologic indications.
Source: American Journal of Obstetrics and Gynecology - Category: OBGYN Authors: Tags: Non-Oral Poster Source Type: research
Despite it has been described since about forty years, cryoanalgesia has never known a true soaring in the thoracic surgery practice, and its employment has long remained confined to a minority of experienced practitioners. Lying among the limitations of the present investigation by Clemence and coworkers,1 the use of cryoablation on the basis of individual surgeon's experience is the expression of such larger feature. Other drawbacks of this paper comprise the pooled analysis of patients undergoing thoracotomy and thoraco-phreno-laparotomy, the latter incision being potentially associated with pain originating from areas ...
Source: Seminars in Thoracic and Cardiovascular Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: THORACIC – Commentary Source Type: research
Conclusion: Most cases of RPH had an excellent outcome with conservative management alone. PMID: 32089021 [PubMed - as supplied by publisher]
Source: Expert Review of Hematology - Category: Hematology Tags: Expert Rev Hematol Source Type: research
We report the successful surgical repair of bronchobiliary fistula. A 78-year-old man underwent surgery and several rounds of transcatheter arterial chemoembolization and radiofrequency ablation as treatment for hepatocellular carcinoma. He presented with greenish sputum and chronic cough for several months, and his symptoms did not resolve after endoscopic treatment. We performed lobectomy of the right lower lobe and omentopexy for bronchobiliary fistula under laparotomy and thoracotomy. The bronchobiliary fistula was successfully closed, and the bilious sputum disappeared after surgery. PMID: 32090057 [PubMed]
Source: Korean Journal of Thoracic and Cardiovascular Surgery - Category: Cardiovascular & Thoracic Surgery Tags: Korean J Thorac Cardiovasc Surg Source Type: research
We present the case of an 11-year old boy with mosaic trisomy 13 and an end ileostomy (for gut dysmotility) who presented with a catastrophic gastrointestinal haemorrhage during a prolonged Paediatric Intensive Care (PICU) stay recovering from an episode of presumed sepsis. A normal upper GI endoscopy was followed by a laparoscopy which revealed a small bowel adhesion to the anterior abdominal wall which had facilitated the creation of a jejuno-jejunal fistula that had eroded through a mesenteric artery. The child recovered well after a limited laparotomy and segmental small bowel resection.This case highlights an extremel...
Source: Journal of Pediatric Surgery Case Reports - Category: Surgery Source Type: research
Minimally invasive repair of esophageal atresia with tracheoesophageal fistula (EA/TEF) and congenital diaphragmatic hernia (CDH) is feasible and confers benefits compared to thoracotomy or laparotomy. However, carbon dioxide (CO2) insufflation can lead to hypercapnia and acidosis. We sought to determine the effect of lower insufflation pressures on patients' surrogate markers for CO2 absorption — arterial partial pressure of CO2 (PaCO2), end tidal CO2 (EtCO2) and pH.
Source: Journal of Pediatric Surgery - Category: Surgery Authors: Source Type: research
ConclusionThis case suggests prompt recanalization using direct stenting can minimize subsequent bowel resection in patients with ACMI.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
Conclusion Both the Intra.Ox and the SPY detected clinically relevant changes in bowel oxygenation following transection and ligation. The use of intravenous ICG dye did not appear to affect measurements of tissue oxygenation obtained using the Intra.Ox. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text
Source: Journal of Reconstructive Microsurgery - Category: Surgery Authors: Tags: Original Article Source Type: research
AbstractBackgroundPatient-related risk factors for the development of postoperative pulmonary complications (PPCs) include age  ≥ 60-years, congestive heart failure, hypoalbuminemia and smoking. The effect of obesity is unclear and has not been shown to independently increase the likelihood of PPCs in trauma patients undergoing trauma laparotomy. We hypothesized the likelihood of mortality and PPCs would increase as b ody mass index (BMI) increases in trauma patients undergoing trauma laparotomy.MethodsThe Trauma Quality Improvement Program (2010 –2016) was queried to identify trauma patients ...
Source: European Journal of Trauma and Emergency Surgery - Category: Emergency Medicine Source Type: research
More News: Intensive Care | Laparotomy