From sharks to chimps to moon bears: tales of a supervet

Romain Pizzi, who pioneered keyhole surgery for animals, is arguably the most versatile and inventive vet in the worldIn 2012, the conservation charityFree the Bears approachedRomain Pizzi, one of the most innovative wildlife surgeons in Europe, with an unusual patient. A specialist in laparoscopic (keyhole) surgery – until recently rare in veterinary medicine – Pizzi has operated on giraffes and tarantulas, penguins and baboons, giant tortoises and at least one shark, and maintains a reputation for taking on cases others won’t. If you’re in possession of a tiger with gallstones, or a suspiciously sickl y beaver, you call Pizzi. As Matt Hunt, CEO of Free the Bears says, “We have other vets who are incredibly talented. But Romain is one of a kind.”Pizzi has operated on giraffes and tarantulas, penguins and baboons, giant tortoises and at least one sharkContinue reading...
Source: Guardian Unlimited Science - Category: Science Authors: Tags: Animals Animal welfare Source Type: news

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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
Abstract Laparoscopic cholecystectomy has revolutionized the field of surgery, and is currently the gold standard in the treatment for symptomatic cholelithiasis. The goal of every laparoscopic cholecystectomy should be attainment of the critical view of safety before cutting the cystic duct and artery to reduce the risk of bile duct injury. Open cholecystectomy is most commonly performed when laparoscopic cholecystectomy is converted to open or when laparoscopic cholecystectomy is contraindicated. Robotic cholecystectomy is a safe alternative to conventional laparoscopic cholecystectomy, and follows the same basi...
Source: The Surgical Clinics of North America - Category: Surgery Authors: Tags: Surg Clin North Am Source Type: research
CONCLUSIONGallbladder perforation during in laparoscopic cholecystectomy is common. Prevention of gallstone spillage, and retrieval of spilled gallstones is essential in minimising the risk of complications due to spillage.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
Authors: García-Cano J, Domper F Abstract The authors analyze what should be the best approach to treat patients who had concomitant gallstones and common bile duct stones (CBDS). Laparoscopic common bile duct exploration (LCBDE) appears to be an atractive way to cure all kind of biliary stones in a single procedure. However, when scientific literature is reviewed most patients continue to need from ERCP for CBDS removal. ERCP can be performed before, after or during the same LC procedure. Patients with LCBDE had less pancreatitis rate because the Papilla of Vater is not manipulated but more bile leaks. Larg...
Source: Revista Espanola de Enfermedades Digestivas - Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research
Authors: Di Ciaula A, Wang DQ, Portincasa P Abstract INTRODUCTION: Cholesterol gallstone disease have relationships with various conditions linked with insulin resistance, but also with heart disease, atherosclerosis, and cancer. These associations derive from mechanisms active at a local (i.e. gallbladder, bile) and a systemic level and are involved in inflammation, hormones, nuclear receptors, signaling molecules, epigenetic modulation of gene expression, and gut microbiota. Despite advanced knowledge of these pathways, the available therapeutic options for symptomatic gallstone patients remain limited. Therapy i...
Source: Expert Review of Gastroenterology and Hepatology - Category: Gastroenterology Tags: Expert Rev Gastroenterol Hepatol Source Type: research
Surgical Infections, Ahead of Print.
Source: Surgical Infections - 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
AbstractBackgroundDelta-shaped anastomosis is an established procedure for intracorporeal Billroth-I reconstruction (B-I). However, this procedure has several technical and economic problems. The aim of the current study was to present the technique of B-I using an overlap method (overlap B-I), which is a side-to-side intracorporeal gastroduodenostomy in laparoscopic distal gastrectomy (LDG), and to evaluate the short- and long-term outcomes of this overlap B-I procedure.MethodsWe retrospectively reviewed the medical records of 533 patients who underwent LDG with overlap B-I (n  = 247) or Roux-en-Y reconstruc...
Source: Surgical Endoscopy - Category: Surgery Source Type: research
Laparoscopic cholecystectomy has revolutionized the field of surgery, and is currently the gold standard in the treatment for symptomatic cholelithiasis. The goal of every laparoscopic cholecystectomy should be attainment of the critical view of safety before cutting the cystic duct and artery to reduce the risk of bile duct injury. Open cholecystectomy is most commonly performed when laparoscopic cholecystectomy is converted to open or when laparoscopic cholecystectomy is contraindicated. Robotic cholecystectomy is a safe alternative to conventional laparoscopic cholecystectomy, and follows the same basic operative principles.
Source: Surgical Clinics of North America - Category: Surgery Authors: Source Type: research
We report the case of a 70-year-old diabetic male who presented with C. koseri- associated subhepatic abscess. Two years prior, he had emphysematous cholecystitis and liver abscess caused by C. koseri. During his LC, gallstones were spilled in the abdominal cavity and every effort was made to retrieve them. However, 2 years later, an aspiration of the subhepatic abscess revealed cholesterol fragments. We hypothesize that dislodged cholesterol gallstones and bile, contaminated with C. koseri, were the culprits for the appearance of the subhepatic abscess with the same organism 2 years after the LC.
Source: Journal of Global Infectious Diseases - Category: Infectious Diseases Authors: Source Type: research
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