Transmigration and spontaneous passage of a gossypiboma documented on contrast study

We present the case of a middle aged lady who following cholecystectomy had a forgotten gauze which underwent transmural migration and was later expelled via the rectum demonstrated by radiological studies.
Source: Annals of Medicine and Surgery - Category: General Medicine Source Type: research

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Authors: Sheldon RR, Weiss JB, Do WS, Forte DM, Carter PL, Eckert MJ, Sohn VY Abstract INTRODUCTION: Surgery is a known gateway to opioid use that may result in long-term morbidity. Given the paucity of evidence regarding the appropriate amount of postoperative opioid analgesia and variable prescribing education, we investigated prescribing habits before and after institution of a multimodal postoperative pain management protocol. MATERIALS AND METHODS: Laparoscopic appendectomies, laparoscopic cholecystectomies, inguinal hernia repairs, and umbilical hernia repairs performed at a tertiary military medical cent...
Source: Military Medicine - Category: International Medicine & Public Health Tags: Mil Med Source Type: research
ConclusionOur pilot curriculum addresses a gap in resident education about surgical cost. Residents generally regard equipment standardization as either improving or not changing hospital metrics.
Source: The American Journal of Surgery - Category: Surgery Source Type: research
Authors: Cruz CJ, Yang HY, Kang I, Kang CM, Lee WJ Abstract The da Vinci surgical system released its new pure single-port platform, the da Vinci SP, offering improvements and refinements for established robotic single-site procedures. Herein, we present the first case of robotic single-site cholecystectomy using the da Vinci SP system (RSPC) demonstrating its safety and technical feasibility. A 59-year-old female with chronic calculus cholecystitis was admitted for elective RSPC. Docking time took 6 minutes. The patient underwent successful RSPC with a total operation time of 89 minutes. There was no significant i...
Source: Annals of Surgical Treatment and Research - Category: Surgery Tags: Ann Surg Treat Res Source Type: research
This study aims to analyze the long-term results of endoscopic treatment of aberrant hepatic duct lesions.
Source: Gastrointestinal Endoscopy - Category: Gastroenterology Authors: Source Type: research
ConclusionUniversal OpSalp during hysterectomy, BTL and elective surgery will significantly reduce OvCa mortality and reduce overall healthcare expenditures due to prevention of OvCa. Therefore, it would be reasonable to perform OpSalp in all women undergoing elective surgery.
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
AbstractBackgroundLaparoscopic cholecystectomy (LC) is the criterion standard for treating patients with symptomatic gallstone disease; however, the optimal technique for extracting common bile duct stones remains unclear. Recent studies have noted improved outcomes with single-stage techniques, such as intraoperative endoscopic retrograde cholangiopancreatography (iERCP) and laparoscopic common bile duct exploration (LCBDE); however only few studies have directly compared those two single-stage techniques.ObjectivesUsing the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) database, w...
Source: Surgical Endoscopy - Category: Surgery Source Type: research
AbstractBackgroundLaparoscopic surgeries are a risk factor for raised intracranial **pressure and neurological complications. Even though rare, the consequences may be severe.MethodsOne hundred and one patients of laparoscopic cholecystectomy were enrolled and were randomized into two groups: low-pressure 8  mm Hg (Group A) and high-pressure 14 mm Hg (Group B) carbon dioxide pneumoperitoneum during surgery. Fifty patients were in group A and 51 patients were in group B. Intracranial pressure was measured by measuring the optic nerve sheath diameter (ONSD) using ultrasound examination. Baseline ONSD w as recorded ...
Source: Surgical Endoscopy - Category: Surgery Source Type: research
ConclusionIt is difficult to distinguish amputation neuroma from malignant tumors because radiological findings of a neuroma mimic findings of malignancy. Intraoperative diagnosis is necessary to select an appropriate surgical procedure due to the difficulty of preoperative diagnosis.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
CONCLUSIONS: A low fat diet does not seem to have an influence on the improvement of symptoms after cholecystectomy. However, a randomized study is ongoing at our institution to confirm the results of this prospective study. PMID: 31623819 [PubMed - as supplied by publisher]
Source: Cirugia eEspanola - Category: Surgery Authors: Tags: Cir Esp Source Type: research
ConclusionOur pilot curriculum addresses a gap in resident education about surgical cost. Residents generally regard equipment standardization as either improving or not changing hospital metrics.
Source: The American Journal of Surgery - Category: Surgery Source Type: research
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