Long-term incisional hernia rate after single-incision laparoscopic cholecystectomy is significantly higher than that after standard three-port laparoscopy: a cohort study

ConclusionSILC is associated with a statistically significantly higher long-term incisional hernia rate at the umbilical port site than the standard multiport laparoscopic cholecystectomy. Our data show there was no relevant advantage regarding the postoperative course, hospital stay or cosmetic satisfaction. To date, widespread use of SILC cannot be recommended. Registration number: NCT03768661 (https://www.clinicaltrials.gov).Trial registrationThis study has been registered atwww.clinicaltrials.gov. The clinicaltrials.gov ID number is: NCT03768661.
Source: Hernia - Category: Sports Medicine Source Type: research

Related Links:

ConclusionIn challenging cases as the giant hernias ad rare anomaly as situs viscerum inversus, the surgical treatment can be facilitated by the use of robotic technology.
Source: International Journal of Surgery Case Reports - Category: Surgery 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
Discussion Cystic fibrosis (CF) is an autosomal recessive disorder caused by mutations in the cystic fibrosis transmembrane receptor (CFTR). It is found in the epithelium of the bronchi, intestine, pancreatic duct and biliary tree. It regulates chloride, bicarbonate and water secretion. The heterozygous state helps prevent against secretory diarrhea, but the homozygous state causes thickened secretions in the hollow tubes of the lungs and digestive tract. There are multiple mutations (> 2000) which have been currently classified into classes depending on their protein production and activity. CF patients generally are l...
Source: PediatricEducation.org - Category: Pediatrics Authors: Tags: Uncategorized Source Type: news
We present the case of a 90-year-old man with a Billroth-II performed 50 years earlier and three acute pancreatitis. He presented with acute abdominal pain, without signs of pancreatitis. Upper digestive endoscopy revealed a punctiform anastomotic stricture of the afferent loop. Fluoroscopy-guided contrast injection showed a dilated loop with multiple filling defects. After through-the-scope balloon dilation, multiple calculi similar to gallstones were observed in the afferent loop and were removed with a basket. There were no signs of choledochoduodenal fistula or abnormalities in the ampulla of Vater, leading us to assum...
Source: Revista Espanola de Enfermedades Digestivas - Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research
ConclusionAdhesions remain prevalent despite the absence of previous abdominal surgery. Non‐operative management is feasible for SBO in a virgin abdomen. Computed tomography scan can be a useful adjunct in discerning patients who may be treated non‐operatively by elucidating the underlying cause of obstruction.
Source: ANZ Journal of Surgery - Category: Surgery Authors: Tags: Original Article Source Type: research
ConclusionIn a high-volume center with an experienced team, LSG can be performed with low morbidity and mortality.
Source: Obesity Surgery - Category: Surgery Source Type: research
AbstractBariatric surgery is most commonly carried out in women of childbearing age. Whilst fertility rates are improved, pregnancy following bariatric surgery poses several challenges. Whilst rates of many adverse maternal and foetal outcomes in obese women are reduced after bariatric surgery, pregnancy is best avoided for 12 –24 months to reduce the potential risk of intrauterine growth retardation. Dumping syndromes are common after bariatric surgery and can present diagnostic and therapeutic challenges in pregnancy. Early dumping occurs due to osmotic fluid shifts resulting from rapid gastrointestinal food t...
Source: Obesity Surgery - Category: Surgery Source Type: research
Conclusion - With appropriate selection criteria, ambulatory laparoscopic cholecystectomy is feasible, safe and effective; readmission rate is low, as well as complications related to the method. Cost savings and patient satisfaction support its adoption. Other studies are necessary to recommend this procedure as standard practice in Brazil.RESUMO Contexto - A colecistectomia laparoscópica é o tratamento de escolha da colelitíase, e tem sido realizada de maneira ambulatorial em diversas instituições nos últimos anos. Objetivo - Esse é um estudo retrospectivo de um grande c...
Source: Arquivos de Gastroenterologia - Category: Gastroenterology Source Type: research
We report the first known case in which later, acute symptoms developed owing to gallstone ileus in a sac containing both omentum and small bowel. Urgent computed tomography established the diagnosis. PMID: 27241611 [PubMed - as supplied by publisher]
Source: Annals of the Royal College of Surgeons of England - Category: Surgery Authors: Tags: Ann R Coll Surg Engl Source Type: research
Bariatric surgery continues to be the most effective therapy for weight loss in patients with morbid obesity. Depending type of surgery, long-term complications can include nutritional deficiencies, anemia, internal hernias, anastomotic ulcers/strictures, cholelithiasis/cholecystitis, among others. There is no clear consensus whether an asymptomatic cholelithiasis detected pre or postoperatively should be also operated (simultaneously, before or after bariatric surgery), or if it is safe to convey a conservative management (unless symptoms occur).
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Source Type: research
More News: Cholecystectomy | Gallstones | Hernia | Laparoscopy | Sports Medicine | Statistics | Study