Minimal exposure maximal precision ventriculoperitoneal shunt: how I do it

ConclusionThis technique demonstrates low infection/malfunction rate, postoperative pain, and cosmetic advantages. Limiting factors are availability of laparoscopic surgeons and neuronavigation if not familiar with the approach.
Source: Acta Neurochirurgica - Category: Neurosurgery Source Type: research

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Conclusionduplicated gall bladder is a rare finding which may be completely asymptomatic. In symptomatic patients specially if associated with gall stones, surgery is required and the surgeon must be aware of any associated biliary anomalies.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
ConclusionsDue to our findings we assume that the AB may induce immobility and reduce postoperative pain. A prolonged period of physical rest and wearing an AB does not seem to have an impact on the postoperative outcome following IHR. Therefore, a shortened duration of physical rest and wearing an AB following IHR should be taken under consideration. To reveal more evidence on this topic further clinical trials are essential.
Source: Annals of Medicine and Surgery - Category: General Medicine Source Type: research
ConclusionReducing the pressure of the pneumoperitoneum to 8–10 mmHg did not lower the incidence and intensity of postoperative STP. It can jeopardise the surgeon's comfort because of inadequate exposure. Routine use of low-pressure pneumoperitoneum in LC cannot be recommended.
Source: Current Medicine Research and Practice - Category: General Medicine Source Type: research
Publication date: Available online 13 June 2019Source: Journal of Pediatric Surgery Case ReportsAuthor(s): Thomas O. Xu, Daniel E. LevinAbstractPneumatosis intestinalis (PI) with pneumoperitoneum are radiographic findings that may be associated with severe bowel compromise. Asymptomatic patients with benign pneumoperitoneum are well described and can typically be observed. Among symptomatic patients, these findings are more concerning and often mandate operative intervention. The common etiologies of PI with pneumoperitoneum in children can typically be determined by history, physical and imaging findings. Viral enteritis ...
Source: Journal of Pediatric Surgery Case Reports - Category: Surgery Source Type: research
Conclusionclinicians should be aware of such condition in patients with history of bariatric surgery who present with long-standing, intermittent abdominal pain.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
DiscussionThe LAPOP trial will test the hypothesis that LDP reduces postoperative hospital stay compared with ODP.Trial registrationISRCTN,26912858. Registered on 28 September 2015.
Source: Trials - Category: Research Source Type: clinical trials
Conditions:   Laparoscopic Renal Surgery;   Pain Management;   Nerve Block Interventions:   Procedure: single-injection TQLB(transmuscular quadratus lumborum block);   Drug: Morphine given as IPCA(intravenous patient controlled analgesia) Sponsor:   Cui Xulei Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Conclusionduplicated gall bladder is a rare finding which may be completely asymptomatic. In symptomatic patients specially if associated with gall stones, surgery is required and the surgeon must be aware of any associated biliary anomalies.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
Conditions:   Laparoscopic Renal Surgery;   Pain Management;   Nerve Block Interventions:   Procedure: single-injection TQLB(transmuscular quadratus lumborum block);   Drug: Morphine given as IPCA(intravenous patient controlled analgesia) Sponsor:   Cui Xulei Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
CONCLUSION Secondary analysis indicates that an adequately maintained profound neuromuscular block improves postoperative pain scores and quality of recovery. As the intention-to-treat analysis did not reveal a difference regarding the primary endpoint, future studies should pursue whether a thoroughly maintained profound NMB during laparoscopy improves relevant patient outcomes. TRIAL REGISTRATION ClinicalTrials.gov identifier: NCT02838134.
Source: European Journal of Anaesthesiology - Category: Anesthesiology Tags: Neuromuscular blocking agents Source Type: research
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