2524 Perioperative Non-Opioid Pain Control Adjuncts and Postoperative Opioid Use after Benign Gynecologic Surgery
To assess associations between perioperative non-opioid pain control adjuncts and postoperative opioid use.
ConclusionIt is important to be vigilant of ectopic hepatic tissue, their complications, and the potential surgical, including increased operative time and the need to follow up on such patients to rule out any possible complications.
CONCLUSION: Closure of the fascial defect in laparoscopic umbilical hernia IPOM repair significantly reduced early seroma formation and long-term recurrence without inducing side-effects such as pain, or other early or late PROMs. Registration number: NCT01962480 ( https://www.clinicaltrials.gov). PMID: 31971616 [PubMed - in process]
Discussion: Since a true short esophagus diagnosis depends on transurgical findings, pediatric surgeons should notice this entity when practicing any antireflux procedure. Laparoscopic Collis-Nissen approach is safe and efficient in these patients. PMID: 31967614 [PubMed - in process]
CONCLUSION: Most patients with surgically confirmed adnexal torsion are of reproductive age and present with acute or subacute pain. Common ultrasound signs are an enlarged organ, the "whirlpool sign", and "ovarian stromal edema with or without peripherally displaced antral follicles", and free fluid in the pelvis. The "follicular ring sign" and absence of Doppler signals are slightly less common signs. Recognizing ultrasound signs of adnexal torsion is important so that correct treatment, i.e. surgery without delay, can be offered. This article is protected by copyright. All rights reserved. ...
CONCLUSIONS: The application of Hem-o-Lok clip during laparoscopic surgery is safe and effective. Postoperative Hem-o-Lok migration into the duodenum is rare. The treatment could be conservative in the majority of cases. PMID: 31958943 [PubMed - in process]
Condition: Postoperative Pain Intervention: Procedure: Erector Spinae Plane Block Sponsor: Gachon University Gil Medical Center Not yet recruiting
ConclusionsIsolated falciform and round-ligament inflammation and necrosis is a rare condition that is difficult to diagnose because it can present mimicking a wide variety of intra-abdominal pathologies, particularly gallbladder pathologies. It is often best treated by laparoscopic resection. Unlike prior reports, our review of the literature, which is the largest that we know of to date, shows that males and females are equally affected. Greater awareness of this entity will aid in future diagnosis.
This study investigated the feasibility of TVSE with RPS according to short-term outcomes and cosmesis.MethodsThis prospective multicenter study enrolled ten patients at three institutions. For the semi-quantification of each parameter, we administered questionnaires to assess pain (visual analogue scale), subjective/objective wound healing esthetics [photo series questionnaires (PSQ)], and quality of life (QOL).ResultsNo operative complications occurred, except one case of urinary tract infection, which was promptly cured with antibiotics. On day 0, pain was rated at 2.3 ± 0.67 at rest and 4.9&thinsp...
AbstractOmental flap was introduced for breast reconstruction after mastectomy either alone or as an adjunct to prosthetic reconstruction. Laparoscopically harvested omental flap was used successfully for this issue. Most of reports had described its use after partial mastectomy, skin or nipple areola sparing mastectomies. In this case, we used the thoracodorsal artery perforator (Tdap) flap as a cover for the omental flap in a patient who underwent modified radical mastectomy. Modified radical mastectomy was done in the usual fashion. The descending branch of the thoracodorsal vessel was traced till its main perforator in...
We report a case of a 15-year-old girl who presented acute severe pain, a tenderness and a palpable mass in the left upper abdominal quadrant in a context of known ovarian cyst. An ultrasound described an ovarian cyst with uncertain vascularization. An urgent laparoscopy showed us a normal left ovary and revealed a very unusual combination of isolated fallopian tube torsion, with a big fallopian cyst and an elongated tube folded over the mesosigmoid. We performed a cystectomy without salpingectomy. This case reminds that paraadnexal and adnexal cysts can be found outside the pelvic area especially in children.