2149 Long Term Outcome of Mr Guided Focused Ultrasound Treatment and Laparoscopic Myomectomy for Symptomatic Uterine Fibroids
To compare the long-term outcome of laparoscopic myomectomy with MR-guided focused ultrasound (MRgFUS) for symptomatic uterine fibroids.
Condition: Postoperative Pain Interventions: Procedure: Erector spinae plane block; Procedure: Port site infiltration; Device: Ultrasound machine (Mindray DP 9900 plus; Mindray Bio‑Medical Electronics, Shenzhen, China); Drug: Bupivacaine 0.5%; Drug: Lidocaine 2% Sponsor: Assiut University Not yet recruiting
ConclusionNon-specific clinical presentation and non-uniform ultrasound criteria pose a challenge for us to make timely and accurate management. Integrated radiological examinations and communication and cooperation between sonographers and gynecologists play a vital role in diagnostic accuracy and selecting the optimal therapeutic method of an intramural pregnancy.
A 33-year-old patient with no notable history consulted us for chronic pelvic pain accentuated during the period of menstruation, accompanied with deep dyspareunia since her vaginally delivery 2 years prior to presentation. Her physical examination revealed a hypermobile retroverted uterus and a pelvic ultrasound showed a normal uterus and adnexa. A diagnostic laparoscopy was notable for the presence of several defects in the posterior lamina of the broad ligament (Figure 1).
AbstractWe have read the article entitled “Laparoscopic treatment of endometriosis and predictors of major complications: a retrospective cohort study” by Clarket al with great interest . It has been reported that major complications following laparoscopic treatment of endometriosis are infrequent and difficult to predict by patient characteristics and preoperative imaging (magnetic resonance imaging (MRI) or ultrasound (US)).
ConclusionMesenteric cysts represent a rare cause of intra-abdominal mass. Owing to low prevalence, literature is limited as is guidance on management. Careful pre-operative planning is essential so as to avoid operative complications. Imaging such as USS is of great importance; however Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) may be of more benefit, owing to the complex anatomical relations within which mesenteric cysts can present. Surgical excision is widely reported as the surgical treatment of choice for symptomatic cysts
Publication date: Available online 11 November 2019Source: Brazilian Journal of Anesthesiology (English Edition)Author(s): Başak Altiparmak, Melike Korkmaz Toker, Ali İhsan Uysal, Yağmur Kuşçu, Semra Gümüş DemirbilekAbstractBackground and objectivesThe primary aim of this study is to assess the effect of US-ESP on postoperative opioid consumption after laparoscopic cholecystectomy. The secondary aims are to assess the effects of ESP block on intraoperative fentanyl need and postoperative pain scores.MethodsPatients between 18–70 years old, ASA I-II were included in the study and randomly allocat...
CONCLUSIONPatients with SMZL is usually expected to have good prognosis with splenectomy. However, careful follow-up is required for aggressive transformation can occur and result in worse prognosis.
Prediction of Adnexal Torsion by Ultrasound in Women with Acute Abdominal Pain. Ultraschall Med. 2019 Nov 08;: Authors: Bardin R, Perl N, Mashiach R, Ram E, Orbach-Zinger S, Shmueli A, Wiznitzer A, Hadar E Abstract PURPOSE: To investigate the accuracy of ultrasound in the diagnosis of adnexal torsion. MATERIALS AND METHODS: Retrospective cohort analysis of 322 women, presenting to a tertiary medical center with acute abdominal pain, who underwent gynecological examination, sonographic evaluation and laparoscopic surgery, between 2010 and 2016. Findings for adnexal torsi...
Conclusions: Magnetic cholecysto-duodenal anastomosis for gallbladder drainage appears safe and feasible in the animal model. The anastomoses are patent, leak-free, and without inflammation from the presence of foreign material. Technical modifications for magnet delivery under endoscopic ultrasound (EUS) guidance are currently underway. PMID: 31682532 [PubMed - as supplied by publisher]
Authors: Yilmaz G, Akca A, Kiyak H, Salihoglu Z Abstract BACKGROUND: Optic nerve sheath diameter (ONSD) measurement with ultrasound has emerged as a simple, non-invasive and reliable surrogate of invasive intracranial pressure (ICP) measurement. Increase in ICP might lead to postoperative nausea and vomiting (PONV) and postoperative headache. Here, we aimed to evaluate the extent of change in ONSD, resulting from pneumoperitoneum (PP) and Trendelenburg (TP) position during the laparoscopic hysterectomy (LH), by using ultrasonographic ONSD measurement. We also aimed to investigate the relation of ONSD with PONV and ...