2521 Post-Market Surgeon Safety Outcomes and Experience Performing Laparoscopic Ultrasound-Guided Radiofrequency Ablation using the Acessa ™ System
1) Evaluate intraoperative and near-term safety outcomes following laparoscopic radiofrequency ablation of fibroids (Lap-RFA) performed by gynecologic surgeons new to the procedure, using the Acessa ™ system (Acessa Health, Austin, TX, USA). 2) Compare observed complication rates with those from the pivotal study.
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 ...
A 39 year old G0 with bicollis uterus and longitudinal vaginal septum presents for management of abnormal uterine bleeding. Transvaginal ultrasound with 3D reconstruction demonstrates an arcuate uterus, endocervical canal branching consistent with bicollis, and a longitudinal vaginal septum (Figure 1). The patient elected for definitive surgical management with total laparoscopic hysterectomy and desired vaginal septum resection. A uterine manipulator was placed in the larger cervix, and a Breisky-Navratril retractor was placed along the contralateral vaginal wall to delineate the smaller cervix.
We present a case of an inguinal hernia in a premature female infant containing the uterus and bilateral adnexa. This was diagnosed on ultrasound and underwent operative repair. The viable hernia contents were reduced laparoscopically, however the sliding nature of the hernia warranted open repair. Surgery was converted to the traditional inguinal approach and the hernia was successfully repaired with high ligation of the sac and additional closure of the internal ring. Post-operative course was unremarkable.
CONCLUSIONTraumatic rupture of a non-parasitic simple hepatic cyst is a very rare complication, but can lead to acute abdomen. In patients who are known to have non-parasitic simple hepatic cyst, rupture of cyst could be included in the differential diagnosis of acute abdomen.
DISCUSSION: US survey underestimated the incidence of PLG compared to the histological finding (p=0.021). Female gender has been shown to be a specific risk factor for benign and malignant PLG and non-polypoid mucosal lesions (p=0.041). The parietal lesion size