Laparoscopic repair of utero-peritoneal fistula

Publication date: Available online 5 December 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Benjamin P Jones, Abirami Rajamanoharan, Geoffrey Trew, Alan Farthing
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research

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This study analyzes the mortality and morbidities of veterans who underwent paraesophageal hernia repair in the Veterans Affairs Surgical Quality Improvement Program database.MethodsVeterans who underwent paraesophageal hernia repair from 2010 to 2017 were identified using Current Procedural Terminology codes. Multivariable analysis was used to compare laparoscopic and open, including abdominal and thoracic approaches, groups. The outcomes were postoperative complications and mortality.ResultsThere were 1607 patients in the laparoscopic group and 366 in the open group, with 84.1% men and mean age of 61  years. Gender ...
Source: Journal of Gastrointestinal Surgery - Category: Surgery Source Type: research
ConclusionsPeritoneal tears occurring inadvertently during Laparoscopic TAPP/TEP procedure for repair inguinal hernia can be effectively sealed with simple bipolar diathermy
Source: Hernia - Category: Sports Medicine Source Type: research
AbstractPurposeTo evaluate and compare peri-operative outcomes through 30  days, including pain and quality of life (QOL) through 3 months across three cohorts of inguinal hernia repair (IHR) patients (robotic-assisted, laparoscopic, and open IHR).MethodsThe Prospective Hernia Study is an ongoing, multicenter, comparative, open-label analysis of clinical and patient-reported outcomes from robotic-assisted surgery (RAS) versus open and RAS versus laparoscopic IHR procedures. Patient responses to the Carolinas Comfort Scale (CCS) questionnaire provided QOL outcomes.Results504 enrolled patients underwent unilateral ...
Source: Hernia - Category: Sports Medicine Source Type: research
AbstractBackgroundVentral hernia repair is common in the expanding aging population, but remains challenging due to their frequent comorbidities. The purpose of this study is to compare the surgical outcomes of open vs. laparoscopic ventral hernia repair in elderly patients.MethodsPatients  ≥ 65 years of age that underwent elective open or laparoscopic ventral hernia repair were identified from the American College of Surgeons National Surgical Quality Improvement Project (NSQIP) database. To reduce potential selection bias, propensity scores were created for the likelihood of undergoing laparoscopic ...
Source: Hernia - Category: Sports Medicine Source Type: research
ConclusionsLaparo-endoscopic inguinal hernia mesh repair has a significant impact on performing a radical prostatectomy and PLND. Surgeons should postpone the inguinal hernia repair of patients in the workup for a radical prostatectomy, with the preferable option of performing the radical prostatectomy and inguinal hernia repair in the same procedure. Alternatively, a Lichtenstein repair can be performed.
Source: Surgical Endoscopy - Category: Surgery Source Type: research
We present the surgical management of a peritoneal-vaginal fistula in a woman who presented with an acute enterocele 16 months following vaginal sparing, robot-assisted laparoscopic (RAL) anterior pelvic exenteration.
Source: Urology - Category: Urology & Nephrology Authors: Source Type: research
Conclusions: There was no significant difference in terms of chronic pain between PG and FS group. The use of PG is effective in TEP.
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - Category: Surgery Tags: Original Articles Source Type: research
Conclusions: As it is noninvasive, easily accessible and has high sensitivity, USG is recommended in diagnosis. In the case of occult contralateral inguinal hernia, bilateral TEP is considered as a safe procedure. Thus, the need for a second operation and related complications can be prevented. We recommend routine USG to detect whether contralateral occult inguinal hernia is present.
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - Category: Surgery Tags: Original Articles Source Type: research
AbstractBackgroundHiatal hernia repair performed at the time of laparoscopic sleeve gastrectomy (LSG) may reduce post-operative reflux symptoms. It is unclear whether intra-operative diagnosis of hiatal hernia varies among surgeons or if it affects outcomes.Study designSurgeons (n = 38) participating in a statewide bariatric surgery quality improvement collaborative reviewed 33 videos of LSG in which no hiatal hernia repair was performed. Reviewers were blinded to patient information and were asked whether they perceived a hiatal hernia. Surgeon characteristics and surge on-specific patient outcomes for LSG w...
Source: Surgical Endoscopy - Category: Surgery Source Type: research
Conclusions Surgical experience varied among FMPRS surgical fellows. Case volume was somewhat but not completely associated with self-perceived ability to practice a procedure independently.
Source: Female Pelvic Medicine and Reconstructive Surgery - Category: OBGYN Tags: Original Articles Source Type: research
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