Acute Infectious Purpura Fulminans Complicated by Bacterial Translocation after Rectal Cancer Surgery: A Case Report
Medicina (Kaunas). 2024 Apr 17;60(4):644. doi: 10.3390/medicina60040644.ABSTRACTThe patient was a man in his 80s who had undergone laparoscopic anterior resection for rectal cancer. Bowel obstruction occurred on the third postoperative day but improved with a decompression tube by the fifth postoperative day. A high fever (in the 38 °C range) was also observed. Blood culture tests detected two sets of the gram-negative bacilli Klebsiella aerogenes within 24 h of collection. On the seventh postoperative day, the patient subsequently went into septic shock with disseminated intravascular coagulation (DIC). On the eighth pos...
Source: Medicina (Kaunas) - April 27, 2024 Category: Universities & Medical Training Authors: Ryo Nakanishi Heita Ozawa Naoyuki Toyota Minori Mise Ritsuto Akutsu Shin Fujita Source Type: research
Management of Malignant Gastric Outlet Obstruction: A Comprehensive Review on the Old, the Classic and the Innovative Approaches
Medicina (Kaunas). 2024 Apr 16;60(4):638. doi: 10.3390/medicina60040638.ABSTRACTGastrojejunostomy is the principal method of palliation for unresectable malignant gastric outlet obstructions (GOO). Gastrojejunostomy was traditionally performed as a surgical procedure with an open approach butrecently, notable progress in the development of minimally invasive procedures such as laparoscopic gastrojejunostomies have emerged. Additionally, advancements in endoscopic techniques, including endoscopic stenting (ES) and endoscopic ultrasound-guided gastroenterostomy (EUS-GE), are becoming more prominent. ES involves the placement...
Source: Medicina (Kaunas) - April 27, 2024 Category: Universities & Medical Training Authors: Alessandro Fugazza Marta Andreozzi Hamid Asadzadeh Aghdaei Agustin Insausti Marco Spadaccini Matteo Colombo Silvia Carrara Maria Terrin Alessandro De Marco Gianluca Franchellucci Kareem Khalaf Pardis Ketabi Moghadam Chiara Ferrari Andrea Anderloni Giovann Source Type: research
Descriptive Analysis of Outcomes After Onlay Ventral Hernia Repair in Obese Patients
CONCLUSION: Obesity is a risk factor for poor outcomes after VHR. We developed a protocol for obese patients with large defects involving a modified onlay technique which demonstrates comparable results to other VHR techniques in obese patients.PMID:38676337 | DOI:10.1177/00031348241241706 (Source: The American Surgeon)
Source: The American Surgeon - April 27, 2024 Category: Surgery Authors: Carolyn P Smullin Rivfka S Shenoy Kevin J Blair Charles F Chandler Source Type: research
A Glimpse into the Role and Effectiveness of Splenectomy for Isolated Metachronous Spleen Metastasis of Colorectal Cancer Origin: Long-Term Survivals Can Be Achieved
Conclusions: Splenectomy is the optimal treatment for patients with isolated metachronous SM of CRC, with the laparoscopic approach being increasingly used and having the potential to become a standard of care. Encouraging long-term survival rates were reported in the context of a multidisciplinary approach. Younger ages are associated with worse survival. Perioperative chemotherapy in the context of a patient diagnosed with SM of CRC origin appears to be a reasonable option, although the present study failed to show any significant impact on long-term survival.PMID:38673636 | PMC:PMC11050850 | DOI:10.3390/jcm13082362 (Sou...
Source: Clinical Colorectal Cancer - April 27, 2024 Category: Cancer & Oncology Authors: Beatrice Mihaela Tivadar Traian Dumitrascu Catalin Vasilescu Source Type: research
A Glimpse into the Role and Effectiveness of Splenectomy for Isolated Metachronous Spleen Metastasis of Colorectal Cancer Origin: Long-Term Survivals Can Be Achieved
Conclusions: Splenectomy is the optimal treatment for patients with isolated metachronous SM of CRC, with the laparoscopic approach being increasingly used and having the potential to become a standard of care. Encouraging long-term survival rates were reported in the context of a multidisciplinary approach. Younger ages are associated with worse survival. Perioperative chemotherapy in the context of a patient diagnosed with SM of CRC origin appears to be a reasonable option, although the present study failed to show any significant impact on long-term survival.PMID:38673636 | PMC:PMC11050850 | DOI:10.3390/jcm13082362 (Sou...
Source: Clinical Lung Cancer - April 27, 2024 Category: Cancer & Oncology Authors: Beatrice Mihaela Tivadar Traian Dumitrascu Catalin Vasilescu Source Type: research
Saliva-based microRNA diagnostic signature for the superficial peritoneal endometriosis phenotype
CONCLUSION: This signature could constitute a new diagnostic strategy to detect the SPE phenotype based on a simple biological test and render diagnostic laparoscopy obsolete. PRéCIS: We generated a saliva-based signature to identify patients with superficial peritoneal endometriosis which is the most challenging form of endometriosis to diagnose and which is often either misdiagnosed or requires invasive laparoscopy.PMID:38677096 | DOI:10.1016/j.ejogrb.2024.04.020 (Source: Reproductive Biology)
Source: Reproductive Biology - April 27, 2024 Category: Reproduction Medicine Authors: Sofiane Bendifallah Yohann Dabi St éphane Suisse Johanna Ilic L éa Delbos Mathieu Poilblanc Philippe Descamps Francois Golfier Ludmila Jornea Delphine Bouteiller Cyril Touboul Anne Puchar Emile Dara ï Source Type: research
Descriptive Analysis of Outcomes After Onlay Ventral Hernia Repair in Obese Patients
CONCLUSION: Obesity is a risk factor for poor outcomes after VHR. We developed a protocol for obese patients with large defects involving a modified onlay technique which demonstrates comparable results to other VHR techniques in obese patients.PMID:38676337 | DOI:10.1177/00031348241241706 (Source: The American Surgeon)
Source: The American Surgeon - April 27, 2024 Category: Surgery Authors: Carolyn P Smullin Rivfka S Shenoy Kevin J Blair Charles F Chandler Source Type: research
The Effect of Recruitment Maneuver on Static Lung Compliance in Patients Undergoing General Anesthesia for Laparoscopic Cholecystectomy: A Single-Centre Prospective Clinical Intervention Study
Conclusions: During laparoscopic cholecystectomy, the application of RM leads to a significant increase in Cstat and an improvement in gas exchange. The prevention of atelectasis during anesthesia should be initiated immediately after the induction of anesthesia, using protective mechanical ventilation and RM.PMID:38674312 | PMC:PMC11052059 | DOI:10.3390/medicina60040666 (Source: Medicina (Kaunas))
Source: Medicina (Kaunas) - April 27, 2024 Category: Universities & Medical Training Authors: Nada An đelić Arsen Uvelin Edita Stoki ć Radmila Popovi ć Ranko Zdravkovi ć Andrej Preveden Nenad Zorni ć Source Type: research
Acute Infectious Purpura Fulminans Complicated by Bacterial Translocation after Rectal Cancer Surgery: A Case Report
Medicina (Kaunas). 2024 Apr 17;60(4):644. doi: 10.3390/medicina60040644.ABSTRACTThe patient was a man in his 80s who had undergone laparoscopic anterior resection for rectal cancer. Bowel obstruction occurred on the third postoperative day but improved with a decompression tube by the fifth postoperative day. A high fever (in the 38 °C range) was also observed. Blood culture tests detected two sets of the gram-negative bacilli Klebsiella aerogenes within 24 h of collection. On the seventh postoperative day, the patient subsequently went into septic shock with disseminated intravascular coagulation (DIC). On the eighth pos...
Source: Medicina (Kaunas) - April 27, 2024 Category: Universities & Medical Training Authors: Ryo Nakanishi Heita Ozawa Naoyuki Toyota Minori Mise Ritsuto Akutsu Shin Fujita Source Type: research
Management of Malignant Gastric Outlet Obstruction: A Comprehensive Review on the Old, the Classic and the Innovative Approaches
Medicina (Kaunas). 2024 Apr 16;60(4):638. doi: 10.3390/medicina60040638.ABSTRACTGastrojejunostomy is the principal method of palliation for unresectable malignant gastric outlet obstructions (GOO). Gastrojejunostomy was traditionally performed as a surgical procedure with an open approach butrecently, notable progress in the development of minimally invasive procedures such as laparoscopic gastrojejunostomies have emerged. Additionally, advancements in endoscopic techniques, including endoscopic stenting (ES) and endoscopic ultrasound-guided gastroenterostomy (EUS-GE), are becoming more prominent. ES involves the placement...
Source: Medicina (Kaunas) - April 27, 2024 Category: Universities & Medical Training Authors: Alessandro Fugazza Marta Andreozzi Hamid Asadzadeh Aghdaei Agustin Insausti Marco Spadaccini Matteo Colombo Silvia Carrara Maria Terrin Alessandro De Marco Gianluca Franchellucci Kareem Khalaf Pardis Ketabi Moghadam Chiara Ferrari Andrea Anderloni Giovann Source Type: research
A Glimpse into the Role and Effectiveness of Splenectomy for Isolated Metachronous Spleen Metastasis of Colorectal Cancer Origin: Long-Term Survivals Can Be Achieved
Conclusions: Splenectomy is the optimal treatment for patients with isolated metachronous SM of CRC, with the laparoscopic approach being increasingly used and having the potential to become a standard of care. Encouraging long-term survival rates were reported in the context of a multidisciplinary approach. Younger ages are associated with worse survival. Perioperative chemotherapy in the context of a patient diagnosed with SM of CRC origin appears to be a reasonable option, although the present study failed to show any significant impact on long-term survival.PMID:38673636 | DOI:10.3390/jcm13082362 (Source: Clinical Colorectal Cancer)
Source: Clinical Colorectal Cancer - April 27, 2024 Category: Cancer & Oncology Authors: Beatrice Mihaela Tivadar Traian Dumitrascu Catalin Vasilescu Source Type: research
A Glimpse into the Role and Effectiveness of Splenectomy for Isolated Metachronous Spleen Metastasis of Colorectal Cancer Origin: Long-Term Survivals Can Be Achieved
Conclusions: Splenectomy is the optimal treatment for patients with isolated metachronous SM of CRC, with the laparoscopic approach being increasingly used and having the potential to become a standard of care. Encouraging long-term survival rates were reported in the context of a multidisciplinary approach. Younger ages are associated with worse survival. Perioperative chemotherapy in the context of a patient diagnosed with SM of CRC origin appears to be a reasonable option, although the present study failed to show any significant impact on long-term survival.PMID:38673636 | DOI:10.3390/jcm13082362 (Source: Clinical Lung Cancer)
Source: Clinical Lung Cancer - April 27, 2024 Category: Cancer & Oncology Authors: Beatrice Mihaela Tivadar Traian Dumitrascu Catalin Vasilescu Source Type: research
Unveiling the hidden: identification and management of overlooked blood vessels in laparoscopic left hemicolectomy for splenic flexure cancer
During laparoscopic left hemicolectomy procedures, a previously overlooked consistently thick blood vessel within the gastrocolic ligament near the splenic hilum may contribute to post-operative bleeding compl... (Source: BMC Surgery)
Source: BMC Surgery - April 27, 2024 Category: Surgery Authors: Wenjun Luo, Peng Chen, Qiang Du, Lie Yang and Zongguang Zhou Tags: Research Source Type: research
Renal implications of pneumoperitoneum in laparoscopic surgery: mechanisms, risk factors, and preventive strategies
Korean J Anesthesiol. 2024 Apr 26. doi: 10.4097/kja.24011. Online ahead of print.ABSTRACTPneumoperitoneum, which is established for laparoscopic surgery, has systemic implications on the renal system and may contribute to acute kidney injury or postoperative renal dysfunction. Specifically, when the pressure exceeds 10 mmHg, pneumoperitoneum decreases renal blood flow, leading to renal dysfunction and temporary oliguria. The renal effects of pneumoperitoneum stem from both the direct effects of increased intra-abdominal pressure and indirect factors such as carbon dioxide absorption, neuroendocrine influences, and tissue d...
Source: Korean Journal of Anesthesiology - April 26, 2024 Category: Anesthesiology Authors: Gianluca Villa Marco Fiorentino Eleonora Cappellini Sergio Lassola Silvia De Rosa Source Type: research
Analysis of the Short-Term Complications of Laparoscopic Pancreaticoduodenectomy in Patients with Metabolic Syndrome
Conclusion: MetS increases the incidence of postoperative complications and perioperative mortality rate in LPD.PMID:38669305 | DOI:10.1089/lap.2023.0465 (Source: Adv Data)
Source: Adv Data - April 26, 2024 Category: Epidemiology Authors: Xiwen Wu Xue Wang Huiyu Jang Yu Du Yahui Liu Shupeng Wang Yu Fu Source Type: research
