Intestinal intussusception as a postoperative complication of gastric bypass
We present the case of a 41-year-old female who underwent a laparoscopic gastric bypass 8 years prior to her admission to the emergency room, where she arrived complaining of severe and colicky epigastric abdominal pain. The abdominal computed tomography showed a jejuno-jejunal intussusception, for which the patient underwent urgent exploratory laparotomy with intussusception reduction. Intestinal intussusception is a possible postoperative complication of a Roux-en-Y gastric bypass.PMID:38537228 | DOI:10.24875/CIRU.21000795 (Source: Cirugia y Cirujanos)
Source: Cirugia y Cirujanos - March 27, 2024 Category: Surgery Authors: Perla X L ópez-Almanza Daniel Gonz ález-Hermosillo-Cornejo Gerardo A Montalvo-Dom ínguez Enrique Reyes-Rodr íguez Pablo Andrade-Mart ínez-Garza Source Type: research

Heterotopic Ossification of the Abdomen: A Rare Sequela Following Trauma and Damage Control Laparotomy
We present the case of a 22-year-old man, 20 months after life-threatening motor vehicle crash with major vascular injury requiring multiple abdominal surgeries. The patient was initially treated at a community hospital and subsequently developed a chronic left lower quadrant enterocutaneous fistula, accompanied by a gradually worsening diffuse abdominal pain. He was referred to our tertiary care center with extensive skin breakdown and an inability to control the fistula despite numerous wound care consultations. He also had severe abdominal deformities due to HO in the abdominal wall, peritoneum, paraspinal muscles, and ...
Source: The American Surgeon - March 27, 2024 Category: Surgery Authors: Patrick Cherfan Michael D Cobler-Lichter Joshua P Kronenfeld Zoe Weiss Patricia M Byers Source Type: research

Surgical Site Infections in Trauma Exploratory Laparotomies Preoperative Ceftriaxone and Metronidazole Versus Cefoxitin
Am Surg. 2024 Mar 27:31348241241695. doi: 10.1177/00031348241241695. Online ahead of print.ABSTRACTSurgical site infections (SSIs) remain a significant cause of morbidity and mortality in patients undergoing traumatic exploratory laparotomy. The goal of this study was to compare antibiotic usage and subsequent outcomes in patients undergoing traumatic exploratory laparotomy. A retrospective chart analysis and a chi-square test of independence were performed to examine the relation between preoperative cefoxitin versus ceftriaxone and metronidazole and the rate of SSI development. 323 patients were analyzed, 111 patients re...
Source: The American Surgeon - March 27, 2024 Category: Surgery Authors: Miles W Reese Brendan J Roess John M Hepner Raymond L Hogge Ricardo Rendel Michael T Martyak Ishraq K Kabir Tuan M Nguyen Kristen N Snyder Julia A Heaton Source Type: research

Case report: The diagnostic dilemma of indeterminate biliary strictures: report on two cases with a literature review
ConclusionsGiven the majority of the biliary strictures are malignancy, preoperative differentiation between benign and malignant is critical for choosing the best therapeutic regimen. Thus, close follow-up, multiple multidisciplinary discussion, and prompt surgical exploration are necessary for some difficult diagnostic cases. (Source: Frontiers in Oncology)
Source: Frontiers in Oncology - March 27, 2024 Category: Cancer & Oncology Source Type: research

Three-year follow-up analysis of the short-stitch versus long-stitch technique for elective midline abdominal closure randomized-controlled (ESTOIH) trial
ConclusionHernia rates increased significantly between one and 3 years postoperatively. The short-stitch technique using a poly-4-hydroxybutyrate-based suture is safe in the long term, while no significant advantage was found at 3 years postoperatively compared with the standard long-stitch technique.Trial registryNCT01965249, registered on 18 October 2013. (Source: Hernia)
Source: Hernia - March 27, 2024 Category: Sports Medicine Source Type: research

Can surgeons accurately identify mesh type when interpreting computed tomography scans after ventral hernia repair?
ConclusionsSurgeons ’ ability to accurately identify the type of previous mesh using CT scans is poor. This study underscores the importance of documenting the type of mesh used in the operative report and the need for standardized operative notes to improve the accuracy and consistency of documentation. (Source: Hernia)
Source: Hernia - March 27, 2024 Category: Sports Medicine Source Type: research

Cancers, Vol. 16, Pages 1282: Temporal Trends in Treatment and Outcomes of Endometrial Carcinoma in the United States, 2005 & ndash;2020
Cancers, Vol. 16, Pages 1282: Temporal Trends in Treatment and Outcomes of Endometrial Carcinoma in the United States, 2005–2020 Cancers doi: 10.3390/cancers16071282 Authors: Victor Adekanmbi Fangjian Guo Christine D. Hsu Daoqi Gao Efstathia Polychronopoulou Itunu Sokale Yong-Fang Kuo Abbey B. Berenson Endometrial cancer has continued to see a rising incidence in the US over the years. The main aim of this study was to assess current trends in patients’ characteristics and outcomes of treatment for endometrial carcinoma over 16 years. A dataset from the National Cancer Database...
Source: Cancers - March 26, 2024 Category: Cancer & Oncology Authors: Victor Adekanmbi Fangjian Guo Christine D. Hsu Daoqi Gao Efstathia Polychronopoulou Itunu Sokale Yong-Fang Kuo Abbey B. Berenson Tags: Article Source Type: research

Reduction en masse of Inguinal Hernia in a 2-Month-Old Male Infant
European J Pediatr Surg Rep. 2024; 12: e41-e44 DOI: 10.1055/a-2280-9708Reduction en masse is the reduction of the hernial sac into the preperitoneal space, with a loop of bowel remaining trapped at the neck of the hernial sac. This complication is rare, usually associated with inguinal hernias, and is characterized by the absence of a noticeable bulge in the groin. The patient was a 2-month-old male infant and presented with a nonreducible bulge in his left groin, and incarceration of the left inguinal hernia was diagnosed. Manual reduction was performed, and the hernia bulge became less noticeable. He was admitted, and la...
Source: European Journal of Pediatric Surgery Reports - March 26, 2024 Category: Surgery Authors: Kojima, Masato Touge, Ryo Kurihara, Sho Saeki, Isamu Takahashi, Shinya Tags: Case Report Source Type: research

Advances in Hernia Care State of the Art
Am Surg. 2024 Mar 25:31348241241717. doi: 10.1177/00031348241241717. Online ahead of print.ABSTRACTThe field of hernia surgery has seen many recent advances and continues to evolve. Care of the hernia patient begins preoperatively by ensuring adequate preparation for surgery with surgeons now having the opportunity to accurately predict risk which can aid with informed consent. Imaging studies can now help surgeons diagnose and plan hernia surgery on an individual level based on hernia characteristics as well as abdominal wall musculature. In the operating room, new technology and surgical techniques have allowed surgeons ...
Source: The American Surgeon - March 25, 2024 Category: Surgery Authors: William W Hope Source Type: research

Outcome of robot-assisted surgery for stage IA endometrial cancer compared to open and laparoscopic surgeries: a retrospective study at a single institution
AbstractFew studies have compared the efficacy of robot-assisted, laparoscopic, and open surgeries for endometrial cancer. When considering the position of robotic surgery in Japan, it was necessary to determine whether it was effective or not. We aimed to compare the efficacy and safety of these three types of surgeries for early-stage endometrial cancer. In total, 175 patients with endometrial cancer of preoperative stage IA, who had undergone laparotomic (n = 80), laparoscopic (n = 40), or robot-assisted (n = 55) modified radical hysterectomy at our hospital from 2010 to 2022, were included; surgical outcome...
Source: Journal of Robotic Surgery - March 23, 2024 Category: Surgery Source Type: research

It is feasible to offer laparoscopically approach hysterectomy with contained morcelation even with huge uteri
Multiple studies show improved outcomes of laparoscopic hysterectomy compared to laparotomy, including decreased blood loss, shorter hospitalization and faster recovery. These outcomes are preserved even with longer operative time. Huge uteri make minimally invasive surgery technically challenging. Due to the risk of leiomyosarcoma in a presumed benign uterus, we offer patients contained morcellation as part of the minimally invasive approach. Very few publications describe the technical challenges of laparoscopic surgery for very large uteri, particularly if contained morcellation is planned. (Source: American Journal of ...
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: D Pino, A Romo Source Type: research

The feasibility and benefits of minimally invasive hysterectomy for large uterus
A uterus with a size of 18 to 20 weeks or more is generally considered a large uterus by most gynecological surgeons. Therefore, laparotomy, rather than minimally invasive surgery, is commonly performed to remove the uterus. However, it is well established that minimally invasive surgery offers numerous benefits to patients compared to laparotomy. Uterine size should not be an excluding factor for minimally invasive surgery. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: L Uzianbaeva, P Wang Source Type: research

Novel technique of laparoscopic rectus fascial sling insertion for urinary stress incontinence
Stress urinary incontinence (SUI) is a common condition that has a significant impact on quality of life. The integral theory showed that defective mid urethral support and the resultant low urethral pressure are the main mechanism behind SUI. Concerns have been raised about safety of vaginal mid urethral mesh tapes with a move towards native tissue treatments. Rectus fascial sling has high success rate. It is done through a laparotomy, and is associated with high rates of voiding dysfunction. More recently, sling on a string was introduced using a laparotomy, with blind introduction of the strings using a special curved n...
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: A Fayyad Source Type: research

Hysterectomy in the setting of vaginal obliteration
Laparoscopic hysterectomy in the setting of vaginal obliteration can be challenging due to the lack of vaginal access and uterine manipulation. Several case reports have been previously published on pyometra after Le Fort colpocleisis, each resulting in exploratory laparotomy with hysterectomy. One prior case report has been published on a minimally invasive approach to hysterectomy after Le Fort colpocleisis; in this case, they were able to access the vagina through the previously created vaginal channels. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: T Horton, S El-Nashar, A Carrubba Source Type: research

Key techniques for difficult bladder dissection during robotic assisted total laparoscopic hysterectomy
Bladder dissection can be challenging in patients with a history of cesarean section, endometriosis, or prior pelvic surgeries that result adhesive disease of the bladder to the lower uterine segment. It is important for gynecologic surgeons to master techniques to safely accomplish a difficult bladder dissection during minimally invasive hysterectomy to avoid injury or conversion to laparotomy. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: M Caplan, M Misal Source Type: research