Impact of a non-therapeutic laparotomy in patients with locally advanced pancreatic cancer treated with induction (m)FOLFIRINOX: Trans-Atlantic Pancreatic Surgery (TAPS) Consortium study
CONCLUSION: More than a quarter of surgically explored patients with locally advanced pancreatic cancer after induction (m)FOLFIRINOX did not undergo a resection. Such non-therapeutic laparotomy does not appear to substantially impact oncological outcomes.PMID:38456678 | PMC:PMC10921832 | DOI:10.1093/bjs/znae033 (Source: The British Journal of Surgery)
Source: The British Journal of Surgery - March 8, 2024 Category: Surgery Authors: Rutger T Theijse Thomas F Stoop Quisette P Janssen Laura R Prakash Matthew H G Katz Deesje Doppenberg Ching-Wei D Tzeng Alice C Wei Amer H Zureikat Bas Groot Koerkamp Marc G Besselink Source Type: research
Laparoscopy versus laparotomy in the management of abdominal trauma
ConclusionsLaparoscopic surgical procedures present a viable and practical alternative to laparotomy in appropriate cases for patients. The decision to choose laparoscopy as a surgical approach should depend on the surgeon's proficiency and the availability of required resources. (Source: Surgical Practice)
Source: Surgical Practice - March 8, 2024 Category: Surgery Authors: Ahmed Mostafa Maghraby Mohamed,
Mansour Mohammed Kabbash,
Abdullah Abd El ‐Rasoul Al‐Noby Al‐Bokhary,
Yasser Mohammed Seddeik Rayan Tags: ORIGINAL ARTICLE Source Type: research
Impact of the endoscopic surgical skill qualification system on conversion to laparotomy after low anterior resection for rectal cancer in Japan (a secondary analysis of the EnSSURE study)
ConclusionsParticipation of ESSQS-certified physicians may reduce the risk of both indicated and technical conversion. Referral to specialized institutions, such as high-volume centers and university hospitals, especially for patients exhibiting relevant background risk factors, may reduce the risk of conversion to laparotomy and lead to better outcomes for patients.Trial RegistrationThis study was registered with the Japanese Clinical Trials Registry as UMIN000040645. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - March 8, 2024 Category: Surgery Source Type: research
The Degree of Aortic Occlusion in the Setting of Trauma Alters the Extent of Acute Kidney Injury Associated with Mitochondrial Preservation
Am J Physiol Renal Physiol. 2024 Mar 7. doi: 10.1152/ajprenal.00323.2023. Online ahead of print.ABSTRACTResuscitative endovascular balloon occlusion of the aorta (REBOA) is used to control non-compressible hemorrhage not addressed with traditional tourniquets. However, REBOA is associated with acute kidney injury (AKI) and subsequent mortality in severe trauma patients. Herein, we investigated how the degree of aortic occlusion alters AKI in a porcine model. Female Yorkshire-cross swine (n=16, 68.1±0.7Kg) were anesthetized, and had carotid and bilateral femoral arteries accessed for REBOA insertion and distal and proximal...
Source: American Journal of Physiology. Renal Physiology - March 7, 2024 Category: Physiology Authors: Biebele Abel John Mares Justin Hutzler Babita Parajuli Lalitha Kurada Joseph M White Brandon W Propper Ian J Stewart David M Burmeister Source Type: research
Successful management of a thoracoabdominal impalement injury
S Afr J Surg. 2023 Nov;61(4):51-52.ABSTRACTA 63-year-old female presented to the hospital with a history of alleged accidental fall onto a rusted iron rod. She was hypotensive but stable. Cooling of the rod while cutting the protruding part was performed as per basic trauma life support (BTLS) access. Following resuscitation, she was re-evaluated clinically and radiologically, and prepared for surgery. The iron rod trajectory was shown on computed tomography (CT) scan to be entering through the left popliteal fossa, then traversing the abdominal cavity with injury to the descending colon and the left dome of the diaphragm....
Source: South African Journal of Surgery - March 7, 2024 Category: Surgery Authors: A J Philip D V Sneha N Theckumparampil S Jagdish Source Type: research
Small bowel metastasis from embryonal rhabdomyosarcoma of the extremity- a case report
We report an unusual case of ileal metastases from an upper extremity rhabdomyosarcoma in a 17-year-old male who presented with abdominal pain during a routine follow-up visit. Laparotomy and ileocecectomy for a perforated ileal mass confirmed metastatic embryonal rhabdomyosarcoma with 1 out of 14 positive lymph node metastases. This case demonstrates that, although rare, intra-abdominal metastases should be considered when patients with a rhabdomyosarcoma present with abdominal complaints.PMID:38450697 (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - March 7, 2024 Category: Surgery Authors: P Joubert M Mihalik Source Type: research
The Role of Minimally Invasive Surgeries in Trauma
This article delves into the role of minimally invasive surgeries in trauma, specifically laparoscopy and video-assisted thoracic surgery (VATS). It discusses the benefits of laparoscopy over traditional laparotomy, including its accuracy in detecting peritoneal violation and intraperitoneal injuries caused by penetrating trauma. The article also explores the use of laparoscopy as an adjunct to nonoperative management of abdominal injuries and in cases of blunt trauma with unclear abdominal injuries. Furthermore, it highlights the benefits of VATS in diagnosing and treating thoracic injuries, such as traumatic diaphragmati...
Source: The Surgical Clinics of North America - March 7, 2024 Category: Surgery Authors: Atif Jastaniah Jeremey Grushka Source Type: research
Damage Control Laparotomy and Management of the Open Abdomen
Surg Clin North Am. 2024 Apr;104(2):355-366. doi: 10.1016/j.suc.2023.09.008. Epub 2023 Oct 20.ABSTRACTManagement of the open abdomen has been used for decades by general surgeons. Techniques have evolved over those decades to improve control of infection, fluid loss, and improve the ability to close the abdomen to avoid hernia formation. The authors explore the history, indications, and techniques of open abdomen management in multiple settings. The most important considerations in open abdomen management include the reason for leaving the abdomen open, prevention and mitigation of ongoing organ dysfunction, and eventual p...
Source: The Surgical Clinics of North America - March 7, 2024 Category: Surgery Authors: Jennifer Serfin Christopher Dai James Reece Harris Nathan Smith Source Type: research
The Degree of Aortic Occlusion in the Setting of Trauma Alters the Extent of Acute Kidney Injury Associated with Mitochondrial Preservation
Am J Physiol Renal Physiol. 2024 Mar 7. doi: 10.1152/ajprenal.00323.2023. Online ahead of print.ABSTRACTResuscitative endovascular balloon occlusion of the aorta (REBOA) is used to control non-compressible hemorrhage not addressed with traditional tourniquets. However, REBOA is associated with acute kidney injury (AKI) and subsequent mortality in severe trauma patients. Herein, we investigated how the degree of aortic occlusion alters AKI in a porcine model. Female Yorkshire-cross swine (n=16, 68.1±0.7Kg) were anesthetized, and had carotid and bilateral femoral arteries accessed for REBOA insertion and distal and proximal...
Source: Am J Physiol Renal P... - March 7, 2024 Category: Urology & Nephrology Authors: Biebele Abel John Mares Justin Hutzler Babita Parajuli Lalitha Kurada Joseph M White Brandon W Propper Ian J Stewart David M Burmeister Source Type: research
Intestinal cystic lymphangioma
Rev Esp Enferm Dig. 2024 Mar 7. doi: 10.17235/reed.2024.10329/2024. Online ahead of print.ABSTRACTA 7-year-old girl, coming from a rural area in Cameroon, presented to the emergency department with a 3-months history of abdominal pain. Her family also reported vomiting and minimal food intake for two weeks. Physical examination showed a palpable and mobile abdominal mass. An ultrasound showed a large intrabdominal multicystic lesion of about 10cm, close to the intestine and with no solid lesions in other organs. A laparotomy was scheduled and a mobile mass dependent on the jejunum was found. The mass caused an intestinal o...
Source: Revista Espanola de Enfermedades Digestivas - March 7, 2024 Category: Gastroenterology Authors: Arturo Garc ía Pavía Alex Akana Ngatia Jackson Lokili Ebune Source Type: research
The Degree of Aortic Occlusion in the Setting of Trauma Alters the Extent of Acute Kidney Injury Associated with Mitochondrial Preservation
Am J Physiol Renal Physiol. 2024 Mar 7. doi: 10.1152/ajprenal.00323.2023. Online ahead of print.ABSTRACTResuscitative endovascular balloon occlusion of the aorta (REBOA) is used to control non-compressible hemorrhage not addressed with traditional tourniquets. However, REBOA is associated with acute kidney injury (AKI) and subsequent mortality in severe trauma patients. Herein, we investigated how the degree of aortic occlusion alters AKI in a porcine model. Female Yorkshire-cross swine (n=16, 68.1±0.7Kg) were anesthetized, and had carotid and bilateral femoral arteries accessed for REBOA insertion and distal and proximal...
Source: American Journal of Physiology. Renal Physiology - March 7, 2024 Category: Physiology Authors: Biebele Abel John Mares Justin Hutzler Babita Parajuli Lalitha Kurada Joseph M White Brandon W Propper Ian J Stewart David M Burmeister Source Type: research
Successful management of a thoracoabdominal impalement injury
S Afr J Surg. 2023 Nov;61(4):51-52.ABSTRACTA 63-year-old female presented to the hospital with a history of alleged accidental fall onto a rusted iron rod. She was hypotensive but stable. Cooling of the rod while cutting the protruding part was performed as per basic trauma life support (BTLS) access. Following resuscitation, she was re-evaluated clinically and radiologically, and prepared for surgery. The iron rod trajectory was shown on computed tomography (CT) scan to be entering through the left popliteal fossa, then traversing the abdominal cavity with injury to the descending colon and the left dome of the diaphragm....
Source: South African Journal of Surgery - March 7, 2024 Category: Surgery Authors: A J Philip D V Sneha N Theckumparampil S Jagdish Source Type: research
Small bowel metastasis from embryonal rhabdomyosarcoma of the extremity- a case report
We report an unusual case of ileal metastases from an upper extremity rhabdomyosarcoma in a 17-year-old male who presented with abdominal pain during a routine follow-up visit. Laparotomy and ileocecectomy for a perforated ileal mass confirmed metastatic embryonal rhabdomyosarcoma with 1 out of 14 positive lymph node metastases. This case demonstrates that, although rare, intra-abdominal metastases should be considered when patients with a rhabdomyosarcoma present with abdominal complaints.PMID:38450697 (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - March 7, 2024 Category: Surgery Authors: P Joubert M Mihalik Source Type: research
The Role of Minimally Invasive Surgeries in Trauma
This article delves into the role of minimally invasive surgeries in trauma, specifically laparoscopy and video-assisted thoracic surgery (VATS). It discusses the benefits of laparoscopy over traditional laparotomy, including its accuracy in detecting peritoneal violation and intraperitoneal injuries caused by penetrating trauma. The article also explores the use of laparoscopy as an adjunct to nonoperative management of abdominal injuries and in cases of blunt trauma with unclear abdominal injuries. Furthermore, it highlights the benefits of VATS in diagnosing and treating thoracic injuries, such as traumatic diaphragmati...
Source: The Surgical Clinics of North America - March 7, 2024 Category: Surgery Authors: Atif Jastaniah Jeremey Grushka Source Type: research
Damage Control Laparotomy and Management of the Open Abdomen
Surg Clin North Am. 2024 Apr;104(2):355-366. doi: 10.1016/j.suc.2023.09.008. Epub 2023 Oct 20.ABSTRACTManagement of the open abdomen has been used for decades by general surgeons. Techniques have evolved over those decades to improve control of infection, fluid loss, and improve the ability to close the abdomen to avoid hernia formation. The authors explore the history, indications, and techniques of open abdomen management in multiple settings. The most important considerations in open abdomen management include the reason for leaving the abdomen open, prevention and mitigation of ongoing organ dysfunction, and eventual p...
Source: The Surgical Clinics of North America - March 7, 2024 Category: Surgery Authors: Jennifer Serfin Christopher Dai James Reece Harris Nathan Smith Source Type: research
