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
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
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
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
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
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
A rare cause of intestinal obstruction: right paraduodenal hernia
This article aimed to present the diagnosis and treatment process of a 47-year-old male presenting with acute abdomen symptoms by evaluating retrospectively with the accompaniment of literature. During the abdominal exploration of the patient, nearly all of the intestines were observed to be herniated from the right paraduodenal region to the posterior area. The opening of the hernial sac was repaired primarily by reducing the intestinal bowel loops into the intraperitoneal region. The patient undergoing anastomosis by performing resection of the ischemic part after reduction of herniated bowel loops was discharged unevent...
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - March 20, 2024 Category: Emergency Medicine Authors: Tuba Atak Source Type: research
Endometriosis-associated massive ascites in a young Nigerian lady
We report a 31-year-old nulligravida with progressive abdominal swelling, worsening dysmenorrhea, weight loss and a family history of ovarian tumour. Pelvic ultrasonography and Computed Tomography scans suggested an ovarian mass suspected to be an ovarian malignancy. Exploratory laparotomy revealed massive haemorrhagic ascites (8.6 litre) and multiple nodular masses on the anterior abdominal wall, omentum, bowel and pelvic organs, which were biopsied and confirmed on histopathology to be endometriosis. She had drainage of ascites and hormonal suppression using progestogen (Medroxyprogesterone acetate) with no recurrence in...
Source: Ghana Medical Journal - March 20, 2024 Category: African Health Authors: Abiodun S Adeniran Munirdeen A Ijaiya Kazeem O O Ibrahim Saidu Ibrahim Olaleke O Folaranmi Source Type: research
Effect of hyperbaric oxygen treatment on ischaemia-reperfusion injury in rats detorsioned after experimental ovarian torsion
CONCLUSIONS: When biochemical and histopathological findings were evaluated together, HBOT appeared reduce ovarian ischaemia / reperfusion injury in this rat model of ovarian torsion-detorsion.PMID:38507906 | DOI:10.28920/dhm54.1.16-22 (Source: Diving and Hyperbaric Medicine)
Source: Diving and Hyperbaric Medicine - March 20, 2024 Category: Sports Medicine Authors: Eralp Bulutlar Ali Yilmaz Gizem Berfin Uluutku Bulutlar Yavuz Aslan Hale Nur Bozda ğ Zafer K üçükodaci Source Type: research
A rare cause of intestinal obstruction: right paraduodenal hernia
This article aimed to present the diagnosis and treatment process of a 47-year-old male presenting with acute abdomen symptoms by evaluating retrospectively with the accompaniment of literature. During the abdominal exploration of the patient, nearly all of the intestines were observed to be herniated from the right paraduodenal region to the posterior area. The opening of the hernial sac was repaired primarily by reducing the intestinal bowel loops into the intraperitoneal region. The patient undergoing anastomosis by performing resection of the ischemic part after reduction of herniated bowel loops was discharged unevent...
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - March 20, 2024 Category: Emergency Medicine Authors: Tuba Atak Source Type: research
Endometriosis-associated massive ascites in a young Nigerian lady
We report a 31-year-old nulligravida with progressive abdominal swelling, worsening dysmenorrhea, weight loss and a family history of ovarian tumour. Pelvic ultrasonography and Computed Tomography scans suggested an ovarian mass suspected to be an ovarian malignancy. Exploratory laparotomy revealed massive haemorrhagic ascites (8.6 litre) and multiple nodular masses on the anterior abdominal wall, omentum, bowel and pelvic organs, which were biopsied and confirmed on histopathology to be endometriosis. She had drainage of ascites and hormonal suppression using progestogen (Medroxyprogesterone acetate) with no recurrence in...
Source: Ghana Medical Journal - March 20, 2024 Category: African Health Authors: Abiodun S Adeniran Munirdeen A Ijaiya Kazeem O O Ibrahim Saidu Ibrahim Olaleke O Folaranmi Source Type: research
Effect of hyperbaric oxygen treatment on ischaemia-reperfusion injury in rats detorsioned after experimental ovarian torsion
CONCLUSIONS: When biochemical and histopathological findings were evaluated together, HBOT appeared reduce ovarian ischaemia / reperfusion injury in this rat model of ovarian torsion-detorsion.PMID:38507906 | DOI:10.28920/dhm54.1.16-22 (Source: Diving and Hyperbaric Medicine)
Source: Diving and Hyperbaric Medicine - March 20, 2024 Category: Sports Medicine Authors: Eralp Bulutlar Ali Yilmaz Gizem Berfin Uluutku Bulutlar Yavuz Aslan Hale Nur Bozda ğ Zafer K üçükodaci Source Type: research
A rare cause of intestinal obstruction: right paraduodenal hernia
This article aimed to present the diagnosis and treatment process of a 47-year-old male presenting with acute abdomen symptoms by evaluating retrospectively with the accompaniment of literature. During the abdominal exploration of the patient, nearly all of the intestines were observed to be herniated from the right paraduodenal region to the posterior area. The opening of the hernial sac was repaired primarily by reducing the intestinal bowel loops into the intraperitoneal region. The patient undergoing anastomosis by performing resection of the ischemic part after reduction of herniated bowel loops was discharged unevent...
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - March 20, 2024 Category: Emergency Medicine Authors: Tuba Atak Source Type: research
