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Laparoscopy

Peritoneoscopy


Presentation

  • Objective of the present paper is to investigate the current best treatment modalities of myomas, depending on age of the patient and her desire to preserve fertility, as well as on clinical presentation of this pathology, such as size, number, and location[ncbi.nlm.nih.gov]
  • Patients with either large or unresectable tumors, or presenting with abdominal pain present the highest risk for occult intra-abdominal metastases. 2018 Wiley Periodicals, Inc.[ncbi.nlm.nih.gov]
  • A 14-year-old boy presented to our institution with peri-umbilical swelling and purulent discharge from his umbilicus for 2 weeks duration.[ncbi.nlm.nih.gov]
  • Means ( SD) were presented for continuous variables, and frequencies (%) were presented for categorical variables. All analyses were performed using SAS version 9.3 (SAS Institute, Cary, NC).[ncbi.nlm.nih.gov]
  • These patients presented 43% of patients undergoing investigations for abdominal pain. Patients diagnosed with gynaecological problems were excluded to see surgeon's perspective.[ncbi.nlm.nih.gov]
Lymphedema
  • There were more lymphocysts, lymphoceles, and lymphedema in the robotic assisted laparoscopic group compared to the laparoscopy and laparotomy groups in cervical cancer patients.[ncbi.nlm.nih.gov]
Lymphadenopathy
  • The CT scan was better able to suggest dilatation of gut loops and retroperitoneal/mesenteric lymphadenopathy [Figure 2].[doi.org]
Behavior Disorder
  • RESULTS: SI-ASW patients were older, had more females and behavioral disorders, similar physiology, but a lower Injury Severity Score.[ncbi.nlm.nih.gov]

Workup

  • We developed a decision analysis model to assess the cost-effectiveness of preoperative DSL in GC workup. METHODS: Analysis was based on a hypothetical cohort of GC patients in the U.S. for whom initial imaging shows no metastases.[ncbi.nlm.nih.gov]
Pneumoperitoneum
  • We collected data to compare using this new method of peritoneal insufflation with using Palmer's point for pneumoperitoneum.[ncbi.nlm.nih.gov]
  • Next, insuffltate carbon dioxide at a low flow rate of 2 liters/minute, allowing the patient to adapt gradually to the pneumoperitoneum.[gfmer.ch]
  • A Veress needle was used for pneumoperitoneum. Three conventional laparoscopic trocars used. Under laparoscopic guidance, we punctured the cyst. The scolicidal solution used was 10% povidone-iodine.[ncbi.nlm.nih.gov]
  • Five different techniques were used to achieve pneumoperitoneum: closed laparoscopy with Veress needle, open laparoscopy, direct entry, subcostal insufflation, and transfundal insufflation.[glowm.com]

Treatment

  • CONCLUSIONS: SL detects additional incurable factors in Chinese AGC patients with potentially resectable disease and optimizes their treatments.[ncbi.nlm.nih.gov]
  • The patient developed deep-seated mesh infection despite conservative treatment for infection, such as abscess drainage and antibiotic therapy.[ncbi.nlm.nih.gov]
  • Our experience from this case suggests that laparoscopic diagnosis and treatment of tuberculous granuloma is a feasible procedure in a patient who wants to conceive.[ncbi.nlm.nih.gov]
  • Laparoscopic treatment is feasible for the treatment of SMA syndrome given its safety and minimal invasiveness. This is a report of the first case of single-incision laparoscopy-assisted duodenojejunostomy.[ncbi.nlm.nih.gov]
  • Currently, surgical treatment is the only therapeutic method that significantly prolongs life expectancy, and in such cases it is a method of choice.[ncbi.nlm.nih.gov]

Prognosis

  • Diode laser presents a recognized precision for tissue cutting and coagulation and its use could be highly advantageous in SPAL surgery and in particular in such situations avoiding fallopian tube histology distortion and consequently improve the prognosis[ncbi.nlm.nih.gov]
  • Cylindrical abdominal-perineal resection is suitable for patients with low rectal cancer and has helped improve the prognosis of these patients. However, there are some difficulties during the operation.[ncbi.nlm.nih.gov]
  • Fear of seeding the cavity with a malignant tumor has always been present, although recent data suggest that spilling does not alter the prognosis if a staging laparotomy is performed immediately.[emedicine.medscape.com]

Etiology

  • OBJECTIVE: To perform a comprehensive literature review of the incidence, location, etiology, timing, management, and long-term sequelae of urinary tract injury in gynecologic laparoscopy for benign indication.[ncbi.nlm.nih.gov]
  • Liakakos T, Thomakos N, Fine PM, Dervenis C, Young RL: Peritoneal adhesions: etiology, pathophysiology, and clinical significance. Dig Surg 2001; 18: 260–73. MEDLINE 5.[doi.org]
  • Liakakos T, Thomakos N, Fine PM, Dervenis C and Young RL ( 2001 ) Peritoneal adhesions: etiology, pathophysiology, and clinical significance. Recent advances in prevention and management. Dig Surg 18, 260 –273.[doi.org]
  • Monk BJ, Berman ML, Monitz FJ (1994) Adhesions after extensive gynecologic surgery: clinical significance, etiology and prevention. Am J Obstet Gynecol 170:1396–1403 PubMed Google Scholar 3.[doi.org]

Epidemiology

  • This study evaluated the epidemiology of adhesion-related readmissions following open and laparoscopic procedures.[ncbi.nlm.nih.gov]
  • Author information 1 Department of Gynecology, Center for Gynecologic Oncology Amsterdam, Academic Medical Center, PO Box 22660, 1100 DD Amsterdam, The Netherlands. 2 Department of Epidemiology, Center for Gynecologic Oncology Amsterdam, Academic Medical[ncbi.nlm.nih.gov]
  • Recent epidemiological data have demonstrated the true extent of adhesion-related complications, and evidence is emerging on the level of associated risk for patients.[doi.org]
  • Attard JA, MacLean AR: Adhesive small bowel obstruction: epidemiology, biology and prevention. Can J Surg. 2007; 50: 291–300. MEDLINE 13.[doi.org]
Sex distribution
Age distribution

Pathophysiology

  • Although the pathophysiology of PI remains unclear, 2 theories, one mechanical and the other bacterial, have been proposed.[ncbi.nlm.nih.gov]
  • Prevention of postoperative adhesions Strategies for reduction of adhesions are based on their pathophysiological mechanisms of origin ( Box 2 gif ppt ).[doi.org]
  • However, the pathophysiological connection between adhesions and pain remains unclear.[doi.org]
  • Liakakos T, Thomakos N, Fine PM, Dervenis C and Young RL ( 2001 ) Peritoneal adhesions: etiology, pathophysiology, and clinical significance. Recent advances in prevention and management. Dig Surg 18, 260 –273.[doi.org]

Prevention

  • This study aimed to develop a prognostic score to optimize prevention of an unnecessary laparotomy and minimize the rate for unnecessary laparoscopy.[ncbi.nlm.nih.gov]
  • Laparoscopic techniques can be used to prevent, diagnose and treat CBD injuries.[ncbi.nlm.nih.gov]
  • As fimbria could be considered the site of origin for many serous carcinomas in BRCA mutation carriers, many studies are carried out to evaluate the possibility of preventing ovarian carcinoma with BSO.[ncbi.nlm.nih.gov]
  • Despite the low incidence, a laparotomy might be considered rather than laparoscopy to prevent port-site metastasis and more gynecological oncology clinical practices might be relevant to the management of port-site metastasis.[ncbi.nlm.nih.gov]
  • The surgery was performed under general anesthesia to prevent pain and discomfort during the procedure.[ncbi.nlm.nih.gov]

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