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Koen De Decker, Henk G Ter Brugge, Joost Bart, Roy F P M Kruitwagen, Hans W Nijman, Arnold-Jan Kruse
Objectives: Discordance between frozen section diagnosis and the definite histopathological diagnosis and the fact that the frozen section result is not always unambiguous, may contribute to differences in clinical practice regarding perioperative treatment and follow-up of borderline ovarian tumours (BOTs) patients amongst gynaecologic oncologists, which may lead to over- and undertreatment. The aim of the study was to map the Dutch gynaecologists' preferred treatment and follow-up strategy in case of BOTs...
February 2019: Gynecologic Oncology Reports
Houssam Khodor Abtar, Tarek Mostafa Mhana, Riad Zbibo, Mostapha Mneimneh, Antoine El Asmar
Introduction: The incidence of Bile duct injury after laparoscopic cholecystectomy approaches 0.11%-1.4%. Ducts of Luschka are the second most common site of bile leaks. The rarity of these ducts with cases of anatomical alterations in the gastrointestinal tract such as mini-gastric bypass makes the management a challenging option. Presentation of case: Hereby we present a unique case of 28 year old female patient with mini-gastric bypass who had done uneventful cholecystectomy...
November 2018: Annals of Medicine and Surgery
Panagiotis Lainas, Carmelisa Dammaro, Martin Gaillard, Gianfranco Donatelli, Hadrien Tranchart, Ibrahim Dagher
BACKGROUND: Laparoscopic sleeve gastrectomy (LSG) is a widely accepted, stand-alone bariatric operation. Data on elderly patients undergoing LSG are scarce. OBJECTIVES: The aim of this study was to demonstrate that LSG is safe and effective for patients>65 years old with severe obesity. SETTING: Department of Minimally Invasive Digestive Surgery, Antoine-Beclere Hospital, AP-HP, Paris-Saclay University, France. METHODS: Prospectively collected data from consecutive patients undergoing LSG were retrospectively analyzed...
July 2018: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
V M A Stirler, R J de Haas, J T F J Raymakers, S Rakic
PURPOSE: A persistent seroma located posterior to a mesh (PPS) remains a little known complication after laparoscopic ventral hernia repair (LVHR). The aim of this large case series was to analyse the prevalence and clinical course as well as identify related factors and independent predictors of PPS. METHODS: All 1288 adult patients who underwent a LVHR with an expanded polytetrafluoroethylene mesh (ePTFE) between January 2003 and July 2014 were reviewed. Those who underwent an abdominal computed tomography (CT) scan more than 3 months afterwards (n = 166) were included and their scans were analysed...
April 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
Alessandra Marano, Maria Carmela Giuffrida, Giorgio Giraudo, Luca Pellegrino, Felice Borghi
BACKGROUND: Although laparoscopy is becoming the standard of care for the treatment of colorectal disease, its application in case of postoperative peritonitis is still not widespread. The objective of this article is to evaluate the role of laparoscopy in the management of postoperative peritonitis after elective minimally invasive colorectal resection for malignant and benign diseases. MATERIALS AND METHODS: Between April 2010 and May 2016, 536 patients received primary minimally invasive colorectal surgery at our Department...
April 2017: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Panagiotis Lainas, Hadrien Tranchart, Martin Gaillard, Stefano Ferretti, Gianfranco Donatelli, Ibrahim Dagher
BACKGROUND: Prompt management of laparoscopic sleeve gastrectomy (LSG) complications is essential in avoiding prolonged hospital stay and associated mortality. The value of routine computed tomography (CT) scan examination in early diagnosis of postoperative complications after LSG has not been studied. OBJECTIVES: To prospectively assess the impact of postoperative day (POD) 2 CT scan after LSG. SETTING: Department of Minimally Invasive Digestive Surgery, Antoine-Beclere Hospital, AP-HP, Paris-Saclay University, France...
September 2016: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
Martin Gaillard, Hadrien Tranchart, Panagiotis Lainas, Stefano Ferretti, Gabriel Perlemuter, Ibrahim Dagher
BACKGROUND: Single-port laparoscopic sleeve gastrectomy (SPSG) is performed routinely in our department as an alternative to a conventional laparoscopic approach. OBJECTIVES: The aim of this study was to report our surgical results and follow-up outcome after SPSG. SETTING: Department of Digestive Minimally Invasive Surgery, Antoine Béclère Hospital, Assistance Publique-Hôpitaux de Paris, Paris-Saclay University, France. METHODS: Data from consecutive patients who underwent SPSG in our institution between August 2010 and July 2015 were prospectively collected and retrospectively analyzed...
August 2016: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
N A Maistrenko, P N Romashchenko, A S Pryadko, A K Aliev
The results of examination and treatment were analyzed in 51 patients with iatrogenic injuries of the bile-excreting ducts. Patients were divided into 5 groups according to international classification (EAES, 2013). It depended on the time of detection, the nature and scale of damage of the bile ducts, mechanism of injury, development of infectious and septic complications. Injuries of the main bile duct were detected intraoperatively (n = 14). The complete intersection was in 10 patients (the first group) and the edge intersection--in 4 cases (the second group)...
2015: Vestnik Khirurgii Imeni I. I. Grekova
Ramon Vilallonga, Jacques Himpens, Barbara Bosch, Simon van de Vrande, Johan Bafort
BACKGROUND: Over the years, many treatment modes have been attempted for gastrocutaneous fistula (GCF) after laparoscopic sleeve gastrectomy (LSG). Minimally invasive techniques for GCF treatment include stent placement and radiological percutaneous glue treatment (GT). MATERIAL AND METHOD: Ten patients underwent a radiological acrylate mixed with contrast medium GT combined or not with other treatment strategies such as relaparoscopy, ultrasound, or computerized tomography scan (CT scan)-guided drain and endoscopic stent placement...
July 2016: Obesity Surgery
Parthasarthi Ramakrishnan, Saurabh Bansal, Biswajit Deuri, Rajapandian Subbiah, Senthilnathan Palanisamy, Praveen Raj Palanivelu, Palanivelu Chinusamy
BACKGROUND: Management of complications of laparoscopic inguinal hernia repair remains challenging as well as debatable. Relaparoscopy in management of these complications is relatively newer concept. We tried to analyse the feasibility of relaparoscopy (transabdominal preperitoneal approach) in management of complications of laparoscopic inguinal hernia repair. MATERIALS AND METHODS: The study group included 61 patients (referral cases) from a prospectively maintained database of previous laparoscopic inguinal hernia surgery with majority of the patients of recurrence (n = 39)...
June 2016: Surgical Endoscopy
J H Darrien, K Connor, A Janeczko, J J Casey, S Paterson-Brown
Background. The management of choledocholithiasis has evolved from open common bile duct exploration (OCBDE) to therapeutic endoscopic retrograde cholangiopancreatography (ERCP) to laparoscopic common bile duct exploration (LCBDE). Each entails a degree of difficulty. Aim. To review 5-year results of bile duct exploration in an UGI unit. Methods. Common bile duct explorations (CBDEs) performed between January 2008 and January 2013 were identified from a prospectively collected clinical audit system and results reviewed retrospectively...
2015: HPB Surgery: a World Journal of Hepatic, Pancreatic and Biliary Surgery
B Gys, T Gys, Th Lafullarde
BACKGROUND: In this study we assessed feasibility, weight loss results and recurrence of Gastro-Oesophageal Reflux Disease (GORD) in patients undergoing laparoscopic Roux-en-Y Gastric Bypass (RYGB) after previous anti-reflux surgery. METHODS: Retrospective analysis of prospectively collected data was performed for patients undergoing laparoscopic RYGB after previous anti-refux surgery between 1/1/2000 and 1/1/2015. Weight loss was assessed using %Excess Weight Loss (%EWL) and every patient was compared with two matched control subjects...
July 2015: Acta Chirurgica Belgica
Ralf Joukhadar, Gabriele Meyberg-Solomayer, Amr Hamza, Julia Radosa, Werner Bader, Dimitri Barski, Fakher Ismaeel, Guenther Schneider, Erich Solomayer, Sascha Baum
INTRODUCTION: Sacropexy is a generally applied treatment of prolapse, yet there are known possible complications of it. An essential need exists for better alloplastic materials. METHODS: Between April 2013 and June 2014, we performed a modified laparoscopic bilateral sacropexy (MLBS) in 10 patients using a MRI-visible PVDF mesh implant. Selected patients had prolapse POP-Q stages II-III and concomitant OAB. We studied surgery-related morbidity, anatomical and functional outcome, and mesh-visibility in MRI...
2015: BioMed Research International
Diego Cuccurullo, Felice Pirozzi, Antonio Sciuto, Umberto Bracale, Camillo La Barbera, Francesco Galante, Francesco Corcione
BACKGROUND: Laparoscopy has increasingly become the standard of care for patients who undergo colorectal surgery for both benign and malignant disease. On the basis of this growing experience, there is now an expanded role for laparoscopic approach to postoperative complications after primary colorectal resection. However, there is little literature specific to this topic. We report a ten-year experience with laparoscopic treatment of early complications following laparoscopic colorectal surgery...
July 2015: Surgical Endoscopy
Gerhard Bogner, Pia Wolfrum-Ristau, Walter Schneider, Thorsten Fischer, Volker R Jacobs
This is a pictorial report of rare sequelae after an unintended intraoperative rupture of a cystic teratoma. A 30-year-old woman was operated on for a mature cystic teratoma of the right ovary with an unintended intraoperative rupture of the ovarian tumor during the procedure. Postoperatively, the final immune histologic report showed partial neuroendocrine differentiation of an immature origin. At relaparoscopy for staging 7 weeks later, several suspicious peritoneal lesions of up to a 2.5-cm diameter were discovered and excised for which malignancy could not be excluded macroscopically...
September 2014: Journal of Minimally Invasive Gynecology
Gonzalo Vitagliano, Ramiro Castilla, Juan Gonzalo Fernandez Long
OBJECTIVES: To propose relaparoscopy as a feasible diagnostic tool and an efficient treatment in early abdominal complications after urologic laparoscopic procedures in selected patients that require surgical intervention. METHODS: Between January 2008 and April 2011, a total of 246 laparoscopic urologic procedures were performed at our institution. There were 81 radical nephrectomies (33%), 46 radical prostatectomies (19%), 31 pyeloplasties (13%), 28 partial nephrectomies (11%), 6 radical cystectomies (2%) and 54 miscellaneous (22%)...
March 2013: Archivos Españoles de Urología
N Iu Baĭramov, N A Zeĭnalov, V A Pashadze
The article presents the results of laparoscopic choledoch-duodenostomy (CDS) applied to 23 patients with benign strictures of distal part of common bile duct (CBD). 21 patients had cholelithiasis in combination with the CBD stricture. The rest 2 patients had acalculous postcholecystectomy stricture. The laparoscopic CDS was executed by 5 trocars: 4 were placed in standard cholecystectomy positions and the 5th was placed by the right pararectal line at the umbilicus level and was used for traction of duodenum and continuous aspiration...
2013: Khirurgiia
Emmelie Reynvoet, Frederik Berrevoet, Filip De Somer, Griet Vercauteren, Ingrid Vanoverbeke, Koen Chiers, Roberto Troisi
BACKGROUND: In an attempt to improve patient outcome and quality of life after laparoscopic ventral hernia repair, resorbable fixation devices have been developed to allow adequate mesh fixation while minimizing accompanying side-effects as tack erosion and adhesion formation. MATERIALS AND METHODS: In experimental set-up, 24 pigs were treated by laparoscopic mesh placement. Two different meshes (PP/ORC and PP/ePTFE) and four fixation devices were evaluated: a 6...
September 2012: Surgical Endoscopy
Ali Reza Barband, Farzad Kakaei, Amir Daryani, M Bassir A Fakhree
PURPOSE: Bile leakage is one of the most important complications of laparoscopic cholecystectomy, and it has been recognized as a major clinical challenge during the last 2 decades. Although endoscopic and percutaneous interventions are widely accepted in the management of bile leakage, relaparoscopy permits the bile drainage adequately and gives direct control of bile leakage site in selected patients. METHODS: Data for patients with minor bile leakage after laparoscopic cholecystectomy were collected from January 2001 to January 2010...
August 2011: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Ernst J P Schoenmaeckers, Eelco B Wassenaar, Johan T F J Raymakers, Srdjan Rakic
BACKGROUND AND OBJECTIVES: To investigate the prevalence, diagnosis, clinical significance, and treatment strategies for bulging in the area of laparoscopic repair of ventral hernia that is caused by mesh protrusion through the hernia opening, but with intact peripheral fixation of the mesh and actually a still sufficient repair. METHODS: Medical records of all 765 patients who underwent laparoscopic ventral hernia repair were reviewed, and all patients with a swelling in the repaired area were identified and analyzed...
October 2010: JSLS: Journal of the Society of Laparoendoscopic Surgeons
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