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Burst abdomen

Leah McGlinchey, R Reid Hanson, Lindsey H Boone, Sarah M Rosanowski, Matthew Coleridge, Camila Souza, Amelia S Munsterman
OBJECTIVE: To compare the bursting strength and failure mode of ventral midline celiotomy closed with a simple continuous suture pattern with 1 of 2 knot combinations, a novel self-locking knot combination of a forwarder start with an Aberdeen end knot (F-A) and a traditional combination of a surgeon's start with a surgeon's end knot (S-S). STUDY DESIGN: Ex vivo experimental. SAMPLE POPULATION: Equine cadavers (n = 14). METHODS: A 20-cm ventral midline celiotomy was created in 14 equine cadavers...
November 2018: Veterinary Surgery: VS
M López-Cano, J M García-Alamino, S A Antoniou, D Bennet, U A Dietz, F Ferreira, R H Fortelny, P Hernandez-Granados, M Miserez, A Montgomery, S Morales-Conde, F Muysoms, J A Pereira, R Schwab, N Slater, A Vanlander, G H Van Ramshorst, F Berrevoet
PURPOSE: To provide guidelines for all surgical specialists who deal with the open abdomen (OA) or the burst abdomen (BA) in adult patients both on the methods used to close the musculofascial layers of the abdominal wall, and regarding possible materials to be used. METHODS: The guidelines were developed using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach including publications up to January 2017. When RCTs were available, outcomes of interest were quantitatively synthesized by means of a conventional meta-analysis...
December 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
Muzzafar Zaman, Kunal Chowdhary, Gurinder Kaur, Aliya Shah
Objectives: Amoebiasisis a common parasitic infection and fulminant amoebic colitis remains a very rare complication of this disease. The objective of the present study was to find the incidence and outcome of perforation peritonitis due to amoebic colitis in MMIMSR, Mullana, Ambala, India. Material and methods: 200 patients with perforation peritonitis were studied retrospectively, out of which 22 cases had colonic perforation, were selected over a period of five years, between 2012 to 2017, at MMIMSR Mullana...
March 2018: Mædica
Michael P Moore, Ryan A Martin
Trade-offs between juvenile survival and the development of sexually selected traits can cause ontogenetic conflict between life stages that constrains adaptive evolution. However, the potential for ecological interactions to alter the presence or strength of these trade-offs remains largely unexplored. Antagonistic selection over the accumulation and storage of resources could be one common cause of environment-specific trade-offs between life stages: higher condition may simultaneously enhance adult ornament development and increase juvenile vulnerability to predators...
September 2018: Oecologia
Ulla Klaiber, Lisa M Stephan-Paulsen, Thomas Bruckner, Gisela Müller, Silke Auer, Ingrid Farrenkopf, Christine Fink, Colette Dörr-Harim, Markus K Diener, Markus W Büchler, Phillip Knebel
BACKGROUND: The prevention of postoperative complications is of prime importance after complex elective abdominal operations. Preoperative patient education may prevent postoperative complications and improve patients' wellbeing, but evidence for its efficacy is poor. The aims of the PEDUCAT trial were (a) to assess the impact of preoperative patient education on postoperative complications and patient-reported outcomes in patients scheduled for elective complex visceral surgery and (b) to evaluate the feasibility of cluster randomization in this setting...
May 24, 2018: Trials
Karen J Thompson
Grasshoppers produce an extraordinary oviposition behavior that is associated with multiple specializations of the skeletal and neuromuscular systems in the posterior abdomen, including a central pattern generator (CPG) in the female's terminal abdominal ganglion. Two pairs of shovel-shaped appendages, the ovipositor valves on the abdomen tip, excavate the soil for deposition of eggs. By contrast, the sexually monomorphic pregenital region of the abdomen is without appendages. Morphological homologues of ovipositor muscles and efferent neurons in the eighth abdominal segment are nevertheless present in pregenital segments of males and females...
April 2018: Journal of Comparative Physiology. A, Neuroethology, Sensory, Neural, and Behavioral Physiology
N A Henriksen, E B Deerenberg, L Venclauskas, R H Fortelny, M Miserez, F E Muysoms
BACKGROUND: The aim of this systematic review and meta-analysis was to evaluate closure materials and suture techniques for emergency and elective laparotomies. The primary outcome was incisional hernia after 12 months, and the secondary outcomes were burst abdomen and surgical site infection. METHODS: A systematic literature search was conducted until September 2017. The quality of the RCTs was evaluated by at least 3 assessors using critical appraisal checklists...
June 2018: World Journal of Surgery
Radford Arran James Smith, Nigel Poland, Simon Cope
A male aged 44 years presented to the emergency department with a 1-week history of intermittent right-sided abdominal pain radiating to the midline. Examination demonstrated a tender right upper quadrant with voluntary guarding and a low grade fever. One week previously, he had been admitted to hospital after an isolated, self-terminating seizure secondary to an deliberate venlafaxine overdose. His upper abdominal symptoms started immediately postseizure but at the time were attributed to musculoskeletal chest pain by the discharging team...
May 12, 2017: BMJ Case Reports
M H Abo-Ryia
PURPOSE: The aim of this study was to assess an alternative technique for closure of burst abdomen. METHOD: After reduction of the viscera and toilet of abdominal cavity with debridement of any necrotic tissues in the skin or fascia, the skin was undermined to expose the aponeurosis all-around the defect edges for at least 5-6 cm. The greater omentum is spread in the floor of the wound and fixed to the inner side of the defect. A piece of polypropylene mesh designed according to the size and shape of the defect and sutured to its external edge continuously...
October 2017: Hernia: the Journal of Hernias and Abdominal Wall Surgery
Youming Deng, Jianan Ren, Guopu Chen, Gefei Wang, Guosheng Gu, Jieshou Li
This study was aimed to evaluate the effect of tannin acid- polyethylene glycol (TP) adhesive on the wound healing process of primary colonic anastomosis in the open abdomen (OA). Adhesion strength test, degradation and hemostatic ability of TP were investigated. In a rat model, after standard colonic anastomoses, rats were divided into three groups: OA group; OA + FG (fibrin glue) group; OA + TP group. Five days after surgery, body weight, anastomotic bursting pressure (ABP), and histology of anastomotic tissue were evaluated...
February 2017: Journal of Biomaterials Science. Polymer Edition
Christopher M Cilip, Duane Kerr, Cassandra A Latimer, Sarah B Rosenbury, Nicholas C Giglio, Thomas C Hutchens, William H Nau, Nathaniel M Fried
INTRODUCTION: Infrared (IR) lasers are being explored as an alternative to radiofrequency (RF) and ultrasonic (US) devices for rapid hemostasis with minimal collateral zones of thermal damage and tissue necrosis. Previously, a 1,470 nm IR laser sealed and cut ex vivo porcine renal arteries of 1-8 mm diameter in 2 seconds, yielding burst pressures greater than 1,200 mmHg and thermal coagulation zones less than 3 mm. This preliminary study describes in vivo testing of a handheld laser probe in a porcine model...
April 2017: Lasers in Surgery and Medicine
Chetna Shamshery, Ashish Kannaujia, Rajashree Madabushi, Dinesh Singh, Divya Srivastava, Shobhana Jafa
BACKGROUND: Central neuraxial blockade (CNB) is an established technique of providing anesthesia for surgeries of the lower limb and abdomen. Hypotension is the most common side effect of CNB. It was hypothesized that by supplementing the initial burst of vasopressin following hypovolemia, hypotension following combined spinal epidural anesthesia (CSEA) could be avoided. MATERIALS AND METHODS: A total of 122 patients undergoing lower limb and abdomen surgeries were included in the study, with 61 patients randomized into two groups - I and II...
September 2016: Anesthesia, Essays and Researches
Amalachukwu M Okpala, Samuel A Debrah, Mohammed Mouhajer
Management of the burst abdomen is complex due to the co-morbidities associated with it. When coupled with intraabdominal sepsis and pregnancy, it becomes even more difficult due to the ethical issues that have to be considered when managing both mother and child. Due to the paucity of literature on this subject, a management algorithm has been proposed which aims at tackling this delicate issue. However, the major consideration in the management of these cases is that decisions are to be made based on optimization of the condition of the mother...
June 2016: Ghana Medical Journal
M A Uddin, E R Reza, M S Islam, M R Hoque, M F Hussain, I Alam, M F Sazzad, N Biswas, M S Kader, M S Malek, F Sultana, K S Rahman
The management of the colon injury remains controversial in spite of a number of divergent reports during the past decade. Previously surgeons were reluctant to do primary anastomosis but now-a-days they are doing primary repair with good results. The present study is designed to see the early outcomes of primary repair in colonic injury. This prospective observational study performed at Dhaka Medical College Hospital, Dhaka, Bangladesh from January 2013 to June 2013 with allocation of 50 patients with colonic injury who underwent laparotomy with primary repair of that injury in the department of Casualty Surgery...
July 2016: Mymensingh Medical Journal: MMJ
Atilla Kurt, Hasan Karanlık, Sinan Soylu, İlker Özgür, Hilal Oğuz Soydinç, Derya Duranyıldız, Vakur Olgaç, Fatma Şen, Oktar Asoğlu
OBJECTIVE: We aimed to evaluate the effect of intraperitoneal cetuximab administration on the healing of anastomosis and development of early adhesion formation in a rat model. MATERIALS AND METHODS: Twenty-four female rats were used. A colon segment was resected and end-to-end anastomosis was performed. The rats were randomized into three groups after the performance of colonic anastomosis and received 10 mL of intraperitoneal solution including study drugs after closure of abdominal cavity: normal saline was administered to the normal saline group (n=8), cetuximab (400 mg/m(2)) was administered to the postoperative 1 group (n=8) 1 day after surgery, and cetuximab (400 mg/m(2)) was administered to the peroperative group (n=8) during surgery...
2016: Ulusal Cerrahi Dergisi
Helmut Witzigmann, Markus K Diener, Stefan Kienkötter, Inga Rossion, Thomas Bruckner, Bärbel Werner, Olaf Pridöhl, Olga Radulova-Mauersberger, Heike Lauer, Phillip Knebel, Alexis Ulrich, Oliver Strobel, Thilo Hackert, Markus W Büchler
OBJECTIVE: This dual-center, randomized, controlled, noninferiority trial aimed to prove that omission of drains does not increase reintervention rates after pancreatic surgery. BACKGROUND: There is considerable uncertainty regarding intra-abdominal drainage after pancreatoduodenectomy. METHODS: Patients undergoing pancreatic head resection with pancreaticojejunal anastomosis were randomized to intra-abdominal drainage versus no drainage. Primary endpoint was overall reintervention rate (relaparotomy or radiologic intervention)...
September 2016: Annals of Surgery
Nawal Kishore Jha, Sanjay Kumar Yadav, Rajshekhar Sharma, Dipendra Kumar Sinha, Sandip Kumar, Marshal Daud Kerketta, Mini Sinha, Abhinav Anand, Anjana Gandhi, Satish Kumar Ranjan, Jitin Yadav
OBJECTIVE: To determine the presentation, anatomical distribution, diagnostic method, management and outcome of hollow viscus injury (HVI) from blunt abdominal trauma. METHODS: This  was  a  retrospective  cross-ecnal  study  including  patients  with  blunt  abdominal  trauma leading to HVI admitted at Rajendra Institute of Medical Sciences, Ranchi, over a period of 4.5 years (January 2009 to July 2014). Data were retrieved from patients' medical records...
October 2014: Bulletin of Emergency and Trauma
D J Mikolajewski, K Scharnweber, B Jiang, S Leicht, R Mauersberger, F Johansson
Burst escape speed is an effective and widely used behaviour for evading predators, with burst escape speed relying on several different morphological features. However, we know little about how behavioural and underlying morphological attributes change in concert as a response to changes in selective predation regime. We studied intercorrelated trait differentiation of body shape and burst-swim-mediating morphology in response to a habitat shift-related reduction in burst escape speed using larvae of the dragonfly genus Leucorrhinia...
July 2016: Journal of Evolutionary Biology
Muhammad Izani Aznan, Omaid Hayat Khan, Allah Obhayo Unar, Sharifah Emilia Tuan Sharif, Amer Hayat Khan, Syed Hassan Syed Abd Aziz, Andee Dzulkarnaen Zakaria
BACKGROUND: Honey has long been used for the treatment of number of ailments and diseases including surgical wounds. Current study evaluates the effectiveness of Tualang honey (TH) for large bowel anastomotic healing in Wistar rats. METHODS: Thirty male Wistar rats were given a 3 centimeter infra-umbilical laparotomy wound, in`flicted on their abdomen. The colonic transection was performed at 5 cm distal to caecum, with end to end anastomosis of colon segment. They were divided into two groups...
January 23, 2016: BMC Complementary and Alternative Medicine
P Veronesi, M Origi, V Pappalardo, W Zuliani, M Sahoo, V Radu, A Radu, St Ene, M Lica, E Nahabet, J Stulberg, A Majumbder, E Sanchez, Y Novitsky, S Morales-Conde, M Sanchez-Ramirez, I Alarcón, A Barranco, J Gómez-Menchero, J M Suárez, J Bellido, M Socas, P López-Quindós, M A García-Ureña, A Aguilera, L Blázquez, A Cruz, A Galván, E González, C Jiménez, J López-Monclús, D Melero, N Palencia, A Robin, R Becerra, J Lopez-Monclus, M A Garcia-Ureña, L A Blazquez-Hernando, D A Melero-Montes, C Jimenez-Ceinos, R Becerra-Ortiz, P Lopez-Quindos, A Galvan, M García-Ureña, A Sánchez Movilla, D Blázquez, D Melero Montes, A Robín Valle de Lersundi, A Cruz Cidoncha, A García Pavía, P López Quindós, M García, S García, V Di Maio, G Marte, A Ferronetti, A Canfora, C Mauriello, V Bottino, P Maida, R Berta, R Bellini, R Mancini, C Moretto, M Anselmino, P Cumbo, L Roberti
No abstract text is available yet for this article.
April 2015: Hernia: the Journal of Hernias and Abdominal Wall Surgery
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