Simone Ferrero, Cesare Stabilini, Fabio Barra, Roberto Clarizia, Giovanni Roviglione, Marcello Ceccaroni
Over the last twenty years, segmental resection (SR) has been the technique most frequently used to treat bowel endometriosis. Nowadays, it is most commonly performed by laparoscopy; however, there is evidence that it can be safely performed by robotic-assisted laparoscopic surgery. Rectovaginal fistula and anastomotic leakage are the two major complications of SR; other complications include pelvic abscess, postoperative bleeding, ureteral damage, and anastomotic stricture. Several studies showed that SR causes improvement in pain and intestinal symptoms; nerve-sparing SR may improve the functional outcomes...
June 9, 2020: Best Practice & Research. Clinical Obstetrics & Gynaecology
E García García, S de Miguel Manso, J Gobernado Tejedor, B de Andrés Asenjo, V Pascual Escudero, J I González Martín
INTRODUCTION AND HYPOTHESIS: Abdominopelvic abscess is a serious, but infrequent, postoperative complication of sacrocolpopexy, which a priori requires a second surgery to debride the affected tissue and dry out the infected mesh in addition to a prolonged broad-spectrum antibiotic therapy. METHODS: We present two cases of post-surgical abdominopelvic abscesses, treated with conservative management using ultrasound-guided transcervical drainage and prolonged antibiotic therapy...
July 8, 2020: International Urogynecology Journal
Zi Xi Poo, Grace Ng, Shahul Hameed Mohamed Siraj
BACKGROUND There is growing evidence suggesting that Filshie clip migration is a rare but significant late complication following tubal sterilization. Although most women are asymptomatic, clip migration can result in serious morbidity such as abscess formation and be a source of sepsis years later. CASE REPORT A 51-year-old woman presented with 2-week history of worsening right flank pain with fever and chills, unresponsive to oral antibiotics. CT imaging showed a 4-cm anterior bladder wall mass with a tubal ligation clip within, initially suspicious for a tumor, with secondary infection...
July 7, 2020: American Journal of Case Reports
Geolani W Dy, Min Suk Jun, Gaines Blasdel, Rachel Bluebond-Langner, Lee C Zhao
BACKGROUND: Robotic-assisted peritoneal flap gender-affirming vaginoplasty (RPGAV) with the da Vinci Xi system has been reported to be a safe alternative to traditional penile inversion vaginoplasty. Utilizing the Single Port (SP) robot system, our surgical approach has evolved. OBJECTIVE: To describe a step-by-step technique for RPGAV using the SP robot and to compare outcomes between Xi and SP systems. DESIGN, SETTING, AND PARTICIPANTS: A total of 145 transgender women underwent RPGAV between September 2017 and December 2019...
July 2, 2020: European Urology
Yesid Fabián Mantilla-Flórez, Tatiana Echeverry-Díaz, Laura Duarte de la Espriella, Eduardo Andrés Tuta-Quintero
Pyomyositis commonly presents with fever, muscle pain and abscess formation involving deep soft-tissue compartments. Staphylococcus aureus is the main causative organism and diagnosis is usually established clinically, supported by imaging, but confirmation may be achieved by histopathological examination. Broad-spectrum antibiotic therapy and surgical debridement are the cornerstone of treatment. Its prognosis is good but, as in all soft-tissue infections, it depends on early intervention, directed antibiotics and, if indicated, prompt surgery...
July 5, 2020: Tropical Doctor
Derrick Acheampong, Percy Boateng
Diverticulitis, though a common gastrointestinal disease, is rare following open-heart surgery. There is insufficient data regarding its incidence and management post-cardiac surgery. Especially in patients with atypical presentation, diagnosis and management can be challenging. This case outlines one such atypical diverticulitis case in which a 57-year-old female patient developed perforated diverticulitis with pelvic abscess accumulation following left ventricular aneurysm (LVA) repair. Diagnosis, appropriate management and treatment approaches are discussed...
June 2020: Journal of Surgical Case Reports
Nicolae Bacalbasa, Dragos Cretoiu, Ioana Halmaciu, Camelia Diaconu, Laura Iliescu, Simona Dima, Adrian Neacsu, Cristian Balalau, Ovidiu Gabriel Bratu, Irina Balescu
BACKGROUND/AIM: Malignant transformation of mature cystic ovarian teratoma is a scarce eventuality, only rare cases being reported so far. Furthermore, development of this transformation in the setting of an abscessed tumor is even scarcer. The aim of this study was to report the case of a 47-year-old patient submitted to surgery for such a lesion. CASE REPORT: The patient was investigated for diffuse pelvic pain and diagnosed with a 10×7×8 cm mass at the level of the left adnexa with imaging findings suggesting the presence of an ovarian teratoma...
July 2020: In Vivo
Yi-Ting Wang, Kun Zhang, Hui-Fang Wang, Jun-Fang Yang, Yao Ying, Jin-Song Han
INTRODUCTION AND HYPOTHESIS: The objective was to investigate the long-term efficacy and patient satisfaction of Le Fort colpocleisis for the treatment of severe pelvic organ prolapse. METHODS: This was a retrospective study of patients who underwent Le Fort colpocleisis from January 2007 to August 2018 in our hospital. Follow-up was conducted via outpatient visits or the telephone. Records were reviewed for anatomical recurrence, complications, urinary and intestinal symptoms post-operation, reoperation rate, patient satisfaction, Patient Global Impression of Improvement (PGI-I) score, regret rate etc...
June 29, 2020: International Urogynecology Journal
Saki Tamura, Seung Chik Jwa, Norihito Tarumoto, Osamu Ishihara
BACKGROUND: Infectious mononucleosis (IM) develops following primary infection with Epstein-Barr virus. We report a case of septic shock in an adolescent from pelvic inflammatory disease caused by Fusobacterium necrophorum following sexual intercourse during recovery from IM. CASE: A 17-year-old girl with a 7-day history of fever was diagnosed with IM. During follow-up, she developed lower abdominal pain and high fever following sexual intercourse and was transferred to our hospital...
June 26, 2020: Journal of Pediatric and Adolescent Gynecology
Min Young Son, Byung Hoon Han, Sang Uk Lee, Byung Cheol Yun, Kwang Il Seo, Jin Do Huh
Transarterial chemoembolization (TACE) is a common treatment for unresectable hepatocellular carcinoma (HCC). The most common complications after TACE are non-specific symptoms called post-embolization syndrome, such as abdominal pain or fever. Rare complications, such as liver failure, liver abscess, sepsis, pulmonary embolism, cholecystitis, can also occur. On the other hand, gallbladder perforation is quite rare. This paper reports a case of gallbladder perforation following TACE. A 76-year-old male with a single 9-cm-sized HCC underwent TACE...
June 25, 2020: Korean Journal of Gastroenterology, Taehan Sohwagi Hakhoe Chi
Mahnoor Zia, Nima Maghami
INTRODUCTION: Progression of inflammation in acute appendicitis can lead to appendiceal perforation, which is associated with higher morbidity and mortality. Bacteremia due to a perforated appendicitis can lead to distal bacterial seeding, resulting in further complications. PRESENTATION OF CASE: We present here a case of appendiceal perforation in a 32-year-old previously healthy male. Patient was conservatively managed with intravenous (IV) antibiotics and was discharged on hospitalization day-6...
June 11, 2020: International Journal of Surgery Case Reports
Prabin Sharma, Thomas R McCarty, Ankit Chhoda, Antonio Costantino, Caroline Loeser, Thiruvengadam Muniraj, Marvin Ryou, Christopher C Thompson
The advent of lumen apposing metal stents (LAMS) has revolutionized the management of many complex gastroenterological conditions that previously required surgical or radiological interventions. These procedures have garnered popularity due to their minimally invasive nature, higher technical and clinical success rate and lower rate of adverse events. By virtue of their unique design, LAMS provide more efficient drainage, serve as conduit for endoscopic access, are associated with lower rates of leakage and are easy to be removed...
June 7, 2020: World Journal of Gastroenterology: WJG
Keisha Jones, Nicole Thompson, Gizem Imamoglu, Ellen Solomon, Vida Rastegar, Oz Harmanli
OBJECTIVE: With the introduction of robotic sacrocolpopexy (RSC) at our institution in 2008, we noted a reduction in residents' vaginal hysterectomy (VH) experience. In 2012, we made a transition to perform VH on all robotic sacrocolpopexies. Our objective was to report our short-term outcomes and adverse events. METHODS: In this case series, we evaluated women who underwent VH with concomitant RSC for stages II to IV pelvic organ prolapse between 2012 and 2017...
June 10, 2020: Female Pelvic Medicine & Reconstructive Surgery
Ozlem Zeliha Sert
BACKGROUND: Pilonidal sinus usually arises in the area of natal cleft in young men. Hair accumulation in the wound in the perianal region is very rare. Although pelvic magnetic resonance imaging (MRI) is used in the differential diagnosis of perianal region diseases, it is not possible to diagnose perianal pilonidal sinus by MRI. CASE: A 24-year-old male patient presented with the complaint of swelling and itching in the anus for several months. On physical examination, the area giving endure and fluctuation was detected in the perianal region...
June 6, 2020: International Journal of Surgery Case Reports
Gianrocco Manco, Stefania Caramaschi, Giovanni Rolando, Marzio Malagoli, Giuliana Zanelli, Luca Reggiani Bonetti, Aldo Rossi
BACKGROUND: Perforated peptic ulcer is a serious complication of peptic ulcer disease and carries high risk for morbidity and mortality. Although the incidence of peptic ulcer disease has decreased in recent decades, the percentage of patients with perforated peptic ulcer requiring emergency surgery remains constant. The use of laparoscopic management as a first choice for the treatment of the perforation is growing but is not routine in many centers. METHODS: Clinical and surgical data on 42 patients underwent surgical treatment for perforated peptic ulcer from January 2012 to December 2016 were collected...
May 26, 2020: Minerva Chirurgica
Giuliano Barugola, Elisa Bertocchi, Alessandra Leonardi, Alex M Almoudaris, Giacomo Ruffo
To analyze the role of stoma diversion and timing of stoma maintenance in the healing of post-surgical Recto Vaginal Fistulae (psRVF). A retrospective analysis of a prospectively maintained registry. All patients with a psRVF diagnosed at IRCCS Sacro Cuore-Don Calabria Hospital of Negrar di Valpolicella from January 2002 to December 2016 were analyzed. The baseline treatment was a fecal diversion. Patients were divided into two groups according to healing time: < 6 months (Group 1) or > 6 months (Group 2)...
May 24, 2020: Updates in Surgery
Yaron Gil, Perrine Capmas, Togas Tulandi
PURPOSE: To evaluate and better characterize the incidence, clinical presentations and risk factors of TOA in postmenopausal women and to evaluate the incidence of underlying malignancy in postmenopausal women with TOA. METHODS: Electronic based search using Pubmed, EMBASE, Ovid MEDLINE, Google Scholar, and Cochrane Central Register of Controlled Trials. The following medical subject heading (Mesh) terms, keywords, and their combinations were used: "tubo-ovarian abscess, pelvic inflammatory disease, menopausal and postmenopausal"...
May 12, 2020: Journal of Gynecology Obstetrics and Human Reproduction
Rachael Haverland, Alanna M Rebecca, Jacob Hammond, Johnny Yi
STUDY OBJECTIVE: To analyze outcomes and post-operative complications in patients undergoing robotic-assisted rectus abdominis flap harvest for pelvic floor reconstruction. DESIGN: Case Series SETTING: Academic Setting PATIENTS: Pelvic Reconstruction Surgery Patients INTERVENTIONS: The rectus abdominis muscle flap can be used as a flap for pelvic reconstruction, providing a large volume of soft tissue that can be used in treatment of many comorbid conditions including genital fistulas, post-radiation pelvic exenteration and abdominoperineal resection defects...
May 7, 2020: Journal of Minimally Invasive Gynecology
Xian-Rui Wu, Hao-Xian Ke, Ravi P Kiran, Bo Shen, Ping Lan
Continent ileostomy (CI) was once a prevalent surgical technique for patients who required total proctocolectomy but then gave way to ileal pouch-anal anastomosis (IPAA) after 1980. Although IPAA has been the gold standard procedure preferred by most patients when total proctocolectomy is required, due to its imitation of physiological function of rectum and preserved function of anus, various complications have been observed with a relatively high rate of morbidity that could affect pouch longevity. Once serious complications such as pelvic abscesses and/or fistula occur, the pouch often needs to be removed...
2020: Gastroenterology Research and Practice
Dario Tartaglia, Lorenzo Maria Fatucchi, Alessio Mazzoni, Mario Miccoli, Lorenzo Piccini, Marsia Pucciarelli, Salomone Di Saverio, Federico Coccolini, Massimo Chiarugi
BACKGROUND: Intra-abdominal abscesses (IAA) may develop after laparoscopic appendectomies (LA) for acute appendicitis. The identification of risk factors for postoperative IAA could lead to a decrease in the readmission rate and surgery redoes after LA for acute appendicitis. MATERIALS AND METHODS: The present study retrospectively analyzed patients undergone LA for acute appendicitis during the period 2001-2017. Clinical, intraoperative, and postoperative outcomes were described...
April 27, 2020: Updates in Surgery
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