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Emergency surgery

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11 papers 0 to 25 followers
By Giovanni Gambino M.D. Ph.D.
James G Bittner
No abstract text is available yet for this article.
September 2016: Advances in Surgery
Markus Zimmermann, Martin Hoffmann, Tilman Laubert, Carlo Jung, Hans-Peter Bruch, Erik Schloericke
PURPOSE: A perforated peptic ulcer can be managed laparoscopically in selected patients. The purpose of this study was to evaluate whether conversion of emergency laparoscopy is inferior to primary median laparotomy in terms of postoperative morbidity and mortality. METHODS: We analyzed patients who underwent laparoscopic or open surgery for a perforated peptic ulcer at the Department of Surgery, University of Schleswig-Holstein, Campus Luebeck between January, 1996 and December, 2010...
November 2015: Surgery Today
Derek J Boyle, Christopher Thorn, Ashish Saini, Colin Elton, Gary K Atkin, Ian C Mitchell, Kevin Lotzof, Adrian Marcus, Pawan Mathur
BACKGROUND: Colonic stenting has failed to show an improvement in mortality rates in comparison with emergency surgery for acute large-bowel obstruction. However, it remains unclear which patients are more likely to benefit from this procedure. OBJECTIVE: The aim of this study is to identify factors that may be predictive of successful outcome of colonic stenting in acute large-bowel obstruction. DESIGN: All patients undergoing colonic stenting for acute large-bowel obstruction between 1999 and 2013 were studied...
March 2015: Diseases of the Colon and Rectum
Sarah L Gans, Margreet A Pols, Jaap Stoker, Marja A Boermeester
INTRODUCTION: Diagnostic practice for acute abdominal pain at the Emergency Department varies widely and is mostly based on doctor's preferences. We aimed at developing an evidence-based guideline for the diagnostic pathway of patients with abdominal pain of non-traumatic origin. METHODS: All available international literature on patients with acute abdominal pain was identified and graded according to their methodological quality by members of the multidisciplinary steering group...
2015: Digestive Surgery
M Wilhelmsen, M H Møller, S Rosenstock
BACKGROUND: Surgery for perforated peptic ulcer (PPU) is associated with a risk of complications. The frequency and severity of reoperative surgery is poorly described. The aims of the present study were to characterize the frequency, procedure-associated risk and mortality associated with reoperation after surgery for PPU. METHODS: All patients treated surgically for PPU in Denmark between 2011 and 2013 were included. Baseline and clinical data, including 90-day mortality and detailed information on reoperative surgery, were collected from the Danish Clinical Register of Emergency Surgery...
March 2015: British Journal of Surgery
N Merali, A Verma, T Davies
A patient presented with a recurrent incarcerated inguinoscrotal hernia requiring urgent surgery. The defect was through the gap in the mesh left originally for the cord structures. As a result, a modified funnel repair was performed. An innovative approach was adopted that was best suited to tackling and reducing the risk of recurrence.
November 2014: Annals of the Royal College of Surgeons of England
G Paul Wright, Alan T Davis, Tracy J Koehler, David E Scheeres
PURPOSE: Laparoscopic treatment of perforated peptic ulcer disease (perfPUD) has demonstrated comparable operative outcomes with an open approach though the cost-efficiency of this method has not been studied. METHODS: Data were obtained from the Nationwide Inpatient Sample (2007-2010). Patients who underwent operation for perfPUD were divided on the basis of laparoscopic or open approach. The primary outcome measures were hospital duration of stay, mortality, and total charges...
October 2014: Surgery
W Bugiantella, F Rondelli, L Mariani, M Boni, F Ermili, N Avenia, E Mariani
Conventional loop ileostomy (CLI) is a suitable procedure for transitory faecal diversion after colocolic or colorectal anastomosis, but it causes relevant morbidities (dehydration, discomfort, peristomal infections) and requires a second operation to be closed. We already described an alternative technique of temporary percutaneous ileostomy (TPI), which can be removed without surgery, as faecal diversion in low colorectal anastomosis. Now we report our experience with the TPI in protecting colocolic and colorectal anastomosis in urgency in elderly...
2014: International Journal of Surgery
Gianluca Costa, Marco La Torre, Brabara Frezza, Pietro Fransvea, Federico Tomassini, Vincenzo Ziparo, Genoveffa Balducci
PURPOSE: The present study aims to determine the morbidity and mortality of emergency colonic surgery and the factors associated with adverse outcome, and to evaluate any change in incidence of the different types of pathological conditions and in the surgical approach over the last 15 years. MATERIALS AND METHODS: A total of 319 patients who underwent emergency colonic surgery between January 1997 and December 2011 were retrospectively analyzed. Patients were divided into two groups according to the date of surgery, namely group 1, between 1997 and 2006, and group 2, between 2006 and 2011...
2014: Digestive Surgery
S K Tiwari, Pawanindra Lal
Onlay mesh hernioplasty is the gold standard technique in the management of inguinal hernias. We report a rare case of intraperitoneal mesh migration with bowel entrapment causing acute intestinal obstruction in an elderly patient.
October 2014: Annals of the Royal College of Surgeons of England
Mariëtta J O E Bertleff, Jens A Halm, Willem A Bemelman, Arie C van der Ham, Erwin van der Harst, Hok I Oei, J F Smulders, E W Steyerberg, Johan F Lange
BACKGROUND: Laparoscopic surgery has become popular during the last decade, mainly because it is associated with fewer postoperative complications than the conventional open approach. It remains unclear, however, if this benefit is observed after laparoscopic correction of perforated peptic ulcer (PPU). The goal of the present study was to evaluate whether laparoscopic closure of a PPU is as safe as conventional open correction. METHODS: The study was based on a randomized controlled trial in which nine medical centers from the Netherlands participated...
July 2009: World Journal of Surgery
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