Journal of Minimally Invasive Surgical Sciences最新文献

{"title":"Correlating Radiology with Thoracoscopic Findings in a Case of Primary Spontaneous Pneumothorax in a Child","authors":"R. Thakur, A. Mahomed","doi":"10.5812/JMISS.6316","DOIUrl":"https://doi.org/10.5812/JMISS.6316","url":null,"abstract":"Background: Spontaneous pneumothorax hardly occurs in healthy children. Diagnosing its etiology can be difficult. Chest X ray and Computerized Tomographic scan (CT) are useful investigations but have limitations. CT scan in combination with video assisted thoracoscopic surgery (VATS) improves diagnostic accuracy and facilitates appropriate management of non-resolving spontaneous pneumothorax. Showcased are images demonstrating how effectively CT complements video assisted thoracoscopic surgery (VATS) in managing a recalcitrant case of spontaneous pneumothorax caused by a solitary bulla. Objectives: A 15 year old boy presented to the referring hospital with a right sided spontaneous pneumothorax which occurred whilst playing football Case report: A 15 year old boy presented to the referring hospital with a right sided spontaneous pneumothorax which occurred whilst playing football. His symptoms were shortness of breath and right pleurisy chest pain. His oxygen saturations were more than 95% on air. A needle aspiration was performed yielding 2300mls of air, however the pneumothorax persisted. Conclusions: In cases of pontaneous pneumothorax, Chest X ray and Computerised Tomographic scan have limitations. CT scan in combination with video assisted thoracoscopic surgery improves diagnostic accuracy and facilitates appropriate management of nonresolving spontaneous pneumothorax.","PeriodicalId":158928,"journal":{"name":"Journal of Minimally Invasive Surgical Sciences","volume":"31 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120901605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Five Years’ Experience on Hysteroscopy in Abnormal Vaginal Bleeding","authors":"Mansoureh Vahdat, E. Sariri, M. Kashanian, Z. Najmi, M. Marashi, Behnaz Mohabbatian, Sara Asadollah, N. Khorshidi","doi":"10.5812/JMISS.9241","DOIUrl":"https://doi.org/10.5812/JMISS.9241","url":null,"abstract":"Background: Hysteroscopy is the gold standard method for diagnosis of intrauterine pathologies. Current study is a review of hysteroscopic findings performed over a period of 5 years in patients with abnormal uterine bleeding (AUB). Objective: The aim of this study was a review of hysteroscopic findings performed over a period of 5 years in patients with abnormal uterine bleeding (AUB). Patients and Materials: This descriptive analytic study was conducted prospectively on patients in reproductive, premenopausal or postmenopausal ages referring to our hospital with complaint of AUB. All patients underwent hysteroscopy (either diagnostic or therapeutic) by the same surgeons. Analysis was performed on the base of the hysteroscopic findings. Results: In our population study (379 patients) major menstrual pattern was menometrorrhagia. The most common diagnoses at operative hysteroscopy were endometrial polyps (17.8%), hyperplastic endometrium (15.2%), and uterine submucosal myoma (9.7%).The most common findings in patients with menometrorrhagia were myoma, and polyp where, the most common finding in patients with menorrhagia, and metrorrhagia was polyp. Our major complications were uterine perforation in 9, thermal injury in 3, and air emboli in one case. Conclusions: In current study the most common pathology was found to be endometrial polyp. Myoma was the most common finding in patients with menometrorrhagic bleeding. Our major complications were uterine perforation, thermal injury, and air emboli.","PeriodicalId":158928,"journal":{"name":"Journal of Minimally Invasive Surgical Sciences","volume":"85 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125105205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Metabolic Effects of Laparoscopic Sleeve Gastrectomy: A Review","authors":"J. Noah, Andrew Smith, D. Birch, S. Karmali","doi":"10.5812/JMISS.7319","DOIUrl":"https://doi.org/10.5812/JMISS.7319","url":null,"abstract":"Bariatric surgery, as a whole, is the only proven modality to manage the severely obese. The laparoscopic sleeve gastrectomy (LSG) is the most recent tool in the armamentarium of bariatric surgery. Once used as the first-stage in a two-stage procedure for the super-obese patient, it is now used as a primary bariatric procedure. Involving the resection of the greater curvature of the stomach, it has been shown to achieve clinically significant excess weight loss and improvements in obesity-related co-morbidities. Its mechanism of action was originally classified as being a restrictive procedure, similar to laparoscopic gastric banding, but is now known to be far more complex. The pronounced effects of LSG on gut hormones such as ghrelin, PYY and incretins, allow this bariatric intervention to be adequately compared to the more historically classified malabsorptive procedures like the gastric bypass. In this review, we explore the metabolic effects and outcomes of LSG in producing significant weight loss and improving the factors associated with the metabolic syndrome.","PeriodicalId":158928,"journal":{"name":"Journal of Minimally Invasive Surgical Sciences","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123332423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Endoscopic Endonasal Removal of a Large Petrous-Apex Epidermoid Tumor With Clival Involvement and Intradural Invasion","authors":"M. Jalessi, G. Sharifi, A. Ahmadvand, Rozita Jafari, Sahar Zahedi, M. Farhadi","doi":"10.5812/JMISS.1865","DOIUrl":"https://doi.org/10.5812/JMISS.1865","url":null,"abstract":"","PeriodicalId":158928,"journal":{"name":"Journal of Minimally Invasive Surgical Sciences","volume":"98 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114565852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tension-Free Mesh Inguinal Hernia Repair; Laparoscopic or Open?","authors":"Mostafa Tolba, A. Khairi, Osman Nour-Eldin, M. Salem, A. H. Awad","doi":"10.5812/JMISS.7633","DOIUrl":"https://doi.org/10.5812/JMISS.7633","url":null,"abstract":"","PeriodicalId":158928,"journal":{"name":"Journal of Minimally Invasive Surgical Sciences","volume":"221 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114586777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Obesity and Laparoscopic Total Gastric Vertical Plication","authors":"M. Wiren, A. Thorell","doi":"10.5812/JMISS.6844","DOIUrl":"https://doi.org/10.5812/JMISS.6844","url":null,"abstract":"In parallel with “epidemic of obesity”, the number of bariatric surgical procedures is increasing worldwide. Several different procedures are now available; each procedure has specific advantages and shortcomings. Mainly due to the latter, new procedures are being developed continuously. One of the most recently described techniques is Laparoscopic Total Gastric Vertical Plication (LTGVP). LTGVP has been reported to be associated with promising short-time (18 months) results in terms of weight loss and complication rates (1). Also, due to the limited need of expensive disposable equipment, LTGVP is an attractive alternative economically. However, data on effects of LTGVP on obesity-associated co-morbidity as well as long-term weight development are insufficient so far. In one of the issues of “J Minim Surg Sci”, Golpaie et al. reported data on changes in blood lipid profile and insulin sensitivity in 15 patients with a preoperative BMI of 44 kg/m2, 6 weeks after LTGVP (2). Although not much data on surgical technique used, nutritional intake or postoperative course was given, this represents the first information regarding changes in important biochemical parameters after LTGVP. As such, the report adds information regarding postprocess effects. However, lack of the proper control group with the same degree of weight loss during this short term period makes the specific metabolic mechanisms of the procedure difficult to evaluate. We are looking forward to more data regarding the long-term effects in order to define the indication of this procedure for treatment of patients with morbid obesity.","PeriodicalId":158928,"journal":{"name":"Journal of Minimally Invasive Surgical Sciences","volume":"342 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116550088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Video-Assisted Thoracoscopic Thymectomy as an Optimal Treatment in Myasthenia Gravis","authors":"M. Lashkarizadeh, Rasoul Ajami, M. Vahedian, B. Pourseyedi, Hamid Zeynali, M. S. Fekri, M. B. Wadji","doi":"10.5812/JMISS.7868","DOIUrl":"https://doi.org/10.5812/JMISS.7868","url":null,"abstract":"","PeriodicalId":158928,"journal":{"name":"Journal of Minimally Invasive Surgical Sciences","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125096430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Proposal for an Evidence-Based Patients' Selection in Single Incision Laparoscopic Appendectomy","authors":"N. Vettoretto, A. Ismail, Giovanetti Maurizio","doi":"10.5812/JMISS.7185","DOIUrl":"https://doi.org/10.5812/JMISS.7185","url":null,"abstract":"Single incision laparoscopic appendectomy (SILA) is gaining interest in the surgical community, as the procedure is possibly easier than single incision laparoscopic cholecystectomy (SILC), without the potential boost of iatrogenic injuries which might characterize the initial series and the learning curve (1). Anyway, even the rate of overall morbidity for SILA might be higher than that of classical laparoscopic appendectomy (LA) (2). These numbers force to restrict the application of SILA to highly selected patients in which the benefits of a single access overweight the possible disadvantages in terms of morbidity. Clinical evidence and consensus development conferences have stated, so far, Grade A recommendation for LA only in pre-menopausal women, and its application in complicated appendicitis is still debated (3). Different devices have been approved for the use in singleincision surgery, but the cheaper and effective seems to be the “glove-port” (4). The obvious lack of triangulation is a minor problem in a mobile organ like the appendix is, but it can be bypassed with the use of a suspension for the appendix (trans-parietal stitches or supplemental miniport) or with flexible and angulated instruments. Although most of the procedures can be completed with a standard LA instrumentation, it surely implies a learning curve for the surgeon, who can be forced to a new crosshanded or left-handed dissection and has to deal with an annoying conflict between hands and stalks: this issue is ameliorated with the use of 5 mm-30 degrees cameras, which, although, carry a slight minor quality of the intraoperative vision, and (like in needlescopy) might compromise the result in complicated cases (5). On the basis of these considerations founded on the existing evidence, in our surgical unit we established strict criteria of inclusion in scheduling single port-appendectomy. This protocol has been started as LA has become the rule Published by Kowsar Corp, 2013. cc 3.0.","PeriodicalId":158928,"journal":{"name":"Journal of Minimally Invasive Surgical Sciences","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114733939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Ondansetron and Dexametasone on Post-Operative Nausea and Vomiting in Patients Undergoing Laparoscopic Cholecystectomy","authors":"M. Eidy, H. Vafaei, M. Rajabi, M. Mohammadzadeh, A. Pazouki","doi":"10.5812/JMISS.8450","DOIUrl":"https://doi.org/10.5812/JMISS.8450","url":null,"abstract":"Article history: Received: 06 Oct 2012 Revised: 03 Nov 2012 Accepted: 10 Nov 2012","PeriodicalId":158928,"journal":{"name":"Journal of Minimally Invasive Surgical Sciences","volume":"79 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132593594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Laparoscopic Total Gastric Vertical Plication and Lipid Profile","authors":"I. Braghetto, Enrique Lanzarini","doi":"10.5812/JMISS.4893","DOIUrl":"https://doi.org/10.5812/JMISS.4893","url":null,"abstract":"We read with great interest the article “Changes in Lipid Profile and Insulin Resistance in Obese Patients Following Laparoscopic morbidly Total Gastric Vertical Plication” of Atefeh Golpaie et al. (1). The authors developed a prospective study that included 15 morbidly obese patients who underwent Laparoscopic Gastric Total Vertical plication (LTGVP) with the technique described by Talebpour and Amoli in 2007 (2), and evaluated the evolution of lipid profile; total cholesterol (TC), triglycerides (TG), LDL-C and HDL-C, fasting glucose, insulin, and insulin resistance (HOMA insulin sensitivity and the quantitative check index (QUIKI), before and six weeks after surgery. They found a significant decrease in body weight and BMI, blood level of TG, LDL-C and HOMA at six weeks, but changes in TC, HDL-C, fasting glucose, insulin Levels and QUICKI were not significant. The LTGVP is a new technique with scarce data, which just few patients with short-term follow-up have been investigated. However, initial results reported in terms of decrease in excess weight (EBW) are promising. In the study published by Talebpour et al., EBW loss was 61% at 12 months in patients with a preoperative average body mass index (BMI) of 47 Kg/m2 (2). Brethauer et al. reported an EBW loss of 53.4% in six patients with a mean BMI of 43.3 Kg/m2 at 12 months follow-up (3). Ramos-Cardoso et al. published a series of 15 patients with a mean preoperative BMI of 41 Kg/m2 with EBW loss of 60% at 12 months (4). These short-term results are comparable to those obtained after Sleeve Gastrectomy (SG) (5). The main advantages of this new technique are the low cost, since no mechanical sutures are used, and the possible low incidence of complications. However, after increasing reports, by employing this technique, some complications especially gastric outlet obstruction, vomiting, and gastric perforation, leaks, esophagitis and re-operation will probably be observed. Until now, no late complications have been reported, but follow-up is still limited. Regarding resolution of co-morbidities, it has been widely shown that the significant drop in weight experienced by patients undergoing any bariatric surgery have an impact on the increased insulin sensitivity (6). With regard to dyslipidemia, there are no other reports to assess the evolution of this disease in LTGVP. The postoperative evolution after LTGVP is probably similar to the results","PeriodicalId":158928,"journal":{"name":"Journal of Minimally Invasive Surgical Sciences","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122472110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}