Journal of Minimal Access Surgery最新文献_第3页

Awake thoracoscopic non-anatomic pulmonary resections under thoracic paravertebral block: Results of a tertiary referral centre. 胸椎旁阻滞下的清醒胸腔镜非解剖肺切除术：一家三级转诊中心的结果。

IF 1 4区医学

Journal of Minimal Access Surgery Pub Date : 2024-10-09 DOI: 10.4103/jmas.jmas_124_24

Onur Derdiyok, Uğur Temel

{"title":"Awake thoracoscopic non-anatomic pulmonary resections under thoracic paravertebral block: Results of a tertiary referral centre.","authors":"Onur Derdiyok, Uğur Temel","doi":"10.4103/jmas.jmas_124_24","DOIUrl":"https://doi.org/10.4103/jmas.jmas_124_24","url":null,"abstract":"Introduction: Awake video-assisted thoracoscopic surgery (VATS) helps to avoid the adverse effects of general anaesthesia (GA) with single-lung ventilation. Its usage in anatomic and non-anatomic pulmonary resections has spread worldwide, and it is mostly performed under thoracic epidural analgesia (TEA). We herein report our surgical experience with awake VATS non-anatomical resections under the thoracic paravertebral block (TPB).Patients and methods: This retrospective, single-centred study reviewed patients undergoing awake VATS non-anatomical pulmonary resection under TPB, who voluntarily accepted awake VATS despite being suitable for GA and were found unsuitable for GA based on pre-operative assessment results. Demographic, pre-, per- and post-operative data were collected, analysed and compared with the literature data.Results: Twenty-four patients (16 patients with normal pre-operative assessment results and 8 patients having high risk for GA) were selected. Fourteen bullectomies for recurrent spontaneous pneumothorax and 10 wedge resections (nine for metastasectomy and one for lung biopsy) were performed. Global in-operating room time was 77 ± 31 min. The morbidity rate was 20.8% (n = 5), including prolonged air leak in three and pneumonia in two patients. The mean duration of the chest tube was 1.9 ± 1.5 days and mean duration of hospital stay was 3.5 ± 2.1 days. There was no in-hospital mortality. Our results were mostly similar to the literature data.Conclusion: Non-anatomical lung resections by VATS can be performed easily and safely under TPB in awake patients. Although the perioperative and post-operative outcomes are not superior to other anaesthesia approaches, preferring TPB may help to avoid the serious potential complications of TEA.","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Intra-peritoneal migration of abdominal drain after cholecystectomy-laparoscopic retrieval: A case report. 胆囊切除术-腹腔镜取石术后腹腔引流管腹膜内移位：病例报告。

IF 1 4区医学

Journal of Minimal Access Surgery Pub Date : 2024-10-09 DOI: 10.4103/jmas.jmas_137_24

Mahendra Lodha, Naveen Sharma, Satya Prakash Meena

引用次数: 0

Abdominal wall failure. 腹壁损伤

IF 1 4区医学

Journal of Minimal Access Surgery Pub Date : 2024-10-09 DOI: 10.4103/jmas.jmas_150_24

Ekta Sharma, Shirish Goyal, Sanjay Gupta, Robin Kaushik, Ashok K Attri

引用次数: 0

Endoclose-assisted intracorporeal intestinal anastomosis. 内闭式辅助体腔内肠吻合术。

IF 1 4区医学

Journal of Minimal Access Surgery Pub Date : 2024-10-09 DOI: 10.4103/jmas.jmas_186_24

Christian Mouawad, Abdessalem Ghedira, Nehad Dager

引用次数: 0

An unusual case of small-bowel obstruction: Broad ligament hernia. 一个不寻常的小肠梗阻病例：阔韧带疝

IF 1 4区医学

Journal of Minimal Access Surgery Pub Date : 2024-10-09 DOI: 10.4103/jmas.jmas_280_23

Anmol Ahuja, Shyam Sundar Rengan, Ashish Dey, Vinod K Malik, Tarun Mittal

{"title":"An unusual case of small-bowel obstruction: Broad ligament hernia.","authors":"Anmol Ahuja, Shyam Sundar Rengan, Ashish Dey, Vinod K Malik, Tarun Mittal","doi":"10.4103/jmas.jmas_280_23","DOIUrl":"https://doi.org/10.4103/jmas.jmas_280_23","url":null,"abstract":"Abstract: Broad ligament hernias (BLHs) are rare internal hernias that can lead to serious complications if left untreated. In this case report, we present the case of a BLH in a female patient and discuss its clinical presentation, diagnosis and management. A 40-year-old woman presented with subacute intestinal obstruction symptoms, including the inability to pass flatus and faeces and recurrent bilious vomiting. A computed tomography (CT) scan confirmed small-bowel obstruction adjacent to the uterus within the left broad ligament. Diagnostic laparoscopy revealed a loop of obstructed small intestine within the broad ligament, which was released and found to be healthy. The defect between the broad and infundibulopelvic ligaments was closed with sutures. The patient had an uneventful recovery and was asymptomatic at a 6-month follow-up. BLHs can be congenital or acquired, with acquired defects often resulting from previous surgeries or pregnancy-related causes. The clinical presentation typically involves the symptoms of bowel obstruction, and a CT scan is the diagnostic modality of choice, showing characteristic findings such as closed-loop obstruction and bowel dilation. Laparoscopic management offers the advantages of faster recovery and less morbidity. Closure of the defect using nonabsorbable sutures is the standard surgical approach, although a wide opening of the defect has also been described. Recurrence is a possibility, particularly if absorbable sutures are used for closure. This case report highlights the importance of early diagnosis and intervention in BLHs to prevent the complications and emphasises the role of laparoscopy in their management.","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142401695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Sliding hiatus hernia (intrathoracic sleeve migration) post-laparoscopic sleeve gastrectomy: A case series and review of literature. 腹腔镜袖带胃切除术后滑动裂孔疝（胸腔内袖带移位）：病例系列和文献综述。

IF 1 4区医学

Journal of Minimal Access Surgery Pub Date : 2024-10-09 DOI: 10.4103/jmas.jmas_119_24

Maher Ali Alqattan, Roshan George Varkey, Abdulmenem Abualsel

{"title":"Sliding hiatus hernia (intrathoracic sleeve migration) post-laparoscopic sleeve gastrectomy: A case series and review of literature.","authors":"Maher Ali Alqattan, Roshan George Varkey, Abdulmenem Abualsel","doi":"10.4103/jmas.jmas_119_24","DOIUrl":"https://doi.org/10.4103/jmas.jmas_119_24","url":null,"abstract":"Abstract: Intrathoracic sleeve migration (ITSM) is a complication that uncommonly occurs post-sleeve gastrectomy, with an incidence rate anecdotally ranging from 5% to 45%. Its treatment has established difficulties by bariatric surgeons worldwide. Sixteen cases were shown in this case series that commonly encountered the symptoms of weight gain, gastro-oesophageal reflux disease (GERD), epigastric pain, globus sensation, nausea and vomiting as their initial complaints before their diagnosis. Moreover, these symptoms began a few years after the gastric sleeve. The confirmatory results through gastrografin and computed tomography abdomen were performed where relevant findings of Grade I or II GERD, sliding hiatal hernia and post-sleeve anatomy were appreciated. In literature, the most common modality used to treat ITSM was the conversion to Roux-en-Y bypass. However, other treatment modalities were also utilised for the cases presented due to the different patients' preferences, including mini-gastric bypass and laparoscopic hiatal hernia repair with/without posterior cruroplasty and buttress plication with the falciform ligament. In addition, anchoring to pre-pancreatic fascia post-gastric sleeve has been shown to prevent such presentations further in the future. Postoperatively, all patients were stable with no complications acutely or after 3 months follow-up. Hence, this concludes that despite Roux-en-Y being considered the golden standard treatment of ITSM, laparoscopic hiatal hernia repair with cruroplasty and plication reflects an equivalent, cost-effective and valuable alternative to treating relevant patients.","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Laparoscopy-guided transverse abdominis plane block versus port site infiltration for post-operative pain relief after laparoscopic cholecystectomy. 腹腔镜胆囊切除术后腹横肌平面阻滞与端口部位浸润的腹腔镜引导下术后镇痛对比。

IF 1 4区医学

Journal of Minimal Access Surgery Pub Date : 2024-07-30 DOI: 10.4103/jmas.jmas_242_23

Sambit Kar, Himanshu Agrawal, Raghav Yelamanchi, Atul Jain, Aditya Kumar, Nitin Agarwal, Nikhil Gupta

{"title":"Laparoscopy-guided transverse abdominis plane block versus port site infiltration for post-operative pain relief after laparoscopic cholecystectomy.","authors":"Sambit Kar, Himanshu Agrawal, Raghav Yelamanchi, Atul Jain, Aditya Kumar, Nitin Agarwal, Nikhil Gupta","doi":"10.4103/jmas.jmas_242_23","DOIUrl":"https://doi.org/10.4103/jmas.jmas_242_23","url":null,"abstract":"Introduction: Post-operative analgesia is an important component of patient satisfaction and early discharge from the hospital. A variety of modalities have been tested and are still evolving. The present study is one such evaluation of a novel technique of laparoscopy-guided transverse abdominis plane (LTAP) block for post-operative analgesia in laparoscopic cholecystectomy.Patients and methods: A prospective randomised control trial was conducted to verify the effectiveness of LTAP block over port site local anaesthesia infiltration (PSLAI) for post-operative analgesia in patients undergoing laparoscopic cholecystectomy. This study was done over a period of 18 months in a tertiary hospital. A total of 84 patients were recruited and were divided equally into two groups (LTAP and PSLAI).Results: There was no statistical difference between the two groups with respect to gender distribution, comorbidities, number of gallstones, duration of symptoms and surgery time. The rescue dose of diclofenac requirement was less for the LTAP group in comparison to the PSLAI group. No difference was observed in the pain score at 1st h. However, LTAP proved efficient later in the post-operative course (6 h, 24 h and at discharge). There was significant a difference in the pain scores between the two groups, favouring the LTAP group. Hospital stay in the LTAP group was less in comparison to the PSLAI group.Conclusion: LTAP block is an effective method of post-operative analgesia. It impacts analgesia to the whole anterior abdominal wall for a prolonged period when compared to the PSLAI without adding any extra procedural time.","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141879708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Glanzmann's thrombasthenia: A nightmare for hernia surgeons. 格兰兹曼血栓形成症：疝气外科医生的噩梦。

IF 1 4区医学

Journal of Minimal Access Surgery Pub Date : 2024-07-30 DOI: 10.4103/jmas.jmas_230_23

Jignesh Gandhi, Aarsh Gajjar, Pravin Shinde, Yogesh Takalkar

引用次数: 0

Subcutaneous endoscopic surgery for plicating divarication of recti and epigastric hernia repair in a child. 用皮下内窥镜手术对一名儿童进行直肠和上腹部疝修补术。

IF 1 4区医学

Journal of Minimal Access Surgery Pub Date : 2024-07-30 DOI: 10.4103/jmas.jmas_76_24

Suresh Kumar Thanneeru, Reyaz Ahmad, Chandrakala Singh Rajput, Amit Gupta

引用次数: 0

Laparoscopic totally extraperitoneal management of giant inguinoscrotal hernia with loss of domain. 腹腔镜完全腹膜外手术治疗巨大腹股沟阴囊疝并伴有领域缺失。

IF 1 4区医学

Journal of Minimal Access Surgery Pub Date : 2024-07-30 DOI: 10.4103/jmas.jmas_98_24

Bharath Cumar, Pradeep Joshua Christopher, S Saravana Kumar, Ramesh Natarajan, Parthasarathi Ramakrishnan, Palanivelu Chinnusamy

引用次数: 0