Journal of Minimal Access Surgery最新文献_第4页

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

A small-sized tube versus traditional closed thoracic drainage in uniportal thoracoscopic surgery. 单孔胸腔镜手术中的小型管道与传统胸腔闭式引流术的比较。

IF 1 4区医学

Journal of Minimal Access Surgery Pub Date : 2024-10-01 Epub Date: 2023-07-05 DOI: 10.4103/jmas.jmas_39_23

Zhoujunyi Tian, Guangliang Qiang, Fei Xiao, Hongxiang Feng, Zhenrong Zhang, Huanshun Wen, Chaoyang Liang

{"title":"A small-sized tube versus traditional closed thoracic drainage in uniportal thoracoscopic surgery.","authors":"Zhoujunyi Tian, Guangliang Qiang, Fei Xiao, Hongxiang Feng, Zhenrong Zhang, Huanshun Wen, Chaoyang Liang","doi":"10.4103/jmas.jmas_39_23","DOIUrl":"10.4103/jmas.jmas_39_23","url":null,"abstract":"Introduction: To assess the feasibility and safety of placing a small-sized tube as drainage in patients after uniportal thoracoscopic lung resection.Patients and methods: Patients who received uniportal video-assisted thoracoscopic surgery (U-VATS) lung resection were identified in our database. Patients placed small-sized tube drainage were compared with those placed conventional chest tube in terms of characteristics, operation modality, post-operative pulmonary complications, post-operative pain, chest tube duration and post-operative hospital stay. Propensity score matching was performed.Results: Of the 217 enrolled patients, 173 were assigned to the conventional tube group and 44 were assigned to the small-sized tube group. Rates of post-operative pulmonary complications were relatively low and similar between the two groups. After propensity score matching, operation duration was shorter (1 h vs. 1.21 h, P = 0.01) was shorter, and the maximum value of the Visual Analogue Scale (VAS) score after operation (1 vs. 1.5, P = 0.02) and the overall average value of VAS score after operation (0.33 vs. 0.88, P = 0.006) was lower in small-sized tube group. No significant difference was observed in chest tube duration (2 vs. 2, P = 0.34) and post-operative hospital stay (3 vs. 3, P = 0.34).Conclusions: Compared to conventional chest tubes, small-sized tubes for post-operative drainage after U-VATS lung resection may be a safe and promising approach for reducing post-operative pain.","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":"380-386"},"PeriodicalIF":1.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11601960/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10580857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Strategies for closing the posterior rectus sheath during enhanced view totally extraperitoneal Rives-Stoppa repair. 增强型全腹膜外Rives-Stoppa修复术中闭合后直肌鞘的策略。

IF 1 4区医学

Journal of Minimal Access Surgery Pub Date : 2024-10-01 Epub Date: 2023-09-14 DOI: 10.4103/jmas.jmas_177_23

Sarfaraz Jalil Baig, Jignesh A Gandhi, Aarsh P Gajjar, Pallawi Priya, Devashree Sane

{"title":"Strategies for closing the posterior rectus sheath during enhanced view totally extraperitoneal Rives-Stoppa repair.","authors":"Sarfaraz Jalil Baig, Jignesh A Gandhi, Aarsh P Gajjar, Pallawi Priya, Devashree Sane","doi":"10.4103/jmas.jmas_177_23","DOIUrl":"10.4103/jmas.jmas_177_23","url":null,"abstract":"Introduction: The popularity of endolaparoscopic extraperitoneal repairs has been on the rise due to advantages such as sublay mesh placement and early return to daily activities. However, the procedure requires overcoming a learning curve, and with increased adoption, new complications have emerged. One significant complication is the rupture of the posterior rectus sheath (PRS). In this article, we present our modifications of the technique to reduce tension during PRS closure.Patients and methods: The study included 105 patients who underwent endolaparoscopic extraperitoneal repairs for ventral hernias using two different techniques. Group A ( n = 68) underwent the original technique, whereas Group B ( n = 37) underwent the modified technique. The modifications in Group B included preserving the peritoneal bridge between the two PRS and the hernia sac, conducting a complete dissection of the space of Bogros and adopting a transverse or oblique closure of PRS along the lines of least tension. To assess the efficacy of these modifications in preventing PRS rupture, we compared the results of both groups.Results: Our findings indicate that following all the technical steps of the modified technique resulted in a reduced need for transversus abdominis release for PRS closure and a lower incidence of PRS rupture in the postoperative period. However, to further validate the effectiveness of these modifications, a larger follow-up period and a bigger sample size are required.Conclusions: The adoption of the modified technique can help achieve a tension-free PRS closure.","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":"387-392"},"PeriodicalIF":1.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11601971/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41240053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Case report on laparoscopic management of congenital peritoneal encapsulation: A rare cause of small bowel obstruction. 腹腔镜治疗先天性腹膜包裹症的病例报告：小肠梗阻的罕见病因。

IF 1 4区医学

Journal of Minimal Access Surgery Pub Date : 2024-10-01 Epub Date: 2023-07-05 DOI: 10.4103/jmas.jmas_55_23

Sumanta Dey, Sreetama Roy, Abhishek Guhathakurta, Debarchan Ghosh

引用次数: 0

Petersen's hernia after gastric cancer surgery: Unravelling clinical characteristics and optimal management approaches. 胃癌手术后的彼得森疝：了解临床特征和最佳治疗方法。

IF 1 4区医学

Journal of Minimal Access Surgery Pub Date : 2024-10-01 Epub Date: 2024-03-28 DOI: 10.4103/jmas.jmas_315_23

Mingran Zhang, Yue Fan, Jun Li, Liu Yong

{"title":"Petersen's hernia after gastric cancer surgery: Unravelling clinical characteristics and optimal management approaches.","authors":"Mingran Zhang, Yue Fan, Jun Li, Liu Yong","doi":"10.4103/jmas.jmas_315_23","DOIUrl":"10.4103/jmas.jmas_315_23","url":null,"abstract":"Introduction: Petersen's hernia is a rare and serious complication that can occur after radical gastrectomy and digestive tract reconstruction for gastric cancer. This article summarises the symptoms, diagnosis and treatment of Petersen's hernia after surgery for gastric cancer.Patients and methods: A retrospective analysis was conducted on 11 male patients who were diagnosed with Petersen's hernia and underwent surgical treatment at our hospital from January 2020 to December 2022. Their clinical manifestations, perioperative conditions and follow-up after treatment were collected.Results: The median age was 58.5 years (range: 45-73), and the median time since gastrectomy was 24 months (range: 4-125). Open distal gastrectomy (45.5%) and open total gastrectomy (27.3%) were the most common procedures. Roux-en-Y (81.8%) was the predominant anastomosis method. All patients underwent emergency surgery within a median time of 30 h (range: 4-45). Intestine necrosis occurred in 36.4% of cases, with a perioperative death rate of 27.3%.Conclusion: Petersen's hernia after gastric cancer surgery can quickly lead to necrotising intestinal obstruction and poor prognosis. Enhanced abdominal computed tomography should be performed as soon as possible, and early exploratory laparotomy should be done to avoid intestinal necrosis. Routine closure of the mesenteric defect after gastric cancer resection can prevent the occurrence of Petersen's hernia. This article highlights the need for increased awareness and preventive measures to minimise the occurrence of Petersen's hernia in gastric cancer patients. It emphasises the importance of early detection and appropriate management strategies for improved patient outcomes.","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":"426-431"},"PeriodicalIF":1.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11601957/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140337274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pragmatic algorithm for management of common bile duct calculi in resource-limited settings in India. 印度资源有限地区胆总管结石治疗的实用算法。

IF 1 4区医学

Journal of Minimal Access Surgery Pub Date : 2024-10-01 Epub Date: 2024-03-28 DOI: 10.4103/jmas.jmas_293_23

Vinay Gangadhar Mehendale, Manoj S Kamdar, Sharad Narayan Shenoy

{"title":"Pragmatic algorithm for management of common bile duct calculi in resource-limited settings in India.","authors":"Vinay Gangadhar Mehendale, Manoj S Kamdar, Sharad Narayan Shenoy","doi":"10.4103/jmas.jmas_293_23","DOIUrl":"10.4103/jmas.jmas_293_23","url":null,"abstract":"Introduction: Endoscopic retrograde cholangiopancreatography (ERCP) facilitates the removal of common bile duct (CBD) calculi by endoscopy. When ERCP fails, exploration of CBD is required for the clearance of CBD calculi. The optimum way for the exploration of CBD is by choledochoscopy. Dedicated flexible or rigid choledochoscopes are expensive and available only in few places in India. Since 1991, we subjected patients with suspected CBD calculi to ERCP, followed by laparoscopic cholecystectomy (LC). Patients in whom ERCP failed to clear CBD were subjected to open exploration of CBD using any easily available, suitable, straight rigid scope for choledochoscopy.Patients and methods: Since March 1991, out of 8866 patients with cholelithiasis, 862 underwent ERCP. Ninety-six patients in whom ERCP failed to clear CBD underwent open exploration of CBD. In each case of exploration of CBD, choledochoscopy was performed using a straight rigid scope, either a cystoscope, paediatric cystoscope, hysteroscope or 5-mm laparoscopy telescope with a 5-mm cannula.Results: The CBD clearance was complete in 95 patients, and one patient had an impacted calculus at the ampulla. CBD explorations were followed by choledochoduodenostomy, T-tube placement or suturing of choledochotomy. No residual calculi were observed after such exploration.Conclusion: From our results, we advocate the following algorithm for CBD calculi in resource-limited settings. Subject patients with CBD calculi to ERCP followed by LC. In case of failed ERCP, open exploration of CBD with choledochoscopy using any suitable rigid scope. Dedicated flexible or rigid choledochoscope is not essential. This approach is cost-effective and successful.","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":"420-425"},"PeriodicalIF":1.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11601958/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140337287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The way to live! 生活之道

IF 1 4区医学

Journal of Minimal Access Surgery Pub Date : 2024-10-01 Epub Date: 2024-07-01 DOI: 10.4103/jmas.jmas_3_24

Shrirang Vasant Kulkarni

引用次数: 0

The modified thoracoabdominal nerve block for post-operative analgesia in paediatric laparoscopic cholecystectomy. 改良胸腹神经阻滞术用于小儿腹腔镜胆囊切除术的术后镇痛。

IF 1 4区医学

Journal of Minimal Access Surgery Pub Date : 2024-10-01 Epub Date: 2023-05-10 DOI: 10.4103/jmas.jmas_174_22

Volkan Ozen, Mehmet Eren Acik, Nurten Ozen

引用次数: 0