CRSLS : MIS case reports from SLS最新文献_第3页

Barbed Suture Causing Acute Small Bowel Obstruction Post Laparoscopic Sacrocolpopexy. 刺缝线引起腹腔镜骶骶固定术后急性小肠阻塞。

CRSLS : MIS case reports from SLS Pub Date : 2022-10-01 DOI: 10.4293/CRSLS.2022.00058

Dipak Limbachiya, Rajnish Tiwari, Rashmi Kumari, Manoj Aggarwal

{"title":"Barbed Suture Causing Acute Small Bowel Obstruction Post Laparoscopic Sacrocolpopexy.","authors":"Dipak Limbachiya, Rajnish Tiwari, Rashmi Kumari, Manoj Aggarwal","doi":"10.4293/CRSLS.2022.00058","DOIUrl":"https://doi.org/10.4293/CRSLS.2022.00058","url":null,"abstract":"Introduction: A case report of small bowel obstruction related to barbed suture in a postoperative patient of laparoscopic sacrocolpopexy. Case Description: A 61 -year-old female with a body mass index of 27 with vault prolapse underwent laparoscopic sacrocolpopexy. The patient was discharged on postoperative day two. She presented again in the emergency department on the fifth postoperative day with complaints of frequent vomiting episodes with intermittent and colicky pain in the abdomen. Her imaging (computed tomography abdomen/pelvis with oral contrast) suggested distal small bowel mechanical obstruction at midileum with significant free fluid in the peritoneum. Emergency laparoscopic exploration was done. Peroperative V-LocTM 180 suture tail end barbs were found anchored to the mesentery of midileum causing a loop that led to compression and occlusion of distal bowel. The barbed suture tail end was detached from the mesentery and thus relieving the compression. No additional procedure was required for the bowel wall. The excess barbed suture tail end outside the peritoneum was trimmed. The postoperative course was uneventful. Conclusion: Bowel complication is an uncommon but serious issue following the use of barbed sutures. It should be used with utmost caution as none of the preventive measures are completely safe. Further studies need to be done for preventive measures.","PeriodicalId":72723,"journal":{"name":"CRSLS : MIS case reports from SLS","volume":"9 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1b/e6/e2022.00058.PMC9682608.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9188092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

A Late Presentation of COVID-19 Induced Bowel Ischemia. COVID-19诱导的肠缺血的晚期表现。

CRSLS : MIS case reports from SLS Pub Date : 2022-10-01 DOI: 10.4293/CRSLS.2022.00057

Hani Michael Annabi, Darrel Dodson, Bruce Applebaum, Benjamin Clapp

{"title":"A Late Presentation of COVID-19 Induced Bowel Ischemia.","authors":"Hani Michael Annabi, Darrel Dodson, Bruce Applebaum, Benjamin Clapp","doi":"10.4293/CRSLS.2022.00057","DOIUrl":"https://doi.org/10.4293/CRSLS.2022.00057","url":null,"abstract":"Introduction: Infection with COVID-19 may lead to extrapulmonary pathologies secondary to the systemic inflammatory effects of the virus.Case description: This case report discusses a 55-year-old female patient who presented with small bowel obstruction (SBO) several months after resolution of a COVID-19 infection. The patient was surgically treated with a small bowel resection, and eventually made a full recovery.Discussion: The pathophysiology of COVID-19-induced SBO can be explained by the prolonged inflammation and coagulation activation in the bowel's vasculature system. Under these circumstances, microthrombosis occurs in the bowel's microvasculature; the affected intestinal tissue becomes ischemic and infarcted. The damaged bowel is eventually replaced with fibrotic scar tissue, thus promoting bowel stricture and subsequent obstruction.Conclusion: COVID-19 can be responsible for both acute and chronic embolic and thrombotic events in the mesenteric vasculature, which acts as a risk factor in the manifestation of SBO.","PeriodicalId":72723,"journal":{"name":"CRSLS : MIS case reports from SLS","volume":"9 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d5/4c/e2022.00057.PMC9682609.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9188095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluation of Post-Menopausal Bleeding in Two Patients with Sigmoid Neovaginoplasty. 乙状结肠新阴道成形术2例绝经后出血的评价。

CRSLS : MIS case reports from SLS Pub Date : 2022-10-01 DOI: 10.4293/CRSLS.2022.00068

Jonathan Y Song, Yogesh Patel

引用次数: 0

Benign Finding or Malignancy: von Meyenburg Complexes Found during Laparoscopic Cholecystectomy. 良性或恶性:在腹腔镜胆囊切除术中发现的von Meyenburg复合物。

CRSLS : MIS case reports from SLS Pub Date : 2022-10-01 DOI: 10.4293/CRSLS.2022.00080

Daniel Carrera, Jordan Rook, Darryl T Hiyama

引用次数: 0

Effective Port Placement for Left Sided Gallbladder Cholecystectomy. 左侧胆囊胆囊切除术的有效置入术。

CRSLS : MIS case reports from SLS Pub Date : 2022-10-01 DOI: 10.4293/CRSLS.2022.00061

Joel Braverman, Kristine Makiewicz

{"title":"Effective Port Placement for Left Sided Gallbladder Cholecystectomy.","authors":"Joel Braverman, Kristine Makiewicz","doi":"10.4293/CRSLS.2022.00061","DOIUrl":"https://doi.org/10.4293/CRSLS.2022.00061","url":null,"abstract":"Introduction: Left sided gallbladder (sinistroposition) is a well described congenital abnormality that can pose an unexpected challenge for the surgeon, especially regarding port placement for safe and effective dissection.Case description: In this case, a 36 -year-old woman with biliary colic was taken to the operating room for elective cholecystectomy and found, after port placement, to have sinistroposition of the gallbladder. The operation was completed with relative ease using our typical port placement of a 5 mm port at Palmer's point, a 12 mm port at the umbilicus; and two additional 5 mm ports, one in the right midclavicular line, and one in the right anterior axillary line.Discussion: Multiple port placements for safe and effective dissection of a left sided gallbladder have been discussed. Identification of sinistropic gallbladder often occurs after ports are already placed in position for right sided cholecystectomy. In this case, our typical port placement where the operating surgeon's right-hand port is located at Palmer's point provided excellent positioning for dissection. No alterations to the surgeon's left-hand port or the assistant port were necessary. The dissection was able to be completed from familiar angles, so dissection and identification of anatomy was performed with relative ease. This is important as sinistroposition can at times lead to abnormalities of the biliary tree, though none were noted in this case.","PeriodicalId":72723,"journal":{"name":"CRSLS : MIS case reports from SLS","volume":"9 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/fa/1f/e2022.00061.PMC9840200.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9333503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Superior Mesenteric Arterial Occlusion Following Laparoscopic Partial Fundoplication. 腹腔镜下部分基底吻合术后肠系膜上动脉闭塞。

CRSLS : MIS case reports from SLS Pub Date : 2022-07-01 DOI: 10.4293/CRSLS.2022.00040

Anne Collinson, Trevor Collinson, Ewan Macaulay

{"title":"Superior Mesenteric Arterial Occlusion Following Laparoscopic Partial Fundoplication.","authors":"Anne Collinson, Trevor Collinson, Ewan Macaulay","doi":"10.4293/CRSLS.2022.00040","DOIUrl":"https://doi.org/10.4293/CRSLS.2022.00040","url":null,"abstract":"A 62-year-old male with history and endoscopic findings consistent with gastroesophageal reflux underwent elective laparoscopic fundoplication. He developed severe abdominal pain four days postoperatively, and computed tomography (CT) angiogram of the abdomen demonstrated occlusion of the superior mesenteric artery due to dissection. The patient was administered intravenous heparin following vascular surgical advice, resulting in resolution of the pain within an hour and no subsequent complications. Laparoscopy-associated mesenteric vascular events are rare but associated with very high morbidity and mortality. Mesenteric arterial occlusion is most frequently reported following laparoscopic cholecystectomy but may occur following many common laparoscopic procedures. Presentation generally occurs hours to days following the procedure, with severe abdominal pain out of proportion with physical signs. If left unrecognized, patients progress to bowel and visceral ischemia, necrosis, and multiorgan failure. Mechanisms postulated to cause these mesenteric vascular events involve changes in splanchnic blood flow, reduced cardiac output and systemic venous return, and hypercapnia related to carbon dioxide insufflation. Diagnosis may be made promptly with CT angiography, and potentially treated with intravenous heparin alone, avoiding a laparotomy or bowel resection. This is the first reported case of successful anticoagulation causing resolution of the occlusion sufficient to avoid reoperation or bowel resection. Once identified, this condition should be treated in liaison with vascular surgery colleagues, which may require anticoagulation, endovascular, or open intervention.","PeriodicalId":72723,"journal":{"name":"CRSLS : MIS case reports from SLS","volume":"9 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/da/4c/e2022.00040.PMC9580412.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10638074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Post-Partum Diastasis Recti Abdominis Treatment Using the Extended-View Totally Extraperitoneal Approach, Rives-Stoppa Technique, and Transversus Abdominis Release Procedure. 应用大视场全腹膜外入路、河停术和腹侧松解术治疗产后腹斜裂。

CRSLS : MIS case reports from SLS Pub Date : 2022-04-01 DOI: 10.4293/CRSLS.2022.00007

Masahito Kinoshita, Yoshio Nagahisa, Kazuyuki Kawamoto

{"title":"Post-Partum Diastasis Recti Abdominis Treatment Using the Extended-View Totally Extraperitoneal Approach, Rives-Stoppa Technique, and Transversus Abdominis Release Procedure.","authors":"Masahito Kinoshita, Yoshio Nagahisa, Kazuyuki Kawamoto","doi":"10.4293/CRSLS.2022.00007","DOIUrl":"https://doi.org/10.4293/CRSLS.2022.00007","url":null,"abstract":"Introduction: Diastasis recti abdominis usually occurs during pregnancy and delivery in young women with no surgical history, and can induce a severely negative body image, urogynecological symptoms, and musculoskeletal pain. However, the optimal surgical procedure for diastasis recti abdominis is undetermined, and minimally invasive surgery has not been adopted. Additionally, open repair causes scarring that is unlikely to improve negative body image and may even worsen it. We present a case of diastasis recti abdominis surgically treated using an extended-view totally extraperitoneal approach, Rives-Stoppa technique, and transversus abdominis release procedure.Case description: The patient was a 29-year-old woman who delivered transvaginally two weeks before presenting with bulging of the abdominal wall. Computed tomography revealed separation of the rectus. A three-month course of conservative therapy comprising exercises to strengthen the transversus abdominis was ineffective, and the patient had newly developed abdominal pain. Therefore, we performed surgical repair using the Rives-Stoppa technique and transversus abdominis release via the extended-view totally extraperitoneal approach. The postoperative course was uneventful, with no recurrence. This procedure may be superior to other methods in terms of cosmetic appearance, preventing infection, bowel adhesion, and recurrence.Discussion: In the case study, the Rives-Stoppa technique and transversus abdominis release via the extended-view totally extraperitoneal approach achieved a good therapeutic outcome for diastasis recti abdominis.","PeriodicalId":72723,"journal":{"name":"CRSLS : MIS case reports from SLS","volume":"9 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/01/da/e2022.00007.PMC9903251.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9280972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Renal Hilum Injury with Veress Needle. Veress针损伤肾门。

CRSLS : MIS case reports from SLS Pub Date : 2022-04-01 DOI: 10.4293/CRSLS.2022.00019

Daniel Nassar, Michael Shu, Rebeccah Stevens, Ruthia Chen, Abeer Eddib

引用次数: 0

Extragonadal Perirectal Mature Cystic Teratoma in the Adult Male. 成年男性肛外直肠周围成熟囊性畸胎瘤。

CRSLS : MIS case reports from SLS Pub Date : 2022-04-01 DOI: 10.4293/CRSLS.2022.00035

Pranamya Mahankali, Liam Trimble, Diana Panciera, Hui Li, Thaer Obaid

{"title":"Extragonadal Perirectal Mature Cystic Teratoma in the Adult Male.","authors":"Pranamya Mahankali, Liam Trimble, Diana Panciera, Hui Li, Thaer Obaid","doi":"10.4293/CRSLS.2022.00035","DOIUrl":"https://doi.org/10.4293/CRSLS.2022.00035","url":null,"abstract":"Background: Extragonadal abdominopelvic teratomas in adults are extremely rare, and those in males are exceedingly rare. These masses are most commonly found incidentally and require surgical excision for diagnostic confirmation after a thorough workup.Case presentation: This is a case report of a 49-year-old male who presented to a urology office with symptoms of hematuria, incidentally, found to have a pelvic mass on computed tomography urogram prompting colorectal surgical evaluation and subsequent laparoscopic complete excision. The clinical presentation, radiographic findings, and histopathological findings are described along with a literature review of extragonadal abdominopelvic mature cystic teratoma, also referred to as a sacrococcygeal teratoma.Discussion: A broad differential diagnosis was generated for this patient with a pelvic mass after complete work-up, consisting of a dermoid or epidermoid cyst, liposarcoma, or sacrococcygeal teratoma. Radiological features can aid in the diagnostic confusion that may present in the adult patient.Conclusion: Albeit rare in the male and adult population, sacrococcygeal teratoma is a plausible differential diagnosis for a pelvic mass. Underrepresented in the literature in regard to guidelines on management, complete surgical excision is the gold standard, with laparoscopy being a reasonable approach.","PeriodicalId":72723,"journal":{"name":"CRSLS : MIS case reports from SLS","volume":"9 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/5c/5a/e2022.00035.PMC9580607.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10630242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

A Type V Aberrant Right Hepatic Duct Branching from the Cystic Duct: The Paramount Importance of Intraoperative Cholangiography in Supplementing the Critical View of Safety Technique in Laparoscopic Cholecystectomy. V型异常右肝管从胆囊管分叉:术中胆管造影对腹腔镜胆囊切除术安全技术的重要补充。

CRSLS : MIS case reports from SLS Pub Date : 2022-03-28 eCollection Date: 2022-04-01 DOI: 10.4293/CRSLS.2022.00005

Hema M Narlapati, Simon H Telian, Gregory S Peirce, Adam J Kaplan

引用次数: 0