Journal of surgical technique and case report最新文献

{"title":"Left side appendicitis with midgut malrotation in an adult.","authors":"David Jérémie Birnbaum,&nbsp;Yann Geffroy,&nbsp;Géraldine Goin,&nbsp;Paul Balandraud","doi":"10.4103/2006-8808.118627","DOIUrl":"https://doi.org/10.4103/2006-8808.118627","url":null,"abstract":"<p><p>Midgut malrotation (MMR) is a congenital anomaly referring to either nonrotation or incomplete rotation of the primitive intestinal loop around the axis of the superior mesenteric artery during fetal development. Adult MMR is rare and majority of MMR in adults remains asymptomatic throughout life. The increasing use of diagnostic imaging for acute abdominal pain will lead to more incidental recognitions of MMR. Up to now, surgical treatment has been guided by the experience from pediatric surgery, and Ladd's procedure has been the treatment of choice in adults with MMR. However, a major dilemma arises when patients are essentially asymptomatic and incidentally diagnosed with MMR during another abdominal affection like acute appendicitis. The surgeon has to decide whether it is necessary to also treat the MMR. Here, we report a rare case of a 37-year-old patient with acute left side appendicitis in association with asymptomatic MMR. We discuss whether correction of the asymptomatic malrotation was indicated. </p>","PeriodicalId":89430,"journal":{"name":"Journal of surgical technique and case report","volume":"5 1","pages":"38-40"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4103/2006-8808.118627","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32067156","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}

{"title":"Single incision laparoscopic surgery for a large endometriotic cyst.","authors":"Ying Woo Ng,&nbsp;Catherina Josephine Goenadi,&nbsp;Yoke Fai Fong","doi":"10.4103/2006-8808.118628","DOIUrl":"https://doi.org/10.4103/2006-8808.118628","url":null,"abstract":"<p><p>We describe a technique for the treatment of large benign ovarian cysts by single port laparoscopic surgery via the umbilical approach. X-cone single port system (Karl Storz) was employed in this surgery. Prebent atraumatic grasping forceps were used in conjunction with the straight laparoscopic instruments. We propose using a \"to-fro\" peeling technique in the z-axis in SPLS cystectomy. Combined use of prebent and straight laparoscopic instruments enables the cystectomy to be performed in the z-axis, thereby avoiding instruments crossing and hands collision outside the abdomen. The proposed technique proved to be feasible, easy to employ, and safe in SPLS cystectomy, with the additional benefit of superior cosmetic outcome. </p>","PeriodicalId":89430,"journal":{"name":"Journal of surgical technique and case report","volume":"5 1","pages":"41-4"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4103/2006-8808.118628","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32067157","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}

{"title":"Laparoscopic Inguinal Hernia Repair in a Developing Nation: Short-term Outcomes in 103 Consecutive Procedures.","authors":"Shamir O Cawich,&nbsp;Sanjib K Mohanty,&nbsp;Kimon O Bonadie,&nbsp;Lindberg K Simpson,&nbsp;Peter B Johnson,&nbsp;Sundeep Shah,&nbsp;Eric W Williams","doi":"10.4103/2006-8808.118601","DOIUrl":"https://doi.org/10.4103/2006-8808.118601","url":null,"abstract":"<p><strong>Background: </strong>There are no published data on the outcomes of inguinal hernia repair from the Anglophone Caribbean. To the best of our knowledge, this is the first report of a series of laparoscopic inguinal hernia repairs from the region.</p><p><strong>Materials and methods: </strong>Data was extracted from a prospectively maintained database of consecutive trans abdominal pre-peritoneal (TAPP) repairs done between June 1, 2005 and May 30, 2012. Perioperative data collected included patient demographics, hernia type, operative technique, duration of surgery, intra-operative details, morbidity, analgesia requirements, and duration of hospitalization. A telephone survey was also performed to identify late recurrences and complications. Descriptive statistics were generated using Statistical Package for Social Sciences (SPSS) Ver 12.0.</p><p><strong>Results: </strong>There were 103 consecutive TAPP procedures in 88 patients at an average age of 35.4 years ± 12.9 (standard deviation; SD) and average body mass index (BMI) of 28.9 Kg/m(2) ± 2.23 (SD). The indications were bilateral (30), recurrent unilateral (24), and primary unilateral (49) inguinal hernias. The mean duration of operation was 68.5 minutes (SD ± 10.4; Range: 55-95; Median 65; Mode 65) minutes for unilateral TAPP and 89 minutes (SD ± 7.61; Range: 80-105; Median 90; Mode 90) for bilateral repairs. Post-operatively, 65/70 patients required ≤1 dose of parenteral opioid analgesia and 74 (84.1%) patients discontinued oral analgesia within 48 hours of operation. Complications were recorded in six (5.8%) cases and a recurrence in one (0.97%) case after a mean follow-up period of 3.2 years (SD ± 1.8; Range: 0.5-7).</p><p><strong>Conclusion: </strong>Laparoscopic inguinal hernia repair is a safe and effective operation in this setting.</p>","PeriodicalId":89430,"journal":{"name":"Journal of surgical technique and case report","volume":"5 1","pages":"13-7"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4103/2006-8808.118601","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32067150","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}

{"title":"Bimaxillary and bilateral dentigerous cysts: a rare and first reported case.","authors":"Shane J J McCrea","doi":"10.4103/2006-8808.118636","DOIUrl":"https://doi.org/10.4103/2006-8808.118636","url":null,"abstract":"Journal of Surgical Technique and Case Report | Jan-Jun 2013 | Vol-5 | Issue-1 61 obstruction in patients of liver abscess. The clinical picture depends on whether the compression is complete or incomplete. Patients having complete obstruction have a fulminant course with high mortality. In the present case, the course was not fulminant due to incomplete obstruction. However, our patient presented with shock that resulted from decreased preload (venous return) due to IVC obstruction due to large liver abscess. This is further evident by the fact that his blood pressure improved following drainage of the abscess resulting in increased venous return.","PeriodicalId":89430,"journal":{"name":"Journal of surgical technique and case report","volume":"5 1","pages":"61-2"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4103/2006-8808.118636","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32069079","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}

{"title":"Non-operative Management of Gallbladder Perforation After Blunt Abdominal Trauma.","authors":"Rohan Kumar","doi":"10.4103/2006-8808.118629","DOIUrl":"https://doi.org/10.4103/2006-8808.118629","url":null,"abstract":"<p><p>Isolated gallbladder perforations following blunt abdominal trauma are very rare. They often present with insidious onset of symptoms a few days after the initial insult and an operative course of management ensues. This is in the form of a cholecystectomy and peritoneal lavage; more often via laparotomy rather than laparoscopically. Conservative management, in the form of cholecystostomy, percutaneous intraperitoneal drainage or cholecystorraphy has been described; however, these cases have invariably resulted in cholecystectomy eventually. The case uniquely highlights the successful non-operative management of isolated traumatic gallbladder perforation. </p>","PeriodicalId":89430,"journal":{"name":"Journal of surgical technique and case report","volume":"5 1","pages":"45-7"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4103/2006-8808.118629","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32067158","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}

{"title":"Preventing Inadvertent Placement of Foley Catheter into Prostatic Urethra During Suprapubic Trocar Cystostomy: A Simple Face-saver Trick.","authors":"Rahul Yadav,&nbsp;Deepansh Dalela,&nbsp;Divakar Dalela,&nbsp;Rohit Kathpalia,&nbsp;Apul Goel,&nbsp;Satya N Sankhwar","doi":"10.4103/2006-8808.118634","DOIUrl":"https://doi.org/10.4103/2006-8808.118634","url":null,"abstract":"<p><p>During suprapubic cystostomy using standard technique, there always remains a chance of accidental migration of foley catheter through bladder neck into prostatic urethra. We herein present a point of technique in which by keeping the direction of cannula slot toward umbilicus and making it vertical or slightly tilting its tip toward umbilicus during foley placement, prevents the inadvertent migration of catheter into prostatic urethra and further complications. </p>","PeriodicalId":89430,"journal":{"name":"Journal of surgical technique and case report","volume":"5 1","pages":"58-9"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4103/2006-8808.118634","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32069077","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}

{"title":"Unusual cause of shock: inferior vena cava obstruction complicating pyogenic liver abscess.","authors":"Debajyoti Mohanty,&nbsp;Pankaj Kumar Garg,&nbsp;Bhupendra Kumar Jain,&nbsp;Shuchi Bhatt","doi":"10.4103/2006-8808.118635","DOIUrl":"https://doi.org/10.4103/2006-8808.118635","url":null,"abstract":"Sir, A 10-year-old boy presented with pain in right hypochondrium, continuous high-grade fever, and dry cough for 10 days. He did not report to have jaundice or altered bowel movements. He was febrile, having pulse rate of 110 beats/min, blood pressure of 86/66 mmHg, and bilateral pedal edema. Abdominal examination revealed enlarged tender hepatomegaly (liver span 15 cm) and positive shifting dullness for free fluid in peritoneal cavity. Hematological investigations revealed hemoglobin of 8.8 g/dL and white blood cells count of 8600/mm3. The biochemical investigations showed blood urea of 48 mg/dL and serum creatinine of 1.2 mg/dL. Liver functions tests showed a total bilirubin of 1.3 mg/dL, serum alkaline phosphatase of 248 IU/L (normal range, 40-280 IU/L), aspartate aminotransferase 38 IU/L, and alanine aminotransferase 42 IU/L. Chest roentgenogram showed blunting of right costophrenic angle suggestive of right pleural effusion. Ultrasonography (USG) of the abdomen revealed an enlarged liver containing an area of altered echotexture appearing heterogeneously hypoechoic with well defined margins involving the segment IV, VII, VIII, and II liver. The lesion measured approximately 1000 mL in volume and was seen to compress the 7 cm long segment of infrahepatic inferior vena cava (IVC). Color Doppler showed minimal low velocity flow within the compressed segment of IVC (anteroposterior diameter of 3 mm) [Figure 1a]. The IVC proximal to compression demonstrated monophasic slow flow with loss of normal phasic variation (anteroposterior diameter of 7 mm). The hepatic veins confluence was seen of normal size, and with normal color and Doppler signals. The intra hepatic biliary radicals were not dilated. The liver lesion also caused displacement and minimal compression of the right portal vein. There was mild right pleural effusion and ascites as well. A diagnosis of right lobe liver abscess was made and urgent USG-guided aspiration was undertaken. Only 15-20 mL of thick pus could be aspirated, which was thick, creamy, and brownish in color. Microscopic examination of the pus showed Gram positive cocci in groups but it did not grow any organism on culture. The patient was prescribed broad spectrum antibiotics. However, the hypotension was not responding to fluid challenge as well as to vasopressors. Therefore, he underwent exploratory laparotomy and open drainage of the abscess cavity. Postoperatively, the vasopressors were weaned off on second postoperative day. The abdominal drain was removed on third postoperative day. Repeat ultrasound Doppler examination done on fourth postoperative day showed decrease in the abscess cavity size as well as compression effect on IVC [Figure 1b]. The patient was discharged on 11th postoperative day in stable condition. He is well on routine follow up after 1 year.","PeriodicalId":89430,"journal":{"name":"Journal of surgical technique and case report","volume":"5 1","pages":"60-1"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4103/2006-8808.118635","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32069078","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}

{"title":"Pneumobilia: a case report and literature review on its surgical approaches.","authors":"Chee Siong Wong,&nbsp;James Maurice Crotty,&nbsp;Syed Altaf Naqvi","doi":"10.4103/2006-8808.118616","DOIUrl":"https://doi.org/10.4103/2006-8808.118616","url":null,"abstract":"<p><p>Gallstones ileus is an uncommon cause but important cause of small bowel obstruction. The gallstone enters the intestinal lumen via a fistula located in the duodenum (cholecystoduodenal), or rarely, in the colon (cholecystocolonic) or stomach (cholecystogastric). This may result in large bowel or gastric outlet obstruction (Bouveret's Syndrome). Gallstone ileus affects the elderly females pre-dominantly and is associated with a high morbidity and mortality rate if diagnosis and urgent surgical intervention are delayed. In this paper, we report on the case of an elderly lady who presented with classical symptoms and signs of small bowel obstruction. She was subsequently diagnosed with gallstone ileus due to a large gallstones lodged in the intestinal lumen. We perform a literature review on this rare disease and discuss the two main surgical approaches in managing this condition. Gallstone ileus should be considered in the differential diagnosis of small bowel obstruction especially in elderly women who have no history of abdominal surgery or abdominal hernia. Early intervention is important because of the high mortality rate due to the poor general condition that often exists in this subgroup of patients. There is no general consensus on gold standard surgical approach in these cases but a two-stage procedure (either enterotomy alone or enterotomy and subsequent cholecystectomy) has been shown to be associated with lower mortality rates. </p>","PeriodicalId":89430,"journal":{"name":"Journal of surgical technique and case report","volume":"5 1","pages":"27-31"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4103/2006-8808.118616","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32067153","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}

{"title":"Carcinoid Tumor in Accidental, Asymptomatic Meckel's Diverticulum.","authors":"Zsolt Baranyai,&nbsp;Valeria Jósa,&nbsp;Keresztely Merkel,&nbsp;Zsofia Zolnai","doi":"10.4103/2006-8808.118633","DOIUrl":"https://doi.org/10.4103/2006-8808.118633","url":null,"abstract":"Although Meckel′s diverticulum is the most common congenital gastrointestinal disorder, it is controversial whether asymptomatic diverticula in adults should be respected. The authors report the case of a patient who was operated due to ileus caused by adhesions and a Meckel′s diverticulum without any sign of inflammation was accidentally noted and removed. As a surprise, the pathological examination of the diverticulum proved carcinoid tumor, a neuroendocrine malignant tumor. The case raises the importance of the removal of asymptomatic Meckel′s diverticulum.","PeriodicalId":89430,"journal":{"name":"Journal of surgical technique and case report","volume":"5 1","pages":"56-7"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4103/2006-8808.118633","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32069076","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}

{"title":"Bone suture in management of mandibular degloving injury.","authors":"Amin Rahpeyma,&nbsp;Saeedeh Khajeahmadi","doi":"10.4103/2006-8808.118622","DOIUrl":"https://doi.org/10.4103/2006-8808.118622","url":null,"abstract":"<p><p>Traumatic degloving injuries of the mandible are rare intraoral soft tissue traumas. A simple review of the medical literature shows that no article up to this date has reported the prevalence of the degloving injuries of the mandible. Moreover, the highest incidence of mandibular degloving injuries is reported in children and young adults. In this article, the author describes the mandibular degloving injury, characterized by the separation of periosteum and soft tissues of the anterior buccal side of the mandible, and the bone suture technique. This article outlines that a correct diagnostic assessment and appropriate treatment plan can reduce the complications after mandibular degloving injuries. </p>","PeriodicalId":89430,"journal":{"name":"Journal of surgical technique and case report","volume":"5 1","pages":"35-7"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4103/2006-8808.118622","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32067155","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}