Lysis of Anterior Abdominal Wall Adhesions during Pelvic Laparoscopic Surgery: An Ergonomic Seated Approach

2020 ◽  
Vol 27 (7) ◽  
pp. S85-S86
Author(s):  
A. Lyon ◽  
M.A. Stuparich ◽  
S. Behbehani ◽  
S. Nahas
Keyword(s):  
Laparoscopic Surgery ◽  
Abdominal Wall ◽  
Anterior Abdominal Wall

scholarly journals Laparoscopic surgery for hernias of the anterior abdominal wall

2021 ◽  
Vol 44 (1) ◽  
pp. 126-134
Author(s):  
Aslan A. Teuvov ◽  
Arthur M. Baziev ◽  
Madina H. Tlakadugova ◽  
Elena M. Pshukova ◽  
Azamat I. Sardiyanov
Keyword(s):  
Laparoscopic Surgery ◽  
Abdominal Wall ◽  
Anterior Abdominal Wall

scholarly journals Magnet assisted laparoscopic surgery: first Indian experience

2021 ◽  
Vol 8 (9) ◽  
pp. 2650
Author(s):  
Prem Kumar A.
Keyword(s):  
Laparoscopic Surgery ◽  
Abdominal Wall ◽  
Mesh Repair ◽  
Anterior Abdominal Wall ◽  
Non Invasive ◽  
Indian Experience ◽  
Unique Approach ◽  
Surgery First ◽  
The Cost ◽  
Ventral Hernias

Background: The problems associated with shaft-based instrumentation include restricted manoeuvrability, restricted visibility and sword fighting of instruments. One of the easiest solutions is to reduce the number of working ports. A unique approach is by the use of a natural force of nature i.e.; magnetism. In this study, we have tried to incorporate the properties of magnetism and magnetic substances to the advantage of surgeons and hence, patients.Methods: The magnet employed in our study is a 3500 Gauss magnet, of 15×10 cm which was placed over the anterior abdominal wall in a sterile manner. The magnet was moved along the anterior abdominal wall in order to manipulate and mobilize intra-abdominal tissue. Laparoscopic bull dog clamps as well as B. P. handles were used intra-peritoneally to grasp tissue, which in turn are mobilised by the magnet. The end point evaluated was of safety and feasibility to adequately mobilize and manipulate organs to achieve effective exposure for dissection.Results: In total, we have successfully completed 15 surgical procedures using magnet assisted tool. Eight patients underwent magnet assisted laparoscopic appendectomy. three patients underwent magnet assisted laparoscopic cholecystectomy. Four patients underwent magnet assisted mesh repair for ventral hernias. None of the patients developed magnet related complications.Conclusions: Magnet assisted laparoscopic surgery is feasible and easy to use. The cost can be minimal. This is a new concept that is here to stay and will become integrated into many other forms in the future. In the rapidly evolving world of surgery, with invasiveness of surgery on the downward trend, magnetism may be the answer to the next leap in surgery: non-invasive surgery. 

scholarly journals Pilvo sienos kartografija ir jos reikšmė laparoskopinėje chirurgijoje

2004 ◽  
Vol 2 (1) ◽  
pp. 0-0
Author(s):  
Algimantas Stašinskas ◽  
Raimundas Lunevičius
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Inguinal Hernia ◽  
Laparoscopic Surgery ◽  
Hernia Repair ◽  
Abdominal Wall ◽  
Inguinal Hernia Repair ◽  
Anterior Abdominal Wall ◽  
Central Point ◽  
Rule Following ◽  
Point Mark

Algimantas Stašinskas, Raimundas LunevičiusVilniaus universiteto Bendrosios ir kraujagyslių chirurgijos klinika,Vilniaus greitosios pagalbos universitetinė ligoninė,Šiltnamių g. 29, LT–2043 VilniusEl paštas: [email protected], [email protected] Tikslinga priekinės pilvo sienos laukus žymėti pagal vieną sistemą ir ta sistema remtis atliekant laparoskopines operacijas. Centrinis priekinės pilvo sienos atskaitos taškas yra bamba (žymuo "O"). Priekinė pilvo siena skirstoma į keturis tradicinius kvadrantus A, B, C, D, o kiekvienas – į tris sektorius a, b, c ir tris zonas P, M, L. Dalijant į sektorius reikia pasinaudoti laikrodžio rodyklės sukimosi taisykle. Remiantis šia schema sutartiniais ženklais pažymimi 36 priekinės pilvo sienos taškai ir 36 laukai. Pateiktos keturios laparoskopinių operacijų – cholecistektomijos, apendektomijos, kirkšninės hernioplastikos ir duodenorafijos – kartogramos. Prasminiai žodžiai: pilvo sienos kartografija, pilvo sienos schema, laparoskopinė chirurgija Abdominal wall cartography and its significance in laparoscopic surgery Algimantas Stašinskas, Raimundas Lunevičius It is reasonable that the fields of the anterior abdominal wall should be marked according to one system which could be strictly preserved in laparoscopic surgery. A cartographic scheme of the anterior abdominal wall is presented in this paper. The umbilicus is the central point (mark "O"). The anterior abdominal wall was divided into four traditional quadrants, A, B, C, and D. Each of them was subdivided into 3 sectors, a, b, and c, as well as three zones P (proximal), M (middle), and L (lateral). The bourders of the sectors have to be subdivided according to a clockwise rule. Following this scheme, 36 points and 36 fields are marked. There are presented four cartographic maps for laparoscopic cholecystectomy, appendectomy, inguinal hernia repair and duodenorrhaphy. Keywords: abdominal wall cartography, abdominal map, laparoscopic surgery

Determination of clinical efficiency of deproteinized dialysate from blood of milk-fed calves after endoprosthetics in patients with ventral hernias

2020 ◽  
Vol 28 (3) ◽  
pp. 323-333
Author(s):  
Sergej V. Ivanov ◽  
Ilya S. Ivanov ◽  
Evgenij G. Obyedkov ◽  
Liliya P. Popova
Keyword(s):  
Abdominal Wall ◽  
Inflammatory Reaction ◽  
Inflammatory Process ◽  
Anterior Abdominal Wall ◽  
Dynamic Change ◽  
Main Group ◽  
Control Group ◽  
Surgical Department ◽  
Regeneration Stage

Aim. To study the influence of deproteinized dialysate from blood of milk-fed calves on the type of exudative discharge and dynamics of inflammatory reaction after hernia repair with plastics of the anterior abdominal wall with hernioendoprosthesis of polypropylene. Materials and Methods. The study involved 59 patients being on stationary treatment in the surgical department of Kursk Regional Clinical Hospital. Patients were hospitalized for the herniation of small or medium dimension. The patients were divided to two groups: the main (n=30) and control (n=29) groups. After endoprosthetics, the patients of the control group were given complex conservative treatment. The patients of the main group, besides standard treatment, were administered deproteinized dialysate from blood of milk-fed calves intravenously in drips 10 ml + 200 ml of 0.9% sodium chloride solution within 7 days. For cytological examination and determination of the type of cytograms, the traumatic discharge was collected and analyzed using the method of M.F. Kamaev and M.A. Palthsev. Results. Cytomorphometric examination was conducted on the third, fifth and seventh day after endoprosthetics with the aim of studying dynamic changes. Determination of cell composition and also of its changes characteristic of each studied period, was necessary for obtaining further information characterizing inflammatory process in the region of placement of the endoprosthesis. After endoprosthetics in patients who were administered hemodialysate, the inflammatory reaction was less pronounced than in patients who did not receive the preparation. This was associated with a more dynamic change of stages of the inflammatory process. In patients of the main group who received deproteinized dialysate, regenerative type of inflammation first appeared on the fifth day and made 6.9%; by the seventh day the share of patients with the regenerative type rose to 17.5%, while in the patients of the control group no regeneration stage was observed in both periods. Conclusion. Analysis of the efficiency of influence of hemodialysate on the inflammatory reaction in plastics of the anterior abdominal wall with polypropylene endoprosthesis evidences faster course of all stages of inflammation and reduction of its intensity by 10%.

scholarly journals Collagen and Elastic Fiber Content Correlation Analysis between Horizontal and Vertical Orientations of Skin Samples of Human Body

2015 ◽  
Vol 2015 ◽  
pp. 1-8 ◽  
Author(s):  
Naveen Kumar ◽  
Pramod Kumar ◽  
Satheesha Nayak Badagabettu ◽  
Ranjini Kudva ◽  
Sudarshan Surendran ◽  
...  
Keyword(s):  
Abdominal Wall ◽  
Negative Correlation ◽  
Anterior Abdominal Wall ◽  
Elastic Fiber ◽  
Elastic Fibers ◽  
Correlation Pattern ◽  
Unequal Distribution ◽  
Dermal Collagen ◽  
Lateral Chest ◽  
Skin Samples

Background. Unequal distribution of dermal collagen and elastic fibers in different orientations of skin is reported to be one of the multifocal causes of scar related complications. Present study is to understand the correlation pattern between collagen in horizontal (CH) and in vertical (CV) directions as well as that of elastic in horizontal (EH) and vertical (EV) directions.Materials and Method. A total of 320 skin samples were collected in two orientations from suprascapular, anterior chest, lateral chest, anterior abdominal wall, and inguinal regions of 32 human cadavers. Spearman correlation coefficient (r) was calculated between the variables (CH,CV,EH, andEV).Results. Significant positive correlation betweenCHandCV, and betweenEHandEVobserved in all 5 areas tested. A negative correlation betweenCVandEVat suprascapular, lateral chest, and inguinal regions and negative correlation betweenCHandEHat anterior chest and anterior abdominal wall have been identified.Conclusion. Knowledge of asymmetric content of dermal collagen and elastic fibers together with the varied strength and degree of association in the given area provides guidelines to the dermatologists and aesthetic surgeons in placing elective incisions in the direction maximally utilizing the anatomical facts for aesthetically pleasing result.

Morphological changes in the anterior abdominal wall of rats with peritonitis and implanted synthetic film

2004 ◽  
Vol 138 (6) ◽  
pp. 621-623
Author(s):  
A. I. Khripun ◽  
G. B. Makhuova ◽  
A. A. Pal’tsyn ◽  
M. V. Anurov ◽  
S. M. Titkova ◽  
...  
Keyword(s):  
Abdominal Wall ◽  
Anterior Abdominal Wall ◽  
Morphological Changes

The reaction of the soft tissues of the anterior abdominal wall to various suture material

1982 ◽  
Vol 63 (4) ◽  
pp. 72-74
Author(s):  
V. P. Nefedov ◽  
R. M. Ramazanov
Keyword(s):  
Foreign Body ◽  
Abdominal Wall ◽  
Soft Tissues ◽  
Suture Material ◽  
Anterior Abdominal Wall ◽  
The Body ◽  
Reactive Changes ◽  
Healing Processes

The healing processes of sutured wounds of soft tissues in most cases depend on the type and quality of the suture material. Any kind of suture material in the tissues of the body is a foreign body that causes various reactive changes from the tissues. The nature of these changes, all other things being equal, is mainly determined by the type of suture material, its thickness and the method of sterilization of the tissues on which the sutures are applied, the trauma of surgery, the infection of the wound and the irritating effect of the threads on the tissues.

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