The Influence of the Laparoscopic Approach in Abdominal Surgery: The Third Surgical Revolution

2003 ◽  
pp. 31-33
Author(s):  
N. J. Soper
Keyword(s):  
Abdominal Surgery ◽  
Laparoscopic Approach ◽  
The Third

scholarly journals Should the laparoscopic approach be the norm for appendicectomy in the third trimester of pregnancy?

2019 ◽  
Vol 12 (4) ◽  
pp. e228192
Author(s):  
Hashviniya Sekar ◽  
Nisha Rajesh Thamaran ◽  
David Stoker ◽  
Sayantana Das ◽  
Wai Yoong
Keyword(s):  
Acute Appendicitis ◽  
Laparoscopic Approach ◽  
Postoperative Recovery ◽  
Laparoscopic Appendicectomy ◽  
Third Trimester ◽  
Invasive Approach ◽  
Suspected Appendicitis ◽  
The Third ◽  
Trocar Placement ◽  
Theoretical Risk

Our case describes a pregnant woman with acute appendicitis who presented in the third trimester and underwent a laparoscopic appendicectomy. She made a rapid postoperative recovery and the pregnancy was otherwise uncomplicated, ending with a spontaneous vaginal birth at 41 weeks. The diagnosis of acute appendicitis can be unclear in pregnancy. Difficulty in establishing diagnosis due to atypical presentation often leads to delay in surgery, resulting in significant maternal and fetal morbidity and mortality. Surgical intervention should be prompt in cases of suspected appendicitis and the laparoscopic approach is advocated in the first two trimesters. In the third trimester (after 28 weeks), laparotomy is often performed due to the size of the uterus and the theoretical risk of inadvertent perforation with trocar placement. More recently, several authors have described successful outcomes following laparoscopic appendicectomy after 28 weeks and with increasing reassuring data, we suggest that this minimally invasive approach should be considered in managing appendicitis in the third trimester.

scholarly journals Development of Sciatic Neuropraxia following Abdominal Surgery in 3 Giant Breed Dogs

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Laura Marti ◽  
Julia P. Sumner
Keyword(s):  
Physical Therapy ◽  
Abdominal Surgery ◽  
Surgical Management ◽  
Postoperative Care ◽  
Clinical Course ◽  
Initial Presentation ◽  
Nerve Function ◽  
The Third ◽  
Saint Bernard ◽  
Intraoperative Positioning

This report describes the clinical course of three giant breed dogs (2 Great Danes and 1 Saint Bernard) that developed sciatic neuropraxia following successful surgical management of gastric dilatation and volvulus (GDV). All three patients received physical rehabilitation with varying degrees of success. Two patients died of unrelated causes within a year of their initial presentation. The third case recovered nerve function and is alive with minimal neurologic deficits at the time of publication. This paper is aimed at positing potential causes for this complication and highlighting the importance of proper management of giant-breed dogs during hospitalization. Special attention should be given in regards to intraoperative positioning and postoperative care including frequent walks or changes in positioning, deep kennel bedding, and physical therapy.

Laparoscopic approach for urgent abdominal surgery in patients with left ventricular assist devices

2009 ◽  
Vol 10 (9) ◽  
pp. 741-744 ◽  
Author(s):  
Ugolino Livi ◽  
Giorgio Guzzi ◽  
Vincenzo Tursi ◽  
Blanca Martinez ◽  
Maria Cecilia Albanese ◽  
...  
Keyword(s):  
Abdominal Surgery ◽  
Laparoscopic Approach ◽  
Left Ventricular ◽  
Ventricular Assist Devices ◽  
Left Ventricular Assist Devices ◽  
Ventricular Assist ◽  
Assist Devices ◽  
Left Ventricular Assist

Conversions related to adhesions in abdominal surgery. Robotic versus laparoscopic approach: A multicentre experience

2020 ◽  
Author(s):  
Marco Milone ◽  
Nicola de'Angelis ◽  
Nassiba Beghdadi ◽  
Francesco Brunetti ◽  
Michele Manigrasso ◽  
...  
Keyword(s):  
Abdominal Surgery ◽  
Laparoscopic Approach

The Effects of Previous Abdominal Operations and Intraperitoneal Adhesions on the Outcome of Peritoneal Dialysis Catheters

2010 ◽  
Vol 30 (1) ◽  
pp. 41-45 ◽  
Author(s):  
Amir Keshvari ◽  
Mohammad Sadegh Fazeli ◽  
Alipasha Meysamie ◽  
Sepideh Seifi ◽  
Mohammad Kazem Nouri Taromloo
Keyword(s):  
Peritoneal Dialysis ◽  
Abdominal Surgery ◽  
Previous History ◽  
Laparoscopic Approach ◽  
Surgical Revision ◽  
Intraperitoneal Adhesions ◽  
Previous Abdominal Surgery ◽  
Increased Risk ◽  
History Of ◽  
Abdominal Operations

BackgroundPatients with previous history of abdominal operations are sometimes excluded from consideration for peritoneal dialysis because of concerns for increased risk of complications during the implantation procedure and inadequate dialysis due to reduced peritoneal surface area. Employing a laparoscopic approach, we compared the outcome of peritoneal dialysis catheters in 2 groups of patients with and without intra-abdominal adhesions.MethodsAll data in this report were recorded prospectively. Revision-free and overall survival of catheters, the incidence of mechanical and infectious complication, and surgical revision rates were compared between the 2 groups.ResultsIn 217 successful catheter implantations, there was a history of previous abdominal surgery in 42.9% of procedures; only 26.9% of them had intraperitoneal adhesions; 2.8% of patients without history of previous abdominal surgery had intraperitoneal adhesions. There were no significant differences between the 2 groups for 1- and 2-year revision-free and overall catheter survival, mechanical dysfunction, infectious complications, or surgical revision rates.ConclusionHistory of previous abdominal surgery should not be used to judge the eligibility of patients for peritoneal dialysis. Laparoscopic placement is the best way to ensure optimal catheter outcomes equivalent to patients without previous abdominal surgery.

scholarly journals Laparoscopic management of penetrating abdominal trauma

2017 ◽  
Vol 4 (2) ◽  
pp. 764
Author(s):  
Mirza Faraz Saeed ◽  
Abdul Menem Abualsel ◽  
Abbas Ali ◽  
Mobeen Ashfaq
Keyword(s):  
Cause Of Death ◽  
Abdominal Trauma ◽  
Age Groups ◽  
Laparoscopic Approach ◽  
Recovery Phase ◽  
Trauma Patients ◽  
Penetrating Abdominal Trauma ◽  
Mortality And Morbidity ◽  
The Third ◽  
Injured Region

Trauma is a leading cause of mortality and morbidity worldwide. The National Trauma Institute ranks trauma as the number 1 cause of death in individuals aged 1-46 years, and the third leading cause of death across all age groups. Trauma cases are a common occurrence in the hospital with the abdomen being the third most commonly injured region. A decision between laparoscopy versus laparotomy as the most appropriate approach is still a matter of discussion. We present a case of a 30 years old male who presented with a penetrating stab wound on the anterior abdominal wall. After initial investigations and emergency management, a decision was reached for a laparoscopic approach in the definitive management of the patient. Following the procedure, the patient remained vitally stable and faced no other complications. This case highlights the importance of laparoscopic approach in penetrating abdominal trauma patients as it significantly reduces the amount of stress in traumatic patients, reduces hospital stay and allows for a faster recovery phase. 

Lower risk of postoperative delirium using laparoscopic approach for major abdominal surgery

2019 ◽  
Vol 33 (7) ◽  
pp. 2121-2127 ◽  
Author(s):  
Kyoji Ito ◽  
Yusuke Suka ◽  
Motoki Nagai ◽  
Keishi Kawasaki ◽  
Mariko Yamamoto ◽  
...  
Keyword(s):  
Abdominal Surgery ◽  
Lower Risk ◽  
Postoperative Delirium ◽  
Laparoscopic Approach ◽  
Major Abdominal Surgery

scholarly journals Laparoscopic approach for huge benign ovarian cyst in woman with history of previous 5 laparotomies (including 4 cesarean section)

2020 ◽  
Vol 5 (1) ◽  
Author(s):  
Aisha Ebrahim Taraby ◽  
Ayman Zamreek ◽  
Nahla Alyawer ◽  
Saad Alsudairy ◽  
Dalal Boogis
Keyword(s):  
Cesarean Section ◽  
Abdominal Surgery ◽  
Ovarian Cyst ◽  
Laparoscopic Approach ◽  
The United States ◽  
Trocar Insertion ◽  
Previous Abdominal Surgery ◽  
Increased Risk ◽  
Previous Laparotomy ◽  
History Of

An adnexal mass (mass of the ovary, fallopian tube, or surrounding connective tissues) is a common gynecologic problem. In the United States, it is estimated that there is a 5 to 10% lifetime risk for women undergoing surgery for a suspected ovarian neoplasm. Adnexal masses may be found in females of all ages, from fetuses to older adults, and there are a wide variety of types of masses.  Today, the surgical treatment has become more conservative and less invasive; hence, a laparoscopic approach in the presence of benign cysts has become a golden standard. In the past, patients with previous abdominal surgery were discouraged from undergoing laparoscopic surgery because of its increased risk of bowel injury caused by needle and trocar insertion. Complications occur two times more frequently in patients with previous laparotomy in a study of long series. The potential risk for injury of organs adherent to the abdominal wall during veress needle or trocar insertion as well as the necessity for adhesiolysis and its attendant complications are the two major specific problems constraining surgeons from performing laparoscopic cystectomy/ oophorectomy for patients with previous abdominal surgery. Herein, we report a case of a 32-year-old woman P4 + 2 with history of previous four cesarean section and a following laparotomy for interval sterilization presented to our clinic with abdominal mass, discovered by ultrasound scan, managed by a laparoscopic approach.Keywords: Benign ovarian cyst, laparoscopy, ovary, previous cesarean section, previous laparotomy

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