scholarly journals Comparison of the Efficacy of Two Laparoscopic Surgical Procedures Combined with Hysteroscopic Incision in the Treatment of Cesarean Scar Diverticulum

Author(s):  
Chao Peng ◽  
Yan Huang ◽  
Ye Lu ◽  
Yingfang Zhou
2005 ◽  
Vol 12 (3) ◽  
pp. 261-287 ◽  
Author(s):  
Adam R. Roumm ◽  
Laura Pizzi ◽  
Neil I. Goldfarb ◽  
Herbert Cohn

2008 ◽  
Vol 24 (2) ◽  
pp. 331-335
Author(s):  
Keiko Kataoka ◽  
Youko Yamada ◽  
Katsuko Egashira ◽  
Akiko Miyahara ◽  
Rika Egami ◽  
...  

Author(s):  
Yuya Sato ◽  
Kazuyuki Kojima ◽  
Mikito Inokuchi ◽  
Keiji Kato ◽  
Hirofumi Sugita ◽  
...  

Objective To examine risk factors for and causes of severe postoperative pancreatic fistula (sPOPF) after laparoscopic gastrectomy (LG) Summary of Background Data There are few reports on POPF after LG. Methods Between February 2012 and March 2014, we examined 86 patients who underwent LG comparing them with 33 patients who underwent open gastrectomy (OG) for gastric cancer. Risk factors for severe POPF (sPOPF) of Clavien-Dindo grade IIIa or higher were examined. To investigate causes of sPOPF, we reviewed unedited video recordings of laparoscopic surgical procedures. Results sPOPF occurred to 3 patients (3.5%) after LG and 1 patient (3.0%) after OG, indicating no significant difference (p=0.901). Univariate analysis showed no significant risk factors for sPOPF after LG. By reviewing video recordings, all 3 patients with sPOPF after LG had direct pancreatic injury by ultrasonically activated device (USAD) during peripancreatic lymphadenectomy. In 2 of them, pancreas was injured while the contour of pancreas was obscured by bleeding. Durations of drain placement and postoperative hospitalization were longer for patients with sPOPF than for those without POPF or grades I and II POPF (p = 0.003, 0.018; respectively). Conclusions No risk factors for sPOPF after LG could be identified. USAD-induced direct pancreatic injury resulted in sPOPF, which significantly complicated the postoperative clinical course. Direct pancreatic injury can occur whether patient has previously reported risk factors (i.e. male, high BMI, distal pancreatectomy) or not. To prevent pancreatic injury, surgeons should manage hemostasis and keep good surgical field to recognize the contour of pancreas accurately.


2010 ◽  
Vol 4 (2) ◽  
Author(s):  
Sterling Anderson ◽  
Julia Zimmerman ◽  
Emily Houston ◽  
Kevin Farino ◽  
Nikolai Begg

In recent years, laparoscopic surgical procedures have revolutionized many gynecological and abdominal procedures, leading to dramatic reductions in recovery time and scarring for the patient. While techniques and instruments for performing laparoscopic surgery have improved over the years, loss of vision through the endoscopic lens caused by fog, liquid, and solid debris common to laparoscopic procedures remains a significant problem. In this paper, a shielding mechanism that maintains visibility through the laparoscope by removing debris from the distal end of the lens is presented. This device provides an inexpensive and convenient alternative to the current practice of removing, cleaning, and re-inserting the laparoscope during surgical procedures. This device is shown in multiple trials to repeatably remove debris from the distal tip of the lens, thereby restoring vision for the surgeon without requiring removal or reinsertion of the endoscope.


2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Joo-Eun Kang ◽  
Chung-Sik Oh ◽  
Jae Won Choi ◽  
Il Soon Son ◽  
Seong-Hyop Kim

To reduce the incidence of postoperative pharyngolaryngeal adverse events, laryngeal mask airway (LMA) manufacturers recommend maximum cuff pressures not exceeding 60 cmH2O. We performed a prospective randomised study, comparing efficacy and adverse events among patients undergoing laparoscopic surgical procedures who were allocated randomly into low (limiting 25 cmH2O, L group) and high (at 60 cmH2O, H group) LMA cuff pressure groups with LMA Supreme. Postoperative pharyngolaryngeal adverse events were evaluated at discharge from postanaesthetic care unit (PACU) (postoperative day 1, POD 1) and 24 hours after discharge from PACU (postoperative day 2, POD 2). All patients were well tolerated with LMA without ventilation failure. Before pneumoperitoneum, cuff volume and pressure and oropharyngeal leak pressure (OLP) showed significant differences. Postoperative sore throat at POD 2 (3 versus 12 patients) and postoperative dysphagia at POD 1 and POD 2 (0 versus 4 patients at POD 1; 0 versus 4 patients at POD 2) were significantly lower in L group, compared with H group. In conclusion, LMA with cuff pressure limiting 25 cmH2O allowed both efficacy of airway management and lower incidence of postoperative adverse events in laparoscopic surgical procedures. This clinical trial is registered withKCT0000334.


Sign in / Sign up

Export Citation Format

Share Document