Laparoscopic resection of rectovaginal endometriosis involving segmental bowel resection and anastomosis: pre‐operative planning, intra‐operative decision making, description of technique, and tips and tricks for a successful outcome.

2021 ◽  
Author(s):  
T Bainton ◽  
V Celentano ◽  
J Phillips ◽  
O Warren ◽  
R Richardson ◽  
...  
2017 ◽  
pp. 63-68
Author(s):  
Quoc Phong Le ◽  
Nhu Hiep Pham

Objective: To study the clinical characteristics, paraclinic, the operative indication and treatment outcomes operation of colorectal polyposis by laparoscopic. Marterials: 12 patients with colorectal polyposis, is surgically the subtotal colectomy, and the total colorectomy by laparoscopic from 11/2012 to 4/2015 at Digestive Surgical Department of Hue Central Hospital. Method: Prospective study, all patients were examined clinically, endoscopic colorectal, operative indication, the type of surgery, lengh of post-operative stay, complications, and pathology. Results: From 11/2012 to 4/2015. We had overalled 12 patients: 8 males and 4 females, the mean patient was 36.33 ± 19.5 years of age (15-71). Dyspepsia 66.7%, bloody stools 100%. Laparoscopic segmental bowel resection in four (33,3%) cases: right hemicolectomy in one (8.3%), resection of transverse colon in one (8.3%), left hemicolectomy in two (16.7%), and totally colorectomy in eight (66.7%) by laparoscopic surgery. The mean post-operative hospital stay was 10.1 ± 3.8 days. The early complication: fistula anastomosis in one (8.3%), patients recovered after conservative treatment, no bleeding and no wound infection. The pathology is adematous polyps 91.7% and hyperplasia polyps 8.3%. Conclusion: Laparoscopic surgery is currently the technique of choice. The resection of colorectal polyposis is the method safe, effective, high success, low rate complications. Key words: laparoscopic, polyposis, colo-rectal polyposis, hemicolectomy


2010 ◽  
Vol 93 (6) ◽  
pp. 2074.e11-2074.e12
Author(s):  
Elias Kovoor ◽  
Joseph Nassif ◽  
Ignacio Miranda-Mendoza ◽  
Emmanuelle Baulon ◽  
Arnaud Wattiez

Author(s):  
Marcello Ceccaroni ◽  
Roberto Clarizia ◽  
Giovanni Roviglione

2014 ◽  
Vol 155 (5) ◽  
pp. 182-186 ◽  
Author(s):  
Attila Bokor ◽  
Réka Brubel ◽  
Péter Lukovich ◽  
János Rigó jr.

Introduction: Deep infiltrating endometriosis is a particular form of endometriosis that penetrates the peritoneal surface or it reaches the subserosal neurovascular plexus. Aim: The aim of the authors was to analyze the results of segmental colorectal resections performed for deep infiltrating endometriosis. Method: Between 2009 and 2012, 50 patients underwent segmental rectum or/and sigmoid resection for endometriosis. Results: 21 patients had ultralow rectal resection and 29 patients had low colorectal anastomosis or anterior resection. Concomitant intervention in other organs was required in all cases, including gynecologic procedures (n = 50), additional gynecologic (n = 47), vesical (n = 9) and ureteral (n = 18) resections. The mean number of endometriosis lesions was 2.4±1.8 per patient. In all patients fertility was preserved. Severe surgical complications (Clavien–Dindo stage III or more severe) occurred in 3 patients (6%). Conclusions: The results confirm that segmental bowel resection is an efficient and safe method for the treatment of deep infiltrating colorectal endometriosis. Orv. Hetil., 2014, 155(5), 182–186.


Author(s):  
Hamid Nemati ◽  
Keith Smith

This case highlights factors that provided the impetus for changing a successful EIS into a data warehouse at the VF Corporation. The data warehouse was developed to aid JeansWear, a division of VF, with its pointof- sale/replenishment activities. The data warehouse provides greater reporting and OLAP capabilities, giving replenishment analysts a detailed and synthetic view of the marketplace. It is estimated that about $100 million in 1998 alone might be attributed to the improved Replenishment decision making due to the data warehouse. The case discusses the basic concepts and architecture of this data warehouse and outlines the development process and the problems that the development team had to overcome. It also examines the essential role that this data warehouse is currently playing in the success of VF Corporation. Finally, the case outlines and discusses a number of factors that should be considered and questions that should be asked prior to initiation of a data warehouse project in order to assure a successful outcome.


2006 ◽  
Vol 72 (12) ◽  
pp. 1216-1217
Author(s):  
Hadi Najafian ◽  
Camille Eyvazzadeh

The wireless enteroscopy capsule (WEC) was approved for noninvasive visualization of small bowel. We report an unusual case of a previously healthy man with history of bowel resection and anastomosis who developed small bowel obstruction after ingestion of a WCE. At operation, an anastomotic stricture site was noted and the WEC was proximal to this stricture, causing obstruction. This case emphasizes the importance of a good history and physical examination, as well as vigilant follow-up and retrieval of WEC.


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