Iatrogenic injury of duodenum: malady of a therapeutic misadventure

2021 ◽  
Vol 14 (4) ◽  
pp. e242294
Author(s):  
Swastik Mishra ◽  
Pankaj Kumar ◽  
Prakash Kumar Sasmal ◽  
Tushar Subhadarshan Mishra
Keyword(s):  
Duodenal Ulcer ◽  
Postoperative Complications ◽  
Surgical Management ◽  
Surgical Intervention ◽  
Gastroduodenal Artery ◽  
Duodenal Stump ◽  
Duodenal Injury ◽  
Acute Bleeding ◽  
Endoscopic Procedures ◽  
Bleeding Duodenal Ulcer

Endoscopic procedures are the front-runner of the management of bleeding duodenal ulcer. Rarely, surgical intervention is sought for acute bleeding, not amenable to endoscopic procedures. Oversewing of the gastroduodenal artery at ulcer crater by transduodenal approach is the most acceptable and recommended method of treatment. We describe a case of an intraoperative duodenal injury that occurred during an attempt to oversew the gastroduodenal artery after a duodenotomy, leading to an unsatisfactory and meagre duodenal stump. This case will highlight the intraoperative turmoil, postoperative complications and management of a series of anticipated but unfortunate events that have rendered us wiser in terms of surgical management of a bleeding duodenal ulcer.

scholarly journals Surgical management of pancreatoduodenal tumors: the experience of using the developed operation technique

2021 ◽  
Vol 61 (3) ◽  
pp. 21-26
Author(s):  
M. D. Zhumakaev ◽  
K. Т. Shakeyev ◽  
N. А. Kabildina ◽  
A. M. Zhumakaev ◽  
B. U. Usembekov ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Surgical Technique ◽  
Postoperative Complication ◽  
Surgical Management ◽  
Surgical Intervention ◽  
Operation Technique ◽  
Significant Extent ◽  
Preventive Actions ◽  
Pancreaticojejunal Anastomosis ◽  
Results Of Surgery

Relevance: The results of surgery in patients with pancreaticoduodenal cancer remain unsatisfactory. This complicates the choice of an optimal surgical technique in modern oncology. Surgery in the pancreaticoduodenal zone is associated with complications due to anatomical and physiological features of the pancreas and technical challenges of this surgical intervention. Despite preventive actions and innovative technologies, such a traumatic operation as pancreatoduodenal resection often produces complications, though recently fewer. This article describes a pancreaticoduodenal resection technique that reduces postoperative complication frequency and lethality in operable pancreaticoduodenal cancer. The purpose of the study was to assess the efficiency of an authorial pancreaticoduodenal resection technique (pancreaticojejunal invagination anastomosis) in pancreaticoduodenal cancer. The proposed pancreaticojejunal anastomosis-forming technique allowed reducing the postoperative complication frequency from 54.2% to 38,0% and postoperative lethality from 22.8% to 9,5%. Conclusion: This highly traumatic surgery is associated with postoperative complications (up to 50-70% of cases), which are quite severe and difficult to resolve and result in high fatality. The proposed pancreaticojejunal anastomosis forming technique has efficiently reduced postoperative complications and fatality to a significant extent.

Surgical management of pancreatoduodenal tumors: the experience of using the developed operation technique

2021 ◽  
Vol 61 (3) ◽  
pp. 21-26
Author(s):  
M. D. Zhumakaev ◽  
K. Т. Shakeyev ◽  
N. А. Kabildina ◽  
A. M. Zhumakaev ◽  
B. U. Usembekov ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Surgical Technique ◽  
Postoperative Complication ◽  
Surgical Management ◽  
Surgical Intervention ◽  
Operation Technique ◽  
Significant Extent ◽  
Preventive Actions ◽  
Pancreaticojejunal Anastomosis ◽  
Results Of Surgery

Relevance: The results of surgery in patients with pancreaticoduodenal cancer remain unsatisfactory. This complicates the choice of an optimal surgical technique in modern oncology. Surgery in the pancreaticoduodenal zone is associated with complications due to anatomical and physiological features of the pancreas and technical challenges of this surgical intervention. Despite preventive actions and innovative technologies, such a traumatic operation as pancreatoduodenal resection often produces complications, though recently fewer. This article describes a pancreaticoduodenal resection technique that reduces postoperative complication frequency and lethality in operable pancreaticoduodenal cancer. The purpose of the study was to assess the efficiency of an authorial pancreaticoduodenal resection technique (pancreaticojejunal invagination anastomosis) in pancreaticoduodenal cancer. Results: The proposed pancreaticojejunal anastomosis forming technique allowed reducing the postoperative complication frequency from 54.2% to 38.0% and postoperative lethality from 22.8% to 9.5%. Conclusion: This highly traumatic surgery involves quite severe and difficult to resolve postoperative complications (up to 50-70% of cases) and the resulting high fatality. The proposed pancreaticoduodenal anastomosis forming technique has efficiently reduced postoperative complications and fatality to a significant extent

Aneurysm of the Gastroduodenal Artery Presenting as a Bleeding Duodenal Ulcer

2006 ◽  
Vol 4 (10) ◽  
pp. A28 ◽  
Author(s):  
Corwyn Rowsell ◽  
Terrence L. Moore ◽  
Catherine J. Streutker
Keyword(s):  
Duodenal Ulcer ◽  
Gastroduodenal Artery ◽  
Bleeding Duodenal Ulcer

Choice of emergency operative procedure for bleeding duodenal ulcer

1991 ◽  
Vol 78 (5) ◽  
pp. 633-634 ◽  
Author(s):  
M. Schein ◽  
P. S. Hunt ◽  
R. McIntyre
Keyword(s):  
Duodenal Ulcer ◽  
Operative Procedure ◽  
Bleeding Duodenal Ulcer

scholarly journals Complicated Diverticular Disease

2020 ◽  
Author(s):  
Kathleen M. Coakley ◽  
Bradley R. Davis ◽  
Kevin R. Kasten
Keyword(s):  
Postoperative Complications ◽  
Diverticular Disease ◽  
Surgical Intervention ◽  
Management Strategies ◽  
Significant Risk ◽  
Complicated Diverticulitis ◽  
Careful Attention ◽  
Correct Treatment ◽  
Treatment Paradigm ◽  
Colonic Diverticular Disease

AbstractThe modern management of colonic diverticular disease involves grouping patients into uncomplicated or complicated diverticulitis, after which the correct treatment paradigm is instituted. Recent controversies suggest overlap in management strategies between these two groups. While most reports still support surgical intervention for the treatment of complicated diverticular disease, more data are forthcoming suggesting complicated diverticulitis does not merit surgical resection in all scenarios. Given the significant risk for complication in surgery for diverticulitis, careful attention should be paid to patient and procedure selection. Here, we define complicated diverticulitis, discuss options for surgical intervention, and explain strategies for avoiding operative pitfalls that result in early and late postoperative complications.

Tracheoinnominate fistula: surgical management of an iatrogenic disaster

2006 ◽  
Vol 120 (8) ◽  
pp. 676-680 ◽  
Author(s):  
R W Ridley ◽  
J B Zwischenberger
Keyword(s):  
Operating Room ◽  
Surgical Management ◽  
Surgical Repair ◽  
Surgical Intervention ◽  
Pectoralis Major Muscle ◽  
Muscle Flap ◽  
Rare Condition ◽  
Innominate Artery ◽  
Significant Potential ◽  
High Index Of Suspicion

Tracheoinnominate fistula (TIF) is a rare condition with significant potential for mortality if surgical intervention is not immediate. We present two cases of successfully managed TIF. Both cases involve ligation and resection of the innominate artery at the TIF followed by a pectoralis major muscle flap. In both cases, success was largely due to a high index of suspicion and immediate control of the bleeding with transport to the operating room for surgical repair. The history, aetiology, and pathogenesis of TIF are reviewed, yielding an algorithm for recommended management of TIF.

scholarly journals Surgical management of spontaneous pneumothorax: are there any prognostic factors influencing postoperative complications?

2015 ◽  
Vol 49 (3) ◽  
pp. 862-867 ◽  
Author(s):  
Jean-Philippe Delpy ◽  
Pierre-Benoit Pagès ◽  
Pierre Mordant ◽  
Pierre-Emmanuel Falcoz ◽  
Pascal Thomas ◽  
...  
Keyword(s):  
Prognostic Factors ◽  
Postoperative Complications ◽  
Surgical Management ◽  
Spontaneous Pneumothorax ◽  
Factors Influencing
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