scholarly journals Redo Surgery after Failed Open VBG: Laparoscopic Minigastric Bypass versus Laparoscopic Roux en Y Gastric Bypass—Which Is Better?

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Tamer M. S. Salama ◽  
Karim Sabry

Background. Long-term studies have reported that the rate of conversion surgeries after open VBG ranged from 49.7 to 56%. This study is aiming to compare between LMGB and LRYGB as conversion surgeries after failed open VBG with respect to indications and operative and postoperative outcomes.Methods. Sixty patients (48 females and 12 males) presenting with failed VBG, with an average BMI of 39.7 kg/m2ranging between 26.5 kg/m2and 53 kg/m2, and a mean age of 38.7 ranging between 24 and 51 years were enrolled in this study. Operative and postoperative data was recorded up to one year after the operation.Results. MGB is a simple procedure that is associated with short operative time and low rate of complications. However, MGB may not be applicable in all cases with failed VBG and therefore RYGB may be needed in such cases.Conclusion. LMGB is a safe and feasible revisional bariatric surgery after failed VBG and can achieve early good weight loss results similar to that of LRYGP. However, the decision to convert to lap RYGB or MGB should be taken intraoperatively depending mainly on the actual intraoperative pouch length.

2021 ◽  
Author(s):  
Suria Amalia Suut ◽  
Mahmood Khamis Al Kalbani ◽  
Issa Quseimi ◽  
Abdullah Gahaffi ◽  
Arjen Wielaard ◽  
...  

Abstract This paper summarises a ONE development success story of reviving a mature brownfield in South of Oman, Field β, just within ONE year through collaboration between different disciplines, comprehensive data analysis, optimising and recompletion of existing wells. Field β, comprised of multi-stacked clastic reservoirs, was put on stream in 1980s and peaked in early 1990s. Pilot water injection started in 1993 and full field water flooding continued in 1997. After more than 35 years since start of production, one can say the field was already in the tail end of its life. It had been stabilizing at low rate after 25 years and starting to decline further and at some point was one of the potential candidates to be decommissioned. A new FDP (FDP18) for part of the field was delivered in 2018 with the first well drilled at the end of that year. In 2019, despite drilling further wells on the FDP18, production was declining and was at 2018 rate towards the year end. Intensive data analysis and integrated reservoir reviews per reservoir layers were actively performed and new opportunities and data gathering were identified. FDP18 wells from 2019 onwards were then deepened to also acquire log data over deeper than the target reservoirs. Further synergy between asset and exploration teams also instigated in new discoveries including oil in shallower carbonate reservoirs, which were logged and sampled when drilling the FDP18 wells. Declining production, low oil price and COVID-19 crisis that hit 2020 challenged the team to be more resilient and with ONE development mindset between development and WRFM team, also between asset and exploration team, existing long-term closed in and very low productivity wells were utilised to tap these new opportunities. As a result, the field production has been increased by more than double, highest since 10 years ago, with a potential of triple its production rate, all achieved through optimizing and recompletion of existing wells within 1 year, at a very attractive low UTC.


1996 ◽  
Vol 110 (8) ◽  
pp. 732-735 ◽  
Author(s):  
Yoseph Rakover ◽  
Gabriel Rosen

AbstractA variety of surgical procedures are performed for treatment of hypertrophic inferior turbinates, but there is no completely effective therapy. We evaluated subjectively and objectively 52 patients who underwent one of two procedures: partial inferior turbinectomy (PIT) or cryosurgery of the inferior turbinates (CS). The results of PIT showed good functional results in 77 per cent of cases for long-term effectiveness. The results of CS showed that effectiveness was reduced from a 62 per cent success rate after one year to 35 per cent later, but CS was a simple procedure which was performed on an outpatient basis with no postoperative morbidity.


Author(s):  
Paola Turchiello da SILVA ◽  
Luciana Dapieve PATIAS ◽  
Glauco da Costa ALVAREZ ◽  
Vanessa Ramos KIRSTEN ◽  
Elisângela COLPO ◽  
...  

Background: Nowadays obesity is a chronic disease considered one of the greatest problems in public healthy. Showing to be effective in a short and long term, the bariatric surgery has emerged as an optional treatment for morbid obesity. Aim: Identify the profile of patients seeking bariatric surgery. Methods: Were interviewed 100 patients in preoperative nutritional monitoring of bariatric surgery. The study was conducted by applying a questionnaire prepared according to the research objectives. Results: From the individuals that were seeking bariatric surgery, 78% were female, 62% were married and 69% reported physical activity. The average age of those surveyed was 37±10.83 years and mean body mass index (BMI) was 43.51± 6.25 kg/m². The comorbidity more prevalent in this group was high blood pressure (51%). In previous treatments for weight reduction, 92% have already done hypocaloric diet followed by anorectic drug (83%). The success of these treatments was reported by 92% of patients; however, the weight lost was recovered in less than one year of 75%. Patients with diabetes mellitus and dyslipidemia had higher BMI values. The patients with comorbidities showed lower levels of BMI. Conclusion: The profile of patients who sought surgical treatment for their obesity were predominantly women with a family background of obesity and obesity-related comorbidities, especially hypertension and diabetes mellitus.


2015 ◽  
Vol 11 (2) ◽  
pp. 466-473 ◽  
Author(s):  
John Roger Andersen ◽  
Anny Aasprang ◽  
Tor-Ivar Karlsen ◽  
Gerd Karin Natvig ◽  
Villy Våge ◽  
...  

Author(s):  
Usha Ahluwalia ◽  
Mala Arora

ABSTRACT Assisted reproductive techniques allow us to use donated and cryopreserved gametes posthumously. This can pose legal issues, such as legitimacy of the child born, inheritance rights of the child, and life long psychosocial implications. The law in different countries takes a varied stand on it. Posthumous use of gametes must abide by the law of the land. A valid consent of the deceased is required. Mourning period of at least one year should be allowed prior to embarking on ART procedures on the surviving partner. The law regarding legitimacy of the child born after death or divorce of a spouse needs amendment. The psychological development of these children needs to be studied by long-term studies.


QJM ◽  
2020 ◽  
Vol 113 (Supplement_1) ◽  
Author(s):  
M S Mourad ◽  
A Farouk ◽  
M H A Rateb

Abstract Background Hypospadias refers to a birth defect of the urethra in the male where the urinary opening is not at the correct location on the head of the penis. It is the second most common birth abnormality in boys, affecting approximately 1 of every 300. Objective To evaluate the outcomes, safety, efficacy, and cosmetic appearance of glans approximation (wingless glanuloplasty) in treatment of distal penile hypospadias (glanular & coronal). Patients and Methods The study was Controlled, Prospective pilot study, conducted on (10) patients with penile hypospadias with different degree (coronal & DPH). This study was done at El- Demerdash University Hospital and take one year. The patients were who fulfill the following inclusion criteria. Results As regards the complication rate in our study, we found that these complications similar between the two groups, with non significant differences. Regarding coronal group, complications were detected in 5 out of the 7 cases (2 cases developed infection, and one case with hematoma, catheter blockage or fistula). Regarding DPH group, complications were found in 2 out of the 3 cases (one case for each of hematoma and fistula). None of the studied cases in the two groups developed catheter slippage, meatal stenosis or glans dehiscence. Conclusion Approximated glanuloplasty has many advantages, lower operative time, lower blood loss, no need for tourniquet and is a simple procedure for the hypospadiologist.


2020 ◽  
Author(s):  
Iman Ghaderi ◽  
Nisha Dhanabalsamy ◽  
Carlos A Galvani

Obesity and obesity-related comorbid conditions have been steadily increasing in the United States over the past few decades. Despite the availability of several anti-obesity measures such as diet, exercise, pharmacotherapy and behavioral modifications, bariatric surgery is the only effective modality that can provide a sustainable long-term weight loss and improve obesity-associated comorbidities. In this chapter, we discuss perioperative assessment and work-up of morbidly obese patients, minimally invasive approaches to various bariatric surgery procedures including laparoscopic adjustable gastric band, sleeve gastrectomy, gastric bypass and biliopancreatic diversion with duodenal switch, and their short and long term outcomes. We also address revisional bariatric surgery and use of robotic platform and other new procedures and their role in metabolic and bariatric surgery. This review contains 7 figures, 2 videos, 2 tables, and 110 references. Keywords: Obesity, comorbidities, metabolic surgery, bariatric surgery, gastric bypass, adjustable gastric band, sleeve gastrectomy, Biliopancreatic Diversion with Duodenal Switch, revisional surgery


2020 ◽  
Author(s):  
Iman Ghaderi ◽  
Nisha Dhanabalsamy ◽  
Carlos A Galvani

Obesity and obesity-related comorbid conditions have been steadily increasing in the United States over the past few decades. Despite the availability of several anti-obesity measures such as diet, exercise, pharmacotherapy and behavioral modifications, bariatric surgery is the only effective modality that can provide a sustainable long-term weight loss and improve obesity-associated comorbidities. In this chapter, we discuss perioperative assessment and work-up of morbidly obese patients, minimally invasive approaches to various bariatric surgery procedures including laparoscopic adjustable gastric band, sleeve gastrectomy, gastric bypass and biliopancreatic diversion with duodenal switch, and their short and long term outcomes. We also address revisional bariatric surgery and use of robotic platform and other new procedures and their role in metabolic and bariatric surgery. This review contains 7 figures, 2 videos, 2 tables, and 110 references. Keywords: Obesity, comorbidities, metabolic surgery, bariatric surgery, gastric bypass, adjustable gastric band, sleeve gastrectomy, Biliopancreatic Diversion with Duodenal Switch, revisional surgery


2008 ◽  
Vol 4 (3) ◽  
pp. 311
Author(s):  
Julie Kim ◽  
Sajani Shah ◽  
Michael Tarnoff ◽  
Scott A. Shikora

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