scholarly journals Complete Laparoscopic Extirpation of a Giant Ovarian Cyst in an Adolescent

2017 ◽  
Vol 2017 ◽  
pp. 1-3 ◽  
Author(s):  
Saeed Baradwan ◽  
Feras Sendy ◽  
Sameer Sendy
Keyword(s):  
Ovarian Cyst ◽  
Laparoscopic Approach ◽  
Serous Cystadenoma ◽  
Open Approach ◽  
Abdominal Girth ◽  
Large Tumor ◽  
Imaging Appearance ◽  
History Of ◽  
Marker Profile ◽  
The Right

The giant ovarian serous cystadenoma is a rare finding and often benign. The use of the laparoscopic approach versus open approach for the management of huge ovarian cysts is controversial. We report a case of a 27-year-old woman with a history of increasing abdominal girth over a period of two years along with radiological investigations revealed a large tumor arising from the right ovary treated by complete laparoscopic extirpation of a giant ovarian cyst. The complete laparoscopic approach for huge cyst is a feasible treatment when having a normal tumor marker profile and benign imaging appearance. In addition to the advantages of laparoscopic surgery, it is less invasive, with perfect cosmetic outcome and shorter hospital stay, which are particularly important for young women.

scholarly journals Acute presentation of ruptured ovarian cyst secondary to torsion with ipsislateral concomitant ectopic pregnancy: A case report

2014 ◽  
Vol 3 (2) ◽  
pp. 54-56
Author(s):  
Mahendra R Pandey ◽  
Neeva Ojha
Keyword(s):  
Acute Abdomen ◽  
Ovarian Cyst ◽  
Emergency Laparotomy ◽  
Hospital Emergency ◽  
Obstetrics And Gynaecology ◽  
History Of ◽  
Gestational Sac ◽  
One Year ◽  
The Right ◽  
Urine Pregnancy Test

Twenty-one year unmarried regularly menstruating lady without history of amenorrhea presented with acute abdomen in TU Teaching Hospital –Emergency Department. On evaluation urine pregnancy test was positive. Urgent ultrasound revealed multiloculated cystic lesion measuring 8.5 x 8 x 6.7 cms in the right adnexa anterolateral to the uterus with no intrauterine gestational sac. She underwent emergency laparotomy with right salpingo-oophorectomy. On laparotomy there was twisted and ruptured right ovarian cyst with unruptured ampullary pregnancy on the same side. There was coexistence of these two conditions which presented as acute abdomen. DOI: http://dx.doi.org/10.3126/njog.v3i2.10834 Nepal Journal of Obstetrics and Gynaecology Vol.3(2) 2008; 54-56

Point: Open Radical Prostatectomy Should Not Be Abandoned

2007 ◽  
Vol 5 (7) ◽  
pp. 685-688 ◽  
Author(s):  
William J. Ellis ◽  
Paul H. Lange
Keyword(s):  
Prostate Cancer ◽  
Radical Prostatectomy ◽  
Hospital Costs ◽  
Laparoscopic Approach ◽  
Open Approach ◽  
Open Technique ◽  
Extensive Lymphadenectomy ◽  
Open Radical Prostatectomy ◽  
History Of ◽  
Treat Prostate Cancer

Robotic-assisted laparoscopic radical prostatectomy is now one of the most common ways to treat prostate cancer. Although it is undoubtedly an outstanding procedure, in many contexts the advantages of the laparoscopic approach are overstated. The authors believe that open radical prostatectomy will continue to have an important role. For example, an extensive lymphadenectomy is more easily accomplished with the open technique and may be important in staging and possibly curing patients at high risk for prostate cancer. Also, tactile sensation is a valuable asset in assessing the extent of local tumor, and this cannot yet be replicated with a robotic approach. Furthermore, obese patients, those with a history of extensive prior surgical procedures, and men with extremely large prostates may experience advantages with the open technique. Finally, the open approach has a significant advantage in terms of hospital costs.

Extradural Devascularization for Resection of a Lesser Sphenoid Wing Meningioma: 2-Dimensional Operative Video

2019 ◽  
Vol 19 (1) ◽  
pp. E49-E49
Author(s):  
David Gallardo-Ceja ◽  
Thalia E Sanchez-Correa ◽  
Diego Mendez-Rosito
Keyword(s):  
Magnetic Resonance ◽  
Complete Removal ◽  
Resonance Imaging ◽  
Large Tumor ◽  
Anterior Clinoid Process ◽  
Operative Case ◽  
History Of ◽  
Head Clamp ◽  
The Right

Abstract We describe the case of a 42-yr-old female patient with a 2-yr history of headache that has progressively worsened. Physical examination revealed no neurological deficit. Magnetic resonance imaging showed a large tumor of the left lesser sphenoid wing that enhanced with gadolinium and produced displacement of the midline and the Sylvian fissure. A thorough analysis of the origin of the tumor was done to establish the surgical strategy. With the patient positioned supine with the head slightly turned to the right side, fixed in a 3-pin head clamp, a pterional craniotomy was performed. Since the origin of the tumor is in the lesser wing an early extradural devascularization of the tumor was done with drilling out all the hyperostotic bone of the lesser sphenoid wing, including the lateral base of the anterior clinoid process. Intradural debulking and resection showed the effect of extradural devascularization with an important decrease in bleeding, allowing the total resection of the tumor. An immediate postop magnetic resonance showed a complete removal of the tumor. The patient presented a paresis of the oculomotor nerve that completely resolved in the 3-mo follow-up. In the following video illustration, we narrate this operative case and highlight the nuances of this approach.1 The patient has given assent and written consent for videos, images, or clinical or genetic information to be published.

scholarly journals Pathological laughter in a patient with trigeminal neurinoma

2002 ◽  
Vol 60 (4) ◽  
pp. 1000-1002 ◽  
Author(s):  
André G. Machado ◽  
Paulo Henrique Aguiar ◽  
Raul Marino Jr
Keyword(s):  
Nerve Palsy ◽  
Large Tumor ◽  
Pathological Laughter ◽  
History Of ◽  
Significant Compression ◽  
One Year ◽  
The One ◽  
The Right ◽  
The Brain

We present a 47-year-old woman with a long history of anxiety and a more recent history of shock-like facial pain and episodes of laughter without any motivation. She could not explain the laughing bursts and did not have a sense of mirth preceding it. On neurological examination she presented a VI nerve palsy and trigeminal hypoesthesia (V2 and V3) on the right side. Magnetic resonance imaging exhibited a large cystic lesion on the right middle fossa causing significant compression on the brain stem. A frontoorbitozygomatic and pretemporal combined approach was performed. During intra and extradural exploration a large tumor was found on the trigeminal nerve. The whole lesion was resected, revealing to be a neurinoma on pathological exhamination. She maintained a VI nerve palsy but had complete remission of the unmotivated laughing episodes during the one year follow up.

scholarly journals Antenatal laparoscopic management of ovarian cyst: a case report

2021 ◽  
Vol 10 (4) ◽  
pp. 1734
Author(s):  
Niyaf N. A. ◽  
Ravikanth G. O. ◽  
Geeta Doppa ◽  
Bhavya H. U.
Keyword(s):  
Dermoid Cyst ◽  
Ovarian Cyst ◽  
Cystic Mass ◽  
Normal Vaginal Delivery ◽  
Lumbar Region ◽  
Symptomatic Management ◽  
Large Ovarian Cyst ◽  
History Of ◽  
Female Baby ◽  
The Right

The frequency of adnexal mass in pregnancy ranges from 2% to 10%, dermoid cyst is the most common ovarian germ cell tumor during pregnancy which could be asymptomatic or symptomatic, management through laparoscopy must be considered as it provides several advantages, including reduced postoperative pain, analgesic use, hospitalization time and better cosmetic result. Here we are reporting a case of an unbooked 35 years old primigravida at 16 weeks and 4 days gestation with history of retention of urine. Ultrasound showed a live foetus of 16 weeks gestation with bilateral mild maternal hydroureteronephrosis and complex cystic mass of 13×10 cm in right lumbar region suggestive of ovarian mass. Patient was clinically stable, hence exploratory laparoscopy was taken up the next day. Intraoperatively, dermoid cyst was found in the right ovary. Right ovarian cystectomy was performed. She had an uneventful postoperative period and discharged. She was monitored for the rest of the pregnancy and it was uneventful. She had spontaneous full term normal vaginal delivery of female baby weighing 2.8 kg. Although the patient was clinically stable, large ovarian cyst are predisposed for future complications, hence antenatal diagnosis and appropriate intervention is crucial for good outcome.

scholarly journals Intrathoracic malignant peripheral nerve sheath tumor with poor outcome: a case report

2010 ◽  
Vol 10 (4) ◽  
pp. 328-330 ◽  
Author(s):  
Violeta Kolarov ◽  
Jelena Stanić ◽  
Živka Eri ◽  
Biljana Zvezdin ◽  
Marija Kojičić ◽  
...  
Keyword(s):  
Peripheral Nerve ◽  
Nerve Sheath Tumor ◽  
Lethal Outcome ◽  
Body Mass Loss ◽  
Large Tumor ◽  
Peripheral Nerve Sheath Tumor ◽  
Nerve Sheath ◽  
Progressive Dyspnea ◽  
History Of ◽  
The Right

We report a case of intrathoracic malignant peripheral nerve sheath tumor in a 65-year old woman revealed after a few-month history of progressive dyspnea, appetite and body mass loss. The chest magnetic resonance (MR) examination revealed the presence of a large tumor occupying the mediastinum and a major portion of the right hemithorax. The diagnostic tumor sample was obtained by parasternal biopsy in local anesthesia. The surgical resection of the tumor could not be performed due to its excessive size, intrathoracic involvement and bad respiratory reserves of a patient. The chemotherapy and irradiation were performed as palliative measures. The lethal outcome appeared 10 months after the diagnosis was established.

scholarly journals Foramen of Winslow hernia: an open approach

2021 ◽  
Vol 8 (4) ◽  
pp. 1312
Author(s):  
Muhammad F. Rosley ◽  
Senal Medagedara ◽  
Marius Jordaan
Keyword(s):  
Epigastric Pain ◽  
Intestinal Resection ◽  
Laparoscopic Approach ◽  
Operative Management ◽  
Open Approach ◽  
Cross Sectional ◽  
Foramen Of Winslow ◽  
Internal Hernias ◽  
Preventative Measures ◽  
The Right

Foramen of Winslow hernia (FWH) are considered rare even among other internal hernias. It was first described in 1834 and historically had a mortality rate of close to 50%. With modern advancement and availability of cross-sectional imaging, this number has improved dramatically to 5%. Operative management is required for all patients which can be performed with either an open or laparoscopic approach. Preventative measures for recurrence remain controversial as no case of recurrence has been reported to date. We present a case study of a 62 years old woman who presented to the emergency department with severe epigastric pain and a CT scan confirming an FWH. She underwent urgent laparotomy and the hernia was easily reducible without need of intestinal resection. We opted to fixate the right colon and close the foramen of Winslow to prevent future recurrence. She recovered from her surgery well and was discharged home without any complications.

scholarly journals Surgical treatment of kidney tuberculosis: a comparative analysis of open and laparoscopic approaches

2020 ◽  
Vol 8 (4) ◽  
pp. 112-121
Author(s):  
D. P. Kholtobin
Keyword(s):  
Local Development ◽  
Left Kidney ◽  
Laparoscopic Approach ◽  
Modern Technology ◽  
Open Approach ◽  
Urine Diversion ◽  
Results Of Treatment ◽  
Urogenital Tuberculosis ◽  
Stage 4 ◽  
The Right

Introduction. Tuberculosis remains a global problem of our time. Kidney tuberculosis, especially complicated by tuberculosis of the urinary tract, becomes a surgical disease if it diagnosed late or the therapy was not optimal.Materials and methods. 93 patients with urogenital tuberculosis (UGTB) was included in this study who were admitted to the Novosibirsk Scientific and Research Institute of Tuberculosis consecutively. All of them underwent surgical intervention on the kidney. 51 patients underwent open surgery, and 42 patients underwent laparoscopic surgery. The results of treatment and the incidence of complications in both groups were analyzed and compared.Results. The age of the patients ranged from 23 to 75 years, averaging 50.9 ± 6.7 years; there were 45 men and 48 women. Tuberculosis of the left kidney was diagnosed in 41 patients, on the right - in 52 patients. The indication for nephrectomy was polycavernous tuberculosis of the kidney with no function in 74 cases, while in 11 cases polycavernous tuberculosis was complicated by stage 4 bladder tuberculosis. In 9 patients, nephrectomy was performed with cystectomy simultaneously. In 2 patients with severe renal dysfunction, cystectomy for microcystis was not performed, preferring laparoscopic nephrectomy with heterotopic urine diversion. In the group of patients operated on with an open approach, complications developed in 14 patients (27.4%), in the group of laparoscopic operations - in 5 (11.9%). The laparoscopic approach made it possible to activate the patients much earlier: after 2.4 hours, while in the openaccess group - after 38.7 hours.Conclusion. Due to the peculiarities of the pathogenesis of UGBT, it is accompanied by the local development of gross deforming scars, which significantly complicates the implementation of the surgical procedure - both open and laparoscopic access. Nevertheless, modern technology allows to perform the entire spectrum of operations laparoscopically to UGTB, and the complication rate is 2.3 times lower than in open operations. Early activation of the patient, less need for analgesics are also positive factors of minimally invasive surgery for UGTB.

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

scholarly journals Fifteen year history of a huge ovarian serous cystadenoma in association with uterovaginal prolapse

2014 ◽  
Vol 3 (2) ◽  
pp. 51-53
Author(s):  
Ashma Rana ◽  
Geeta Gurung ◽  
Neeva Ojha ◽  
Sapana Amatya ◽  
Sandesh Poudel ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Rural Community ◽  
Ovarian Cyst ◽  
Uterine Artery ◽  
Serous Cystadenoma ◽  
Uterovaginal Prolapse ◽  
Pelvic Floor Repair ◽  
Tumor Capsule ◽  
Obstetrics And Gynaecology ◽  
History Of

A huge ovarian cyst, twice tapped and existing for 15 year, longest duration ever reported in literature and for the last seven years complicated by uterovaginal prolapse is reported here to give an idea about the reproductive morbidity status of socially deprived or underprivileged Nepalese woman in rural community. Abdomino-vaginal surgical approach was combined to drain 16 liters of fluid from the ovarian cyst and excise the tumor capsule by initiating hysterectomy abdominally including the steps up to the ligation of uterine artery thereafter completing the procedure vaginally by taking over the cardinal ligaments, thus facilitating delivery of uterus with its appendages with pelvic floor repair for third degree uterovaginal prolapse. DOI: http://dx.doi.org/10.3126/njog.v3i2.10833 Nepal Journal of Obstetrics and Gynaecology Vol.3(2) 2008; 51-53

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