Laparoscopic Ladd Procedure: A Minimally Invasive Approach to Malrotation without Midgut Volvulus

2007 ◽  
Vol 73 (7) ◽  
pp. 693-696 ◽  
Author(s):  
John M. Draus ◽  
David S. Foley ◽  
Sheldon J. Bond
Keyword(s):  
Hospital Stay ◽  
Wide Spectrum ◽  
Case Reports ◽  
Long Term Results ◽  
Intestinal Malrotation ◽  
Midgut Volvulus ◽  
Invasive Approach ◽  
Small Series ◽  
Ladd Procedure ◽  
Selective Approach

The management of intestinal malrotation without midgut volvulus is controversial. Some advocate the Ladd procedure in all patients with malrotation, whereas others propose a more selective approach. We attempted the laparoscopic Ladd procedure on nine patients who were diagnosed with intestinal malrotation without volvulus. Patient records were retrospectively reviewed. Data were collected on patient presentation, operative procedure, hospital course, and outcome. The laparoscopic Ladd procedure was successfully completed in eight patients (aged 10 weeks to 25 years). One patient required conversion to an open procedure. Operative time averaged 111 minutes (range, 77–176 minutes). Hospital stay ranged from 3 to 5 days (average, 3.6 days). All patients were discharged home on a regular diet. There was one complication and no deaths. Eight patients had complete resolution of their symptoms. The laparoscopic Ladd procedure is a safe and effective procedure for infants, children, and adults who have intestinal malrotation without midgut volvulus. The operative times, hospital stay, and clinical outcomes were acceptable. We recommend that laparoscopic intervention be considered in patients with intestinal malrotation without volvulus. Intestinal malrotation occurs along a wide spectrum of anatomic variants and clinical presentations. The management of malrotation without midgut volvulus remains controversial. Most advocate performing the Ladd procedure on all patients found to have malrotation because there is no way to know which of these patients will develop catastrophic midgut volvulus. Some propose a more selective approach because of the morbidity associated with operative intervention. There have been a number of small series and case reports describing the use of laparoscopy to diagnose and correct malrotation. Proponents of this method point out its minimally invasiveness, patients’ quick recoveries, and successful outcomes. We describe our experience with the laparoscopic Ladd procedure and its long-term results.

scholarly journals Technique of the laparoscopic pelvic exenteration

2018 ◽  
Vol 46 (6) ◽  
pp. 631-639
Author(s):  
E. A. Galliamov ◽  
R. G. Biktimirov ◽  
V. P. Sergeev ◽  
L. N. Aminova ◽  
A. E. Sanzharov ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Blood Loss ◽  
Hospital Stay ◽  
World Literature ◽  
Pelvic Exenteration ◽  
Pain Syndrome ◽  
Long Term Results ◽  
Laparoscopic Technique ◽  
Negative Resection Margin ◽  
Invasive Approach

Background: Laparoscopic surgery has proved itself to be a “golden standard” for treatment of most abdominal and retroperitoneal cancers. Such a serious procedure as pelvic exenteration continues to be a complex surgical intervention usually performed through a  conventional laparotomic access. However, studies on minimally invasive approach for this intervention have becoming increasingly published in the world literature.Aim: To describe the laparoscopic pelvic exenteration technique of pelvic exenteration, as well as to assess short- and long-term results of these interventions.Materials and methods: From 2011 to 2018, 21 procedures of laparoscopic pelvic exenteration have been performed in 6  surgical centers (Moscow, Russia). Six (6) patients had previously confirmed cervical cancer, 7 patients had bladder cancer, 4 patients had rectal cancer, 1 patient had vaginal cancer, 2 patients had relapsing vaginal cancers after previous uterine extirpation, and 1 patient had an ovarian neoplasm.Results: The laparoscopic pelvic exenteration volumes were as follows: 9  total, 7 anterior and 5 posterior procedures. In 19 out of 21 cases, negative resection margin (R0) was possible. Median duration of the procedure was 254 minutes, median blood loss was 515 ml, and median postoperative hospital stay was 13 days. Postoperative complications were registered in 6 (28.6%) patients. The 3-year overall survival was 85.71%.Сonclusion: The choice of laparoscopic access can reduce blood loss, decrease the rates of early postoperative complications, contributes to a more comfortable postoperative period with early activation and less severe pain syndrome, and leads to a reduction in the duration of hospital stay. These results of the laparoscopic technique are comparable with those of laparoscopic and open pelvic exenteration published by other authors.

scholarly journals Laparoscopic Ladd Procedure for Intestinal Malrotation with Midgut Volvulus in an Adult

2017 ◽  
Vol 50 (2) ◽  
pp. 139-145
Author(s):  
Atsushi Watanabe ◽  
Susumu Miyazaki ◽  
Chu Matsuda ◽  
Katsuki Danno ◽  
Rie Nakatsuka ◽  
...  
Keyword(s):  
Intestinal Malrotation ◽  
Midgut Volvulus ◽  
Ladd Procedure

scholarly journals Adverse Drug Reactions in the Orofacial Region

2004 ◽  
Vol 15 (4) ◽  
pp. 221-239 ◽  
Author(s):  
C. Scully ◽  
J.-V. Bagan
Keyword(s):  
Drug Therapy ◽  
Adverse Drug Reactions ◽  
Wide Spectrum ◽  
Case Reports ◽  
Drug Reactions ◽  
Double Blind ◽  
Medline Search ◽  
Mucosal Ulceration ◽  
Small Series ◽  
Orofacial Region

A wide spectrum of drugs can sometimes give rise to numerous adverse orofacial manifestations, particularly dry mouth, taste disturbances, oral mucosal ulceration, and/or gingival swelling. There are few relevant randomized double-blind controlled studies in this field, and therefore this paper reviews the data from case reports, small series, and non-peer-reviewed reports of adverse drug reactions affecting the orofacial region (available from a MEDLINE search to April, 2003). The more common and significant adverse orofacial consequences of drug therapy are discussed.

scholarly journals Bowel Perforation and extrusion of a ventriculo-peritoneal shunt through the anus

2018 ◽  
Vol 24 (1) ◽  
pp. 69-74
Author(s):  
Paulo Moacir Mesquita Filho ◽  
Diego D'Agostini ◽  
Rodrigo Dos Santos Silva ◽  
Nério Dutro Azambuja Junior ◽  
Leonardo Winkelmann ◽  
...  
Keyword(s):  
Central Nervous System ◽  
Wide Spectrum ◽  
Case Reports ◽  
Bowel Perforation ◽  
First Year ◽  
Shunt System ◽  
Small Series ◽  
The Central Nervous System ◽  
Low Incidence ◽  
Ventriculo Peritoneal Shunt

Ventriculo-peritoneal shunt (VPS) is one of the most commonly used procedures in the treatment of hydrocephalus. Nevertheless, even being technically simple and well-known, there are several serious complications that can happen, and among them is bowel perforation. This complication is rare, especially in adults, and it usually happens within the first year after the surgical procedure. It can also be aggravated by both infections, in the central nervous system or systemic, and also by increase in the intracranial pressure, due to shunt system dysfunction. The symptoms are usually mild, what can make the diagnosis challenging, and demanding several complementary tests. Also, there are many questions about the pathophysiology and predisposing factors for this complication. Due to its low incidence, and because it is usually described through case reports and small series, there is no consensus regarding its ideal management. The treatment varies from less invasive approaches, preserving the shuntcomponents in place, until the full withdrawn of the whole system and use of wide spectrum antibiotics. We report a delayed case of bowel perforation and catheter extrusion through the anus in an adult patient, discussing the data available about this pathology.

scholarly journals Laparoscopic Ladd Procedure for Intestinal Malrotation with Midgut Volvulus in an Adult

2017 ◽  
Vol 78 (4) ◽  
pp. 742-747
Author(s):  
Daisuke KURITA ◽  
Yasuji MOKUNO ◽  
Hideo MATSUBARA ◽  
Hirokazu KANEKO ◽  
Yasuaki OIRI ◽  
...  
Keyword(s):  
Intestinal Malrotation ◽  
Midgut Volvulus ◽  
Ladd Procedure

Endoscopic resection of intrathoracic tumors: experience with and long-term results for 26 patients

2011 ◽  
Vol 14 (3) ◽  
pp. 377-381 ◽  
Author(s):  
Francisco A. Ponce ◽  
Brendan D. Killory ◽  
Scott D. Wait ◽  
Nicholas Theodore ◽  
Curtis A. Dickman
Keyword(s):  
Blood Loss ◽  
Hospital Stay ◽  
Thoracoscopic Surgery ◽  
Long Term Results ◽  
Invasive Approach ◽  
Horner Syndrome ◽  
Neurogenic Tumors ◽  
Presenting Symptoms ◽  
The Mean

Object Thoracoscopy may be used in place of thoracotomy to resect intrathoracic neoplasms such as paraspinal neurogenic tumors. Although these tumors are rare, they account for the majority of tumors arising in the posterior mediastinum. Methods A database was maintained of all patients undergoing thoracoscopic surgery for tumors. The authors analyzed the presenting symptoms, pathological diagnoses, and outcomes of 26 patients (7 males and 19 females, mean age 37.2 years) who were treated for intrathoracic tumors via thoracoscopy between January 1995 and May 2009. Fourteen patients were diagnosed incidentally (54%). Five patients (19%) presented with dyspnea or shortness of breath, 4 (15%) with pain, 1 (4%) with pneumonia, 1 (4%) with hoarseness, and 1 (4%) with Horner syndrome. Results Pathology demonstrated schwannomas in 20 patients (77%). Other diagnoses included ganglioneurofibroma, paraganglioma, epithelioid angiosarcoma, benign hemangioma, benign granular cell tumor, and infectious granuloma. One patient required conversion to open thoracotomy due to pleural scarring to the tumor. One underwent initial laminectomy due to intraspinal extension of the tumor. Gross-total resection was obtained in 25 cases (96%). The remaining patient underwent biopsy followed by radiation therapy. The mean surgical time was 2.5 hours, and the mean blood loss was 243 ml. The mean duration of chest tube insertion was 1.3 days, and the mean length of hospital stay was 3.0 days. Cases that were treated in the second half of the cohort were more often diagnosed incidentally, performed in less time, and had less blood loss than those in the first half of the cohort. There was 1 case of permanent treatment-related morbidity (mild Horner syndrome). All previously employed patients were able to return to work (mean clinical follow-up 43 months). There were no recurrences (mean imaging follow-up 54 months). Conclusions Endoscopic transthoracic approaches can reduce approach-related soft-tissue morbidity and facilitate recovery by preserving the normal tissues of the chest wall, by avoiding rib retraction and muscle transection, and by reducing postoperative pain. This less invasive approach thus shortens hospital stay and recovery time.

Instruction for authors

2018 ◽  
Vol 1 (2) ◽  
pp. 75-79
Author(s):  
Abdulghani Alsamarai
Keyword(s):  
Original Work ◽  
Wide Spectrum ◽  
Case Reports ◽  
Editorial Policy ◽  
High Standard ◽  
Publication Ethics ◽  
Current Interest ◽  
Medical Sciences ◽  
Medical News ◽  
Review Articles

Introduction   The International Journal of Medical Sciences [IJMS], ISSN 2522-7386, is a peer-reviewed, 3 issues published annually. Authors are invited to submit for publication articles with a wide spectrum of coverage reporting original work, in the fields of medicine, nursery, dentistry, and pharmacy sciences. Review articles are usually by invitation only. However, Review articles of current interest and high standard will be considered. Prospective work should not be back dated. There are also sections for Case Reports, Brief Communication, correspondence and medical news items. Authors should read the editorial policy and publication ethics before submitting their manuscripts. Authors should also use the appropriate reporting guidelines in preparing their manuscripts

The effects and use of negative pressure wound therapy – a set of case reports

2020 ◽  
Vol 99 (4) ◽  
pp. 183-188
Keyword(s):  
Wound Healing ◽  
High Risk ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Chronic Wounds ◽  
Wide Spectrum ◽  
Case Reports ◽  
Modern Medicine ◽  
Wound Therapy ◽  
Basic Set

Modern medicine offers a wide spectrum of wound healing resources for acute or chronic wounds. Negative pressure wound therapy (NPWT) is a very effective method, allowing complicated defects and wounds to heal. The basic set is usually provided with various special accessories to facilitate the use and support safe application of NPWT to high-risk tissue. Selected case reports are presented herein to document the special use and combinations of materials in negative pressure wound therapy.

scholarly journals Small Cell Carcinoma of the Uterine Cervix in a Pregnant Patient Diagnosed with Liquid Based Cytology and Cell Block Immunocytochemistry

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Mawuli F. Attipoe ◽  
Charles D. Sturgis
Keyword(s):  
Cell Carcinoma ◽  
Small Cell Carcinoma ◽  
Uterine Cervix ◽  
Case Reports ◽  
Pregnant Patient ◽  
Small Cell ◽  
Tumor Type ◽  
Cell Block ◽  
Current Case ◽  
Small Series

Definitive cytomorphologic diagnosis of small cell carcinoma of the uterine cervix is possible but can be challenging in routine cervicovaginal cancer screening specimens. Several small series of reported cases of cervical small cell carcinoma have shown this uncommon malignancy to represent fewer than 2% of all invasive cervical cancers. This tumor type is associated with poor prognosis and rapid disease progression and can develop to an advanced stage in the interval between screening visits. Only rare case reports of small cell carcinoma arising in gravid cervices are known. In the current case a 29-year-old, gravida 6, para 2, pregnant (10-week gestation) female presented with postcoital bleeding. A definitive diagnosis of small cell carcinoma of the cervix was made possible by liquid based Pap testing with ancillary cell block preparation allowing for immunocytochemical characterization of the lesional cell population.

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