Delayed Manifestations of Laparoscopic Bowel Injury

2015 ◽  
Vol 81 (5) ◽  
pp. 478-482 ◽  
Author(s):  
Sebastiano Cassaro
Keyword(s):  
Laparoscopic Surgery ◽  
Thermal Injury ◽  
Bowel Injury ◽  
Morbidity And Mortality ◽  
Delayed Presentation ◽  
Additional Information ◽  
Malpractice Claims ◽  
Thermal Injuries ◽  
Thermal Sources

Bowel injury (BI) is a complication of open and laparoscopic abdominal surgery associated with increased morbidity and mortality. If BI is missed at the time it occurs, it can have devastating consequences. Electrosurgery is used extensively in laparoscopic surgery and can cause thermal injuries that are harder to detect than mechanical injuries and may evolve over time. The medical literature of the past 10 years was searched for large series and compilation studies reporting overall incidence of and mortality from BI in laparoscopy, and the results of seven relevant articles, which included over 300,000 procedures, were analyzed and tabulated. The literature was then reviewed for additional information about the specific incidence and outcome of missed BI and the role of electrosurgical thermal sources in causing BI. BI is underreported, frequently missed at surgery, and results in significant morbidity and mortality that can be ground for malpractice claims against the surgeon. Thermal injury from electrosurgical instruments may be involved in a number of injuries in laparoscopic surgery. Nearly undetectable partial-thickness thermal injury may play a role in the atypical and delayed presentation of some cases of BI.

The role of endosonography in a rare submucosal tumor's laparoscopic surgery

2015 ◽  
Vol 53 (05) ◽  
Author(s):  
R Takács ◽  
G Benedek ◽  
Z Bányász ◽  
J Hamvas
Keyword(s):  
Laparoscopic Surgery

scholarly journals Genetic and epigenetic mechanisms in the development of congenital heart diseases

2021 ◽  
Vol 4 (2) ◽  
pp. e000196
Author(s):  
Yue Wu ◽  
Xiaosi Jin ◽  
Yuhao Zhang ◽  
Jing Zheng ◽  
Rulai Yang
Keyword(s):  
Congenital Heart ◽  
Heart Diseases ◽  
Gene Mutations ◽  
Morbidity And Mortality ◽  
Molecular Medicine ◽  
Epigenetic Mechanisms ◽  
Epigenetic Factors ◽  
Near Future

Congenital heart disease (CHD) is the most common of congenital cardiovascular malformations associated with birth defects, and it results in significant morbidity and mortality worldwide. The classification of CHD is still elusive owing to the complex pathogenesis of CHD. Advances in molecular medicine have revealed the genetic basis of some heart anomalies. Genes associated with CHD might be modulated by various epigenetic factors. Thus, the genetic and epigenetic factors are gradually accepted as important triggers in the pathogenesis of CHD. However, few literatures have comprehensively elaborated the genetic and epigenetic mechanisms of CHD. This review focuses on the etiology of CHD from genetics and epigenetics to discuss the role of these factors in the development of CHD. The interactions between genetic and epigenetic in the pathogenesis of CHD are also elaborated. Chromosome abnormalities and gene mutations in genetics, and DNA methylations, histone modifications and on-coding RNAs in epigenetics are summarized in detail. We hope the summative knowledge of these etiologies may be useful for improved diagnosis and further elucidation of CHD so that morbidity and mortality of children with CHD can be reduced in the near future.

scholarly journals The role of hepaticojejunostomy leaks after pancreatoduodenectomy in the increase of morbidity and mortality

HPB ◽  
2021 ◽  
Vol 23 ◽  
pp. S289
Author(s):  
O. Usenko ◽  
M. Nichitaylo ◽  
V. Kopchak ◽  
P. Ogorodnik ◽  
O. Lytvyn ◽  
...  
Keyword(s):  
Morbidity And Mortality

Los estereotipos sociales a través del filtro de la traducción

Babel ◽  
2014 ◽  
Vol 60 (2) ◽  
pp. 216-233
Author(s):  
Gemma Andújar Moreno
Keyword(s):  
Social Representations ◽  
Social Perceptions ◽  
Source Text ◽  
Additional Information ◽  
Social Stereotypes ◽  
Cultural Systems ◽  
The Social ◽  
Thought Patterns ◽  
Points Of View

Cultural referents not only designate specific realities of a given culture which do not always exist in another but they are also semantic elements which trigger social representations. By conveying values and points of view about different social groups, cultural referents become linguistic instruments to build stereotypes. These thought patterns are shared by the members of a social or cultural community and act as a filter of reality. The aim of this paper is to study the role of cultural referents in the construction of social stereotypes, focusing on the socio-cognitive universe they evoke. To this end, we have analyzed the translations techniques applied in the Spanish, Catalan and English versions of a novel which has been very successful on the French literary scene: Muriel Barbery’s L’Élégance du hérisson (2006). As show the results of this textual comparison, the explanations, descriptions and additional information observed in target texts do not trigger the same associations as cultural referents do in the source text. Translational approaches are too limited when it comes to achieve linguistic adequacy to different world visions. Therefore, translation must be conceived as an encounter between two cultural systems, in which the translator must build bridges, not so much between two linguistic systems as between the social perceptions and values of two different cultural communities.

scholarly journals The Role of Averaging for Improving Sea Surface Salinity Retrieval from the Soil Moisture and Ocean Salinity (SMOS) Satellite and Impact of Auxiliary Data

2007 ◽  
Vol 24 (2) ◽  
pp. 255-269 ◽  
Author(s):  
Sabine Philipps ◽  
Christine Boone ◽  
Estelle Obligis
Keyword(s):  
Soil Moisture ◽  
Sensitivity Study ◽  
Sea Surface ◽  
Sea Surface Salinity ◽  
Global Ocean ◽  
Surface Salinity ◽  
Auxiliary Data ◽  
Additional Information ◽  
Ocean Salinity

Abstract Soil Moisture and Ocean Salinity (SMOS) was chosen as the European Space Agency’s second Earth Explorer Opportunity mission. One of the objectives is to retrieve sea surface salinity (SSS) from measured brightness temperatures (TBs) at L band with a precision of 0.2 practical salinity units (psu) with averages taken over 200 km by 200 km areas and 10 days [as suggested in the requirements of the Global Ocean Data Assimilation Experiment (GODAE)]. The retrieval is performed here by an inverse model and additional information of auxiliary SSS, sea surface temperature (SST), and wind speed (W). A sensitivity study is done to observe the influence of the TBs and auxiliary data on the SSS retrieval. The key role of TB and W accuracy on SSS retrieval is verified. Retrieval is then done over the Atlantic for two cases. In case A, auxiliary data are simulated from two model outputs by adding white noise. The more realistic case B uses independent databases for reference and auxiliary ocean parameters. For these cases, the RMS error of retrieved SSS on pixel scale is around 1 psu (1.2 for case B). Averaging over GODAE scales reduces the SSS error by a factor of 12 (4 for case B). The weaker error reduction in case B is most likely due to the correlation of errors in auxiliary data. This study shows that SSS retrieval will be very sensitive to errors on auxiliary data. Specific efforts should be devoted to improving the quality of auxiliary data.

Long-Term Survival in a Patient With Abdominal Sarcomatosis From Uterine Leiomyosarcoma: Role of Repeated Laparoscopic Surgery in Treatment and Follow-Up

2016 ◽  
Vol 23 (6) ◽  
pp. 1003-1008 ◽  
Author(s):  
Antonio Macciò ◽  
Paraskevas Kotsonis ◽  
Giacomo Chiappe ◽  
Luca Melis ◽  
Fausto Zamboni ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Uterine Leiomyosarcoma ◽  
Term Survival ◽  
Long Term Survival

Role of laparoscopic in diagnosis and treatment of undescended testis in children at Viet Duc Hospital

2018 ◽  
Vol 8 (4) ◽  
Author(s):  
Viet Hoa Nguyen
Keyword(s):  
Laparoscopic Surgery ◽  
Undescended Testis ◽  
Correct Diagnosis ◽  
Diagnosis And Treatment ◽  
Highly Sensitive ◽  
The Mean ◽  
The Right ◽  
Time Of Operation

Abstract Introduction: Evaluating the role of laparoscopic for diagnosis and treatment of undescended testis in children. Material and Methods: Restrospective study, between 6/ 2014 and 6/2017. All the patients are aged from 1 to 16 years with undescended testis underwent laparoscopic surgery for diagnosis and treatment in Deparment of pediatric surgery – Viet Duc hospital enrolled. Results: Of 95 patiens in total had 106 undescended testis diagnosed and treated by laparoscopy. The mean age of patients was 7,5 ± 3,8 years. 44,2% undescended were on the left side, 44,2% were on the right and 11,6% were undescended bilateral. The correct diagnosis by ultrasound accounted in 79,4%. The locations of testis diagnosed by laparoscopic are : intra abdomen in 45,3%, deep inguinal orifice in 16,9%, extra inguinal orifice in 26,4%, no testicle found in 11,4%. The mean time of operation were 67,33± 28,01 pht. Scrotal positions were achieved 74,5%, remove atrophic testis accounted in 7,6%. Stephen- Flowler technique including step I were in 4,7%, step II in 1,9%. The outcome evaluated by testicular positions following 3 months after operation are : good in 79,2%, moderate 13,2%, poor in 7,6%; By classification of Aubert are : good in 81,1%, moderate in 11,3% and poor in 7,6 %. Conclusion: Laparoscopic surgery is not only a highly sensitive diagnostic method to find accurately the location and size of the testes, but also the most effective method to treat impalpable undescended testes.

Significance of analysis of the mechanism of fingermarks formation, sizes and location – casework examples

2018 ◽  
Vol 301 ◽  
pp. 44-52
Author(s):  
Tomasz Kowalski ◽  
Keyword(s):  
Significant Role ◽  
Special Interest ◽  
The Other ◽  
Fatal Accident ◽  
Preliminary Stage ◽  
Additional Information ◽  
Expert Opinions ◽  
First Case ◽  
Initial Stage

The aim of the article to present the role of analysing the manner of generating fingermarks in the investigative proceedings. These examinations are based on the analysis of the location of the marks on a given background and aim at providing the requesting party additional information about the circumstances of the investigated incident. The Author refers to two unusual cases, in which Voivodeship Police Command Forensic Laboratory issued expert opinions in the area of fingerprint identification. In the first case, at the initial stage of the proceedings the circumstances and recovered evidential fingermarks indicated a fatal accident or manslaughter by means of a firearm. In the other case at the preliminary stage recovered evidence did not allow identification of the perpetrator due to incorrectly selected exhibits. These cases would not be off special interest to us without the significant role of proper recovering of fingermarks and their analysis in a broader context than just identification.

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