New Technique of Posterior Fixation of Tube With Fibrin Sealant Prevents Dysphagia in Patients Undergoing Sleeve Gastrectomy

2021 ◽  
pp. 000313482199198
Author(s):  
Mehmet Celal Kizilkaya ◽  
Mehmet A. Bozkurt
Keyword(s):  
Sleeve Gastrectomy ◽  
Surgical Complications ◽  
Fibrin Sealant ◽  
Surgical Intervention ◽  
Posterior Fixation ◽  
Postoperative Dysphagia ◽  
Patient Demographics ◽  
Tissue Glue ◽  
Dysphagia Handicap Index ◽  
Fibrin Tissue Glue

Introduction This study compared the effects of posterior fixation (PF) of the remnant tube with fibrin tissue glue to prevent sharp angulation and gastric twist and traditional techniques on postoperative dysphagia and vomiting. Methodology In total, 200 patients scheduled to undergo laparoscopic sleeve gastrectomy (LSG) as a bariatric surgical intervention were randomly classified into 2 groups (LSG + PF and LSG alone). We compared postoperative dysphagia symptoms among patients who underwent PF and those who did not. The Dysphagia Handicap Index (DHI) results were compared statistically among these groups. Results The study included a total of 191 patients (85.9% (n = 164) women and 14.1% (n = 27) men) who underwent LSG for obesity. The groups were similar in terms of the patient demographics. The DHI scores of the LSG + PF group were statistically significantly lower than those of the LSG alone group. Conclusion Adoption of a standardized method of PF with a standardized surgical procedure after LSG considerably reduced the rate of surgical complications.

scholarly journals Metastatic adrenal pheochromocytoma to the thoracic spine

2010 ◽  
Vol 9 (3) ◽  
pp. 343-346 ◽  
Author(s):  
Michael T. Scalfani ◽  
Paul M. Arnold ◽  
Karen K. Anderson
Keyword(s):  
Differential Diagnosis ◽  
Surgical Intervention ◽  
Hepatic Metastases ◽  
Posterior Fixation ◽  
Original Diagnosis ◽  
Average Survival ◽  
Progression Of Disease ◽  
Adrenal Pheochromocytoma ◽  
History Of ◽  
Work Up

To report on a case of pheochromocytoma metastases to the spine occurring more than 20 years after initial diagnosis. A 34-year-old female with a history of metastatic pheochromocytoma diagnosed at age 12 presented with weakness, heart palpitations, and circumferential back pain of five months duration. The patient had undergone multiple laparatomies for abdominal and hepatic metastases. Work-up revealed a destructive lesion at T9. After two weeks of preoperative phenoxybenzamine to control her hypertension, she underwent decompression, posterior fixation and fusion. Surgical intervention was followed by radiation therapy, zoledronic acid, and only one cycle of chemotherapy due to intolerance of side effects. The patient survived 25 years after original diagnosis, which far exceeds the average survival of less than 15 years. The patient died 26 months postoperatively due to progression of disease. Pheochromocytoma with spine metastases occurring more than 20 years after diagnosis is very uncommon, and should be considered in the differential diagnosis of a patient with a history of pheochromocytoma.

Tongue-tie division to treat breastfeeding difficulties: our experience

2015 ◽  
Vol 129 (10) ◽  
pp. 986-989 ◽  
Author(s):  
S D Sharma ◽  
S Jayaraj
Keyword(s):  
Standard Deviation ◽  
Surgical Complications ◽  
Assessment Tool ◽  
Surgical Intervention ◽  
Intervention Group ◽  
Early Age ◽  
Post Intervention ◽  
The Mean ◽  
Surgical Group ◽  
Telephone Questionnaire

AbstractObjectives:To assess the benefits of frenotomy on breastfeeding in infants, and determine the influence of age.Methods:A telephone questionnaire of all patients diagnosed with tongue-tie over 12 months was conducted pre-intervention and 1-month post-intervention. The Infant Breastfeeding Assessment Tool was used to assess breastfeeding.Results:Of 54 infants diagnosed with tongue-tie, 78 per cent of mothers participated in the survey. Eighty-six per cent of patients underwent frenotomy, with no surgical complications. In the frenotomy group, 81 per cent of mothers reported improvement in breastfeeding, versus 17 per cent in the non-surgical group (p = 0.0074). In the frenotomy group, the mean (±standard deviation) Infant Breastfeeding Assessment Tool score was 3.33 ± 1.51 pre-intervention, versus 9.19 ± 2.44 post-intervention (p = 0.0001). In the non-surgical intervention group, the mean score (±standard deviation) was 4.17 ± 0.75 pre-intervention, versus 6.00 ± 1.73 post-intervention (p = 0.16). For infants who underwent frenotomy, there was a reported improvement in 94 per cent of those aged less than 30 days, versus 68 per cent in infants aged over 30 days (p = 0.092).Conclusion:Frenotomy is a safe, short procedure that improves breastfeeding outcomes, and is best performed at an early age.

scholarly journals Laparoscopic Concomitant Sleeve Gastrectomy and Repair of a Morgagni Larrey Hernia - Case Report

2019 ◽  
Vol 2 (1) ◽  
pp. 11-12
Author(s):  
IULIAN SLAVU ◽  
Alecu Lucian ◽  
Tulin Adrian
Keyword(s):  
Sleeve Gastrectomy ◽  
Diaphragmatic Hernia ◽  
Postoperative Morbidity ◽  
Surgical Intervention ◽  
Intestinal Bleeding ◽  
Morgagni Hernia ◽  
Hernia Sac ◽  
Left Hemidiaphragm ◽  
Giovanni Battista Morgagni ◽  
Diaphragmatic Hernias

Anterior diaphragmatic hernias are very rare surgical entities, scarce in symptoms, which occur through openings of the costal and sternal fascicules of the diaphragm. First described by Giovanni Battista Morgagni, in 1769, they are known under many names:  Morgagni, Morgagni-Larrey. These hernias can develop in the left hemidiaphragm, right hemidiaphragm or bilateral. The preferred treatment when available is the laparoscopic suture of the defect.                We present the case of a 52 years old female patient, with morbid obesity (BMI = 44.10 kg/m²) and Morgagni hernia. Other associated pathologies of the patient were high blood pressure, autoimmune thyroiditis, and sleep apneea. The initial diagnosis of diaphragmatic hernia was made a year earlier at a CT investigation. Laparoscopic sleeve gastrectomy and suture of the diaphragmatic defect were achieved without incidents during one single surgical intervention. A drainage tube was placed in the remaining cavity of the hernia. The hernia sac was conserved and used to reinforce the defect.  The concurrent suture of the diaphragmatic hernia and sleeve gastrectomy do not increase the postoperative morbidity. The recovery was uneventful, thus the patient was spared a second surgical intervention . If present, these hernias are quickly identified due to the fact that laparoscopy allows a through exploration of the diaphragm. When diagnosed these defects should be repaired by suture due to the fact that they can cause life threating complications to the patient such as intestinal obstruction or gastro-intestinal bleeding if elements of the digestive tract are incarcerated in the defect.

The effect of fibrin sealant tissue glue in reducing post-operative collections following parotidectomy

2020 ◽  
Vol 277 (7) ◽  
pp. 2055-2059
Author(s):  
Dorota A. Chudek ◽  
Mark D. Wilkie ◽  
Thomas Hampton ◽  
Richard Siau ◽  
Alessandro Panarese
Keyword(s):  
Fibrin Sealant ◽  
Tissue Glue

72: Role of Fibrin Sealant as Tissue Glue in Complex Genital Reconstructive Surgery

2004 ◽  
Vol 171 (4S) ◽  
pp. 19-19 ◽  
Author(s):  
Michael S. Morris ◽  
Ryan J. Larson ◽  
Richard A. Santucci ◽  
Allen F. Morey
Keyword(s):  
Reconstructive Surgery ◽  
Fibrin Sealant ◽  
Tissue Glue
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