scholarly journals Resection of mesothelial cyst of uterine round ligament by laparoscopic transabdominal preperitoneal procedure alone or combined with open surgery

2019 ◽  
Vol 47 (11) ◽  
pp. 5475-5482
Author(s):  
Dongfeng Chen ◽  
Pan Zhang ◽  
Haifeng Zhang ◽  
Mingxiao Guo ◽  
Weijia Wang ◽  
...  
Keyword(s):  
Open Surgery ◽  
Inguinal Canal ◽  
Round Ligament ◽  
Surgical Removal ◽  
Normal Body Mass Index ◽  
Transabdominal Preperitoneal ◽  
Mesothelial Cyst ◽  
The Right ◽  
Transabdominal Preperitoneal Procedure

Objective Surgical treatment of a mesothelial cyst of the uterine round ligament (MCURL), an uncommon entity, has been rarely documented. In this article, we present our experience with excision of MCURLs. Methods The records of all female patients undergoing surgical removal of a groin mass in our department from March 2013 to November 2018 were retrospectively reviewed. Demographic information, clinical data, and follow-up outcomes were collected and analyzed. Results Among 298 women who underwent groin hernia repair, 17 (5.7%) had MCURLs. Of these 17 patients, 13 were aged 30 to 45 years and 15 had a normal body mass index (18.5–23.9 kg/m2). MCURLs occurred predominantly on the right side (11/17). Approximately half of the patients (9/17) were preoperatively misdiagnosed with inguinal hernias. Approximately 70% (12/17) of the lesions were localized medially to the inner ring of the inguinal canal and excised by a laparoscopic transabdominal preperitoneal (TAPP) procedure alone. Five patients required open surgery following the TAPP procedure because the cyst extended distally beyond the inner ring. No recurrence was noted during the entire follow-up period. Conclusion Most MCURLs were localized medially to the inner ring of the inguinal canal and could be excised by a TAPP procedure.

Mesothelial Cysts of the Round Ligament of the Uterus in 9 patients: A 15-year Experience

2016 ◽  
Vol 101 (3-4) ◽  
pp. 171-175 ◽  
Author(s):  
Mehmet Bulent Tirnaksiz ◽  
Arman Erkan ◽  
Ahmet Bulent Dogrul ◽  
Osman Abbasoglu
Keyword(s):  
Groin Hernia ◽  
Single Layer ◽  
Round Ligament ◽  
Preoperative Imaging ◽  
Histopathologic Examination ◽  
Mesothelial Cyst ◽  
Characteristic Features ◽  
The Right ◽  
High Index Of Suspicion

The aim of this study was to evaluate the characteristic features of patients with mesothelial cyst of the round ligament of the uterus and the incidence of this entity. This was a retrospective review of 3065 patients who underwent inguinal exploration for groin mass from 1998 to 2013. Clinical, radiologic, and histopathologic features of patients with a diagnosis of mesothelial cyst of the round ligament were analyzed. Of the 405 female patients reviewed, 9 mesothelial cysts of the round ligament were identified (2.2%). The median age was 37 (range, 19–82 years). In all patients the groin mass was manually irreducible on physical examination. The lesions were on the right side in 6 (66.6%) patients. These were identified before surgery in 4 (all by groin ultrasonography). Three were misidentified as a hernia before surgery. The remaining 2 (22%) had both hernia and the mesothelial cyst of the round ligament. The cysts were identified after surgery at the time of histopathologic examination in these 2 patients. In all patients histopathologic examination revealed multilobular cystic lesion lined by a single layer of mesothelial cells. Cystic lesions arising from the round ligament were identified and excised along with the round ligament in 7 patients. In the remaining 2, a hernia repair was also performed. There was no recurrence at follow-up. Mesothelial cysts of the round ligament are rare. They are easily misidentified as groin hernia. An accurate diagnosis requires a high index of suspicion and is greatly aided by preoperative imaging studies.

scholarly journals An isolated pilomatricoma of the leg: a rare location – A Case Study

2021 ◽  
pp. 28
Keyword(s):  
Head And Neck ◽  
Lower Limbs ◽  
Surgical Removal ◽  
Skin Tumour ◽  
Postoperative Course ◽  
Hair Matrix ◽  
Rare Location ◽  
The Right

Pilomatricoma is a rare, benign skin tumour arising from the hair matrix. The usual locations are the head and neck. Localization in the lower limbs is exceptional. The diagnosis of certainty is histological. Treatment is complete surgical removal to avoid recurrence. We report in this article the case of a rare localization of a pilomatricoma on the right leg, in a 25-year-old patient operated with complete surgical removal. The postoperative course was simple and without recurrence after 2 months of follow-up.

scholarly journals Mandibular Tori Limiting Treatment of Carcinoma of the Upper Aerodigestive Tract

2019 ◽  
Vol 12 ◽  
pp. 117954761985659
Author(s):  
Christopher M Low ◽  
Daniel L Price ◽  
Jan L Kasperbauer
Keyword(s):  
Anterior Commissure ◽  
Aerodigestive Tract ◽  
Surgical Removal ◽  
Robotic Assistance ◽  
Direct Visualization ◽  
Upper Aerodigestive Tract ◽  
First Case ◽  
Mandibular Tori ◽  
The Right

Background: Mandibular tori are a rare cause of difficult direct visualization of the upper aerodigestive tract. In the setting of aerodigestive tract pathology necessitating direct visualization, removal of mandibular tori may be required to facilitate treatment. Methods: In the first case, large bilateral symmetric mandibular tori were removed to facilitate access to the anterior commissure and removal of a T1 glottic squamous cell carcinoma (SCC). In the second case, large bilateral mandibular tori were removed to access a markedly exophytic SCC in the right vallecula. Subsequently, the tumor was removed with robotic assistance with excellent exposure. Results: Both patients were free of recurrence at last follow-up. Conclusion: Mandibular tori are an uncommon cause of difficult direct laryngoscopy. In situations that require direct visualization of the anterior commissure or base of tongue for diagnosis and management of lesions, surgical removal of the tori may be required as in the cases presented here.

scholarly journals Corneal bee sting in a Bengal cat

2020 ◽  
Vol 6 (2) ◽  
pp. 205511692096243
Author(s):  
Thomas Dulaurent ◽  
Bertille Perard ◽  
Iona Mathieson ◽  
Anne-Maïmiti Dulaurent ◽  
Pierre-François Isard
Keyword(s):  
Topical Administration ◽  
Surgical Removal ◽  
Cell Infiltrate ◽  
Dorsal Aspect ◽  
Case Summary ◽  
Bee Sting ◽  
The Right ◽  
Systemic Antibiotics ◽  
Worker Bee

Case summary A 6-month-old female Bengal cat was referred for a suspected vegetal foreign body (FB) in the mid-stroma of the right cornea. A small dark linear FB was identified in the dorsal aspect of the cornea, with associated cell infiltrate. Ophthalmic examination was otherwise normal, with no inflammatory reaction of the anterior uvea, and no abnormalities of the lens or fundus. Surgical removal was performed under general anesthesia. The FB, as observed under an optic microscope, was a worker bee stinger without the venom sac. Medical treatment consisted of topical and systemic antibiotics and steroids, and topical administration of atropine. Follow-up was uneventful. Relevance and novel information Ocular bee stings have been described in humans, with several consequences ranging from mild conjunctivitis to severe lesions affecting the cornea, iris, lens and retina. Most severely affected cases have been observed when the venom sac was found with the stinger, with a likely greater amount of venom being delivered into the ocular structures. The relatively benign presentation of this case was probably due to the lack of the venom sac within the bee sting. To our knowledge, this is the first documented case of a corneal bee sting in a cat.

Laparoscopic Treatment of Hydrocele of the Canal of Nuck in Pediatric Patients

2017 ◽  
Vol 28 (04) ◽  
pp. 378-382 ◽  
Author(s):  
Sung Lee
Keyword(s):  
Pediatric Patients ◽  
Inguinal Canal ◽  
Abdominal Cavity ◽  
Operating Time ◽  
High Ligation ◽  
Canal Of Nuck ◽  
The Mean ◽  
The Right ◽  
Short Operating Time

Introduction Hydrocele of the canal of Nuck (HCN) causes an inguinal swelling in pediatric females similar to that observed in case of inguinal hernia. HCN should be considered in the differential diagnosis of hernia in such children. Although laparoscopic operations have been reported in several cases for the treatment of HCN in adults, they have not been reported for the treatment in pediatrics. This study aimed to evaluate the outcomes of laparoscopic intracorporeal hydrocelectomy with high ligation as a treatment for HCN in pediatrics. Materials and Methods I retrospectively reviewed the charts of 26 pediatric females aged ≤10 years who underwent laparoscopic hydrocelectomy with high ligation at Damsoyu Hospital, Seoul, Republic of Korea from September 2012 to December 2016. Results The mean age was 3.31 (1–10) years. HCN was on the right in 11 patients and on the left in 15. The presenting symptom in all cases was inguinal swelling. HCN was of the hourglass type inside the inguinal canal in 17 patients and in the abdominal cavity outside the inguinal canal in 9. All patients were treated with laparoscopic hydrocelectomy with high ligation. The mean operating time was 17.8 minute (15–30). The wounds were scarcely visible immediately after surgery. There were no postoperative complications and no recurrences on follow-up. Conclusion Laparoscopic intracorporeal hydrocelectomy with high ligation is effective for HCN in pediatrics owing to its short operating time, excellent cosmesis, and no recurrence.

scholarly journals Inverted Papilloma of Nasal Septum

2012 ◽  
Vol 27 (2) ◽  
pp. 39-40
Author(s):  
Min Han Kong ◽  
Bee See Goh
Keyword(s):  
Nasal Cavity ◽  
Endoscopic Resection ◽  
Nasal Septum ◽  
Surgical Techniques ◽  
Inverted Papilloma ◽  
Surgical Removal ◽  
Lateral Nasal Wall ◽  
Endoscopic View ◽  
The Right

Dear Editor,   Papillomas are primary benign epithelial neoplasms producing finger–like projections that typically cover fibrous stalks.1 The term Inverted Papilloma (IP) describes the endophytic projection of epithelium into the stroma. Also known as Schneiderian papillomas, IPs predominantly affect males in the 6th decade.2 They usually arise from the lateral nasal wall and seldom involve the frontal or sphenoid sinuses.2 The frequency of IP on the nasal septum is even less.3 We report a case of IP of the nasal septum and the role of endoscopic resection of the IP without any sign of recurrence.   CASE REPORT A 52-year-old man who was a chronic smoker and worked as a cook presented with a 1-year history of progressively worsening unilateral nasal blockage and hyposmia. Rigid nasoendoscopy revealed a reddish grape-like mass filling the right nasal cavity. The mass extended posteriorly to the posterior nasal space and crossed to the left side and had a broad-based attachment to the posterosuperior part of the nasal septum. Computed tomography (CT) scan showed a heterogeneously-enhanced soft tissue density mass in the right nasal cavity and a soft tissue density in the right ethmoid and sphenoid sinus most likely representing retained secretions. The patient underwent endoscopic excision of the mass using Integrated Power Console (IPC®) system coupled to Straightshot® M4 microdebrider (Medtronic, Minneapolis MN, USA) under general anaesthesia. After induction, each nostril was packed with five rayon neuro-patties (Ray-cot®, American Surgical Company, Lynn MA, USA) soaked with 2mls cocaine 10%, 2mls adrenaline 1:1000 and 6mls of water, carefully placed along the septum, floor and turbinate region. This method reduces the bleeding significantly and prevents blood from impairing the endoscopic view. During the operation, a septal perforation was found at the origin of the mass. No further removal of nasal septum was performed. Histopathological examination (HPE) confirmed the diagnosis of Inverted Papilloma. He has been under our follow-up for the past 5 years and remains well and symptom-free with no evidence of recurrence detected on endoscopic examination.   DISCUSSION Inverted Papilloma (IP) poses many clinical, pathological and even management challenges. There are various surgical techniques advocated for treating IP. Radical transfacial approaches like lateral rhinotomy, minimally invasive endoscopic techniques and even midfacial degloving procedures are among some of the surgical techniques  advocated.4 Most authors agree that complete surgical removal is the hallmark in treating IP.1, 2, 4, 5 Traditionally, en bloc excision of the lateral nasal wall via lateral rhinotomy approach is the standard surgical option for IP arising from the lateral nasal wall. This approach provides good access to the tumor. Despite achieving complete surgical removal, IP tends to recur.1 Recurrence rates of IP when treated surgically are as high as 71%.2 Persistent disease is unacceptable especially with the possibility of malignant transformation.1, 2 It is reported that malignancy in IP is particularly high at 10 to 15%.1                With regard IP of the  nasal septum, Lawson et al. in 1995 reported 5 of 112 IP patients (4%) with isolated septal lesions that were treated by septectomy.6 Our patient underwent transnasal endoscopic resection of the tumor without further need of posterior septectomy. The tumor was removed using a microdebrider. Using the microdebrider for septal surgery usually involves a lateral (PNS and nasal cavity) to medial (septum) process, and posterior inferior to anterior superior shaving technique, also minimizes blood from impairing the endoscopic view. Any visible tumor at the margins was also removed. Unlike conventional polypectomy, complete removal of the tumor and sterilization of the margins is the hallmark in treating IP. Removal of IP without sterilization of the margins should be avoided. Sterilization of the margin is not necessarily by microdebrider only;  other authors have reported debulking tumor completely and sterilizing the margins and underlying bone using a diamond burr.5               Transnasal endoscopic surgery avoided aggressive surgery and facial scarring in this patient. We observed no evidence of recurrence on follow up to date using this method. Although this tumor has the ability to destroy bone, tends to recur, and is associated with malignancy, we demonstrated that transnasal endoscopic resection of IP limited to nasal septum may be safely performed without the need for further septectomy. However, we do not advocate this technique in cases of large tumor or when malignancy is suspected. Endoscopic surgery would not adequately visualize the whole tumor and risk recurrence of tumor.2 Larger series and better study design are required to support our observation and establish an acceptable and safe technique indicated for IP on the nasal septum.         

scholarly journals Surgical treatment of retroperitoneal neuroblastoma in a 14-month-old child

2021 ◽  
Vol 25 (1) ◽  
pp. 61-67
Author(s):  
M. N. Sukhov ◽  
A. G. Narbutov ◽  
I. P. Lyvina ◽  
I. A. Bryzzheva ◽  
M. V. Isaeva ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Nursery School ◽  
Disease Recurrence ◽  
Surgical Removal ◽  
Anatomical Location ◽  
Good State ◽  
Staging Systems ◽  
Tumor In Childhood ◽  
The Right

Introduction. Neuroblastoma is the most common malignant embryonic extracranial solid tumor in childhood having a high mortality rate. While treating neuroblastoma, it is extremely important to follow international protocols with their staging systems and groups of risk. Surgical treatment is a compulsory approach, but in some cases it is extremely difficult, and it involves significant risks. However, in some cases, radical removal of the tumor can cure patients without chemotherapy.Material and methods. The article presents a clinical case of 14-month-old child with neuroblastoma of stage 3 and difficult anatomical location after 2 courses of polychemotherapy by NB-2004 protocol. The child had subradical resection of an extensive tumor in the retroperitoneal space and nephrectomy on the right. The authors also describe specific moments during surgery, problems which their faced during child’s treatment as well as follow-up examinations in the postoperative period.Results. Follow-up examinations did not reveal any signs of disease recurrence. Catamnesis lasted for 56 months. The child is in a good state; she is active, attends a nursery school.Conclusion. The discussed case demonstrates that a successful radical surgical removal of neuroblastoma of difficult anatomic location may have good outcomes without adjuvant postoperative therapy.

scholarly journals Crossed testicular ectopia

1995 ◽  
Vol 113 (4) ◽  
pp. 935-940 ◽  
Author(s):  
Edward Esteves ◽  
Jaques Pinus ◽  
Renato Frota de Albuquerque Maranhão ◽  
Simone de Campos Vieira Abib ◽  
José Pinus
Keyword(s):  
Inguinal Hernia ◽  
Inguinal Canal ◽  
Review Of Literature ◽  
Rare Anomaly ◽  
The Right ◽  
Testicular Ectopia ◽  
Crossed Ectopia

Crossed testicular ectopia (CTE) is a rare anomaly, characterized by migration of one testis towards the opposite inguinal canal. Presented here is a case of crossed ectopia of the right testis, treated by extraperitoneal transposition of the gonad and right orchiopexy. Embriology and surgical findings suggest that CTE is a common consequence of many unclear ethiologic factors, specially mechanical ones, and can be associated with Muller duct persistence. Review of literature suggests a classification of CTE into 3 types: I - associated with inguinal hernia alone; II - associated with persistent mullerian remnants; III - associated with other anomalies without mullerian remnants. Treatment includes transeptal orchiopexy or extraperitoneal transposition of the testis, research for mullerian remnants and other anomalies, and long term postoperative follow-up, due to the risk of becoming malignant.

scholarly journals A retrospective study of internal small bowel herniation following pelvic lymphadenectomy for gynecologic carcinomas

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Yuji Tanaka ◽  
Yusuke Shimizu ◽  
Ai Ikki ◽  
Kota Okamoto ◽  
Atsushi Fusegi ◽  
...  
Keyword(s):  
Open Surgery ◽  
Rare Complication ◽  
Pelvic Lymphadenectomy ◽  
Internal Hernias ◽  
Significant Difference ◽  
Laparoscopic Pelvic Lymphadenectomy ◽  
The Right ◽  
Prevention Methods ◽  
Bowel Herniation

AbstractAfter pelvic lymphadenectomy (PLA), pelvic vessels, nerve, and ureter are skeletonized. Internal hernias beneath the skeletonized pelvic structure following pelvic lymphadenectomy (IBSPP) are a rare complication following PLA. To the best of our knowledge, only 12 IBSPP cases have been reported and clinical details on such hernias remain unknown. The aim of the study was to investigate the incident and etiology of IBSPP. 1313 patients who underwent open or laparoscopic pelvic lymphadenectomy were identified from our database. A retrospective review was performed. Mean follow-up period was 33.9 months. A total of 12 patients had IBSPP. Multivariate analysis of laparoscopic surgeries group as compared to open surgeries group, para-aortic lymphadenectomy rate, number of dissected lymph nodes by PLA, antiadhesive material use rate, and blood loss were lower in laparoscopic surgeries group: odd ratio (OR) = 0.13 [95% confidence interval (CI) 0.08–0.19], and OR = 0.70 [95% CI 0.50–0.99], OR = 0.17 [95% CI 0.10–0.28], OR = 0.93 [95% CI 0.92–0.94]. However, no significant difference was observed in the incidence of IBSPP between laparoscopic surgery (1.0%) and open surgery (0.8%). All IBSPP occurred in the right pelvic space. These findings may contribute to the development of prevention methods for this disease.

scholarly journals TRATAMENTO CIRÚRGICO DE SIALOLITO DE GRANDES PROPORÇÕES EM GLÂNDULA SUBMANDIBULAR: RELATO DE CASO

2019 ◽  
Author(s):  
Fernanda Britto de Melo Silva
Keyword(s):  
Submandibular Gland ◽  
Correct Diagnosis ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Surgical Removal ◽  
Main Complaint ◽  
Organic Debris ◽  
The Right ◽  
Submandibular Gland Excision

ResumoSialolitos são estruturas calcificadas, que se desenvolvem no interior do sistema ductal salivar em decorrência da deposição de sais de cálcio ao redor de um acúmulo de restos orgânicos no lúmen do ducto glandular. Acometem mais frequentemente a glândula submandibular e são a causa mais comum de inflamações agudas ou crônicas nas glândulas salivares maiores. São mais frequentes em pacientes de 30 a 40 anos e duas vezes mais em homens do que em mulheres. Os sintomas geralmente se apresentam com o aumento da glândula salivar gerando tumefação local, febre, disfagia e dor. O diagnóstico correto envolve exame clínico, inspeção, palpação, manipulação da glândula e exames radiográficos. Podem ser evidenciados por radiografias convencionais, tomografia computadorizada, ressonância magnética, ultrassonografia, cintilografia, sialoendoscopia e sialografia. O tratamento inclui a eliminação espontânea mediante orientações ou uso de medicamentos sialogogos, ou a remoção cirúrgica do sialolito, sendo necessária, em alguns casos, a exérese da própria glândula. Este trabalho tem como objetivo relatar o caso clínico do paciente G.L.C, 70 anos de idade, sexo masculino, que compareceu ao Serviço de Cirurgia Oral e Maxilofacial do Hospital Federal dos Servidores do Estado, com queixa principal de dor e aumento de volume. Apresentava laudo de ultrassonografia evidenciando a presença de 3 cálculos medindo 10mm, 9mm e 8mm em glândula Submandibular direita. O paciente foi submetido à procedimento cirúrgico sob anestesia geral para exérese da glândula Submandibular que correu sem intercorrências.  O paciente segue em acompanhamento pós operatório de 1 ano com boa evolução e sem sintomatologia.Palavras-chave: sialolito; glândula submandibular; cirurgia oral e maxilofacial.AbstractSialolites are calcified structures that develop within the salivary duct system due to the deposition of calcium salts around an accumulation of organic debris in the lumen of the glandular duct. They most often affect the Submandibular gland and are the most common cause of acute or chronic inflammation in the larger salivary glands. They are more common in patients aged 30 to 40 years and twice as often in men than in women. Symptoms usually present with enlargement of the salivary gland leading to local swelling, fever, dysphagia and pain. The correct diagnosis involves clinical examination, inspection, palpation, manipulation of the gland and radiographic examinations. They can be evidenced by conventional radiographs, computed tomography, magnetic resonance imaging, ultrasound, scintigraphy, sialendoscopy and sialography. Treatment includes spontaneous elimination through guidance or use of sialogogues, or surgical removal of the sialolith, and in some cases the removal of the gland itself is necessary. This paper aims to report the clinical case of patient G.L.C, 70 years old, male, who attended the Oral and Maxillofacial Surgery Service of the Federal Hospital of the State Servants, with the main complaint of pain and swelling. He presented ultrasound report showing the presence of 3 calculi measuring 10mm, 9mm and 8mm in the right Submandibular gland. The patient underwent a surgical procedure under general anesthesia for submandibular gland excision that ran uneventfully. The patient follows a 1-year postoperative follow-up with good evolution and no symptomsKeywords: sialolite; submandibular gland; oral and maxillofacial surgery.

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