scholarly journals S1469 A Case of Pleuro-Biliary Fistula Formation and Intrapulmonary Gallstones Due to Complication From Prior Cholecystectomy

2021 ◽  
Vol 116 (1) ◽  
pp. S673-S673
Author(s):  
Kyaw Min Tun ◽  
Jose Aponte-Pieras ◽  
Katerina Roma ◽  
KaChon Lei ◽  
Bhavana Bhaya
Keyword(s):  
Biliary Fistula ◽  
Fistula Formation

scholarly journals The history of biliary surgery

2014 ◽  
Vol 95 (4) ◽  
pp. 604-607
Author(s):  
I V Fedorov
Keyword(s):  
Gall Bladder ◽  
Biliary Fistula ◽  
Fistula Formation ◽  
Biliary Colic ◽  
Biliary Surgery ◽  
Local Skin ◽  
The World ◽  
Bile Drainage ◽  
History Of ◽  
Xix Century

From the ancient times biliary surgery attracted a great attention of the doctors and other specialists all over the world. In medieval times, main efforts of medical workers were targeted to the liver and biliary anatomy research. Until the XV century doctors were not aware of the cholelithiasis, first steps in diagnosing and treating this disease were related to obstructive jaundice and biliary abscesses. Surgical treatment in XVIII-XIX centuries included intra-abdominal abscess drainage, pus and bile drainage, gall bladder lithotomy. If biliary colic was associated with local skin hyperemia in right hypochondrium, a surgeon would make an incision in this area, leading to biliary fistula formation and further recovery in some patients. In the middle of XIX century, surgeons started to perform cholecystostomy, removing the stones out of the gall bladder and performing the cholecystopexy to the laparotomy wound. Only in 1882 27-year old Langhenbuch, who was appointed as a head doctor in a hospital in Berlin, was the first one in the world to perform a cholecystectomy in 43-year old patient, who suffered from biliary colics for 16 years. Langhenbuch started to do surgeries on biliary system after many years of training on dead bodies. The peculiar progress in biliary surgery was observed during the last century. Minimally invasive and endoscopic technologies along with general anesthesia and antiseptics made this specialty safe for most of the patients, with cholecystectomy becoming one of the world’s most common surgeries. During the last decades laparoscopic cholecystectomy became the surgery of choice in treating cholelithiasis, and endoscopic papillosphincterotomy and choledocholithotomy - in treating choledocholithiasis.

scholarly journals LAPAROSCOPIC SIMULTANEOUS PARTIAL PERICYSTECTOMY AND TOTAL CYSTECTOMY FOR HYDATID LIVER CYSTS – CASE REPORT

2015 ◽  
Vol 88 (3) ◽  
pp. 415-419
Author(s):  
Bogdan Stancu ◽  
Octavian Andercou ◽  
Daniela Pintea ◽  
Aurel Mironiuc ◽  
Dan Alin Pop
Keyword(s):  
Postoperative Morbidity ◽  
Liver Cyst ◽  
Biliary Fistula ◽  
Fistula Formation ◽  
Limited Area ◽  
Saline Irrigation ◽  
Abdominal Ct Scan ◽  
Laparoscopic Cystectomy ◽  
The Right ◽  
Surgical Manipulation

Surgery remains the gold standard for the treatment of patients with echinococcosis, despite significant economic costs, advances in medical treatment and interventional radiology; in the past decades there has been a tendency toward laparoscopic surgery.We present a 66-year-old patient, from a rural area, who was admitted to our service complaining of spontaneous and palpatory pains in the right hypocondrium, headaches and dizziness. Abdominal  CT scan highlighted 2 round calcified tumors, one of 7.2 cm diameter (VIIIth segment) with liquid densities, and the other one localized higher, with a diameter of 2.3 cm (IVth segment).Under general anesthesia, after the neutralization of the content of the cyst with hypertonic saline irrigation, we performed laparoscopic partial pericystectomy of the VIIIth segment liver cyst and total laparoscopic cystectomy of the IVth segment liver cyst. Postoperative evolution was favorable without biliary fistula formation, postoperative infections or cystic cavities abscesses.Laparoscopic surgery seems to be effective and safe for uncomplicated cysts in accessible segments of the liver, combined with adjuvant albendazole therapy to reduce complications and postoperative morbidity, but the procedure has its own disadvantages such as a limited area of surgical manipulation.

A HOME-MADE BILIARY SENGSTAKEN TUBE AS A TEMPORIZING STRATEGY FOR MASSIVE BLEEDING SECONDARY TO ARTERIO-BILIARY FISTULA (ABF)

2018 ◽  
Author(s):  
M Cimavilla-Roman ◽  
R Torres-Yuste ◽  
A Carbajo-Lopez ◽  
R Sanchez-Ocana ◽  
M de Benito-Sanz ◽  
...  
Keyword(s):  
Massive Bleeding ◽  
Biliary Fistula

Heparin Excretion in Intact and Hepatectomized Rats

1981 ◽  
Vol 45 (02) ◽  
pp. 146-149
Author(s):  
Ray Losito ◽  
Harry Gattiker ◽  
Ginette Bilodeau
Keyword(s):  
Column Chromatography ◽  
Normal Values ◽  
Anticoagulant Activity ◽  
Biliary Fistula ◽  
Kinetics Of ◽  
Intact Rats

SummaryMetabolism and kinetics of 3H-heparin were compared in intact and hepatectomized rats. Rats were divided into three groups: 1) intact rats with biliary fistulas and cystostomies 2) intact rats with only cystostomies and 3) hepatectomized rats with cystostomies. Radioactivity in blood, bile and urine besides anticoagulant activity in blood and urine were examined. In addition, column chromatography of urine was used to isolate possible metabolites. Seventy percent and 80% of the radioactive dose was found in the urine of intact rats at 24 hr and 48 hr. Close to 5% of the radioactivity was found in bile or rats with a biliary fistula after 48 hr. The APTT declined to near normal values at 1 hr whether rats had a biliary fistula or not. In contrast, only 25 % of the radioactivity could be excreted into the urine of hepatectomized rats in 24 hr; the APTT did not decline as fast and at 5 hr, it was still 100 seconds. Only one radioactive component could be isolated on chromatography from all urines of these animals and appears to be similar to the original heparin. Thus, the liver has an important role to play in regulating the anticoagulant effects and excretion of heparin.

Abdominal Textiloma Mimicking as Left Colic Tumour: A Postoperative Complication Still Common in Low-Income Countries

EMJ Radiology ◽  
2020 ◽  
Keyword(s):  
Low Income ◽  
Early Stage ◽  
Low Income Countries ◽  
Fistula Formation ◽  
Emergency Laparotomy ◽  
Intermittent Fever ◽  
Gastrointestinal Complications ◽  
Surgical Safety ◽  
Surgical Teams ◽  
Safety Rules

Retained foreign bodies have become very rare in countries where the safety rules in the operating theatre are very rigorous and follow precise guidelines. There are low-income countries where hospital structures are precarious, in which the implementation of surgical safety rules has only been effective recently. Surgical teams in these countries are not yet well trained in the observance of the guidelines concerning swab count, meaning that textilomas are not uncommon. Abdominal textiloma may be asymptomatic, or present serious gastrointestinal complications such as bowel obstruction, perforation, or fistula formation because of misdiagnosis. It may mimic abscess formation in the early stage or soft tissue masses in the chronic stage. This case report presents a 27-year-old female who underwent an emergency laparotomy in a rural surgical centre for an ectopic pregnancy. Two months later, a swelling had appeared on the left side of her abdomen, gradually increasing in size, which was not very painful but caused digestive discomfort and asthenia. Intermittent fever was described and treated with antibiotics. The patient was referred to a better equipped centre to benefit from a CT scan. A textiloma was strongly suspected on the CT but a left colic mass was not excluded. Laparotomy confirmed the diagnosis of textiloma and the postoperative course was uneventful. Prevention rules must be strengthened in these countries where patients can hardly bear the costs of iterative surgeries for complications that are avoidable.

The Effect of Alcohol on Bile Volume and Constituents in Biliary Fistula Dogs

1941 ◽  
Vol 1 (4) ◽  
pp. 645-649 ◽  
Author(s):  
Alvin L. Berman ◽  
Eugene Snapp ◽  
Andrew C. Ivy ◽  
Arthur J. Atkinson
Keyword(s):  
Biliary Fistula

Treatment of Malignant Esophageal Fistulas: Fluoroscopic Placement of Esophageal SEMS, Endoscopically-assisted through Surgical Gastrostomy. A Case Report

2016 ◽  
Vol 25 (2) ◽  
pp. 249-252 ◽  
Author(s):  
Gabriel Constantinescu ◽  
Vasile Şandru ◽  
Mădălina Ilie ◽  
Cristian Nedelcu ◽  
Radu Tincu ◽  
...  
Keyword(s):  
Esophageal Carcinoma ◽  
Guide Wire ◽  
Subsequent Development ◽  
Covered Stent ◽  
Metallic Stents ◽  
Fistula Formation ◽  
Life Threatening ◽  
Endoscopic Placement ◽  
Surgical Gastrostomy ◽  
Methods Of Treatment

Progressive esophageal carcinoma can infiltrate the surrounding tissues with subsequent development of a fistula, most commonly between the esophagus and the respiratory tract. The endoscopic placement of covered self-expanding metallic stents (SEMS) is the treatment of choice for malignant esophageal fistulas and should be performed immediately, as a fistula formation represents a potential life-threatening complication. We report the case of a 64-year-old male diagnosed with esophageal carcinoma, who had a 20Fr surgical gastrostomy tube inserted before chemo- and radiotherapy and was referred to our department for complete dysphagia, cough after swallowing and fever. The attempt to insert a SEMS using the classic endoscopic procedure failed. Then, a fully covered stent was inserted, as the 0.035” guide wire was passed through stenosis retrogradely by using an Olympus Exera II GIF-N180 (4.9 mm in diameter endoscope) via surgical gastrostomy, with a good outcome for the patient. The retrograde approach via gastrostomy under endoscopic/fluoroscopic guidance with the placement of a fully covered SEMS proved to be the technique of choice, in a patient with malignant esophageal fistula in whom other methods of treatment were not feasible. Abbreviations: ERCP: endoscopic retrograde cholangio-pancreatography; GI: gastrointestinal; SEMS: self-expandable metallic stents.

Neutrophil/lymphocyte Ratio after Flow Citometry Periferic Blood Cell Detection - Predictive Marker of Anastomotic Fistula in Colorectal Cancer Surgery

2020 ◽  
Vol 71 (6) ◽  
pp. 295-306
Author(s):  
Dumitru Radulescu ◽  
Vlad Dumitru Baleanu ◽  
Andrei Nicolaescu ◽  
Marius Lazar ◽  
Marius Bica ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Cancer Patients ◽  
Rectal Surgery ◽  
Predictive Marker ◽  
Fistula Formation ◽  
Cell Detection ◽  
Colon And Rectal Surgery ◽  
Optimal Value ◽  
Anastomotic Fistula ◽  
Colorectal Cancer Patients

Anastomotic fistula is a dreadful complication of colon and rectal surgery that can put life into danger, being common after colorectal surgery. The preoperative lymphocyte neutrophil ratio (NLR) is known as a prognostic marker for colorectal cancer patients. The existence of a predictive marker of anastomotic fistula in colorectal cancer patients is not fully undestood, so we proposed to investigate the utility of preoperative NLR as a predictor of anastomotic fistula formation. This study the Neutrophils and lymphocytes were detected from periferic blood using flow citometry. We retrospectively evaluated 161 patients with colorectal cancer, who were treated curatively, in which at least one anastomosis was performed, comparing NLR values between patients who had fistula and those with normal healing, then comparing the group with low NLR, with the group with increased NLR, after finding the optimal value of NLR using the ROC curve.The optimal value of the NLR after establishing the cutoff value was 3.07. Between the low NLR group (n=134) and the high NLR group (n=27), were observed statistically significant differences in fistula (p [0.001) and death (p=0.001). The odds ratio for failure in the group with increased NLR was 10.37, which means that patients with NLR]3.54 have a chance of developing anastomotic fistula greater than 10.37 comparable to patients with lower NLR. We suggest the preoperative use of NLR can be used as a predictive marker of anastomotic fistula than can increase the quality of preoperative preparation and therefore the establishment of the optimal surgical technique that can lead to anastomotic fistula risk decrease.

scholarly journals Role of the urethral plate characters in the success of tubularized incised plate urethroplasty

2014 ◽  
Vol 47 (02) ◽  
pp. 221-237 ◽  
Author(s):  
Hamdy Aboutaleb
Keyword(s):  
Fistula Formation ◽  
Success Rates ◽  
Flat Plates ◽  
Urethral Plate ◽  
Tubularized Incised Plate ◽  
Plate Shape ◽  
Fistula Rate ◽  
Universal Applicability ◽  
Complications Rate ◽  
Plate Width

ABSTRACT Background: Today, tubularized incised plate (TIP) urethroplasty is the most commonly performed operation for distal and mid-penile hypospadias. Reports from different centers worldwide confirm its nearly universal applicability and low complications rate. Aim: Evaluation of the urethral plate characters and its effect on the outcome of TIP urethroplasty. Materials and Methods: Between 2010 and 2013, 100 children with primary distal penile hypospadias underwent TIP urethroplasty. Urethral plates were categorized as flat, cleft, and deeply grooved. Postoperatively, patients were followed-up for evaluation of meatal stenosis, fistula formation, and glandular dehiscence at 1 st , 3 rd and 6 th months. Patients were followed-up for urethral calibration by urethral sound 8 Fr at 3 rd and 6 months follow-up. Data were statistically analysed using Epi info program to correlate between the width, plate shape, and complications. Results: Mean age at surgery was 4.3 years. Patients were followed-up for an average period of 6.4 months. Pre-operative location of the meatus was reported as coronal in 46, subcoronal in 50 and anterior penile in 4 cases. Urethral plate characters were flat in 26 cases, cleft in 52, and deeply grooved in 22. Urethral plate width was >8 mm in 74 cases and <8 mm in 26. Patients with urethral plate <8 mm had a statistically significant higher fistula rate (P = 0.004) and failed 8 Fr calibrations in 26.9% (P = 0.01) compared with the patients with urethral plate >8 mm. In addition, we also founds higher fistula rate and failed 8 Fr calibrations in flat urethral plate. Conclusions: An adequate urethral plate width (>8 mm) is essential for successful TIP repair. Lower success rates with flat plates may need buccal mucosal augmentation to improve the results.

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