scholarly journals Endometriosis Graft on Umbilical Scar

2021 ◽  
Vol 18 (3) ◽  
Author(s):  
Hamri Asma ◽  
Boutajnouite Mehdi ◽  
Daoudi Badre ◽  
Chanfir Abderrahim ◽  
Narjis Youssef ◽  
...  
Keyword(s):  
Umbilical Scar

Pathological Umbilical Scar Management with 5-FU Injections

2017 ◽  
pp. 101-108
Author(s):  
Guillermo Blugerman ◽  
Diego Schavelzon ◽  
Gabriel Wexler ◽  
Marcelo Lotocky
Keyword(s):  
Scar Management ◽  
Umbilical Scar

scholarly journals Hermafroditismo verdadeiro na espécie canina

2017 ◽  
Vol 45 ◽  
pp. 5
Author(s):  
Paula Priscila Correia Costa ◽  
Cleyson Teófilo Braga Filho ◽  
Luana Azevedo Freitas ◽  
Maressa Holanda Dos Santos ◽  
Leonardo Alves Rodrigues Cabral ◽  
...  
Keyword(s):  
Complete Blood Count ◽  
Body Condition Score ◽  
External Genitalia ◽  
Abdominal Ultrasound ◽  
General Term ◽  
Lower Quadrant ◽  
True Hermaphrodite ◽  
Genital Ambiguity ◽  
The Right ◽  
Umbilical Scar

Background: Hermaphroditism or intersex is a general term that includes various congenital anomalies of the genital system which is used to define animals with ambiguous sexual characteristics. It occurs in domestic animals, more commonly in pigs and goats, and rarely in horses, dogs, sheep, and cattle. The prevalence of hermaphroditism varies a lot among breeds and species and is higher in groups with a high degree of consanguinity. Therefore, the objective of this report is to describe a case of canine hermaphroditism in a dog with male phenotype, as well as the anatomical and hormonal findings, and classification of the hermaphroditism exhibited by the animal studied.Case: A 1-year-old, mongrel, 5 kg dog was referred to the UHV-UECE due to the presence of a slit on the lower quadrant of the abdomen, caudal to the umbilical scar. At examination, the animal exhibited normal rectal temperature, no alterations of palpable lymph nodes, and a satisfactory body condition score. The pubic area had 2 testicles, each one in a different scrotum, 1 to the right and 1 to the left of the slit. A prepuce with no apparent function was present cranially to the slit, closer to the umbilical scar. At the other extremity of the slit, on the pubic region, there was a flaccid structure similar to a penis (micropenis) with no penile bone and no function. The slit was open until the area ventral to the anus, where the urethra was detected. The animal exhibited a behavior of territory demarcation with urine typically seen in male dogs. Orchiectomy and slit correction surgery were performed. Pre-surgical exams included: complete blood count and hormonal doses of estradiol, testosterone, and progesterone. Abdominal ultrasound was performed to assess presence of sexual glands and gonads. The hormonal exam revealed: estradiol 56.39 pg/mL; testosterone 127.9 ng/mL; progesterone 0.892 ng/mL. A uterus was not detected on ultrasound examination. Ovaries were seen on their typical anatomical position; they were symmetrical and had normal sizes. There was a normal size prostate in the pelvic area, exhibiting normal texture and echogenicity. No other abnormalities were seen and the owner opted for no further surgical intervention.Discussion: Testosterone predominance explains the male behavior and appearance, demonstrating that the testis were prevalent over the ovaries. The occurrence of XX males has been reported. The genetic cause is the absence of the SRY chromosome, which has a fundamental role on activation of the SOX gene, which is responsible for sex determination. Clinically, a true hermaphrodite can exhibit different degrees of genital ambiguity; they can be diagnosed during puberty with the emergence of heterosexual characteristics, or as an adult, with infertility or gonadal neoplasia. True hermaphrodites are individuals with testicular and ovarian tissues, either combined in one gonad (ovotestis) or present as two separate gonads. The presence of ovaries and testicles can be confirmed by histology, which was not performed in this study. However, ultrasound findings (prostate and ovaries), and the presence of normal testis and external genitalia without a defined penis or vulva are in accordance with the description of a true hermaphrodite.

Primary endometriosis of umbilical scar: case report and review of literature

2014 ◽  
Vol 6 (1) ◽  
pp. 55-61
Author(s):  
Michele Vignali ◽  
Erika Ciocca ◽  
Giulia Alabiso ◽  
Allegra Barbasetti di Prun ◽  
Giuseppe Scagnelli ◽  
...  
Keyword(s):  
Case Report ◽  
Review Of Literature ◽  
Umbilical Scar

scholarly journals Post-Operative Complications in Tram Flap Breast Reconstruction after Mastectomy

2018 ◽  
Vol 1 (Supplement) ◽  
pp. 47
Author(s):  
S.V. Parasca ◽  
B.F. Iosif ◽  
A. Costeschi ◽  
O. Popescu ◽  
M. Roznovanu
Keyword(s):  
Breast Reconstruction ◽  
Left Breast ◽  
Long Term Results ◽  
Split Thickness Skin Graft ◽  
Tram Flap ◽  
Thickness Skin ◽  
Tissue Reconstruction ◽  
Umbilical Scar ◽  
Reconstructive Techniques

Abstract Introduction. Breast cancer is the main cause of mortality for neoplastic diseases in women worldwide. Since the incidence is increasing every year, the need for reconstructive techniques increases and autologous tissue reconstruction procedures are also gaining ground over the more popular expander/ implant techniques. A hypertensive and obese patient is admitted by SCUCPRA’s Chronic Diseases Service, with a postmastectomy scar on the left breast, with normal aspect. A TRAM Flap is performed through an oblique tunnel for transposing the tissue over the defect. The abdominal defect was covered with polypropylene mesh. Three days post-operatory, the patient presented an umbilical necrotic scar of 6/ 3 cm and a 4/ 3 cm necrotic scar in the medial zone of the TRAM Flap. Materials and method. Four days post-operatory, the patient presented a 10/ 5 cm brown-black colored dehiscent umbilical scar and 2 dehiscent areas of 4/ 1 cm and 5/ 1 cm inferior and superior, on the TRAM Flap. Excisional debridement of the ulceration was performed, and the abdominal defect was covered with a split-thickness skin graft. The TRAM Flap was also debrided and immediate suture was performed. Conclusions and results. Necrosis is an important complication that can occur both at the abdominal level, as well as on the TRAM Flap, after a breast reconstruction, affecting both the general state of the patient and the long-term results of the reconstructive method.

scholarly journals Three Port Laparoscopic Cholecystectomy by a Modified Technique

2022 ◽  
Vol 12 (2) ◽  
pp. 90-94
Author(s):  
Mohammad Emrul Hasan Khan ◽  
Abdullah Md Abu Ayub Ansary ◽  
Md Monoarul Islam Talukdar ◽  
Fayem Chowdhury ◽  
Md Armanul Islam ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Pain Score ◽  
Operative Time ◽  
Operating Time ◽  
Modified Technique ◽  
Conversion To Open Surgery ◽  
Open Conversion ◽  
Medical College ◽  
Expert Surgeon ◽  
Umbilical Scar

Introduction:Since the introduction of laparoscopic cholecystectomy (LC) several modifications have been introduced to its procedure. Main aim of these modifications is to improve cosmesis & reduce pain. Several institutes are routinely performing conventional 3 ports laparoscopic. In modified 3 ports LC, the third port was moved from right hypochondrium to umbilicus, to conceal it in the umbilical scar, thereby giving the three port comfort to the surgeon and two port benefits to the patient. Methods: This observational study was conducted in the Department of Surgery of Shaheed Suhrawardy Medical College & Hospital from September 2015 to October 2016. After taking valid consent a total 45 patients were selected for modified 3 ports LC. Here we tried to see the safety and benefit of this modified technique by assessing operating time, intra-operative complications, open conversion rate, postoperative wound infection, post-operative hospital stay, pain score and satisfaction with cosmetic outcome. Results: 3 patients were excluded from study due to different reasons. So, among total 42 (N) patients 30 (71.4%) were female & 12 (28.6%) were male. Operative time was 58.48 ± 32.52 minutes (range 34 to 180 minutes). 2 patients required conversion to open surgery. Pain score was 2.07 ±1.71 and cosmetic score was 8.67 ± 1.99. Conclusion: Modified 3 port laparoscopic cholecystectomy can be performed safely with a higher cosmetic satisfaction in selected cases by expert surgeon. J Shaheed Suhrawardy Med Coll 2020; 12(2): 90-94

scholarly journals Initial Experience in Single-Incision Transumbilical Laparoscopic Liver Resection: Indications, Potential Benefits, and Limitations

HPB Surgery ◽  
2012 ◽  
Vol 2012 ◽  
pp. 1-9 ◽  
Author(s):  
Giovanni Dapri ◽  
Livia DiMarco ◽  
Guy-Bernard Cadière ◽  
Vincent Donckier
Keyword(s):  
Liver Resection ◽  
Laparoscopic Liver Resection ◽  
Single Incision ◽  
Wedge Resection ◽  
Late Complications ◽  
Conversion To Open Surgery ◽  
Single Incision Laparoscopy ◽  
Limited Series ◽  
Potential Benefits ◽  
Umbilical Scar

Background. Single-incision transumbilical laparoscopic liver resection (SITLLR) has been recently described in limited series. We report our experience in SITLLR and discuss the future of this approach in terms of indications, potential benefits, and limitations, with a special reference to laparoscopic liver resection (LLR). Patients and Methods. Six patients underwent SITLLR. Indications were biliary cysts (3 cases), hydatid cysts (2), and colorectal liver metastasis (1). Procedures consisted in cysts unroofing, left lateral lobectomy, pericystectomy, and wedge resection. SITLLR was performed with 11 mm reusable trocar, 10 or 5 mm 30° scopes, 10 mm ultrasound probe, curved reusable instruments, and straight disposable bipolar shears. Results. Neither conversion to open surgery nor insertion of supplementary trocars was necessary. Median laparoscopic time was 105.5 minutes and median blood loss 275 mL. Median final umbilical scar length was 1.5 cm, and median length of stay was 4 days. No early or late complications occurred. Conclusion. SITLLR remains a challenging procedure. It is feasible in highly selected patients, requiring experience in hepatobiliary and laparoscopic surgery and skills in single-incision laparoscopy. Apart from cosmetic benefit, our experience and literature review did not show significant advantages if compared with multiport LLR, underlying that specific indications remain to be established.

Case Report: Primary Endometriosis of Umbilical Scar

2014 ◽  
Vol 21 (6) ◽  
pp. S132-S133
Author(s):  
M. Vignali ◽  
E. Ciocca ◽  
S. Girardelli ◽  
G. Alabiso ◽  
A. Barbasetti di Prun ◽  
...  
Keyword(s):  
Case Report ◽  
Umbilical Scar
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