scholarly journals SURGICAL APPROACH AT IATROGENIC INJURIES OF EXTRAHEPATIC BILIARY TRACTS

2019 ◽  
Vol 21 (1) ◽  
pp. 15-18
Author(s):  
A A Abdullayev ◽  
B A Abdullayev
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Adhesive Small Bowel Obstruction ◽  
Surgical Wound ◽  
External Drainage ◽  
Biliodigestive Anastomosis ◽  
Iatrogenic Injuries ◽  
Post Surgery ◽  
Reconstructive Operations ◽  
Biliary Tracts ◽  
Surgery Mortality

Aim: To study the efficiency of reconstructive operations in “recent” iatrogenic injuries of extrahepatic biliary tracts. Methods. The experiment on surgical treatable of 22 patients with iatrogenic “recent” injuries of extrahepatic biliary tracts is submitted. Primary reparative operation has been performed to 1 patient (suturing of hepaticocholedochus injury after Laparoscopic cholecystectomy). Reparative operations throughout Roux-en-Y biliodigestive anastomosis were performed to 19 patients (Roux-en-Y hepaticojejunostomy - 4, Roux-en-Y bihepaticojejunostomy - 13, Roux-en-Y trihepaticojejunostomy - 2). The external drainage of extrahepatic biliary tracts of the 2nd patient has been the final method of surgical treatable. Results.Post-surgery complaints and mortalities. Among all the 22 patients with iatrogenic injuries of extrahepatic biliary tracts the post-surgery complaints of 4 patients have been registered: failure of stitches of Roux-en-Y bihepaticojejunostomy - 1, acute adhesive small bowel obstruction - 1, stenosis of bihepaticojejunostomy - 1, purulence of surgical wound - 1. Post-surgery mortality is 4,5 %. Conclusion.Roux-en-Y biliodigestive surgery is the main conclusive method in reconstructive treatment of iatrogenic injuries of extrahepatic biliary tracts.

New method of the application of choledochoenteroanastomosis with protection

1997 ◽  
Vol 78 (5) ◽  
pp. 350-352
Author(s):  
A. N. Popov
Keyword(s):  
Surgical Intervention ◽  
New Method ◽  
Biliodigestive Anastomosis ◽  
Basic Defect ◽  
Reconstructive Operations ◽  
Biliary Tracts ◽  
Clinical Conditions

The new method of the formation of biliodigestive anastomosis without the basic defect of existing methods of the surgical intervention regurgitatior of enteric contents with the following development of ascending cholengitis is proposed. The type of anastomosis proposed is recommended for the approbation in clinical conditions for reconstructive operations of biliary tracts.

scholarly journals Nurse’s Health Education in Families of Pediatric Surgical Clients

2018 ◽  
Vol 1 (2) ◽  
pp. 1
Author(s):  
Elsa Naviati ◽  
Sari Sudarmiati
Keyword(s):  
Health Education ◽  
Research Method ◽  
Wound Care ◽  
Research Data ◽  
Surgical Wound ◽  
Qualitative Phenomenology ◽  
Postoperative Nutrition ◽  
Post Surgery ◽  
Depth Interview ◽  
Descriptive Qualitative

Health education is one important component in caring for children with surgical cases. Health education is done to clients and families as an intervention of various nursing problems that appear both pre and post surgery. This study aims to find out how the implementation of health education provided by nurses to families of child surgical clients. This research method is descriptive qualitative phenomenology by using in-depth interview. The number of participants was 5 nurses. The amount is determined after the researchers assume that the research data saturated. The research produced five themes: preoperative health education, postoperative health education, postoperative nutrition, surgical wound care and post operative post pain. The health education provided by the majority nurses is physical. Psychosocial should also be a topic in health education provided by nurses to clients of children and their families.

scholarly journals Post-surgery mortality in Poland – Author's reply

The Lancet ◽  
2019 ◽  
Vol 393 (10185) ◽  
pp. 2034-2035
Author(s):  
Rupert Pearse
Keyword(s):  
Post Surgery ◽  
Surgery Mortality

scholarly journals Risk factors for the conversion of laparoscopic to open cholecystectomy

2018 ◽  
Vol 5 (7) ◽  
pp. 2470
Author(s):  
Kiran Kumar Paidipelly ◽  
Sangamitra .
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Open Surgery ◽  
Open Cholecystectomy ◽  
Previous History ◽  
Normal Activity ◽  
Post Surgery ◽  
History Of ◽  
The Right ◽  
Hospital Days ◽  
Lower Morbidity

Background: Gall stones is one of the most common diseases in man. Laparoscopic cholecystectomy is the preferred procedure, mainly due to lower morbidity and mortality, thus returning to the normal activity sooner, lesser number of hospital days and lesser pain post-surgery. However, around 2-15% of the patients need to convert from laparoscopic to open surgery due to different reasons.Methods: 357 patients who came in for laparoscopic cholecystectomy were included into the study. Details such as age, height, weight, BMI, mode of surgery i.e. emergency or elective, physical and clinical examination including Ultrasound, lab results, previous history of surgery and other co morbidities were noted.Results: Out of the 357 patients, 31(8.7%) were converted to open cholecystectomies, of which, 61.3% females and 38.7% males. 58% in the open cholecystectomy group were above 60 years. 67.7% of the patients who converted to open surgery had a BMI of over 25, while it was 39.6%   in case of laparoscopic surgery. 74.2% among the patients who had undergone conversion to the open surgery had pain in the right hypochondrium, 67.7% had increased WBC levels.Conclusions: Increased age, obesity, tenderness in the RHC, increased WBC levels, acute cholecystitis are the predisposing factors for the conversion of laparoscopic cholecystectomy to open cystectomy.

scholarly journals Study Protocol for a Pilot, Open-Label, Prospective, and Observational Study to Evaluate the Pharmacokinetics of Drugs Administered to Patients during Extracorporeal Circulation; Potential of In Vivo Cytochrome P450 Phenotyping to Optimise Pharmacotherapy

2019 ◽  
Vol 2 (2) ◽  
pp. 38
Author(s):  
Santosh Kumar Sreevatsav Adiraju ◽  
Kiran Shekar ◽  
Peter Tesar ◽  
Rishendran Naidoo ◽  
Ivan Rapchuk ◽  
...  
Keyword(s):  
Cytochrome P450 ◽  
Laparoscopic Cholecystectomy ◽  
Observational Study ◽  
Extracorporeal Circulation ◽  
Control Group ◽  
Open Label ◽  
Cyp Enzymes ◽  
Post Surgery ◽  
The Impact

Pharmacokinetic alterations of medications administered during surgeries involving cardiopulmonary bypass (CPB) and extracorporeal membrane oxygenation (ECMO) have been reported. The impact of CPB on the cytochrome P450 (CYP) enzymes’ activity is the key factor. The metabolic rates of caffeine, dextromethorphan, midazolam, omeprazole, and Losartan to the CYP-specific metabolites are validated measures of in vivo CYP 1A2, 2D6, 3A4, 2C19, and 2C9 activities, respectively. The study aim is to assess the activities of major CYPs in patients on extracorporeal circulation (EC). This is a pilot, prospective, open-label, observational study in patients undergoing surgery using EC and patients undergoing laparoscopic cholecystectomy as a control group. CYP activities will be measured on the day, and 1–2 days pre-surgery/3–4 days post-surgery (cardiac surgery and Laparoscopic cholecystectomy) and 1–2 days after starting ECMO, 1–2 weeks after starting ECMO, and 1–2 days after discontinuation from ECMO. Aforementioned CYP substrates will be administered to the patient and blood samples will be collected at 0, 1, 2, 4, and 6 h post-dose. Major CYP enzymes’ activities will be compared in each participant on the day, and before/after surgery. The CYP activities will be compared in three study groups to investigate the impact of CYPs on EC.

scholarly journals Post-surgery mortality in Poland

The Lancet ◽  
2019 ◽  
Vol 393 (10185) ◽  
pp. 2033-2034
Author(s):  
Stanisław Krawczyk
Keyword(s):  
Post Surgery ◽  
Surgery Mortality

scholarly journals Challenges in the Surgical Treatment of Atrioventricular Septal Defect in Children With and Without Down Syndrome in Romania-A Developing Country

2021 ◽  
Vol 9 ◽  
Author(s):  
Ioana-Cristina Olariu ◽  
Anca Popoiu ◽  
Andrada-Mara Ardelean ◽  
Raluca Isac ◽  
Ruxandra Maria Steflea ◽  
...  
Keyword(s):  
Down Syndrome ◽  
Surgical Treatment ◽  
Septal Defect ◽  
Surgical Intervention ◽  
Atrioventricular Septal Defect ◽  
Post Surgery ◽  
Number Of Patients ◽  
Increased Risk ◽  
Complete Form ◽  
Surgery Mortality

Background: Atrioventricular septal defect (AVSD) is a cardiac malformation that accounts for up to 5% of total congenital heart disease, occurring with high frequency in people with Down Syndrome (DS). We aimed to establish the surgical challenges and outcome of medical care in different types of AVSD in children with DS compared to those without DS (WDS).Methods: The study included 62 children (31 with DS) with AVSD, evaluated over a 5 year period.Results: Complete AVSD was observed in 49 (79%) children (27 with DS). Six children had partial AVSD (all WDS) and seven had intermediate types of AVSD (4 with DS). Eight children had unbalanced complete AVSD (1 DS). Median age at diagnosis and age at surgical intervention in complete AVSD was not significantly different in children with DS compared to those WDS (7.5 months vs. 8.6). Median age at surgical intervention for partial and transitional AVSDs was 10.5 months for DS and 17.8 months in those without DS. A large number of patients were not operated: 13/31 with DS and 8/31 WDS.Conclusion: The complete form of AVSD was more frequent in DS group, having worse prognosis, while unbalanced AVSD was observed predominantly in the group without DS. Children with DS required special attention due to increased risk of pulmonary hypertension. Late diagnosis was an important risk factor for poor prognosis, in the setting of suboptimal access to cardiac surgery for patients in Romania. Although post-surgery mortality was low, infant mortality before surgery remains high. Increased awareness is needed in order to provide early diagnosis of AVSD and enable optimal surgical treatment.

scholarly journals Causes and mechanisms in producing of iatrogenic injuries of the main bile duct in laparoscopic cholecystectomy. Measures of prevention

2015 ◽  
Vol 62 (4) ◽  
pp. 344-350
Author(s):  
Emel Suliman ◽  
◽  
Radu Şerban Palade ◽  
Emine Suliman ◽  
◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Bile Duct ◽  
Iatrogenic Injuries

Iatrogenic injuries of main bile duct in laparoscopic cholecystectomy are the most severe complications that can occur during surgery. It is presented the causes that favor the occurrence of these injuries, the mechanisms of producing and measures of prevention on who the operator should them know very well and respect them during the surgical act.

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