scholarly journals Non-Tender Huge Abdominal Mass in an Adolescent

2021 ◽  
Vol 21 (2) ◽  
pp. e308-311
Author(s):  
Shashi Kiran ◽  
Shiekha S Jabri ◽  
Yasser A Razek ◽  
Meka N Devi
Keyword(s):  
Minimally Invasive ◽  
Abdominal Mass ◽  
Abdominal Cavity ◽  
Diagnostic Challenge ◽  
Current Case ◽  
Giant Cyst ◽  
Minimally Invasive Surgical ◽  
Contrast Enhanced ◽  
Paraovarian Cyst ◽  
The Right

Paraovarian cysts constitute about 10% of all adnexal masses in females and occur most commonly in the third and fourth decades of life. These cysts are benign and usually uncommon in adolescence. Such cysts pose a diagnostic challenge while distinguishing them from ovarian cysts clinically and during radiological investigations. We report a rare case of a 13-year-old female patient with bilateral paraovarian cysts, including a giant cyst in right mesosalpinx presenting to Sohar hospital, Oman in 2018. The definitive origin of the huge mass on the right side of abdominal cavity could not be established in the current case despite contrast enhanced computerized tomography. It was only on laparoscopic exploration that this mass was identified as a giant paraovarian cyst. Both the giant cyst and a smaller paraovarian cyst on the left side were enucleated with minimally invasive surgery while preserving the fertility of the patient. Only one other similar case of bilateral paraovarian cysts in an adolescent, including a giant cyst managed with laparoscopy, has been documented previously. Keywords: Adolescent; Parovarian Cyst; Laparoscopy; Ultrasonography; Minimally Invasive Surgical Procedures; Case Report; Oman.

scholarly journals Minimally invasive surgical options for ureteropelvic junction obstruction: A significant step in the right direction

2009 ◽  
Vol 25 (1) ◽  
pp. 27 ◽  
Author(s):  
ChandraShekhar Biyani ◽  
JonJ Cartledge ◽  
AnthonyJ Browning ◽  
AdrianD Joyce ◽  
StephanieJ Symons ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Ureteropelvic Junction Obstruction ◽  
Ureteropelvic Junction ◽  
Minimally Invasive Surgical ◽  
Significant Step ◽  
Surgical Options ◽  
The Right

Design of Double-Light Shadowless Lifting Retractor

2012 ◽  
Vol 499 ◽  
pp. 248-252
Author(s):  
Jun Sun ◽  
Bo Xiang ◽  
Ping Zhou ◽  
Rui Wang
Keyword(s):  
Minimally Invasive Surgery ◽  
Minimally Invasive ◽  
Invasive Surgery ◽  
Single Port ◽  
Abdominal Cavity ◽  
Surgical Instrument ◽  
Design Requirement ◽  
Gasless Laparoscopy ◽  
Minimally Invasive Surgical ◽  
Patented Product

The single-port gasless laparoscopic surgical instrument is an international leading patented product in minimally invasive surgery. This paper first describes the composition and the usage of the shadowless retractor of the single-port gasless laparoscopy minimally invasive surgical instrument. Aim to meet the specific requirement arise in the minimally invasive surgery for the animal abdominal cavity, we first improve the existing shadowless lifting retractor. Then, this paper proposes and designs the double-light shadowless lifting retractor. The test has shown the designed double-light shadowless lifting retractor has satisfied the design requirement. The practical tests have been done and shown the viability and effectiveness of the proposed design approach.

Uniportal thoracoscopic right anterior basal (S8) segmentectomy using unidirectional dissection

2021 ◽  
Keyword(s):  
Minimally Invasive ◽  
Surgical Procedure ◽  
Lower Lobe ◽  
Lung Parenchyma ◽  
Surgical Instruments ◽  
Thoracoscopic Approach ◽  
Minimally Invasive Surgical Procedure ◽  
Small Incision ◽  
Minimally Invasive Surgical ◽  
The Right

Anterior basal (S8) segmentectomy is one of the most challenging procedures among the uncommon pulmonary segmentectomies because the surgeon has to identify dominant pulmonary vein branches located deep in the lung parenchyma. Moreover, with the uniportal thoracoscopic approach, the angulation of inserted surgical instruments via a single small incision is extremely limited, which causes technical difficulties. However, adoption of a suitable procedure such as unidirectional dissection enables us to perform this type of minimally invasive surgical procedure. We describe the successful results of a patient undergoing uniportal thoracoscopic S8 segmentectomy of the right lower lobe and explain the nuances of performing it.

scholarly journals The Role of Minimally Invasive Spine Surgery

2020 ◽  
Vol 2 (2) ◽  
Author(s):  
Rully Hanafi Dahlan ◽  
Sevline Estethia Ompusunggu ◽  
Christian Ade ◽  
Ayu Iswandari Raharjo
Keyword(s):  
Minimally Invasive ◽  
Spine Surgery ◽  
Minimally Invasive Spine Surgery ◽  
Surgical Approaches ◽  
Intramedullary Tumor ◽  
Case Review ◽  
En Bloc ◽  
Minimally Invasive Surgical ◽  
Minimally Invasive Spine ◽  
The Right

Introduction :In the past half of century, the spinal surgery techniques has advanced significantly. Along with the improvement and various of techniques and technologies in general, there has been a big movement to reduce the morbidity of surgery. Case review : As opposed to open spine surgery, minimally invasive surgical approaches can be faster, safer and require less recovery time. The minimally invasive spine surgery also need to make an efficient target of surgery. The roots in minimally invasive spine surgery (MISS) are based primarily on technique modifications. Discussion: The Williams microdiscectomy, described in 1978, revolutionized MISS by starting the evolution of lumbar discectomy from an open surgery through a 6-inch incision to a microsurgical approach through as small an opening as possible. Conclusion :We don’t use the MISS technique when the extension of tumor is more than 2 levels; extension of the tumor is 20% longer than diameter of largest retractor; the tumor > 3cm for interlaminary approach, the wide durotomy is needed; and also the case with intramedullary tumor with 80% extention, from left to the right side; en bloc as the the goal of surgery for extradural tumor

scholarly journals Subhepatic caecum and appendix - a rare variant in an adult male cadaver

2013 ◽  
Vol 02 (02) ◽  
pp. 093-096
Author(s):  
P. Savithri
Keyword(s):  
Iliac Fossa ◽  
Abdominal Cavity ◽  
Intestinal Loop ◽  
Diagnostic Challenge ◽  
Inferior Surface ◽  
Male Cadaver ◽  
Hypochondriac Region ◽  
Right Lobe ◽  
The Right ◽  
Symptoms And Signs

AbstractIn unusual cases of malrotation or incomplete rotation of caecum , the appendix is not located in the lower right quadrant. When the caecum is high [subhepatic caecum] the appendix is located in the right hypochondriac region and the pain in these cases is located there, not in the lower right quadrant. In this position , the symptoms and signs of acute appendicitis may mimic acute cholecystitis, diagnosis in such cases is a great diagnostic challenge. The author observed this less frequent anomaly in a middle aged male cadaver. After opening the abdomen while tracing peritoneal reflections abnormality was identified. The caecum and appendix were present in relation with inferior surface of liver. Embryologically, the caecal swelling appears as a small conical dilation of the caudal limb of primitive intestinal loop and it is the last part of the gut to reenter the abdominal cavity. It is temporarily located in the right upper quadrant directly below the right lobe of liver. From here it descends into the right iliac fossa. The failure to descend leads to subhepatic caecum.

scholarly journals Purely Cystic Desmoplastic Ganglioglioma: An Incidental Finding in a Giant Cyst

2017 ◽  
Vol 07 (03) ◽  
pp. 231-234
Author(s):  
Sumit Bansal ◽  
Ashok Mahapatra ◽  
Susama Patra ◽  
Radhamohan Gharei
Keyword(s):  
Incidental Finding ◽  
Male Infant ◽  
Good Prognosis ◽  
Tumor Type ◽  
Current Case ◽  
Complete Excision ◽  
Giant Cyst ◽  
Cystic Form ◽  
The Right ◽  
Solid Type

AbstractDesmoplastic infantile ganglioglioma (DIG) is a rare supratentorial brain tumor occurring mostly before the age of 2 years. It has a good prognosis and total excision of the tumor is curative, necessitating no further treatment. An accurate pathologic diagnosis is crucial. Until now, approximately 70 cases of this tumor type have been reported. Solid-cystic variety is mostly described with occasional purely solid type lesion also. We are presenting a 12-month-old male infant with developmental delay and a giant cyst on the right side of supratentorial compartment, which showed histological features of desmoplastic ganglioglioma. Hence, the current case is reporting the rare histologic finding of cystic change in desmoplastic ganglioglioma. Cystic form of desmoplastic ganglioglioma should be considered in differential diagnosis of supratentorial cystic lesion in an infant. Prognosis is excellent after complete excision.

scholarly journals Management of obstructive urolithiasis in dairy calves with intact bladder and urethra by Fazili’s minimally invasive tube cystotomy technique

2012 ◽  
Vol 2 (1) ◽  
pp. 11
Author(s):  
Mujeeb Ur Rehman Fazili ◽  
Hiranya Kumar Bhattacharyya ◽  
Bashir Ahmad Buchoo ◽  
Hamid Ullah Malik ◽  
Shahid Hussain Dar
Keyword(s):  
Minimally Invasive ◽  
Urinary Tract Obstruction ◽  
Abdominal Cavity ◽  
Cost Effective ◽  
Invasive Technique ◽  
Stay Suture ◽  
Minimally Invasive Surgical ◽  
Local Infiltration Anaesthesia ◽  
Light Sedation

The present study was planned to evaluate minimally invasive tube cystotomy technique in calves suffering from obstructive urolithiasis having intact urinary bladder and urethra. Fifteen male non-castrated calves with age ranging from 1-10 months (mean 4.05 months), presented for treatment within one to three days (mean 2.2 days) of complete urinary tract obstruction due to urethral calculi with intact bladder and urethra, were included in this study. Under light sedation and local infiltration anaesthesia, all the animals were subjected through left paralumbar fossa, to a minimally invasive surgical tube cystotomy in which catheter was placed in the bladder lumen through a metallic cannula and fixed to the skin with a stay suture (Fazili’s technique). All the animals were discharged the same day. Time taken for the procedure varied from 8 to 17 minutes (mean 11.0 minutes). Normal urination resumed in twelve (80.0%) calves. Mean time taken for normal urination was 10.50 days. In two of the remaining calves, urine flow stopped through the catheter prematurely and they were then subjected to standard surgical tube cystotomy. One more calf did not urinate normally for 30 postoperative days and was lost to the follow up thereafter. Recurrence of the obstruction was not detected in ten and nine animals observed up to six and 12 months respectively. In conclusion, the outcome of this minimally invasive technique is similar to the standard tube cystectomy. Additionally, the procedure is cost effective, quick, simple and field applicable. It also minimizes exposure of abdominal cavity of metabolically compromised animals. However, the technique needs to be tried in larger number of such calves wherein better quality catheter of larger diameter be used before recommending its extensive use.

scholarly journals Case Report: Transcatheter Arterial Embolization for the Initial Management of Intra-Abdominal Hemorrhage From a Hepatic Tumor in a Cat

2021 ◽  
Vol 8 ◽  
Author(s):  
Yuta Kawamura ◽  
Hiroki Itou ◽  
Akitomo Kida ◽  
Hiroki Sunkawa ◽  
Kenji Kawamura
Keyword(s):  
Transcatheter Arterial Embolization ◽  
Abdominal Mass ◽  
Abdominal Cavity ◽  
Good Condition ◽  
Arterial Embolization ◽  
Caudate Lobe ◽  
Abdominal Ultrasonography ◽  
Abdominal Bleeding ◽  
Contrast Enhanced ◽  
Enhanced Computed Tomography

An 8-year-old Ragdoll cat was admitted to our hospital after its owner noticed sudden lethargy. Abdominal ultrasonography showed a large amount of blood in the abdominal cavity, and the cat was diagnosed as having hemorrhagic shock caused by the rupture of an intra-abdominal mass. Blood transfusion was performed on the 1st day of hospitalization. On the 2nd day, contrast-enhanced computed tomography (CT) was performed, and hemorrhage from a mass originating in the caudate lobe of the liver was noted. Transcatheter arterial embolization (TAE) was performed to stop the bleeding from the mass using Gelpart to embolize the feeding artery. The following day, fever and elevation of liver enzyme levels were observed, but these subsided within a few days. At discharge 5 days after TAE, no fluid was found in the peritoneal cavity, and no further intra-abdominal bleeding occurred. Sixty-six days after TAE, we were able to perform resection surgery with the cat in good condition. A partial response was observed on CT performed before surgery. Histopathology revealed cholangiocellular adenoma. The cat was doing well as of postoperative day 549. This case indicates that TAE may be effective for initial hemostasis and stabilization of conditions in animals with tumor-induced hemorrhage.

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