Laparoscopic Treatment of Early Postoperative Ileus After Laparotomy.

Author(s):  
Anna Marija Lescinska ◽  
Igors Ivanovs

Abstract Aim. The case report demonstrates a successful laparoscopic treatment of early postoperative small bowel obstruction after open strangulated umbilical hernia repair with mesh.Case report. An 86-year-old female was admitted to the hospital due to abdominal pain for 2 days localised in the umbilical region. A diagnosis of strangulated umbilical hernia was set, and emergency operative therapy was performed. On the third postoperative day the patient showed symptoms of bowel obstruction, confirmed on CT. An emergency laparoscopy proceeded. It revealed small intestine loop fixation to the mesh through the peritoneal defect. While separating the intestine a defect in bowel wall was found and sutured laparoscopically. Patient was discharged from the hospital on the 8th postoperative day.Conclusion. Laparoscopic treatment after open hernia surgery is an alternative access for redo surgery in early postoperative period. It provides acceptable results even in contaminated area without needs to reopen surgical wound.

2015 ◽  
Vol 43 (4) ◽  
pp. 343-345
Author(s):  
Daniel López-Herrera-Rodríguez ◽  
Rosana Guerrero-Domínguez ◽  
Jesús Acosta-Martínez ◽  
Francisco Sánchez-Carrillo

2010 ◽  
Vol 42 (7) ◽  
pp. 2823 ◽  
Author(s):  
Barry de Goede ◽  
Hasan H. Eker ◽  
Harold J. Metselaar ◽  
Hugo W. Tilanus ◽  
Johan F. Lange ◽  
...  

2020 ◽  
Vol 4 (4) ◽  
pp. 620-622
Author(s):  
Nicholas George ◽  
Charles Baldi ◽  
James Tonascia ◽  
Siamak Moayedi

Introduction: Bowel obstruction is a rare but well reported complication of blunt abdominal trauma (BAT). Obstruction is most often seen acutely caused by bowel wall hematomas and chronically as a result of post-traumatic strictures. Here, we present a novel case of BAT causing a subacute obstructing bowel wall hematoma. Case Report: A healthy, 32-year-old male presented to our emergency department with three days of nausea and vomiting. Chart review revealed he had been seen two weeks prior after a high-speed motor vehicle collision. During that initial visit, the patient had a benign abdominal exam and was discharged without imaging. On this return visit, the patient was found to have a large, obstructing colonic hematoma. Conclusion: Because emergency physicians care for patients in both the acute and subacute phases of trauma, clinicians should recognize the more subtle sequelae of BAT.


2020 ◽  
Vol 2020 (6) ◽  
Author(s):  
Julia Porter ◽  
Jacob Eisdorfer ◽  
Crystal Yi ◽  
Cecilia Nguyen

Abstract Multifocal endometriosis found outside of the pelvis is very rare. We present here a case of endometriosis found in the pelvis, appendix and umbilicus. A 52-year-old female had a previous umbilical hernia repair, and years later started to develop a recurrent umbilical mass. After a full work-up, it was decided the patient have a diagnostic laparoscopy with wide local excision of umbilical mass to rule out any underlying malignancy. Findings during the procedure included an umbilical mass, dilated appendix and ovoid mass abutting the appendix. Pathology of the umbilical mass was found to be consistent with endometriosis. Umbilical and pelvic endometriosis is a rare condition. Options for diagnosis prior to surgical interventions are limited in endometriosis. In this case, ruling out underlying malignancy took priority, and the mass was removed and she will have less chance of recurrence.


2009 ◽  
Vol 41 (10) ◽  
pp. 4428-4430 ◽  
Author(s):  
C. Reissfelder ◽  
B. Radeleff ◽  
A. Mehrabi ◽  
N.N. Rahbari ◽  
J. Weitz ◽  
...  

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