scholarly journals Laparoscopic management of isolated traumatic gall bladder injury accompanied by operative cholangiogram (Case Study)

2010 ◽  
Vol 6 (1) ◽  
pp. 27-39
Author(s):  
Abd Elrahman Elmaraghy ◽  
Ahmed M Kmal ◽  
Rabbah Abd Ellateef
Hernia ◽  
2008 ◽  
Vol 12 (4) ◽  
pp. 429-430 ◽  
Author(s):  
T. J. Colegate-Stone ◽  
T. Raymond ◽  
U. Khot ◽  
I. K. Dickinson ◽  
M. C. Parker

2020 ◽  
Vol 11 (2) ◽  
pp. 16-20
Author(s):  
Dr. Abdul Ghani Soomro

BACKGROUND & OBJECTIVE: Laparoscopic Cholecystectomy is usual method for the treatment of gall bladder stone disease and is practiced all over the world due to many benefits like fasten the recovery time. Furthermore, it reduced the post-operative pain and period of hospital stay. To conduct Surgical Audit and evaluate safety of Laparoscopic cholecystectomy. METHODOLGY: This prospective study was conducted in a private hospital at Hyderabad during free camps of Laparoscopic Cholecystectomy. Four camps were arranged in 2016 - 2019. Total number of 190 patients  underwent Laparoscopic Cholecystectomy during the study period. The patient's age falls between 12–65 years. A detailed history, relevant investigation and Cardiac fitness were evaluated. All patients underwent four ports Lap-Chole. Data was collected assessed and audit was performed and safety was evaluated. RESULTS: Total 190 patients operated females 88.45% and males 11.55%. 115 (60.50%)were in  the range of 30-35 years followed by 55 (28.95%)patients in the range of 40-50 years.8 (4.20%) patients were converted to open cholecystectomy, 4 due to bleeding from liver bed, 3 patients due to difficult dissection in calots triangle and 1 due to Empyema of gall bladder.10 patients (5.50%) had Trocar site bleeding, 10 patients (5.50%) had gall bladder injury, in 4 cases had spillage of stones and 72 patients (38.50%) developed umbilical port site infection 1 patient develop port site hernia. No mortality was recorded in this study. CONCLUSION: Our Surgical Audit proves that Laparoscopic Cholecystectomy is a safe procedure on the basis of only 4.2% intra operative and 5.5% postoperative complications and gaining wide spread popularity among our population due to less pain, less hospital stay. We recommend other private hospitals to extent such services to our poor population with symptomatic cholelithiasis.


2018 ◽  
Vol 14 (4) ◽  
pp. 335 ◽  
Author(s):  
GuruPrasad Painuly ◽  
Ankur Gupta ◽  
Mini Singhal ◽  
Bhavna Bansal

Author(s):  
Dr. Anil Kumar Bacha ◽  
Dr. Nivedita Rampure ◽  
Dr. Mrityunjay Kumar

Introduction: Ankylosing Spondylitis (AS) is a sero negative chronic inflammatory arthritis of Gall stone disease is a worldwide medical problem, but the incidence rates show substantial geographical variation, Cholelithiasis (gallstone formation) results from a combination of several factors, including super saturation of bile with cholesterol, accelerated nucleation of cholesterol monohydrate in bile, and bile stasis or delayed gallbladder emptying due to impaired gallbladder motility. In India it is more common in women in north, north-east and east as compared to other zones in the country. The disease Gall Stone has not been described directly in Ayurvedic classics. The word Ashmari in Ayurveda stands for stone which is described only in the context of Bastigata Ashmari (urinary calculi). After analyzing the Ayurvedic texts it was found that the bile secreted from gall bladder can be correlated with Accha Pitta mentioned in Ayurveda due to the similarity in location and function. The pathogenesis of the disease occurs due to the abnormal formation of Kapha during the process of digestion and its vitiation due to Vata. Once gallstones become symptomatic, definitive surgical intervention with cholecystectomy is usually indicated (typically, laparoscopic cholecystectomy is first-line therapy at centers with experience in this procedure). The present article deals with “Management of Pittashmari - A Case Study”


Injury ◽  
1972 ◽  
Vol 3 (4) ◽  
pp. 246-248 ◽  
Author(s):  
K. Solheim
Keyword(s):  

2021 ◽  
Vol 30 (03) ◽  
pp. 100-102
Author(s):  
Idrees Gondal ◽  
Ajmal Farooq ◽  
Muhammad Nasir ◽  
Muhammad Ayaz ◽  
Sardar Zunair Akbar Khan

ABSTRACTIntroduction: Gallstones are common in western countries. Usually in minimally invasive cholecystectomy, cystic artery and duct both are separately ligated using metallic clips and then divided. Harmonic scalpel is effectual, useful, and secure instrument regarding control of blood loss and dissection especially in laparoscopic procedure for cholecystectomy. Objective: To delineate outcome of totally clipless laparoscopic cholecystectomy with harmonic scalpels in gall stones disease.Materials and Method: This research (a retrospective case study) was done at surgical department, Lahore General Hospital, Lahore for 12 months. Total 195 patients fulfilling the above mentioned inclusion criteria were enrolled. Then patients underwent surgery under general anaesthesia. During surgery, operative time, gall bladder perforation and blood loss were noted. Patients were evaluated if conversion to open surgery was required. After surgery, patients were followed-up in OPD for 7 days for assessment of infection.Results: Mean age of patients was 45.75±14.98 years. Among patients 93(47.7%) were male and 102(52.3%) were female. Mean duration of gall bladder stone was 5.02±0.80 months. Mean time for operation was 50.27±12 minutes. Mean loss of blood was 73.11±20.46 ml respectively. There were 24(12.3%) cases who had perforation. Total 35(17.9%) patients suffered from infection post operatively. Conclusion: Total laparoscopic clipless cholecystectomy by harmonic scalpels is fully safe and useful technique in surgery for gall bladder stones.Key words: Total laparoscopic clipless cholecystectomy, harmonic scalpels (HS), gall bladder stones


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