scholarly journals Drainage as a rare cause of intestinal incarceration

2005 ◽  
Vol 133 (7-8) ◽  
pp. 370-371 ◽  
Author(s):  
Sasa Kadija ◽  
Radmila Sparic ◽  
Vojislav Zizic ◽  
Aleksandar Stefanovic
Keyword(s):  
Surgical Treatment ◽  
Small Bowel ◽  
Abdominal Wall Defect ◽  
Abdominal Cavity ◽  
Pelvic Mass ◽  
Wall Defect ◽  
Causative Mechanism ◽  
Small Bowel Incarceration ◽  
Intestinal Incarceration ◽  
Do So

Silicone drains are often placed in the abdominal cavity for prophylactic reasons. One complication resulting from drainage includes visceral herniation at the drain site of the abdominal wall defect An 82-year-old woman underwent a laparotorny for a large pelvic mass. After the operation, she developed small bowel incarceration, which was caused by aggressive drain extraction. Subsequent surgical treatment resulted in the patient's full recovery. This case emphasises the unusual causative mechanism of intestinal obstruction. Drains should be placed carefully in the abdominal cavity in strictly selected cases, only when it is reasonable to do so.

scholarly journals Novel multidisciplinary approach to monitor and treat fetuses with gastroschisis using the Svetliza Reducibility Index and the EXIT-like procedure

2017 ◽  
Vol 15 (4) ◽  
pp. 395-402 ◽  
Author(s):  
Gustavo Henrique de Oliveira ◽  
Javier Svetliza ◽  
Denise Cristina Mós Vaz-Oliani ◽  
Humberto Liedtke Junior ◽  
Antonio Helio Oliani ◽  
...  
Keyword(s):  
Abdominal Wall Defect ◽  
Abdominal Cavity ◽  
Perinatal Period ◽  
Intestinal Loop ◽  
Wall Defect ◽  
Normal Ranges ◽  
Novel Approach ◽  
Historical Controls ◽  
Uterine Relaxation

ABSTRACT Objective: To describe our initial experience with a novel approach to follow-up and treat gastroschisis in “zero minute” using the EXITlike procedure. Methods: Eleven fetuses with prenatal diagnosis of gastroschisis were evaluated. The Svetliza Reductibility Index was used to prospectively evaluate five cases, and six cases were used as historical controls. The Svetliza Reductibility Index consisted in dividing the real abdominal wall defect diameter by the larger intestinal loop to be fitted in such space. The EXIT-like procedure consists in planned cesarean section, fetal analgesia and return of the herniated viscera to the abdominal cavity before the baby can fill the intestines with air. No general anesthesia or uterine relaxation is needed. Exteriorized viscera reduction is performed while umbilical cord circulation is maintained. Results: Four of the five cases were performed with the EXIT-like procedure. Successful complete closure was achieved in three infants. The other cases were planned deliveries at term and treated by construction of a Silo. The average time to return the viscera in EXIT-like Group was 5.0 minutes, and, in all cases, oximetry was maintained within normal ranges. In the perinatal period, there were significant statistical differences in ventilation days required (p = 0.0169), duration of parenteral nutrition (p=0.0104) and duration of enteral feed (p=0.0294). Conclusion: The Svetliza Reductibility Index and EXIT-like procedure could be new options to follow and treat gastroschisis, with significantly improved neonatal outcome in our unit. Further randomized studies are needed to evaluate this novel approach.

scholarly journals Management of an obstructed recurrent inguinal hernia using a hybrid method: a case report

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yuka Ooe ◽  
Naoki Horikawa ◽  
Shohei Miyanaga ◽  
Ryosuke Kobiyama ◽  
Yurika Iida ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Small Bowel ◽  
Perioperative Complications ◽  
Abdominal Cavity ◽  
Study Patient ◽  
Recurrent Inguinal Hernia ◽  
Hybrid Surgery ◽  
Mesh Plug Repair ◽  
Plug Repair ◽  
Small Bowel Incarceration

Abstract Background For recurrent incarcerated and strangulated hernias, the optimal treatment strategy for each case is needed. Case presentation The study patient was a 70-year-old man. TAPP repair was performed for a left inguinal hernia (JHS Classification II-1) 7 years earlier. The patient experienced transient pain and swelling of the left inguinal region for 5 months and visited our emergency department for abdominal pain and vomiting. A CT scan showed a recurrent left inguinal hernia and small bowel incarceration, and emergency surgery was performed. Laparoscopic observation of the abdominal cavity revealed recurrent left inguinal hernia (Rec II-1) with small bowel incarceration. The small bowel was reduced after pneumoperitoneum, and no findings suggested intestinal tract necrosis. Adhesions around the herniated sac were dissected using an extraperitoneal approach and then shifted to mesh plug repair. No perioperative complications or hernia recurrence were observed in the 10 months after the surgery. Conclusions This report describes a novel, successful surgical treatment for a recurrent incarcerated hernia. In our patient, we could easily perform dissection and understand the positional relationship by hybrid surgery using the TEP method. Additionally, in patients with incarcerated hernias, we believe that performing hybrid surgery by combining the TEP method would be useful because bowel dilation caused by intestinal obstruction would not disturb the operative field.

scholarly journals Vaginal birth vs caesarean delivery: impact on gastroschisis anatomy in newborns (a 33-year experience)

2021 ◽  
pp. 15-19
Author(s):  
O.K. Sliepov ◽  
N.Y. Zhylka ◽  
V.L. Veselskyi ◽  
N.Y. Skrypchenko ◽  
T.V. Avramenko ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Abdominal Wall ◽  
Caesarean Delivery ◽  
Anterior Abdominal Wall ◽  
Abdominal Wall Defect ◽  
Abdominal Cavity ◽  
Delivery Mode ◽  
Wall Defect ◽  
Abdominal Organs ◽  
Group I

Background. Despite the existence of numerous studies on the optimal delivery mode in gastroschisis (GS), their results remain controversial. Therefore, the presented study is focused on establishing the delivery mode impact on GS anatomy in newborns.Research objective. The study was conducted to determine the impact of the delivery mode on the features of GS anatomy in newborns.Materials and methods. A retrospective analysis of medical records of 135 pregnant women and 135 their newborns with GS born between 1987 and 2020 was conducted. All newborns are divided into 3 groups. Newborns delivered by caesarean section are included in group I (n = 80); children born exclusively naturally are included in groups II (n = 25) and III (n = 30). The following anatomical features of GS in newborns were studied: localization and size of the anterior abdominal wall defect, confluence with the abdominal cavity, the nature and frequency of the eventrated organs.Results. The size of the anterior abdominal wall defect was significantly smaller in children with GS delivered by caesarean section (3.02 ± 0.58 cm; p < 0.01) than in children born naturally (4.17 ± 0.3 cm in group II, 4.7 ± 0.29 cm in group III). The frequency of retroperitoneal organs eventration was significantly less (20.0%; p < 0.01) in caesarean delivery grope than in II and III groups (52% and 63.3%, respectively). There was no significant difference in frequency of other abdominal organs eventration, localization of the anterior abdominal wall defect and confluence with the abdominal cavity. Level of evidence – III. Conclusions. The mode of delivery affects the size of abdominal wall defect and frequency of the abdominal organs eventration in newborns with GS.

scholarly journals Exomphalos Major in Adults: A Treatment Modality

2016 ◽  
Vol 02 (02) ◽  
pp. 066-069
Author(s):  
Tanweerul Huda ◽  
Ashok Mhaske
Keyword(s):  
Compartment Syndrome ◽  
Abdominal Wall ◽  
Ventral Hernia ◽  
Adult Female ◽  
Treatment Modality ◽  
Abdominal Wall Defect ◽  
Abdominal Cavity ◽  
Wall Defect ◽  
High Degree ◽  
Standard Techniques

AbstractOmphalocele (OC) is a congenital abdominal wall defect (CAWD) at the site of the umbilical ring with evisceration of the bowel covered by a three-layered membrane of peritoneum, Wharton's jelly, and amnion. It is associated with an underdeveloped abdominal cavity and a high degree of viscera abdominal disproportion. An adult female giant OC patient was treated at our hospital using the component separation technique (CST) after reviewing different standard techniques. No evidence of any compartment syndrome or ventral hernia was detected postoperatively. Giant OC in an adult healed in the same way using CST as in an infant with favorable outcomes.

scholarly journals Polypropylene endoprostheses in the surgical treatment of strangulated postoperative ventral hernias

2012 ◽  
Vol 93 (3) ◽  
pp. 541-544
Author(s):  
I M Fatkhutdinov
Keyword(s):  
Surgical Treatment ◽  
Abdominal Wall ◽  
Abdominal Wall Defect ◽  
Subcutaneous Tissue ◽  
Abdominal Cavity ◽  
Subcutaneous Fat ◽  
Postoperative Mortality ◽  
Early Postoperative Period ◽  
Mesh Endoprostheses ◽  
Ventral Hernias

Aim. To determine and implement the best ways to position mesh endoprostheses in the anterior abdominal wall during strangulated postoperative ventral hernias; to introduce methods of non-stretch hernioplasty into emergency surgery of giant hernias. Methods. 115 patients (27 males and 88 females) with strangulated postoperative ventral hernias aged 30-73 years were under observation. Depending on the size of the hernia and on the intraoperative findings different methods of implantation of the mesh endoprostheses were used, which prevented the mesh contact with subcutaneous fat and abdominal organs. For small and medium-sized hernias the mesh was placed under or over the abdominal membrane, it was fixed to the abdominal wall, the aponeurosis was sewn together in an «edge to edge» fashion. In cases with giant hernias non-stretch hernioplasty was performed. During the operation of non-stretch hernioplasty, dissection and excision of the hernial sac was performed in such a way that made it possible to use it to cover the abdominal wall defect. Results. In the early postoperative period in 17 (14.8%) patients seromas had formed in the wound, which were treated by needle puncture under ultrasound guidance. Postoperative mortality was 5.2% (6 people). In 5 cases the deaths were due to myocardial infarction and pulmonary embolism. One patient developed peritonitis due to suture insufficiency of the enteric anastomosis. Of all patients with lethal outcomes five patients were admitted after more than 6 hours from the start of the strangulation, one patient was admitted after 3 hours. Conclusion. The usage of techniques that delimit the mesh prosthesis from the abdominal cavity and subcutaneous tissue, and the introduction of non-stretch methods for giant hernias in the surgical treatment of strangulated postoperative ventral hernia contribute to improved outcomes of treatment in this group of patients.

Gastroschisis followed by absorption of the small bowel and closure of the abdominal wall defect.

1994 ◽  
Vol 13 (9) ◽  
pp. 719-721 ◽  
Author(s):  
M G Pinette ◽  
Y Pan ◽  
S G Pinette ◽  
M Jones ◽  
P G Stubblefield ◽  
...  
Keyword(s):  
Small Bowel ◽  
Abdominal Wall ◽  
Abdominal Wall Defect ◽  
Wall Defect

scholarly journals New prospects for ultrasound examination of abdominal organs state in newborn children with gastroschisis

2018 ◽  
pp. 220-225
Author(s):  
M. I. Pykov ◽  
Е. A. Filippova ◽  
O. V. Teplyakova ◽  
Е. I. Dorofeeva ◽  
N. N. Dzhandzhgava
Keyword(s):  
Renal Failure ◽  
Acute Renal Failure ◽  
Surgical Repair ◽  
Ultrasound Examination ◽  
Anterior Abdominal Wall ◽  
Abdominal Wall Defect ◽  
Abdominal Cavity ◽  
Intestinal Wall ◽  
Wall Defect ◽  
Abdominal Organs

Gastroschisis is a complex anterior abdominal wall defect requiring urgent surgical repair. Oneor two-stage surgery to return the intestines to the abdominal cavity may result in developing acute renal failure. Preservation of the Arantsiev duct lumen provokes serious changes in the portal vein system. The state of the microcirculatory bloodstream in the intestinal wall clearly correlates with the clinical data indicating the restoration of the passage through the gastrointestinal tract.

scholarly journals The modern methods of X-Ray based diagnostic in cases of ectopia cordis associated with pentalogy of Cantrell

2017 ◽  
Vol 8 (4) ◽  
pp. 92-98
Author(s):  
Elena V. Kosovtsova ◽  
Alexandr V. Pozdnyakov ◽  
Nikolay G. Pilyugov ◽  
Alexey B. Naumov ◽  
Sergey P. Marchenko
Keyword(s):  
Surgical Treatment ◽  
Abdominal Wall ◽  
Abdominal Wall Defect ◽  
The Body ◽  
Ectopia Cordis ◽  
Pentalogy Of Cantrell ◽  
Wall Defect ◽  
X Ray ◽  
Septal Defects ◽  
Collateral Arteries

Pentalogy of Cantrell with ectopia cordis is an extremely rare and lethal congenital anomaly included congenital hearth disease (CHD), midline supraumbilical abdominal wall defect, defect of lower sternum part, deficiency of the anterior diaphragm, a defect in the diaphragmatic pericardium. The complexity of this syndrome is usually incompatible with life. Depending on the location of the protruding heart and on the extent of the body wall defect, ectopia cordis may be grouped into cervical, thoracic, thoracoabdominal, or abdominal types. The heart mostly uncovered, covered with a serous membrane less often, and covered with skin rare. Depending on combination defects pentalogy of Cantrell classified for 3 different classes by Toyama (classified in 1972): 1 class – complete syndrome (all five defects), 2 class – probable syndrome (included intracardial defect and ventral abdominal wall defect) 3 class – incomplete syndrome (with various combinations of defects present, including a sternal abnormality). Presented clinical case newborn pentalogy of Cantrell first Toyama class. We used X-Ray for firstly diagnostic, for visualization CHD was performed CT. For postnatal diagnostic CHD are used Echo and CT. CT allows graphically to see the type of CHD and predict a surgical treatment. The strategy of surgical treatment and further prognose are depend on combination of anomalies within the framework of pentalogy of Cantrell. By CT we determined atresia of the pulmonary artery with major aorto-pulmonary collateral arteries (MAPCA), ventricular and atrial septal defects.

scholarly journals Caesarean Scar Endometriosis May Require Abdominoplasty

2021 ◽  
Vol 14 ◽  
pp. 117954762110276
Author(s):  
Barczyński Bartłomiej ◽  
Sobstyl Małgorzata ◽  
Frąszczak Karolina ◽  
Sobstyl Anna
Keyword(s):  
Surgical Treatment ◽  
Abdominal Wall ◽  
Abdominal Wall Defect ◽  
Uterine Cavity ◽  
Tumour Resection ◽  
Wall Defect ◽  
Scar Endometriosis ◽  
Caesarean Scar ◽  
Hernia Prevention

Endometriosis is defined as an ectopic presence of endometrium-like tissue outside uterine cavity, which most commonly involves intraperitoneal organs. However, one of the less frequent forms of the disease is abdominal wall endometriosis usually developing in surgical scars following obstetric and gynaecological surgeries involving uterine cavity entering, that is, caesarean section, myomectomy or hysterectomy. In this case report we present a case of a patient with extensive caesarean scar endometriosis, who required complex surgical management. Successful surgical treatment involved not only radical tumour resection and application of mesh in postoperative hernia prevention but also adequate wound closure ensuring satisfactory cosmetic results, which was most challenging. The abdominal wall defect could not be sutured by traditional technique, thus polypropylene mesh was used and partial abdominoplasty was performed. The wound healed without complication and 24-month follow-up showed no evidence of local recurrence and satisfactory cosmetic result. In case of extensive endometrial abdominal wall tumours surgical treatment may involve application of advanced plastic surgery techniques, like abdominoplasty or skin/musculocutaneous flaps transposition.

Surgical treatment of inguinal eventration in argentine terrestrial turtle (Chelonoidis chilensis) – case report

2020 ◽  
Vol XXV (144) ◽  
pp. 46-50
Author(s):  
Juan Carlos Troiano ◽  
Diego Federico Blanco ◽  
Matias Eugenio Sclocco ◽  
Francisco Antonio Bava
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Abdominal Wall ◽  
Abdominal Wall Defect ◽  
Coelomic Cavity ◽  
Intact Skin ◽  
Wall Defect ◽  
Posterior Limb ◽  
Left Posterior ◽  
The Right

Eventration is a separation of the musculoaponeurotic layers of the abdominal wall resulting in protrusion of abdominal contents, and characterized by the absence of the hernial sac and intact skin. We describe a case of chronic left sided eventration associated with deformity of the right femoral fossa in a 30-year-old female Argentine land tortoise. The animal was referred for evaluation of a soft and non-painful deformity of the left lumbar fossa and third degree lameness of the left posterior limb. Eventration of one bladder lobe and oviduct loops was diagnosed by ultrasonography. We describe the anesthetic protocol and the surgical technique used in the treatment with approach to the coelomic cavity through the prefemoral fossa, as well as the resolution of the abdominal wall defect.

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