scholarly journals Evaluation of laparoscopic repair for intraperitoneal bladder rupture at Da Nang Hospital

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Văn Trí Cao ◽  
Keyword(s):  
Standard Deviation ◽  
Postoperative Complications ◽  
Hospital Stay ◽  
Laparoscopic Repair ◽  
Operation Time ◽  
Bladder Rupture ◽  
Suprapubic Cystostomy ◽  
Results Of Treatment ◽  
Key Word ◽  
Intraperitoneal Bladder Rupture

Abstract Introduction: To evaluate results of treatment from our preliminary experience of laparoscopic repair for intraperitoneal bladder rupture. Materials and Methods: 31 patients with traumatic intraperitoneal bladder rupture admitted to Da Nang Hospital from 1/2017 to 5/2020. Results: 31 patients with average ages (mean ± standard deviation) were 35.3 ± 9.0 years old. Operation time (mean ± standard deviation) was 67.5 ± 25.5 minutes. Hospital stay (mean ± standard deviation) was 9.5 ± 0.7 days. No intra- or postoperative complications were noted. The successful rate was 100%. Suprapubic cystostomy was placed in (mean ± standard deviation) 8.5 ± 0.7 days Conclusion: Laparoscopic repair of traumatic bladder rupture should be performed in hemodynamically stable patients without associated concurrent injuries. Key word: Intraperitoneal bladder rupture, laparoscopy, trauma. Tóm tắt Đặt vấn đề: Đánh giá kết quả phẫu thuật và kinh nghiệm của chúng tôi qua khâu vỡ bàng quang đơn thuần bằng phẫu thuật nội soi. Phương pháp nghiên cứu: 31 người bệnh nhập viện cấp cứu vì vỡ bàng quang trong phúc mạc đơn thuần, được phẫu thuật cấp cứu và điều trị tại khoa Ngoại tiết niệu Bệnh viện Đà Nẵng từ 1/2017 đến 5/2020. Kết quả: 31 người bệnh với độ tuổi trung bình lúc nhập viện là 35,3 ± 9,0 tuổi; Thời gian phẫu thuật trung bình là 67,5 ± 25,5 phút; Thời gian nằm viện trung bình là 9,5 ± 0,7 ngày; Không có biến chứng trong và sau mổ. Tỷ lệ thành công phẫu thuật 100%. Tất cả người bệnh được rút dẫn lưu bàng quang trung bình 8,5 ± 0,7 ngày. Kết luận: Phẫu thuật nội soi khâu vỡ bàng quang trong phúc mạc là phẫu thuật ít xâm lấn, có thể chỉ định trong phẫu thuật cấp cứu vỡ bàng quang đơn thuần, huyết động ổn định. Từ khóa: Vỡ bàng quang trong phúc mạc, phẫu thuật nội soi, chấn thương.

The Safety and Feasibility of the Single-Port Laparoscopic Repair of Intraperitoneal Bladder Rupture

2018 ◽  
Vol 32 (5) ◽  
pp. 403-409 ◽  
Author(s):  
Jae Hoon Chung ◽  
Kyu Shik Kim ◽  
Hong Yong Choi ◽  
Hong Sang Moon ◽  
Yong Tae Kim ◽  
...  
Keyword(s):  
Laparoscopic Repair ◽  
Single Port ◽  
Bladder Rupture ◽  
Intraperitoneal Bladder Rupture

Laparoscopic Repair of Traumatic Intraperitoneal Bladder Rupture

1996 ◽  
Vol 57 (2) ◽  
pp. 119-121 ◽  
Author(s):  
C.E. Iselin ◽  
S. Rohner ◽  
Y. Tuchschmid ◽  
F. Schmidlin ◽  
P. Graber
Keyword(s):  
Laparoscopic Repair ◽  
Bladder Rupture ◽  
Intraperitoneal Bladder Rupture

scholarly journals Early Versus Delayed Laparoscopic Cholecystectomy for Acute Cholecystitis: A Prospective, Randomized Study

2014 ◽  
Vol 99 (1) ◽  
pp. 56-61 ◽  
Author(s):  
Alper Bilal Özkardeş ◽  
Mehmet Tokaç ◽  
Ersin Gürkan Dumlu ◽  
Birkan Bozkurt ◽  
Ahmet Burak Çiftçi ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Postoperative Complications ◽  
Hospital Stay ◽  
Acute Cholecystitis ◽  
Operation Time ◽  
Early Laparoscopic Cholecystectomy ◽  
Laparoscopic Cholecystectomy Group ◽  
Delayed Laparoscopic Cholecystectomy ◽  
Significant Difference ◽  
Conversion To Open Cholecystectomy

Abstract We aimed to compare the clinical outcome and cost of early versus delayed laparoscopic cholecystectomy for acute cholecystitis. Sixty patients with acute cholecystitis were randomized into early (within 24 hours of admission) or delayed (after 6–8 weeks of conservative treatment) laparoscopic cholecystectomy groups. There was no significant difference between study groups in terms of operation time and rates for conversion to open cholecystectomy. On the other hand, total hospital stay was longer (5.2 ± 1.40 versus 7.8 ± 1.65 days; P = 0.04) and total costs were higher (2500.97 ± 755.265 versus 3713.47 ± 517.331 Turkish Lira; P = 0.03) in the delayed laparoscopic cholecystectomy group. Intraoperative and postoperative complications were recorded in 8 patients in the early laparoscopic cholecystectomy group, whereas no complications occurred in the delayed laparoscopic cholecystectomy group (P = 0.002). Despite intraoperative and postoperative complications being associated more with early laparoscopic cholecystectomy compared with delayed intervention, early laparoscopic cholecystectomy should be preferred for treatment of acute cholecystitis because of its advantages of shorter hospital stay and lower cost.

scholarly journals A comparative study of the fracture union between long and short proximal femoral intramedullary nails antirotation in the treatment of intertrochanteric femur fractures in the elderly: a multicentric analysis

2019 ◽  
Vol 5 (2) ◽  
pp. 288
Author(s):  
B. Hari Krishnan ◽  
S. K. Rai ◽  
Rohit Vikas ◽  
Manoj Kashid ◽  
Pramod Mahender
Keyword(s):  
Postoperative Complications ◽  
Blood Transfusion ◽  
Hospital Stay ◽  
Length Of Hospital Stay ◽  
Operation Time ◽  
The Elderly ◽  
Intertrochanteric Fractures ◽  
Intraoperative Blood Loss ◽  
Fracture Union ◽  
Femur Fractures

<p class="abstract"><strong>Background:</strong> The objective of the study was to compare the fracture union of long vs. short proximal femoral intramedullary nail antirotation (PFNA) in the treatment of intertrochanteric fractures in elderly patients who was more than 60 years old.</p><p class="abstract"><strong>Methods:</strong> A retrospective analysis of 170 cases of intertrochanteric fractures of the femur (AO type A1 and A2) in the elderly was conducted. There were 64 males (37.6%) and 106 females (62.3%) with the age of 60–90 (mean age 75) years. The general demographic data of patients, operation time, intraoperative blood loss, length of hospital stay, blood transfusion rate, anterior thigh pain, postoperative complications like periprosthetic fractures, infections were recorded.<strong></strong></p><p class="abstract"><strong>Results:</strong> The short nail group also had a significantly shorter operation time (41.5±15.3 minutes vs. 62.5±25.3 minutes, p=0.002) and lower rate of postoperative transfusion (31.3% vs. 58.7%, p=0.041). However the length of hospital stay showed no significant differences. After surgery in short group there were 03 cases of periprosthetic fracture with a total incidence of 03%, however there were none in long nail group. At the end of the follow-up, all patients achieved bony union. The average fracture union time of the long nail group was (8.5±3.2) months, and the short nail group was (7.8±4.7) months, revealing no significant differences (p=0.09).</p><p class="abstract"><strong>Conclusions:</strong> Both the proximal femoral intramedullary long and short nail fixation has a good result in the form of fracture union in treating intertrochanteric femur fractures in the elderly. They showed no significant difference in terms of fracture union, hospital stay, and postoperative complications. The incidence of periprosthetic fractures and anterior thigh pain was slightly high in short nail group. In short intramedullary nailing group there was obvious decrease in the intraoperative blood loss, operation time and postoperative blood transfusion.</p>

scholarly journals P141 USE OF POLYPROPYLENE STRIPS FOR REINFORCEMENT OF THE CRUROPLASTY IN LAPAROSCOPIC PARAESOPHAGEAL HERNIA REPAIR: A RETROSPECTIVE COHORT STUDY

2021 ◽  
Vol 108 (Supplement_8) ◽  
Author(s):  
Matthijs Van den Dop ◽  
Gijs De Smet ◽  
Aziz Mamound ◽  
Johan Lange ◽  
Bas Wijnhoven ◽  
...  
Keyword(s):  
Standard Deviation ◽  
Postoperative Complications ◽  
Hernia Repair ◽  
Paraesophageal Hernia ◽  
Operation Time ◽  
Paraesophageal Hernia Repair ◽  
Primary Hernia ◽  
Laparoscopic Paraesophageal Hernia Repair ◽  
Crural Repair

Abstract Aim Laparoscopic paraesophageal hernia repair is an effective treatment for symptomatic paraesophageal hernias. To reduce recurrence rates, the use of prosthetics for the crural repair has been suggested. Mesh-related complications are rare, but known to be disastrous. To address another form of crural repair, polypropylene strips are suggested. This study aimed to assess peri- and postoperative complications of reinforcement of the cruroplasty with polypropylene strips. Material and Methods From 2013 to 2020, patients with a type II, III or IV primary or recurrent paraesophageal hernia that underwent cruroplasty with polypropylene strips were retrospectively reviewed. Intra- and postoperative complications were graded according to the Clavien-Dindo classification. The incidence of symptomatic recurrent hiatal hernia (CT or endoscopy proven) and hospital stay were assessed. Results One-hundred-and-fifty-eight patients were included. Mean age was 65 years (standard deviation 10.4), 119 patients were female (75.3%). Almost 50% of surgeries took place between 2018 and 2020. Median follow-up was 7 months (interquartile range 17.5). Mean operation time in the primary hernia group was 159 minutes (standard deviation 39.0), and length of stay was 4.4 days. In 3/158 patients (2.0%) intra-operative complications occurred. Two patients developed a grade IV and seven patients a grade III postoperative complication. No mortality was recorded. Twelve recurrences (8.2%) were detected in the primary hernia group, and one (9.1%) in the recurrent hernia group. Conclusions There were no mesh-related complications seen and symptomatic recurrence rate was low, but longer follow up is needed.

scholarly journals Two-port versus three-port video-assisted thoracoscopic surgery for primary spontaneous pneumothorax: feasibility, postoperative outcome and long-term recurrence rates

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Stephen Fung ◽  
Hany Ashmawy ◽  
Sami Safi ◽  
Anja Schauer ◽  
Alexander Rehders ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Hospital Stay ◽  
Chest Tube ◽  
Spontaneous Pneumothorax ◽  
Thoracoscopic Surgery ◽  
Length Of Hospital Stay ◽  
Operation Time ◽  
Postoperative Outcome ◽  
Primary Spontaneous Pneumothorax ◽  
Recurrence Rates

Abstract Background Two-port VATS (2-P-VATS) and three-port VATS (3-P-VATS) are well-established techniques for surgical therapy of primary spontaneous pneumothorax (PSP). However, comparisons of both techniques in terms of postoperative outcome and recurrence are limited. Methods From January 2010 to March 2020, we retrospectively reviewed data of 58 PSP patients who underwent VATS in our institution. For statistical analysis, categorical and continuous variables were compared by chi-square test or Fisher’s exact test and the Student´s t-test, respectively. Twenty-eight patients underwent 2-P-VATS and 30 were treated with 3-P-VATS. Operation time, length of hospital stay (LOS), total dose of analgesics per stay (opioids and non-opioids), duration of chest tube drainage, pleurectomy volume (PV), postoperative complications and recurrence rates were compared between both groups. Results Clinical and surgical characteristics including mean age, gender, Body-Mass-Index (BMI), pneumothorax size, smoking behaviour, history of contralateral pneumothorax, side of pneumothorax, pleurectomy volume and number of resected segments were similar in both groups. The mean operation time, LOS and total postoperative opioid and non-opioid dose was significantly higher in the 3-P-VATS group compared with the 2-P-VATS group. Despite not being statistically significant, duration of chest tube was longer in the 3-P-VATS group compared with the 2-P-VATS group. In terms of postoperative complications, the occurrence of hemothorax was significantly higher in the 3-P-VATS group (3-P-VATS vs. 2-P-VATS; p = 0.001). During a median follow-up period of 61.6 months, there was no significant statistical difference in recurrence rates in both groups (2/28 (16.7%) vs. 5/30 (7.1%); p = 0.274). Conclusion Our data demonstrate that 2-P-VATS is safer and effective. It is associated with reduced length of hospital stay and decreased postoperative pain resulting in less analgesic use.

scholarly journals Robot-assisted vs. laparoscopic repair of complete upside-down stomach hiatal hernia (the RATHER-study): A prospective comparative single center study

2021 ◽  
Vol 108 (Supplement_4) ◽  
Author(s):  
F Nocera ◽  
A Wilhelm ◽  
R Schneider ◽  
L Koechlin ◽  
D Daume ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Laparoscopic Surgery ◽  
Postoperative Complications ◽  
Hiatal Hernia ◽  
Laparoscopic Repair ◽  
Intraoperative Complications ◽  
Operation Time ◽  
Hiatal Hernia Repair ◽  
Robot Assisted

Abstract Objective Complete upside-down stomach (cUDS) hernias are a subgroup of large hiatal hernias characterized by high risk of life-threatening complications and technically challenging surgical repair including complex mediastinal dissection. In a prospective, comparative clinical study, we evaluated intra- and postoperative outcomes, quality of life and symptomatic recurrence rates in patients with cUDS undergoing robot-assisted, as compared to standard laparoscopic repair (the RATHER-study). Methods All patients with cUDS herniation requiring elective surgery in our institution between July 2015 and June 2019 were evaluated. Patients undergoing primary open surgery or additional associated procedures were not considered. Primary endpoints were intra- and postoperative complications, 30-day morbidity, and mortality. During the 8-53 months follow-up period, patients were contacted by telephone to assess symptoms associated to recurrence, whereas quality of life was evaluated utilizing the Gastroesophageal Reflux Disease–Health-Related Quality of Life (GERD-HRQL) questionnaire. Results A total of 55 patients were included. 36 operations were performed with robot-assisted (Rob-G), and 19 with standard laparoscopic (Lap-G) technique. Patients characteristics were similar in both groups. Median operation time was 232 min. (IQR: 145-420) in robot-assisted vs. 163 min. (IQR:112-280) in laparoscopic surgery (p &lt; 0.001). Intraoperative complications occurred in 5/36 (12.5%) cases in the Rob-G group and in 5/19 (26%) cases in the Lap-G group (p = 0.28). No conversion was necessary in either group. Minor postoperative complications occurred in 13/36 (36%) Rob-G patients and 4/19 (21%) Lap-G patients (p = 0.36). Mortality or major complications did not occur in either group. Two asymptomatic recurrences were observed in the Rob-G group only. No patient required revision surgery. Finally, all patients expressed satisfaction for treatment outcome, as indicated by similar GERD-HRQL scores. Conclusion While robot-assisted surgery provides additional precision, enhanced visualization, and greater feasibility in cUDS hiatal hernia repair, its clinical outcome is at least equal to that obtained by standard laparoscopic surgery.

scholarly journals Laparoscopic repair of traumatic intraperitoneal bladder rupture: Case report and review of the literature

2012 ◽  
Vol 6 (6) ◽  
pp. 270 ◽  
Author(s):  
Brian Kim ◽  
Matthew Roberts
Keyword(s):  
Case Report ◽  
Laparoscopic Repair ◽  
Operative Procedure ◽  
Laparoscopic Approach ◽  
Bladder Rupture ◽  
Review Of The Literature ◽  
Intraperitoneal Bladder Rupture

We present a case of intraperitoneal bladder rupture in a 42-year old man repaired by a laparoscopic approach. Details of the case and a description of the operative procedure are outlined. We also review the literature on laparoscopic repair of traumatic bladder rupture.

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