СRYOABLATION IN THE TREATMENT OF THE ABDOMINAL CAVITY AND RETROPERITONEAL SPACE TUMORS (LITERATURE REVIEW)

Author(s):  
Anna A. Olifir ◽  
Dmitry A. Ionkin ◽  
Alexander A. Gritskevich ◽  
Olga I. Zhavoronkova ◽  
Julia A. Stepanova ◽  
...  
2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Wu L ◽  
Li X ◽  
Li J ◽  
Lai Y

Background: PRMC is a very rare benign tumor of the abdominal cavity that usually occurs in women, and PRMC demonstrate no specific findings on CT. There are many reports on the differential diagnosis and discussion of PRMC imaging, but there are few reports on the treatment of dedifferentiated PRMC using laparoscopic resection and postoperative follow-up.


2013 ◽  
Vol 2013 ◽  
pp. 1-4
Author(s):  
Anwar Ul-Haq ◽  
Faisal Al-Otaibi ◽  
Saud Alshanafey ◽  
Mohamed Diya Sabbagh ◽  
Essam Al Shail

The ventriculoperitoneal (VP) shunt is a common procedure in pediatric neurosurgery that carries a risk of complications at cranial and abdominal sites. We report on the case of a child with shunt infection and malfunction. The peritoneal catheter was tethered within the abdominal cavity, precluding its removal. Subsequently, laparoscopic exploration identified a knot at the distal end of the peritoneal catheter around the omentum. A new VP shunt was inserted after the infection was healed. This type of complication occurs rarely, so there are a limited number of case reports in the literature. This report is complemented by a literature review.


2019 ◽  
Vol 4 (2) ◽  
pp. 140-143
Author(s):  
N. I. Bogomolov ◽  
A. G. Goncharov ◽  
N. N. Tomskikh ◽  
Y. Y. Goncharova

The article describes the experience of successful diagnostics and treatment of giant non-organ extraperitoneal tumor combined with a cystoma of uterine appendages.Patient P., 43 years old, was hospitalized in the oncology department, diagnosed with “Abdominal tumor, right ovary?” The state was satisfactory, after palpation of the abdomen, a lumpy formation of a densely elastic consistency, from the womb to the epigastric region, was found. An ultrasound revealed a homogeneous tumor formation 30×28 cm from the border of the uterus to the liver. When performing median laparotomy, a dumbbell-shaped tumor (36×26×20 cm) was found in the retroperitoneal space with involvement of the mesentery of the small intestine, lower horizontal portion of the duodenum, mesentery of the transverse colon, superior mesenteric vessels, aorta and jejunum. In the right appendages, a cystoma 12–15 cm in diameter was found, with inversion and necrosis. Adnexectomy was performed. An express lymph node biopsy revealed cells suspicious for malignancy. The tumor was mobilized and removed as a single unit with retroperitoneal tissue, lymph nodes in combination with resection of 70 cm of the jejunum and fenestrated resection of the duodenum. The resulting gut defect 9×7 cm was sutured with a precision single-row suture. Inter-intestinal anastomosis “endto-end” was formed. Nasointestinal intubation was performed. The abdominal cavity was sutured, and two tubular drainages were installed. The postoperative period was uneventful. The histological conclusion: fibrous histiocytoma of the mesentery of the intestine with malignancy in the center of the node, in the ovary – total hemorrhagic infiltration of all layers, edema. The tumor conference consultation was recommended. After 1.5 years, the patient was admitted with the same clinical picture. During laparotomy, a tumor recurrence was discovered, the nodes of which were located in the retroperitoneal space, in the abdominal cavity with invasion to organs and large vessels. The case was recognized as inoperable, the laparotomic wound was closed completely. Sixteen days after surgery the patient was discharged.


e-CliniC ◽  
2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Amalita Mannana ◽  
Stephanus J. Ch. Tangel ◽  
Eko Prasetyo

Abstract: Peritonitis is defined as inflammation of serosal membrane that lines the abdominal cavity (peritoneum) and the organs contained therein. Secondary peritonitis accounts for 1% of urgent emergent hospital admidssions and is the second leading cause of sepsis in patients in intensive care units globally. Despite the growth in the availability of imaging and laboratory test, the rapid diagnosis of peritonitis remains a challenge for physicians in emergency medicine, surgery, and critical care. This study was aimed to obtain the rapid and appropriate diagnostic methods of secondary peritonitis. This was a literature review study using databases of PubMed, ClinicalKey, and Google Scholar on topics related to the diagnosis of secondary peritonitis. The results showed that there were 12 literatures in this study consisting of 5 review articles, 1 literature review, and 6 prospective studies. The literatures reviewed the diagnosis of secondary peritonitis based on clinical manifestations, physical examination, and the other examinations including laboratory examination, abdominal ultrasound, and abdominal CT scan. In conclusion, the diagnosis of secondary peritonitis is based on clinical manifestation including abdominal pain, rigidity, and rebound tenderness. These sign and symptoms may be supported by laboratory and radiology findings as additional tests if needed. Abdominal ultrasonography is the most practical and non-invasive radiology test for rapid diagnostic in a subgroup of patients with secondary peritonitis whose clinical impression is unclear.                            Keywords: Secondary Peritonitis, Diagnosis of Secondary Peritonitis, Acute Abdomen Abstrak: Peritonitis adalah inflamasi pada selaput serosa yang membungkus rongga abdomen (peritoneum) dan organ yang terkandung di dalamnya. Peritonitis sekunder menyumbang 1% insiden pada pasien yang masuk di UGD dan merupakan penyebab utama kedua terjadinya sepsis pada pasien di ICU secara global. Di tengah perkembangan ketersediaan pemeriksaan radiologi dan laboratorium yang pesat, diagnosis yang cepat pada peritonitis masih menjadi tantangan bagi para dokter dalam penanganan darurat, pembedahan, dan perawatan pasien kritis. Penelitian ini bertujuan untuk mengetahui metode diagnosis yang cepat dan tepat pada peritonitis sekunder. Jenis penelitian ialah literature review menggunakan database PubMed, ClinicalKey, dan Google Scholar. Hasil penelitian mendapatkan 12 literatur terdiri dari 5 review article, 1 literature review, dan 6 prospective study yang mengulas tentang diagnosis peritonitis sekunder ditegakkan berdasarkan manifestasi klinis, pemeriksaan fisik, dan berbagai pemeriksaan penunjang lainnya yang mencakup pemeriksaan laboratorium, USG abdomen, dan CT scan abdomen. Simpulan penelitian ini ialah diagnosis peritonitis sekunder ditegakkan berdasarkan manifestasi klinis seperti nyeri abdomen, rigiditas, dan rebound tenderness. Tanda dan gejala ini dapat didukung oleh temuan radiologi dan laboratorium sebagai pemeriksaan tambahan bila diperlukan. USG abdomen merupakan pemeriksaan radiologi yang paling praktis dan non-invasif untuk diagnosis cepat pada kelompok pasien peritonitis sekunder dengan kesan klinis yang tidak jelas.Kata kunci: peritonitis sekunder, diagnosis peritonitis sekunder, akut abdomen


2021 ◽  
Vol 1 ◽  
pp. 634-641
Author(s):  
Mifta Hidayatul Ifa ◽  
Tri Sakti Wirotomo

AbstractHernia is the expulsion Of body contents through the weakest part Of a Wall Of the abdominal cavity. Handling is done by surgery. The surgical procedures will cause pain. One of the non-pharmacological therapies to treat pain in post-hernia surgery patients is classical music distraction therapy. This study aims to describe the effect of classical music distraction therapy on reducing pain intensity in post hernia surgery patients. The design of this scientific paper used a literature review with a total of 3 articies taken from the Googie Scholar page with the keywords a pain, post hemia surgery, classical music therapy" in the form of full-text articles published in 2014-2018. The results showed that the average value before being given therapy was 5.11 and after being given therapy, the average pain was 3.11 with a p-value <0.05. Therefore it can be concluded that there is an effect of giving classical music distraction techniques to reducing pain intensitu in post hernia surgery patients. This result can be used as a consideration for nurses to apply classical music distraction therapy to reduce pain in post hernia surgery patients.Keywords: Pain; Post Hernia Surgery; Classical Music Therapy AbstrakHernia yaitu keluarnya isi tubuh melewati bagian terlemah dari suatu dinding rongga perut. Penanganan yang dilakukan yaitu dengan pembedahan, dan prosedur pembedahan akan menimbulkan rasa nyeri. Salah satu terapi non farmakologi untuk mengatasi nyeri pada pasien post operasi hernia adalah terapi distraksi music klasik. Penelitian ini bertujuan untuk menggambarkan pengaruh terapi distraksi musik klasik terhadap penurunan intensitas nyeri pada pasien post operasi hernia. Desain karya tulis ilmiah ini menggunakan literature review dengan jumlah 3 artikel yang diambil dari laman google scholar dengan kata kunci “nyeri, post operasi hernia, terapi musik klasik” berupa artikel fulltex dengan tahun terbit 2014-2018. Hasil analisa dari literature review 3 artikel didapatkan nilai rata-rata sebelum diberikan terapi adalah 5,11 dan setelah diberikan terapi rata-rata nyeri menjadi 3,11 dengan p-value <0,05. Simpulan dari literature review ini yaitu terdapat pengaruh pemberian teknik distraksi music klasik terhadap penurunan intensitas nyeri pada pasien post operasi hernia. Saran bagi perawat dapat menerapkan terapi distraksi musik klasik untuk menurunkan nyeripasien post operasi hernia.Kata kunci: : Nyeri; Post Operasi Hernia; Terapi Musik Klasik


2012 ◽  
Vol 97 (3) ◽  
pp. 239-244 ◽  
Author(s):  
Mehmet Yilmaz ◽  
Sami Akbulut ◽  
Aysegul Kahraman ◽  
Sezai Yilmaz

Abstract The aim of this study was to review the literature regarding the rupture of hydatid cysts into the abdominal cavity after trauma. We present both a new case of hydatid cyst rupture that occurred after blunt abdominal trauma and a literature review of studies published in the English language about hydatid cyst rupture after trauma; studies were accessed from PubMed, Google Scholar, EBSCO, EMBASE, and MEDLINE databases. We identified 22 articles published between 2000 and 2011 about hydatid cyst rupture after trauma. Of these, 5 articles were excluded because of insufficient data, duplication, or absence of intra-abdominal dissemination. The other 17 studies included 68 patients (38 males and 30 females) aged 8 to 76 years who had a ruptured hydatid cyst detected after trauma. The most common trauma included traffic accidents and falls. Despite optimal surgical and antihelmintic therapy, 7 patients developed recurrence. Complications included biliary fistula in 5 patients, incisional hernia in 2 patients, and gastrocutaneous fistula in 1 patient. Death occurred from intraoperative anaphylactic shock in 1 patient and gastrointestinal bleeding and pulmonary failure in 1 patient. Rupture of a hydatid cyst into the peritoneal cavity is rare and challenging for the surgeon. This condition is included in the differential diagnosis of the acute abdomen in endemic areas, especially in young patients.


2020 ◽  
Vol 2 (01) ◽  
pp. 01-09
Author(s):  
Martynov V.L.

Creating anastomoses between the hollow organs of the abdominal cavity, abdominal formations of the retroperitoneal space and the jejunum always raises the question of preventing reflux from the jejunum into the drained cavity of the esophagus, stomach, gallbladder, external hepatic ducts, cysts of the liver and pancreas. After surgery, any reflux becomes pathological. Reflux is an obligate precancer. Thus, the reflux of bile and pancreatic juices in the stomach, the stump of the stomach and esophagus contributes to the occurrence of reflux esophagitis, reflux gastritis, ulcers and gastric cancer or its stump. After internal drainage of the cavity formation in the jejunum, postoperative reflux disease develops, which is caused by the actions of the surgeon who tried to help the patient sincerely. This allowed such states to be defined as “iatrogenic postoperative reflux disease”. The purpose of this work was to develop and introduce into practice the “plug” on the resulting loop of the jejunum, which does not migrate into the lumen of the intestine, with internal drainage of the hollow organs of the abdominal cavity and abdominal formations of the retroperitoneal space and evaluate the clinical results. As a result, the authors have developed a method for creating a “plug” on the jejunum loop, which is used for drainage, studies are being conducted on its safety, adequacy of functioning, general accessibility, and clinical situations are analyzed. For drainage of the abdominal formation impose a fistula between it and the jejunum loop 40–50 cm from the ligament of Treitz. We form an inter-intestinal fistula according to Brown, above which the length leading to a drained formation of the area of ​​the jejunum is about 10 cm, in the middle of which we impose a “plug”. The length of the small intestine section which diverts from the drained formation to the inter-intestinal brown anastomosis is about 30 cm. To form a “plug”, we use the free area of ​​the greater omentum, through which we perform a ligature of non-absorbable polypropylene material by vcol-vykola. The developed method of forming a "plug" does not cause abrupt ischemic changes in the area of ​​operation, followed by necrosis of the intestinal wall and migration of the "plug" into the intestinal lumen, and its effectiveness has been proven using clinical observations, microcirculation studies, water test results and X-ray examination. The method of creating a "stub" is promising for the internal drainage of abdominal cavity formations and retroperitoneal space, for the formation of areflux nutrient eunostoma.


1993 ◽  
Vol 74 (3) ◽  
pp. 209-211
Author(s):  
I. I. Kamalov ◽  
A. Z. Appakova

Computed tomography (CT) of the abdominal cavity is a promising diagnostic method in cases where conventional radiography does not provide the necessary information, especially when the internal organs of the abdominal cavity and retroperitoneal space are affected. Thanks to the technical improvements made in the latest generations of computed tomographs, the scanning time has been significantly reduced, the image quality has been improved due to the elimination of artifacts by the optimal choice of the level and width of the window, as well as reducing the thickness of the sections and an appropriate approach to the study area. CT allows for targeted biopsy.


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