scholarly journals Verification of Inferior Right Hepatic Vein–Conserving Segments 7 to 8 Resection of the Liver

2015 ◽  
Vol 100 (4) ◽  
pp. 683-688 ◽  
Author(s):  
Hisashi Nakayama ◽  
Tadatoshi Takayama ◽  
Tokio Higaki ◽  
Takao Okubo ◽  
Masamichi Moriguchi ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Hospital Stay ◽  
Hepatic Vein ◽  
Bilirubin Level ◽  
Vena Cava ◽  
Duration Of Hospital Stay ◽  
Right Hemihepatectomy ◽  
Resection Of The Liver ◽  
Surgical Data ◽  
Right Hepatic Vein

This study aims to investigate the safety of inferior right hepatic vein (IRHV)–conserving surgery by comparing the surgical data and postoperative complications between IRHV-conserving segments 7 to 8 (S7 to S8) resection and conventional right hemihepatectomy (RH). Five patients who underwent IRHV-conserving S7 to S8 segmentectomy between 2007 and 2011 (IRHV group) and 25 liver cancer patients who underwent RH without biliary tract reconstruction during the same period (RH group) were investigated. The surgical data, postoperative complications, and duration of hospital stay were compared. The IRHV and RH groups included 2 (40%) and 13 (52%) hepatocellular carcinoma patients, respectively. There were no significant differences in liver function before surgery between the groups. The presence of the IRHV did not adversely affect the processing of the short hepatic vein or frontal dissection of the inferior vena cava. The operative time was shorter (median, 366 minutes versus 501 minutes; P = 0.0001), the postoperative bilirubin level was lower (12 mg/dL versus 1.8 mg/dL; P = 0.037), and the duration of hospital stay was shorter (10 days versus 14 days; P = 0.002) in the IRHV group. No significant differences were noted in the intraoperative blood loss, postoperative transaminase levels, or the incidence of severe complications (Clavien grade IIIb or higher) between the groups. IRHV-conserving resection of the liver is a safe surgical procedure that is useful in preventing postoperative elevation of bilirubin level and in shortening the duration of hospital stay.

Surgical treatment for early cervical cancer: Experience at a cancer hospital in Nepal

2009 ◽  
Vol 27 (15_suppl) ◽  
pp. e16575-e16575
Author(s):  
G. Dangal
Keyword(s):  
Cervical Cancer ◽  
Postoperative Complications ◽  
Blood Transfusion ◽  
Hospital Stay ◽  
Cervical Carcinoma ◽  
Radical Hysterectomy ◽  
Chief Complaint ◽  
Duration Of Hospital Stay ◽  
Cancer Hospital ◽  
Early Cervical Cancer

e16575 Background: The purpose of this study was to find out the clinocopathologic characteristics, post-operative findings and complications of patients with early (up to stage IIA) cervical carcinoma who underwent radical hysterectomy. This study concentrates on the evaluation of our early experience in radical hysterectomy for cervical cancer in Nepal. Methods: This was a retrospective analysis of 48 patients who had radical hysterectomy with bilateral pelvic lymphadenectomy for early cervical cancer at the BP Koirala Memorial Cancer Hospital (BPKMCH) from September 2002 through September 2005. Characteristics such as chief complaint, disease staging and duration, intraoperative and postoperative complications, histopathological findings, need for blood transfusion, and duration of hospital stay were considered for analysis. Results: Patients’ age ranged from 28–67 years. Age group of 40–49 had highest number of patients (58.3%). Majority (62.5%) were premenopausal women who presented with abnormal vaginal bleeding (73%) as the chief complaint. More than half of them (56%) had FIGO stage IIA disease. Thirty-three percent had intraoperative and postoperative complications such as urinary problems, wound infection and vessel injury/ureteric injury. All needed blood transfusion, 42% needing four pints. The average duration of hospital stay was 11 days. Forty-four had squamous cell carcinoma and four had adenocarcinoma. Pelvic lymph node metastasis was found in 10 patients. Resected margins were adequate in 42 patients. Majority (62.5%) of the women were premenopausal and 56% of them had stage IIA disease. Conclusions: Although the primary treatment of early-stage cervical carcinoma involves either surgery or radiation therapy with or without chemotherapy, surgery (radical hysterectomy) was used for lower-stage disease and smaller lesions in fit and young patients in our resource-poor set-up. The complication rate seems to be higher in Nepal; however, it will decrease as more experience is gained. No significant financial relationships to disclose.

scholarly journals Effect of anaesthesia on the perioperative outcomes of pelvi-acetabular fracture surgeries in the apex trauma centre of a developing country–a retrospective analysis

2015 ◽  
Vol 3 ◽  
pp. 1-6
Author(s):  
Naveen Yadav ◽  
Suma Rabab Ahmad ◽  
Nisha Saini ◽  
Babita Gupta ◽  
Chhavi Sawhney ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Blood Loss ◽  
Hospital Stay ◽  
General Anaesthesia ◽  
Acetabular Fracture ◽  
Regional Anaesthesia ◽  
Trauma Centre ◽  
Intraoperative Blood Loss ◽  
Duration Of Hospital Stay ◽  
Duration Of Surgery

Abstract Background Regional anaesthesia has been proposed to reduce intraoperative blood loss, duration of hospital stay and in-hospital complications with improved postoperative pain control. General anaesthesia is advantageous for prolonged surgeries. We hypothesized that combined regional and general anaesthesia would offer advantages of both in pelvi-acetabular fracture surgeries. Methods We identified 71 patients who underwent open reduction and internal fixation of pelvi-acetabular fractures from May 2012 to 2013 in our trauma centre. We excluded patients with incomplete records (n = 4) and other injuries operated along (n = 8). Hence, 59 patients were divided into three groups: G group (general anaesthesia), R group (regional anaesthesia) and GR group (combined regional and general anaesthesia). Main outcome measurements studied were intraoperative blood loss, duration of hospital stay, duration of surgery and intraoperative and postoperative complications. Results No differences were obtained in between the groups in terms of age, gender, Injury Severity Score, number of comorbidities, or duration from injury to surgery. No significant differences were found between the three groups for intraoperative blood loss, days of hospital stay and duration of surgery. Intraoperative and postoperative complications were also comparable between the groups (p > 0.05). Conclusions There is no specific significant advantage of the technique of anaesthesia on the observed perioperative complications in pelvi-acetabular fracture surgeries.

scholarly journals Implementation of an accelerated recovery program for pancreatoduodenectomy

2020 ◽  
Vol 24 (2) ◽  
pp. 286-291
Author(s):  
A. Yu. Usenko ◽  
A. V. Skums ◽  
A. A. Skums
Keyword(s):  
Postoperative Complications ◽  
Hospital Stay ◽  
Epidural Anesthesia ◽  
Average Duration ◽  
Postoperative Mortality ◽  
Practical Application ◽  
Postoperative Results ◽  
Duration Of Hospital Stay ◽  
Recovery Program ◽  
Mathematical Data Processing

Annotation. A number of issues concerning the practical application of the program of accelerated recovery of patients after surgery without compromising their safety remain debatable. The purpose of this study was to assess the feasibility of ERAS program for patients who undergo pancreatoduodenectomy (PD) and its impact on postoperative results. The study included 60 patients from 28 to 75 years old with benign and malignant pathologies of the pancreas and ampullary region, in which PD was performed between January 2015 and December 2018. The preoperative components of ERAS program were fulfilled in all patients. Mathematical data processing was performed using the software Statistica 64 ver. 10.0.1011.0 (StatSoft Inc.). All intraoperative components were implemented (100%) (except for epidural anesthesia – 85%). Postoperative components of ERAS program were implemented in the range from 56.7% to 100%. There was no postoperative mortality. Complications were observed in 16 (26.7%) patients in whom total number of complications was 22. The average duration of hospital stay after surgery was 13.1±4.1 days. The most of components of ERAS program for PD patients can be successfully implemented, decreasing the lengths of hospital stay without increase in number of postoperative complications.

scholarly journals Inferior vena cava hypoplasia with right hepatic vein and accessory inferior hepatic vein shunt

2014 ◽  
Vol 73 (1) ◽  
pp. 99-101
Author(s):  
N. Çullu ◽  
Ö. Yeniçeri ◽  
M. Deveer ◽  
H. Tetiker
Keyword(s):  
Inferior Vena Cava ◽  
Hepatic Vein ◽  
Inferior Vena ◽  
Vena Cava ◽  
Right Hepatic Vein

scholarly journals Laparoscopic assisted vaginal hysterectomy: an experience at a Fortis Escorts hospital

2020 ◽  
Vol 9 (9) ◽  
pp. 3749
Author(s):  
Neelu Rajput ◽  
Sahab Singh Yadav ◽  
Pratibha Narwade
Keyword(s):  
Postoperative Complications ◽  
Blood Loss ◽  
Hospital Stay ◽  
Vaginal Hysterectomy ◽  
Intraoperative Complications ◽  
Pelvic Surgery ◽  
Bladder Injury ◽  
Duration Of Hospital Stay ◽  
Laparoscopic Assisted Vaginal Hysterectomy ◽  
Laparoscopic Assisted

Background: The objective of this study was to evaluate the laparoscopic assisted vaginal hysterectomy (LAVH) in terms of demographic data of patients, indications, uterine size, intraoperative and postoperative complications, amount of blood loss, operative time and duration of hospital stay.Methods: A retrospective study was conducted on 160 cases, who underwent laparoscopic assisted vaginal hysterectomy in the period between October 2018 to November 2019 at the Fortis Escorts Hospital, Faridabad, Haryana, India.Results: Majority of patients (58.75%) belongs to age group between 40-50 year. Only 30.62% cases had a history of one previous abdomino-pelvic surgery. Majority of cases (52.5%) in the study group had uterine size between 6-12 weeks. Most common indication of hysterectomy in this study was fibroid uterus which account for 49.37% of cases followed by dysfunctional uterine bleeding (16.87%) cases. Mean time of surgery in this study was 114.4±0.59 min and average blood loss was 135.62±47.63 ml. The mean weight of uterus was 243.75±82.94 gm. 5% cases had major intraoperative complications while minor postoperative complications were seen in 16.87% cases. Bladder injury was seen in 1.25%. Major haemorrhage occur in 1.25%. In this study conversion to laparotomy rate was 1.25%. Only one case of ureteric injury and one case of bowel injury was noted. Among minor complications fever (6.25%) and urinary tract infection (5.62%) were mainly seen. Mean duration of hospital stay was 2.82±1.17 days.Conclusions: LAVH enables the surgeon to convert most of the abdominal hysterectomies into vaginal ones and hence decreases postoperative pain, decreases complications, lesser duration of hospital stay and rapid return to normal activity.

Intrahepatic venous collaterals forming via the inferior right hepatic vein in 3 patients with obstruction of the inferior vena cava.

Radiology ◽  
1985 ◽  
Vol 154 (2) ◽  
pp. 323-328 ◽  
Author(s):  
K Takayasu ◽  
N Moriyama ◽  
Y Muramatsu ◽  
H Goto ◽  
Y Shima ◽  
...  
Keyword(s):  
Inferior Vena Cava ◽  
Hepatic Vein ◽  
Inferior Vena ◽  
Vena Cava ◽  
Venous Collaterals ◽  
Right Hepatic Vein
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