Endoscopic Resection of a Massive Pleomorphic Adenoma of the Nasal Septum

Pleomorphic adenoma is a benign tumor that commonly arises from the major salivary glands, such as the parotid and submandibular glands. However, they rarely originate from the nasal cavity. Herein, we describe the case of a 49-year-old woman who presented with nasal obstruction. Preoperative evaluation revealed a giant pleomorphic adenoma attached to the nasal septum. Transnasal endoscopic removal was successfully performed using a specimen retrieval bag. We performed an endoscopic complete en-bloc resection of a large pleomorphic adenoma in the nasal cavity, using a specimen retrieval bag. There were no complications seen, no local recurrences after 2 years of follow-up, and the patient satisfaction was high. We therefore recommend that this technique of using specimen retrieval bags can be favorably utilized for endoscopic removal of large nasal tumors like pleomorphic adenoma.

USE OF WOUND PROTECTOR FOR PREVENTION OF SURGICAL SITE INFECTION IN LAPAROSCOPIC CHOLECYSTECTOMY

The work is based on the experience of 759 cholecystectomies performed in 2015-2018. Patients with a 3-4 grades of microbial contamination of wounds were divided into two groups: the first, with removal of the gallbladder traditionally with specimen retrieval container and the second, where proposed method of combined use of container and wound protector was used − 19 patients.Surgical site infection in laparoscopic cholecystectomy was detected in 5.40% (41 patients out of 759). During surgical interventions related to the second grade of microbial contamination (clean-contaminated), the frequency of SSI was 2.50%, to the third grade (contaminated) − 11.76%, and to the fourth grade (dirty) − 34.92%. Using the proposed method for the simultaneous use of the retrieval container and the double-ring wound protector in the second and third grades of wounds in LC allowed to reduce the frequency of SSI from 37.70% to 5.26%.