1,721,088 research outputs found
Commentary: Evaluation of the Educational Quality of the Top 30 Most Viewed Laparoscopic Distal Pancreatectomy Videos on YouTube by Tan et al
No full textLaparoscopic treatment of colo-colic intussusception secondary to a lipomatous polyp
No full textINTRODUCTION: Colo-colic intussusception is extremely rare in adults and few cases have been described secondary to a
lypomatous polyp.
CASE REPORT: We present the case of a 50-year old man with chronic abdominal pain who was diagnosed a colo-colic
intussusception secondary to a lipoma of the left colon. The patient underwent laparoscopic resection of the splenic
flexure without reduction, which occurred spontaneously after induction of the pneumoperitoneum, and final histology
confirmed a submucosal lipoma with no evidence of malignancy.
CONCLUSION: The traditional treatment of choice for adult intussusception is bowel resection without reduction. More
recently, however, preoperative reduction of the invaginated bowel segment has been reconsidered in order to: 1) avoid
emergency surgery, 2) allow radical surgery for cancer, and 3) reduce the extent of the intestinal resection. To the best
of our knowledge, this is the first case of adult colonic intussusception secondary to a lipoma treated by laparoscopy
Laparoscopic treatment of colo-colic intussusception secondary to a lipomatous polyp
No full textINTRODUCTION:
Colo-colic intussusception is extremely rare in adults and few cases have been described secondary to a lypomatous polyp.
CASE REPORT:
We present the case of a 50-year old man with chronic abdominal pain who was diagnosed a colo-colic intussusception secondary to a lipoma of the left colon. The patient underwent laparoscopic resection of the splenic flexure without reduction, which occurred spontaneously after induction of the pneumoperitoneum, and final histology confirmed a submucosal lipoma with no evidence of malignancy.
CONCLUSION:
The traditional treatment of choice for adult intussusception is bowel resection without reduction. More recently, however, preoperative reduction of the invaginated bowel segment has been reconsidered in order to: 1) avoid emergency surgery, 2) allow radical surgery for cancer, and 3) reduce the extent of the intestinal resection. To the best of our knowledge, this is the first case of adult colonic intussusception secondary to a lipoma treated by laparoscopy
Endoanal ultrasound for preoperative evaluation of perianal sepsis
No full textEndoanal ultrasound (EUS) imaging performed with a 10-MHz rotating probe can be easily performed by surgeons in the office or the operating room. The procedure is well tolerated, easily repeatable, and cost effective. Major indications are perianal sepsis, fecal incontinence, and anorectal malignancies. Whether used for the evaluation of malignant or benign disease, this technique has been shown to be accurate in identifying normal anatomy and anatomic alterations.
EUS has shown higher accuracy than physical examination in localizing the internal opening and in detecting horseshoe extension of anal fistulas. Compared with MRI, EUS demonstrated similar sensitivity but lower specificity at detecting perianal fistulas; however data from the literature are heterogeneous and no definitive conclusion can be made. The costs for MRI are higher and not all hospitals have the facility.
A total of 934 EUS examinations were performed in our Unit for perianal sepsis from January 2007 to September 2013, we found an intersphincteric abscess, a transsphincteric fistula, and a horseshoe extension in 54%, 32%, and 8% of cases, respectively. Overall accuracy in identifying the internal opening was over 90%.
In conclusion, EUS is a reliable and reproducible method for preoperative assessment of anorectal diseases, at present it should be consider the diagnostic tool of choice for patients with perianal sepsis
Primary torsion of the greater omentum: A difficult diagnosis
No full textTorsion of the greater omentum is an uncommon cause of
acute abdomen and it is extremely difficult to identify preoperatively.
Clinical features are aspecific and diagnosis
is usually obtained at emergency operation. We report a
case of primary omental torsion and discuss the diagnostic
and therapeutic aspects of this pathology
Reconstruction of hypospadias and epispadias with buccal mucosa free graft as primary surgery: more than 10 years of experience
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