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(celiotomy)
56,032 results
  • Hysterectomy and Adenextomy via transvaginal natural orifice transluminal endoscopic surgery (vNOTES): A UK perspective with a case series of 33 patients. [Journal Article]
    Eur J Obstet Gynecol Reprod Biol 2019; 242:29-32Karkia R, Giacchino T, … Kovoor E
  • CONCLUSIONS: Between January and December 2018, 33 patients underwent surgery between two units. Indications for surgery included dysfunctional uterine bleeding, endometrial hyperplasia, pelvic pain, post-menopausal bleeding, prophylactic surgery in BRCA positive patients and one grade 1 stage 1 endometrial cancer in whom laparoscopic hysterectomy was technically difficult and complicated by previous midline laparotomy. Ages ranged from 35 to 75 and BMI from 20-53. Mean operation time was 68.5 min and mean blood loss intraoperatively was 269mls. 15.2% (n = 5) had a blood loss equal or more than 500 mls. There were no intraoperative complications and no conversions to open surgery. The median visual analogue pain score at 6 h post operatively and at discharge was 0. All patients received regular Paracetamol and Ibuprofen and opiate based analgesics were only used on an as required basis. Postoperative complication which included failed trial without catheter, urinary tract infection and urinary dysfunction were reported by four women (12.4%). Only 2 patients re-presented to hospital over a 30-day period and neither required inpatient management. Hysterectomy by vNOTES has advantages over traditional laparoscopic and vaginal hysterectomy that include reduced requirement for intra-abdominal insufflation and head down, absence of trocar related injuries and easier operative access in patients with morbid obesity, or previous abdominal surgery such as midline laparotomy or mesh hernia repair. In addition, both tubes and ovaries can be removed easily due to easier access and visibility and there is no requirement for vaginal descent in order to do so. Plans for a comparative study between laparoscopic hysterectomy and vNOTES hysterectomy are underway.
  • [Perforated mesenteric cyst causing abdominal pain in a 12-year-old girl]. [Journal Article]
    Ugeskr Laeger 2019; 181(37)Schyum AC, Lauridsen MC
  • In this case report, a 12-year-old girl was admitted to hospital due to abdominal pain. An intra-abdominal mass was seen on ultrasound and initially mistaken for an ovarian cyst. Later, a CT scan was performed, and it revealed an intraperitoneal cystic mass compatible with a mesenteric cyst, which is a rare benign abdominal abnormality. The cyst was removed by laparotomy, and histology confirmed …
  • StatPearls: Cesarean Section [BOOK]
    StatPearls Publishing: Treasure Island (FL) Sung Sharon S Sparrow Hospital Mahdy Heba H BOOK
  • Cesarean section is a fetal delivery through an open abdominal incision (laparotomy) and an incision in the uterus (hysterotomy). The first cesarean documented occurred in 1020 AD, and since then the procedure has evolved tremendously.[1]  It is now the most common surgery performed in the United States, with over 1 million women delivered by cesarean every year. The cesarean delivery rate rose f…
  • Spleenic Abscess As A Complication Of Extrapulmonay Tuberculosis. [Journal Article]
    J Ayub Med Coll Abbottabad 2019 Jul-Sep; 31(3):464-465Hashmi JZ, Hashmi AZ, … Zaheer F
  • Tuberculosis continues to be a fatal infectious disease in developing countries. Despite the advances in medical sciences and introduction of potent therapeutic regimes tuberculosis has still managed to survive and prevail worldwide. It can affect many organs of body. Isolated splenic tuberculosis is uncommon in immunocompetent host and only some cases are reported internationally. Extrapulmonary…
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