Transrectal ultrasound and fluoroscopy-guided drainage of deep pelvic collections in children
Conclusions: Imaging-guided TRD in children is a safe and easy procedure that allows drainage of deep pelvic abscesses that are otherwise not easily accessible. (Source: Journal of Pediatric Surgery)...
POSTED 02/28/2010 at 06:00 PM --
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Single-port laparoscopic repair of a Morgagni diaphragmatic hernia in a pediatric patient: advancement in single-port technology allows effective intracorporeal suturing
We report a case of a foramen of Morgagni hernia repaired by a single-port laparoscopic technique. A 20-month-old (10 kg) boy underwent a 97-minute procedure through a 15-mm umbilical incision and had no complications. Although other pediatric single-port case series have been reported in the literature, this case represents the first time a diaphragmatic defect has been addressed. Moreover, unlike previous experiences that involved procedures of resection (appendectomy, cholecystectomy, etc), this case required operative repair and reconstruction with intracorporeal suturing via a single-access site. Advancement in instrument and port technology makes such procedures feasible in pediatric patients. (Source: Journal of Pediatric Surgery)...
POSTED 02/28/2010 at 06:00 PM --
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High Incidence of Appendix Carcinoid Tumors Among Candidates for Bariatric Surgery: Diagnostic and Therapeutic Implications
This study was designed
to fill that gap. Between 2000-2008, 558 patients underwent bariatric procedures. Appendectomy was routinely performed in
477 cases. Their charts were retrospectively retrieved and histopathology responses on surgical specimens were recorded. We
aimed to assess: incidence of appendix carcinoid tumors (ACTs) and any possible risk-factor; modality of diagnosis (pre-,
intra- or post-operatively); impact on the planned bariatric procedure; treatment reserved to such cases. Typical ACTs were
diagnosed in 7 patients (1.4%) (median age: 33 years; median BMI: 49 kg/m²; males/females: 1/6). Four were diagnosed intra-operatively.
Because of dimensions (<2 cm) and absence of mesoappendiceal or serosal involvement, simple appendectomy was performed duri......
POSTED 02/26/2010 at 12:47 AM --
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Airway management considerations for appendectomy.
Authors: Fabregat-López J, Cook T
PMID: 20186510 [PubMed - as supplied by publisher] (Source: Canadian Journal of Anaesthesia)...
POSTED 02/25/2010 at 06:00 PM --
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Bladder metastases of appendiceal mucinous adenocarcinoma: a case presentation
Conclusions:
The rarity of the appendiceal carcinoma invading the urinary bladder and its usual involvement of nearest organs and the posterior bladder wall, led us to describe this case which demonstrates the ability of the appendiceal cancer to metastasize different regions of urinary bladder. (Source: BMC Cancer)...
POSTED 02/22/2010 at 06:00 PM --
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The significance of occult carcinoids in the era of laparoscopic appendectomies
Conclusions It has long been the standard of care to remove any appendix found in laparotomy for suspected appendicitis, but it is not
clear what should be done during laparoscopy for suspected appendicitis when the appendix appears normal. Our data confirm
the presence of occult carcinoids in normal-appearing appendices. Further studies are needed to determine the clinical significance
of this finding.
Content Type Journal ArticleDOI 10.1007/s00464-010-0926-0Authors
Ron Shapiro, Chaim Sheba Medical Center Department of Surgery C and Surgical Oncology Tel Hashomer 52621 IsraelShai Eldar, Chaim Sheba Medical Center Department of Surgery C and Surgical Oncology Tel Hashomer 52621 IsraelEran Sadot, Chaim Sheba Medical Center Department of Surgery C and Surgical Oncolo......
POSTED 02/20/2010 at 12:50 AM --
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The transversus abdominis plane block: a valuable option for postoperative analgesia? A topical review
The transversus abdominis plane (TAP) block is a newly described peripheral block involving the nerves of the anterior abdominal wall. The block has been developed for post-operative pain control after gynaecologic and abdominal surgery. The initial technique described the lumbar triangle of Petit as the landmark used to access the TAP in order to facilitate the deposition of local anaesthetic solution in the neurovascular plane. Other techniques include ultrasound-guided access to the neurovascular plane via the mid-axillary line between the iliac crest and the costal margin, and a subcostal access termed the 'oblique subcostal' access. A systematic search of the literature identified a total of seven randomized clinical trials investigating the effect of TAP block on post-operative pain,......
POSTED 02/17/2010 at 06:00 PM --
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Influence of Histamine Receptor Antagonists on the Outcome of Perforated Appendicitis: Analysis From a Prospective Trial [Original Article]
Conclusions Ranitidine or diphenhydramine given to patients with perforated appendicitis may increase the risk of postoperative abscess. Therefore, these medications should not be used empirically in this population. (Source: Archives of Surgery)...
POSTED 02/15/2010 at 02:50 PM --
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The value of preoperative diagnostic tests in acute appendicitis, retrospective analysis of 196 patients
Conclusions:
Besides the improvement of diagnostic tests for acute appendicitis, we could not sufficiently reduce the negative appendectomy rate. (Source: World Journal of Emergency Surgery)...
POSTED 02/10/2010 at 06:00 PM --
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Simple technique for single incision transumbilical laparoscopic appendectomy
Conclusion: Our technique for single incision laparoscopic transumbilical appendectomy is safe feasible, and reproducible. Prospective randomized studies comparing the single incision laparoscopic approach with its conventional multiport counterpart are necessary to confirm the conclusions of our early experience. (Source: International Journal of Surgery)...
POSTED 02/07/2010 at 06:00 PM --
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LigaSure™ compared with ligatures and endoclips in experimental appendectomy: how safe is it?
Conclusion Better healing, less inflammation, shorter OT, and equal strength achieved with LigaSure™ device comparing with polyglactin
910 ties and endoclips in experimental appendectomy is encouraging.
Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00383-010-2557-xAuthors
Levent Elemen, Kocaeli University Department of Pediatric Surgery, Medical Faculty Kocaeli TurkeyYusufhan Yazir, Kocaeli University Department of Histology and Embryology, Medical Faculty Kocaeli TurkeyMelih Tugay, Kocaeli University Department of Pediatric Surgery, Medical Faculty Kocaeli TurkeyAlper Akay, Kocaeli University Department of Pediatric Surgery, Medical Faculty Kocaeli TurkeySeval Aydin, İstanbul University Department of Biochemistry, Cerrahpaşa Medical Faculty Ist......
POSTED 02/06/2010 at 11:59 AM --
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The effect of mechanical ventilation tidal volume during pneumoperitoneum on shoulder pain after a laparoscopic appendectomy
Conclusions Mechanical ventilation with a reduced 7 ml/kg VT during a pneumoperitoneum does not reduce the frequency and severity of PLSP after laparoscopic appendectomy compared with
ventilation with the traditional VT (10 ml/kg).
Content Type Journal ArticleDOI 10.1007/s00464-010-0895-3Authors
Hwa-Yong Shin, Konkuk University School of Medicine Department of Anesthesiology and Pain Medicine 1 Hwayang-Dong, Gwanggin-Gu Seoul 143-701 South KoreaSeong-Hyop Kim, Konkuk University School of Medicine Department of Anesthesiology and Pain Medicine 1 Hwayang-Dong, Gwanggin-Gu Seoul 143-701 South KoreaYeong-Ju Lee, National Police Hospital Department of Anesthesiology and Pain Medicine Seoul South KoreaDuk-Kyung Kim, Konkuk University School of Medicine Department o......
POSTED 02/05/2010 at 02:43 AM --
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If not appendicitis, then what else can it be? A retrospective review of 1492 appendectomies.
CONCLUSIONS. A more focused utilisation of preoperative imaging in females of reproductive age and patients at the extremes of age is suggested. Long-term follow-up should be offered to patients with granulomatous appendicitis and neoplastic appendiceal diseases.
PMID: 20124568 [PubMed - in process] (Source: Hong Kong Med J)...
POSTED 01/31/2010 at 06:00 PM --
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CT Scans Reduce Unneeded Appendectomies in Women
Title: CT Scans Reduce Unneeded Appendectomies in WomenCategory: Health NewsCreated: 1/28/2010 4:10:00 PMLast Editorial Review: 1/29/2010 (Source: MedicineNet Crohn's Disease General)...
POSTED 01/29/2010 at 01:00 AM --
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CT Scans Reduce Unneeded Appendectomies in Women
Title: CT Scans Reduce Unneeded Appendectomies in WomenCategory: Health NewsCreated: 1/28/2010 4:10:00 PMLast Editorial Review: 1/29/2010 (Source: MedicineNet Womens Health General)...
POSTED 01/29/2010 at 01:00 AM --
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CT Scans Reduce Unneeded Appendectomies in Women
Procedure helps avoid misdiagnosis in those under 45 Source: HealthDay
Related MedlinePlus Topics: Appendicitis, CT Scans, Women's Health (Source: MedlinePlus Health News)...
POSTED 01/28/2010 at 04:00 PM --
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Single-incision laparoscopic appendectomy for acute appendicitis: a preliminary experience
Conclusion The SILA technique is safe and feasible for selected patients with noncomplicated acute appendicitis. Compared with other
transumbilical techniques of appendectomy, SILA has the advantages of feasibility without endoscopic skills and an acceptable
operative time. Technical refinements and accomplished learning probably will enable its wider use for more patients with
acute appendicitis.
Content Type Journal ArticleDOI 10.1007/s00464-009-0860-1Authors
Elie Chouillard, Centre Hospitalier Department of General and Minimally Invasive Surgery 10 rue du Champ Gaillard 78300 Poissy FranceArnaud Dache, Centre Hospitalier Department of General and Minimally Invasive Surgery 10 rue du Champ Gaillard 78300 Poissy FranceAdriana Torcivia, Centre Hospitalier Department ......
POSTED 01/28/2010 at 01:01 AM --
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Preoperative CT may reduce negative appendectomies in women
A 10-year review of more than 1,000 patients at a North Carolina hospital found (more) (Source: AuntMinnie.com Headlines)...
POSTED 01/28/2010 at 01:00 AM --
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Review Article: Granulomatous Diseases and Granulomas of the Appendix
Granulomatous appendicitis is a rare phenomenon. Idiopathic (primary) granulomatous appendicitis is very rare. It is a diagnosis by exclusion. There are many etiologies, both infectious and noninfectious, for secondary granulomatous appendicitis. Isolated appendiceal Crohn’s disease (CD) is no longer an accepted explanation of idiopathic granulomatous appendicitis, but rather, it is thought to be part of more generalized gastrointestinal CD. Yersinia infection and CD constitute the main etiology of granulomatous appendicitis in the West. Infectious causes, mainly tuberculosis and parasitic infestations, are the main culprits in tropical and subtropical countries. This variation is probably a result of differences in the geographical distribution of these diseases. Recently, interval ......
POSTED 01/27/2010 at 12:50 AM --
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CT to diagnose appendicitis
Preoperative computed tomography (CT) may help reduce unnecessary surgeries in women of reproductive age with suspected acute appendicitis, as per a newly released study appearing in the recent issue of the journal Radiology "We observed that rising utilization of preoperative CT over the past decade, along with advances in CT technology, coincided with a significant decrease in negative appendectomies among women 45 years and younger," said Courtney A. Coursey, M.D., a radiologist at Emory University in Atlanta, who co-authored this study while a radiology fellow at Duke University Medical Center in Durham, N.C........ (Source: Medicineworld.org: New Article Alert)...
POSTED 01/26/2010 at 08:04 AM --
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