Abstract
Cirrhosis is associated with poor outcomes in the trauma setting. We aimed to evaluate the utility of Model for End-Stage Liver Disease (MELD) in assessing additional mortality risk in trauma patients with cirrhosis.
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PMID: 21818010
PDF is available here.
Abstract
We report the case of a young adult male who presented in the emergency department with an incarcerated, large, neglected rectal foreign body, a bull horn, causing intestinal obstruction. Emergent laparotomy was required for its removal....
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PMID: 21935842
PDF is available here.
Abstract
We report the case of a 62-year-old woman with a huge subserous fibroid in torsion. The lesion was removed surgically with the uterus and ovaries. Imaging is an essential tool in the diagnosis of myomata and should serve to exclude other diseases, especially malignancy....
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PMID: 21741504
PDF is available here.
Abstract
We report the case of a 76-year-old man presenting with an incarcerated transiliac hernia, in a context of exacerbated chronic obstructive pulmonary disease, 30 years after iliac bone harvesting for femur surgery. After imaging, the patient underwent a laparotomy, and a herniated left colic segment...
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PMID: 21741503
PDF is available here.
Abstract
We present the case of an 86-year-old man who developed acute abdomen. Surgery revealed a perforated Meckel's diverticulum. Histology identified a poorly-differentiated adenocarcinoma arising in Meckel's diverticulum. We provide a review of the literature....
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PMID: 21376424
PDF is available here.
Abstract
We hypothesized that a wide underlay technique in combination with a novel biologic mesh would result in repair with a low recurrence rate. Medical records of patients undergoing ventral herniorrhaphy with XenMatrix biologic mesh were evaluated. All patients were evaluated for hernia recurrence both...
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PMID: 21337869
PDF is available here.
Abstract
We attempt to define which preoperative characteristics of trauma patients who later develop small bowel obstruction are most amenable to a laparoscopic operation. We did a retrospective review of all patients with small bowel obstruction after previous laparotomy for trauma. For the patients that r...
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PMID: 21337877
PDF is available here.
Abstract
We present the case of a 55-year-old male who underwent a laparoscopic left radical nephrectomy and presented with an early SBO. An imaging study revealed an obstructive pattern with proximal dilated jejunum with decompressed distal small bowel. The patient underwent an exploratory laparotomy with...
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PMID: 21985740
PDF is available here.
Abstract
We report two cases of Nigerian adults with longstanding, recurrent constipation, getting relieved by laxatives and herbal enemata, and then presented to our Emergency Department with a history of progressive abdominal distention, colicky pain, occasional vomiting, and weight loss. Per rectal examin...
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PMID: 21860150
PDF is available here.
Abstract
Pelvic hydatid cysts, although rare, must be considered when evaluating a pelvic mass in women living in an endemic area. The pelvis may become secondarily involved as a result of a rupture of the cyst in another location or be the only localization of the disease. If the cyst becomes secondarily inf...
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PMID: 21485741
PDF is available here.
Abstract
We prospectively tried to define that may be useful for favoring a treatment modality and the effects of the parameters on the outcome....
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PMID: 21585128
PDF is available here.
Abstract
Our results suggest that some patients derive a survival and symptomatic benefits despite an incomplete cytoreductive surgery and perioperative intraperitoneal chemotherapy. The effects of this treatment require further investigation to determine its benefits as a palliative procedure....
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PMID: 20019578
PDF is available here.
Abstract
The prevalence of leiomyoma during pregnancy is reported as approximately 2%. Although during pregnancy leiomyomas usually remain asymptomatic, they may complicate its course. The management of leiomyoma during pregnancy is medical, but in certain circumstances surgical intervention and myomectomy ma...
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PMID: 21809614
PDF is available here.
Abstract
We selected English language studies reporting at least 25 robotic cases compared with laparoscopic or laparotomy cases that also addressed surgical technique, complications, and perioperative outcomes. Patients underwent total hysterectomy, bilateral salpingo-oophorectomy, and lymphadenectomy.
Eigh...
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PMID: 21099613
PDF is available here.
Abstract
To estimate the conversion rate of attempted laparoscopic staging for primary endometrial adenocarcinoma.
Two hundred thirty-five consecutive patients with primary endometrial adenocarcinoma underwent attempted laparoscopic staging regardless of age, body mass index (BMI, calculated as weight (kg)/[...
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PMID: 21099602
PDF is available here.
Abstract
The objective of this study was to investigate the 30-day morbidity of a negative laparotomy (NEGLAP) in blunt abdominal trauma. No previous work has exclusively examined blunt abdominal trauma patients, used a control group, or determined the complication burden incurred by a NEGLAP.
In this retros...
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PMID: 21150519
PDF is available here.
Abstract
We report the case of an unexpected small bowel intussusception caused by primary non-small cell lung cancer, which was primarily detected by 18 fluorine ((18)F)-fluorodeoxyglucose (FDG) positron emission tomography (PET) and computed tomography (CT). A 74-year-old man underwent FDG PET-CT for the d...
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PMID: 21095361
PDF is available here.
Abstract
Left subclavian arterioesophageal fistula resulting from chicken bone ingestion is a rare occurrence. The authors report the death of a 42-year-old Thai female with mental retardation who presented to the hospital with severe hematemesis and arrested Death occurred about 24 hours after laparotomy du...
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PMID: 21114215
PDF is available here.
Abstract
I trauma center between January 2003 and June 2008. Patients who underwent a DCL were included in the study. Elderly (55 years or older) and young (16-54 years) patients were compared for demographics, injury severity, intraoperative transfusion volume, complications, and mortality.
During the study...
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PMID: 21068610
PDF is available here.
Abstract
Lymph node retrieval was not affected by BMI.
Copyright © 2010 Elsevier Inc. All rights reserved....
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PMID: 20887841
PDF is available here.
Abstract
One hundred and thirty-three patients underwent 308 temporary abdominal closure placements, including 16 patients who had a FASTAC placed for open abdomen management. FASTAC remained in place for a significantly greater time with more frequent reassessment. Fascial closure techniques were not differ...
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PMID: 20727561
PDF is available here.
Abstract
We therefore evaluated the effects of changing isoflurane to desflurane on emergence and recovery. Eighty-two patients were randomly assigned to receive isoflurane (Group I) or desflurane (Group D) or to change from isoflurane to desflurane anesthesia (Group X). At the point when there was an hour u...
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PMID: 20975764
PDF is available here.
Abstract
Among 450 patients who underwent lung transplantation (LuT) between April 1994 and April 2009 at a single academic hospital, 75 received surgical consultation, and 52 underwent 65 abdominal operations. Operations included colectomy (17), cholecystectomy (14), exploratory laparotomy (10), ulcer repai...
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PMID: 21105627
PDF is available here.
Abstract
Data from 65 patients were included in the study. The groups were comparable in terms of age, weight, surgical duration, and intraoperative morphine doses. There were no significant differences between the control and treatment groups in the proportion of patients with inadequate analgesia either at...
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PMID: 20547822
PDF is available here.
Abstract
With the shift toward nonoperative management, most hepatic injuries are managed nonoperatively. On the other hand, up to two-thirds of high-grade hepatic injuries require laparotomy; these cases are technically difficult and challenging. Damage-control approaches, understanding of liver anatomy, an...
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PMID: 20637947
PDF is available here.
Abstract
We believe that the best way to prevent incisional hernia is to preserve the integrity of the abdominal wall using minimally invasive techniques....
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PMID: 20716270
PDF is available here.
Abstract
Peak age incidence was 20 - 29 years. Testicular swelling was the principal complaint in 23 patients. The mean interval between onset of symptoms and presentation was 5.3 months. Two patients (8.3%) presented with stage 1 disease, 7 (29.2%) with stage 2, 7 (29.2%) with stage 3, and 8 (33.3%) with st...
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PMID: 20822594
PDF is available here.
Abstract
We investigated the postoperative clinical course of MP retrospectively and discuss the relationship between MP and the development of obstructive jaundice, including biliary atresia (BA).
Between 1979 and 2008, 23 infants with MP underwent laparotomy at our institution. Eleven of the 23 infants (47...
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PMID: 20383819
PDF is available here.
Abstract
We reviewed our data over an eleven-year period to identify the incidence of obstruction as well as factors associated with its development.
A retrospective data analysis of all patients diagnosed with intra-abdominal Wilms' tumor, rhabdomyosarcoma, neuroblastoma, and Hodgkin's and non-Hodgkin's lym...
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PMID: 20496318
PDF is available here.
Abstract
Abdominal catastrophe is a serious clinical condition, usually being a complication arising during treatment of intraabdominal nontraumatic disorders or abdominal injuries. Most commonly, inflamation- secondary peritonitis, is concerned. Abdominal catastrophe also includes secondary signs of sepsis,...
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PMID: 20731313
PDF is available here.
Abstract
The number of reports of laparoscopic hepato-biliary-pancreatic (HBP) surgery has gradually been increasing, however, because of the high degree of proficiency required, these operations have not been widespread. Laparoscopic HBP surgery results in reduced operative blood loss and early recovery com...
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PMID: 20662217
PDF is available here.
Juan C Duchesne,
Katerina Kimonis,
Alan B Marr,
Kelly V Rennie,
Georgia Wahl,
Joel E Wells,
Tareq M Islam,
Peter Meade,
Lance Stuke,
James M Barbeau,
John P Hunt,
Christopher C Baker and
Norman E McSwain
Abstract
One Hundred twenty-four and 72 patients were managed during the DCL and CRE and DCL and DCR time periods, respectively. Baseline patient characteristics of age, Injury Severity Score, % penetrating, blood pressure, hemoglobin, base deficit, and INR were similar between groups. There was no differenc...
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PMID: 20622577
PDF is available here.
Abstract
The use of DCL was significantly decreased by 78% during the study with significantly improved outcome. The improved outcome and decreased resource utilization can reduce health care costs and charges. Although DCL may be a vital aspect of trauma surgery, it can be used more selectively with improve...
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PMID: 20622578
PDF is available here.
Abstract
The operative time was 776 +/- 191 minutes, and blood loss was 2593 +/- 1890 mL. Time of vessel resection and reconstruction was 25 +/- 19 minutes for the portal vein and 119 +/- 56 minutes for the hepatic artery. A total of 27 (54.0%) patients developed several kinds of complications, including int...
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PMID: 20531001
PDF is available here.
Abstract
A 4.5-year-old Holstein-Friesian cow underwent surgery because of left abomasal displacement. Intra-operative palpation of the pyloric region revealed a phytobezoar. The abomasum containing the phytobezoar was exteriorized, and an incision was made directly over the mass in the region of the greater...
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PMID: 20885831
PDF is available here.
Abstract
A 57-year-old man with both coronary artery disease and iliofemoral occlusive lesions was successfully operated with a combined revascularization procedure. Through a median laparotomy incision, off-pump coronary artery bypass grafting (OPCAB) using the right gastroepiploic artery and aorto-bifemora...
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PMID: 20533741
PDF is available here.
Abstract
We report our experience with abdominal TB treated in our hospital from 1995 to 2008.
Thirteen patients (3 boys and 10 girls) of mean age 9.8 years were diagnosed as having abdominal TB. Eight patients presented with abdominal distension and abdominal pain. Fever was seen in 4 patients. One patient...
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PMID: 20386326
PDF is available here.
Abstract
We present a fifty-six year old male with a six month history ofabdominal pain and pseudo-obstruction syndrome. During the hospitalization he presents infectious complications, with septic shock secondary to nosocomial pneumonia and death. A Necropsy was done and ganglioneuromatosis was diagnosed. D...
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PMID: 20645564
PDF is available here.
Abstract
Mucinous tumours are the second most common type of epithelial ovarian tumours. Majority of these tumours are benign. However, some of these benign lesion can grow to enormous size, thus stimulating malignant neoplasia. This report presents the case of a 35 year old grand multiparous woman who came...
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PMID: 20499763
PDF is available here.
Abstract
The aim of our study is to obtain the parameters for assessment of patient, so that policy guidelines for surgical procedures to choose from (laparoscopy or laparotomy). This way you get a chance to prefer the choice of surgical approach over another. Moreover, the ultimate goal is to determine if t...
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PMID: 20595941
PDF is available here.
Abstract
Daily body core temperature rhythm has been known to become blunted for several days following intra-abdominal implantation of biotelemetry transmitters in small rodents and about a week is required for re-establishment of stable body core temperature oscillation. In the present study carried out on...
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PMID: 20511129
PDF is available here.