Foramen epiploicum mesh closure ( FEMC ) through a ventral midline laparotomy

2017 ◽  
Vol 50 (2) ◽  
pp. 235-240 ◽  
Author(s):  
T. Bergen ◽  
A. Rötting ◽  
P. Wiemer ◽  
S. Schauvliege ◽  
K. Vanderperren ◽  
...  
Keyword(s):  
Ventral Midline ◽  
Midline Laparotomy

174 TRANSCERVICAL EMBRYO COLLECTION IN THE DOMESTIC BITCH

2010 ◽  
Vol 22 (1) ◽  
pp. 245 ◽  
Author(s):  
B. E. Eilts ◽  
J. A. Len ◽  
C. E. Pope ◽  
P. M. Pennington ◽  
M. A. E. Vermeulen ◽  
...  
Keyword(s):  
Small Volume ◽  
Animal Health ◽  
Foley Catheter ◽  
Natural Cycle ◽  
Ventral Midline ◽  
Midline Laparotomy ◽  
Tyco Healthcare ◽  
Embryo Recovery ◽  
Vaginal Cytology ◽  
Fresh Semen

Embryo collection in the bitch is usually performed via surgical collection or uterine excision. Our objective was to collect embryos nonsurgically, or with minimal surgical invasion. Estrus was monitored using vaginal cytology and progesterone analysis during 1 natural cycle and 13 cycles induced by the submucosal insertion of a 2.1-mg deslorelin implant into the vestibulum of Walker-type hounds (n = 10, 30 kg). Bitches (n = 14 cycles) were transcervically inseminated twice in 12 cycles, (3.3 and 5.2 days post-LH) and once on 2 cycles (Day 6 post-LH) with fresh semen. Uterine flushes (n = 14) using an equine medium (ViGro, Bioniche Animal Health USA Inc., Athens, GA, USA) were done 13 to 15 days after the LH peak. Nonsurgical, nonanesthetized flushes were attempted in 9 cycles. In one cycle an 8-Fr, 55-cm Foley catheter with a 1-mL cuff (SurgiVet, Waukesha, WI, USA) stiffened with a metal stylette was inserted through the cervix using a 22-Fr sheath (63027KL, Karl Storz Veterinary Endoscopy, Goleta, CA, USA) and a 3.5-mm cystoscope, (63325BA, Karl Storz Veterinary Endoscopy) and flushed with 1.5 mL of medium infused and recovered by aspiration. In a one bitch, an 8-Fr polypropylene catheter (Sovereign, Tyco Healthcare, Mansfield, MA, USA) was transcervically passed after failing to pass an 8-Fr Foley catheter, but a flush was not done. In 5 cycles, the 22-Fr sheath could not be passed into the cranial vagina, so a 9.5-Fr, 43-cm cystoscope (27012L, Karl Storz Veterinary Endoscopy) was used to transcervically pass a 5-Fr, non-cuffed catheter (17500/0005, Minitube of America, Verona, WI, USA). Only non-cuffed catheters could be passed through the 9.5-Fr cystoscope, so no flushes were attempted. In 2 cycles, the cervix could not be visualized. Surgical flushes under anesthesia were attempted in 5 cycles. One was by transcervical catheterization using an 8-Fr catheter identical to the nonsurgical attempts, but adding surgical exteriorization of the uterine horns and retrograde flushing with 20 mL of medium. In 4 bitches the uterus was exteriorized by ventral midline laparotomy; one had a pyometra at surgery, and in three, 14-gauge i.v. catheters (Angiocath, BD, Sandy, UT, USA) were placed in the tip and body of each horn, and the uterus was retrograde flushed with 20 mL of medium. No embryos were recovered by the nonsurgical and/or transcervical flushes. Passing the 22-Fr sheathed cystoscope that accommodated a cuffed catheter into the cranial vagina, passing a cuffed catheter, or visualizing the cervix was unsuccessful in 7 of 9 cycles. Uterine distension appeared to cause discomfort during nonsurgical flushes. Three of 5 bitches that had a 5-Fr, non-cuffed catheter were subsequently pregnant. One blastocyst was recovered after surgical flushing with the i.v. catheters in the uterus. Nonsurgical embryo recovery in the bitch was most likely unsuccessful, compared to ours and previous work, due to inabilities to pass a cystoscope into the cranial vagina, to pass a catheter through the cervix, to visualize the cervix, or to create uterine distension using a small volume of medium. Pregnancies were maintained after successful transcervical catheterization of mated bitches.

scholarly journals Subacute Enteritis Two Months After COVID-19 Pneumonia With Mucosal Bleeding, Perforation, and Internal Fistulas

2021 ◽  
pp. 000313482110234
Author(s):  
Babak Abbassi ◽  
Anasua Deb ◽  
Vanessa Costilla ◽  
Brittany Bankhead-Kendall
Keyword(s):  
Histopathological Examination ◽  
Failure To Thrive ◽  
Small Bowel Resection ◽  
Resected Specimen ◽  
Push Enteroscopy ◽  
Midline Laparotomy ◽  
Internal Fistulas ◽  
Mucosal Bleeding ◽  
Gi Bleed ◽  
Prolonged Hospital

Chronic sequelae of COVID-19 remain undetermined. We report a case of postinfection sequelae in a patient presenting with subacute obstruction 2 months after COVID-19 infection. A 34-year-old man with a prior prolonged hospital stay due to COVID-19 complicated by upper gastrointestinal (GI) bleed presented with subacute obstruction and failure to thrive. Upper GI push enteroscopy revealed residual ulcers and multiple proximal jejuno-jejunal fistulae. Midline laparotomy revealed strictures with dense intra-abdominal adhesions, a large jejuno-jejunal fistula, and evidence of prior jejunal perforation following severe COVID-19 infection. The patient recovered after small bowel resection with anastomoses and was discharged home. Histopathological examination of resected specimen confirmed transmural infarction with evidence of prior hemorrhage, diffuse ulcers, and multifocal inflammation. This is the first report of a chronic GI sequelae resulting from COVID-19. As the pandemic evolves, medical professionals must be vigilant to consider alternative GI diagnoses in the COVID-19 survivors.

Prophylactic Mesh After Midline Laparotomy: Evidence is out There, but why do Surgeons Hesitate?

2021 ◽  
Author(s):  
Martijn Depuydt ◽  
Mathias Allaeys ◽  
Luis Abreu de Carvalho ◽  
Aude Vanlander ◽  
Frederik Berrevoet
Keyword(s):  
Prophylactic Mesh ◽  
Midline Laparotomy

scholarly journals Surgical Site Infection and Analytic Morphometric Assessment of Body Composition in Patients Undergoing Midline Laparotomy

2011 ◽  
Vol 213 (2) ◽  
pp. 236-244 ◽  
Author(s):  
Jay S. Lee ◽  
Michael N. Terjimanian ◽  
Lindsay M. Tishberg ◽  
Abbas Z. Alawieh ◽  
Calista M. Harbaugh ◽  
...  
Keyword(s):  
Body Composition ◽  
Surgical Site Infection ◽  
Site Infection ◽  
Midline Laparotomy ◽  
Morphometric Assessment
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