scholarly journals Laparoscopy After Previous Laparotomy

2006 ◽  
Vol 6 (4) ◽  
pp. 45-47
Author(s):  
Zulfo Godinjak ◽  
Edin Idrizbegović ◽  
Kerim Begić
Keyword(s):  
Digestive System ◽  
Diagnostic Laparoscopy ◽  
Abdominal Cavity ◽  
War Injuries ◽  
Safe Method ◽  
Trocar Insertion ◽  
Abdominal Organs ◽  
Common Causes ◽  
Previous Laparotomy ◽  
Veres Needle

Following the abdominal surgery, extensive adhesions often occur and they can cause difficulties during laparoscopic operations. However, previous laparotomy is not considered to be a contraindication for laparoscopy. The aim of this study is to present that an insertion of Veres needle in the region of umbilicus is a safe method for creating a pneumoperitoneum for laparoscopic operations after previous laparotomy. In the last three years, we have performed 144 laparoscopic operations in patients that previously underwent one or two laparotomies. Pathology of digestive system, genital organs, Cesarean Section or abdominal war injuries were the most common causes of previouslaparotomy. During those operations or during entering into abdominal cavity we have not experienced any complications, while in 7 patients we performed conversion to laparotomy following the diagnostic laparoscopy. In all patients an insertion of Veres needle and trocar insertion in the umbilical region was performed, namely a technique of closed laparoscopy. Not even in one patient adhesions in the region of umbilicus were found, and no abdominal organs were injured.

scholarly journals Methods of Diagnostic Laparoscopy

2016 ◽  
Vol 23 (3) ◽  
Author(s):  
M G Gonchar ◽  
A Ye Bogush ◽  
L D Pryymak
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Laparoscopic Surgery ◽  
Epidural Anesthesia ◽  
Local Anaesthesia ◽  
Diagnostic Laparoscopy ◽  
Hemorrhagic Stroke ◽  
Abdominal Cavity ◽  
Abdominal Organs

During the period of three years, 1,414 patients underwent laparoscopic surgery. 18 patients underwent diagnostic laparoscopy under local anaesthesia. All these patients in addition to the suspected pathology of the abdominal cavity were diagnosed with severe concomitant cardiopulmonary pathology including acute myocardial infarction, ischemic and hemorrhagic stroke, coma of various genesis, pneumonia. The proposed technique included a local anaesthesia around the navel, laparolifting, the insertion of a laparoscope and a short inspection (3-5 min) of the abdominal organs. Sometimes, especially in patients with hypertension, spinal or epidural anesthesia was used. While diagnosticating the pathology, if necessary, the anaesthesia was given, carboperitonium was applied and the necessary surgery was performed. 

scholarly journals Importance of Laparoscopy to Solve the Diagnostic Dilemma of Abdominal Tuberculosis

KYAMC Journal ◽  
2021 ◽  
Vol 12 (1) ◽  
pp. 14-17
Author(s):  
Md Saiful Islam ◽  
Md Masudar Rahman ◽  
M Fardil Hossain Faisal ◽  
Md Alamgir Jalil Pramanik ◽  
Muhammad Abdur Rouf
Keyword(s):  
Minimally Invasive ◽  
Diagnostic Laparoscopy ◽  
Abdominal Cavity ◽  
Correct Diagnosis ◽  
Abdominal Tuberculosis ◽  
Diagnostic Dilemma ◽  
Peritoneal Tissue ◽  
Appropriate Treatment ◽  
Liver Surface ◽  
Minimally Invasive Access

Background: Diagnosis of abdominal tuberculosis as well as histopathological confirmation is difficult because of suboptimal access to the intraperitoneal pathology. Laparoscopy provides minimally invasive access to the peritoneal cavity and materials can be collected for confirmation of diagnosis. Objectives: To study the importance of laparoscopy as a tool for the diagnosis of abdominal tuberculosis and initiation of appropriate treatment without delay. Materials & Methods: In this study 25 patients with suspected abdominal tuberculosis were selected within the period of May, 2014 to October, 2014. Diagnostic laparoscopy performed on all patients with biopsy of tissue from accessible sites. Results: Diagnostic laparoscopy with biopsy confirmed the diagnosis in 24 (96%) patients, 23 of these patients (96%) had nodules at different site of abdominal cavity and 19 of these patients (76%) had ascites. In two cases there were nodules over liver surface; biopsy was taken also from both liver nodules. One nodule revealed fibrosis and another nodule revealed tuberculosis. Conclusion: Imaging and culture of ascitic fluid may fail to confirm or exclude abdominal tuberculosis in clinically suspected cases. Laparoscopy with peritoneal tissue biopsy provided rapid and correct diagnosis of abdominal tuberculosis and should be performed early in suspected cases. KYAMC Journal.2021;12(01): 14-17

scholarly journals CLINICAL AND EPIDEMIOLOGICAL ANALYSIS OF MALIGNANT NEOPLASMS OF THE ABDOMINAL ORGANS

2021 ◽  
Vol 19 (4) ◽  
Author(s):  
I.A. Malishevsky
Keyword(s):  
Developmental Stages ◽  
Abdominal Cavity ◽  
Malignant Neoplasms ◽  
Newly Diagnosed ◽  
Epidemiological Analysis ◽  
Software Packages ◽  
Abdominal Organs ◽  
Microsoft Office ◽  
Epidemiological Characteristics ◽  
Epidemiological Parameters

Purpose – to determine the statistical and epidemiological parameters of malignantneoplasms of the abdominal cavity organs.Material and methods. The study was carried out on the basis of the Chernivtsi RegionalClinical Oncological Dispensary and covers observation materials during 2019 andstatistical reporting concerning 21259 patients with tumors of various localization. The calculation of indices was carried out using software packages MS Access and MS Excelbased on the Microsoft Office medium.Results. Neoplasms of the abdominal organs account for 32.4%-37.1% of the totalnumber of neoplasms of various localization. The distribution of patients with malignantdiseases of the abdominal organs by developmental stages is relatively uniform, despitesignificant differences in various localizations of neoplasmsConclusions. Malignant neoplasms of the abdominal organs account for 32.4%(registered) and 37.1% of the newly diagnosed of the total number of tumors of variouslocalization, indicating the importance of further research. A significant part of tumors ofthe abdominal cavity organs are diagnosed in the late (III-IV) stages of the pathologicalprocess development (up to 94.7% in the liver and intrahepatic biliary tract). Therevealed significant differences in clinical and epidemiological characteristics requirefurther research.

scholarly journals Torsion of undescended abdominal testicle in a 16-year-old and its management

2020 ◽  
Vol 13 (1) ◽  
pp. e232179
Author(s):  
Muhamamd Isfandyar Khan Malik ◽  
Joshua Abbas ◽  
Shariq Sabri ◽  
George Michael ◽  
Simon Ellenbogen
Keyword(s):  
Emergency Department ◽  
Testicular Torsion ◽  
Diagnostic Laparoscopy ◽  
Iliac Fossa ◽  
Abdominal Cavity ◽  
External Genitalia ◽  
Malignant Potential ◽  
Testicular Pain ◽  
Left Testicle ◽  
Right Iliac Fossa Pain

A 16-year-old boy attended the Emergency Department with sudden severe right iliac fossa pain and associated vomiting. He denied any urinary symptoms, diarrhoea or testicular pain. On examination, he had a locally tender right iliac fossa with guarding. External genitalia and testicular examination revealed an absent right testicle, the left testicle was not tender. The patient was haemodynamically stable. A clinical diagnosis of acute appendicitis and possible testicular torsion was made and the patient sent for an urgent diagnostic laparoscopy. At laparoscopy, the patient was found to have a torted, non-viable right-sided testicle in the abdominal cavity. On discussion with urology, a decision was made to excise the torted testicle as it was atrophic and had significant malignant potential. The appendix was normal. The patient made an unremarkable recovery and was discharged.

scholarly journals Limb Body Wall Complex: A Rare Anomaly

2018 ◽  
Vol 16 (2) ◽  
pp. 56-58
Author(s):  
Unan Sultana ◽  
Md Qumrul Ahsan
Keyword(s):  
Early Diagnosis ◽  
Abdominal Wall ◽  
Umbilical Cord ◽  
Early Pregnancy ◽  
Body Wall ◽  
Abdominal Cavity ◽  
Abdominal Wall Defects ◽  
Proper Management ◽  
Vascular Disruption ◽  
Abdominal Organs

Body stalk anomalies are a group of massively disfiguring abdominal wall defects in which the abdominal organs lie outside of the abdominal cavity in a sac of amnioperitoneum with absence of or very small umbilical cord. Various hypotheses proposed to explain the pathogenesis of limb body wall complex include early amnion disruptions, embryonic dysplasia, and vascular disruption in early pregnancy. Body stalk anomaly is an accepted fatal anomaly and, hence, its early diagnosis aids in proper management of the patient. We present a case of LBWC, exhibiting combined cranial, abdominal & limb features.Chatt Maa Shi Hosp Med Coll J; Vol.16 (2); July 2017; Page 56-58

Desmoid-type Fibromatosis of the Mesentery: A Case Report

2017 ◽  
Vol 10 (1) ◽  
pp. 58-62
Author(s):  
Tatyana M. Betova ◽  
Savelina L. Popovska ◽  
Radoslav G. Trifonov ◽  
Konstantina S. Karakadieva ◽  
Genoveva B. Valcheva ◽  
...  
Keyword(s):  
Case Report ◽  
Abdominal Wall ◽  
Multidisciplinary Approach ◽  
Abdominal Cavity ◽  
Metastatic Potential ◽  
Surgical Method ◽  
Anatomical Position ◽  
Abdominal Organs ◽  
Mesenchymal Neoplasm

SummaryDesmoid-type fibromatosis is a rare mesenchymal neoplasm with locally aggressive, infiltrating and destructive growth that is not characterized by a metastatic potential. According to their anatomical position, desmoid-type fibromatoses can be divided into three groups: extra-abdominal, intra-abdominal, and fibromatoses of the abdominal wall. Mesenteric fibromatoses account for 8% of the intra-abdominal ones. The latter are characterized by myofibroblastic proliferation and infiltration of both the pelvic and abdominal organs. We report a 26-year-old woman who complained of abdominal enlargement, feeling of heaviness, discomfort and reflux, which symptoms dated back 1-2 months prior to hospitalization. The patient underwent laparotomy due to subocclusive symptoms. Intraoperatively, a tumor sized 30 cm in diameter was found. The tumor originated from the mesentery and infiltrated in the jejunum, the entire ileum, and part of the caecum with perforation towards the abdominal cavity. The histological and immunohistochemical examinations are important for clarification of the diagnosis. The treatment requires a multidisciplinary approach, in which the surgical method has the key role.

scholarly journals Adverse effects of tribromoethanol as used in the production of transgenic mice

1998 ◽  
Vol 32 (4) ◽  
pp. 407-413 ◽  
Author(s):  
Walter Zeller ◽  
Gabriele Meier ◽  
Kurt Bürki ◽  
Basile Panoussis
Keyword(s):  
Side Effects ◽  
Adverse Effects ◽  
Transgenic Mice ◽  
Embryo Transfer ◽  
Anaesthetic Agent ◽  
Histopathological Examination ◽  
Abdominal Cavity ◽  
Muscle Fibres ◽  
Abdominal Organs ◽  
Different Strains

Tribromoethanol is widely used as an anaesthetic agent for embryo-transfer surgery for the generation of transgenic mice. Potential side effects such as local irritation, fibrous adhesions in the abdominal cavity, and mortalities of unknown cause have been reported. Mice of three different strains (CD-1, OF-1, NMRI) received intraperitoneal injections of pentobarbiturate (60 mg/kg, 0.4%), tribromoethanol (240 mg/kg, 1.2%), tribromoethanol (450 mg/kg, 2.5%), ketamine/xylazine (120 mg/kg, 1.2%/16 mg/kg, 0.16%) or saline (NaCl, 0.9%). After 24 h the animals were sacrificed and blinded histopathological examination of abdominal organs was performed by light microscopy. Tribromoethanol caused focal to diffuse necrosis primarily of subperitoneal muscle fibres of the abdominal wall, and, occasionally, necrotic changes on the surface of abdominal organs. These changes were associated with acute peritoneal inflammation and fibrinous serositis of the abdominal organs. The severity of the findings increased with the concentration of tribromoethanol. The use of ketamine/xylazine yielded a comparable success rate in embryo transfer without undesirable side effects. Further use of tribromoethanol is not recommended.

scholarly journals Gallbladder polyps: the more cases we observe, the more questions we ask

2020 ◽  
Vol 48 (3) ◽  
pp. 85-90
Author(s):  
N. V. Shirinskaya ◽  
N. V. Kalyatina ◽  
A. V. Shirinskaya
Keyword(s):  
Ultrasound Examination ◽  
Abdominal Cavity ◽  
Statistical Processing ◽  
Observation Data ◽  
Outpatient Appointment ◽  
Surgical Interventions ◽  
Gallbladder Polyps ◽  
Abdominal Organs ◽  
Ultrasound Study ◽  
History Of

Background. Gallbladder polyps have recently become more common in practice of general practitioners and gastroenterologists due to the improvement of instrumental imaging of the abdominal cavity. Aim of study: to analyze the dynamics of development of gallbladder polyps at an outpatient appointment of a general practitioner (gastroenterologist). Materials and methods. A prospective clinical five-year study of patients with gallbladder polyps was conducted. All patients underwent ultrasound examination of the abdominal organs (Voluson E10) once every six months during five years. Number and nature of the growth of polyps, size of the gallbladder, presence/absence of complaints, and burdened history of neoplastic diseases were evaluated in the dynamics of observation. Data obtained were subjected to standard statistical processing. Results. The study included 33 patients (14 men, 19 women aged 24–65 years, average age 45.19±1.73 yrs). In the initial ultrasound study, the number of visualized polyps varied from 1 to 5 (on average, 2.09±0.95), the size of the neoplasms ranged from 2 mm to 10 mm (on average, 5.75±1.10 mm). Burdened heredity in oncopathology was noted in 42.86% of men and 31.58% of women. Legless polyps were more often diagnosed in men (14.29%), while in women, polyps increased in size in the dynamics of observation >10 mm and a higher frequency of surgical interventions (cholecystectomy) were more often recorded. Conclusion. Gallbladder polyps tend to grow slowly. We outlined the questions facing the clinician in the management of patients with gallbladder polyps in terms of choosing the optimal tactic and surgical treatment due to the possible malignancy of these formations.

scholarly journals Znacaj laparoskopije u proceni tupe abdominalne traume

2010 ◽  
Vol 57 (4) ◽  
pp. 33-38 ◽  
Author(s):  
Pavle Gregoric ◽  
Djordje Bajec ◽  
Dejan Radenkovic ◽  
Ana Sijacki ◽  
Aleksandar Karamarkovic ◽  
...  
Keyword(s):  
Abdominal Cavity ◽  
Patient Positioning ◽  
Diagnostic Procedures ◽  
Definitive Diagnosis ◽  
Laparoscopic Technique ◽  
Abdominal Organs

Laparoscopic diagnostics provides fast, reliable, clear, and obvious information on extent and depth of abdominal organs injury with minimizing additional trauma to the patient. It is performed without any specific preparations and, if needed, it may be promptly converted into conventional laparotomy. Through use of optical equipment with various refraction angles and through variable patient positioning, laparoscopic technique enables visualization of whole abdominal cavity. In approximately 20% of cases of unclear findings, and after other performed diagnostic procedures, laparoscopy provides definitive diagnosis. Abdominal surgeons are familiar with this method, making interpretation of the results very fast and reliable and, what is the most important, this method avoids additional trauma caused by conventional laparotomy.

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