scholarly journals Application of a laparoscopic spieker of own design in reposition and fixation of the left displacement of the abomasum (LDA) in cattle.

2018 ◽  
Vol 74 (1) ◽  
pp. 6059-2018 ◽  
Author(s):  
MICHAŁ GNUS ◽  
KORNEL RATAJCZAK ◽  
PAWEŁ ANTOSIK
Keyword(s):  
Minimally Invasive ◽  
Abdominal Wall ◽  
Dairy Production ◽  
Percutaneous Fixation ◽  
Laparoscopic Treatment ◽  
Normal Behaviour ◽  
Laparoscopic Procedures ◽  
First Case ◽  
Iatrogenic Complications ◽  
Surgical Methods

The first case of the left displacement of the abomasum was described in 1950 by Begg. Since then, the LDA has been diagnosed worldwide. It has been shown that there is a correlation between its increased occurrence and an increase in the intensity of cattle dairy production. The treatment methods include surgical ones, which are aimed at two objectives: reposition and fixation of the abomasum to the abdominal wall. The methods using the classic laparotomy include median abomasopexy, right-sided omentopexy and left-sided abomasopexy. A second group of surgical methods consists of procedures that are minimally invasive. These include percutaneous fixation, which requires positioning the patient on the back, and laparoscopic procedures performed by Janowicz and modified by Christiansen and later on by Newman. Recently, laparoscopic methods have become increasingly accessible and popular. The aim of the study was to evaluate the efficacy of laparoscopic treatment of the LDA, using equipment of the authors’ own design. The study involved the observation of 10 cows (aged between 24 and 90 months) treated surgically not later than 24 hours after the diagnosis. These animals were operated on with modified instruments. The modification presented here consisted in making a tube equipped with a trocar lock, which made it possible to reposition the abomasum non-traumatically and to fix it at the bottom of the abdomen. Signs of normal behaviour were observed, and all animals were eating and ruminating within 3-6 hours after surgery. The modification of the spieker proposed by the authors shortens laparoscopy and makes it safer by eliminating iatrogenic complications, such as accidental perforation of the bowels or diaphragm by the trocar edge..

scholarly journals Correcting Reflux Laparoscopically

1998 ◽  
Vol 12 (5) ◽  
pp. 327-332 ◽  
Author(s):  
Eric C Poulin ◽  
Christopher M Schlachta ◽  
Joseph Mamazza
Keyword(s):  
Minimally Invasive ◽  
Antireflux Surgery ◽  
Abdominal Cavity ◽  
Learning Curves ◽  
Barium Swallow ◽  
Short Esophagus ◽  
Minimally Invasive Techniques ◽  
Laparoscopic Procedures ◽  
Surgical Methods ◽  
Invasive Techniques

Most operations in the abdominal cavity and chest can be performed using minimally invasive techniques. As yet it has not been determined which laparoscopic procedures are preferable to the same operations done through conventional laparotomy. However, most surgeons who have completed the learning curves of these procedures believe that most minimally invasive techniques will be scientifically recognized soon. The evolution, validation and justification of advanced laparoscopic surgical methods seem inevitable. Most believe that the trend towards procedures that minimize or eliminate the trauma of surgery while adhering to accepted surgical principles is irreversible. The functional results of laparoscopic antireflux surgery in the seven years since its inception have been virtually identical to the success curves generated with open fundoplication in past years. Furthermore, overall patient outcomes with laparoscopic procedures have been superior to outcomes with the traditional approach. Success is determined by patient selection and operative technique. Patient evaluation should include esophagogastroduodenoscopy, barium swallow, 24 h pH study and esophageal motility study. Gastric emptying also should be evaluated. Patients who have abnormal propulsion in the esophagus should not receive a complete fundoplication (Nissen) because it adds a factor of obstruction. Dor or Toupet procedures are adequate alternatives. Prokinetic agents, dilation or pyloroplasty are used for pyloric obstruction ranging from little to more severe. Correcting reflux laparoscopically is more difficult in patients with obesity, peptic strictures, paraesophageal hernias, short esophagus, or a history of previous upper abdominal or antireflux surgery.

Abdominal wall paresis as a complication of minimally invasive lateral transpsoas interbody fusion

2011 ◽  
Vol 31 (4) ◽  
pp. E18 ◽  
Author(s):  
Elias Dakwar ◽  
Tien V. Le ◽  
Ali A. Baaj ◽  
Anh X. Le ◽  
William D. Smith ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Abdominal Wall ◽  
Nerve Injury ◽  
Interbody Fusion ◽  
Operative Procedure ◽  
Case Series ◽  
Transpsoas Approach ◽  
First Case

Object The minimally invasive lateral transpsoas approach for interbody fusion has been increasingly employed to treat various spinal pathological entities. Gaining access to the retroperitoneal space and traversing the abdominal wall poses a risk of injury to the major nervous structures. Nerve injury of the abdominal wall can potentially lead to paresis of the abdominal musculature and bulging of the abdominal wall. Abdominal wall nerve injury resulting from the minimally invasive lateral retroperitoneal transpsoas approach has not been previously reported. The authors describe a case series of patients presenting with paresis and bulging of the abdominal wall after undergoing a minimally invasive lateral retroperitoneal approach. Methods The authors retrospectively reviewed all patients who underwent a minimally invasive lateral transpsoas approach for interbody fusion and in whom development of abdominal paresis developed; the patients were treated at 4 institutions between 2006 and 2010. All data were recorded including demographics, diagnosis, operative procedure, positioning, hospital course, follow-up, and complications. The onset, as well as resolution of the abdominal paresis, was reviewed. Results The authors identified 10 consecutive patients in whom abdominal paresis developed after minimally invasive lateral transpsoas spine surgery out of a total of 568 patients. Twenty-nine interbody levels were fused (range 1–4 levels/patient). There were 4 men and 6 women whose mean age was 54.1 years (range 37–66 years). All patients presented with abdominal paresis 2–6 weeks postoperatively. In 8 of the 10 patients, abdominal wall paresis had resolved by the 6-month follow-up visit. Two patients only had 1 and 4 months of follow-up. No long-term sequelae were identified. Conclusions Abdominal wall paresis is a rare but known potential complication of abdominal surgery. The authors report the first case series associated with the minimally invasive lateral transpsoas approach.

Spontaneous otogenic pneumocephalus presenting with occipital subcutaneous emphysema as primary symptom: could tension gas cause the destruction of cranial bones?

2011 ◽  
Vol 115 (4) ◽  
pp. 679-683 ◽  
Author(s):  
Ninghui Zhao ◽  
Doris D. Wang ◽  
Xiaobin Huang ◽  
Surya K. Karri ◽  
Haiying Wu ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Subcutaneous Emphysema ◽  
Air Pressure ◽  
Air Leakage ◽  
Mechanical Compression ◽  
Tension Pneumocephalus ◽  
First Case ◽  
Subcutaneous Space

The authors report, to the best of their knowledge, the first case of a spontaneous tension pneumocephalus with subcutaneous emphysema. Hyperpneumatization of the cranium and mechanical compression contributed jointly to the formation of a fistula, and air pressure caused a subsequent disruption of the suture and air leakage into the subcutaneous space. A minimally invasive otological procedure proved efficacious for resolution.

Comparison of Short-Term Clinical Results and Radiologic Changes Between Two Different Minimally Invasive Decompressive Surgical Methods for Lumbar Canal Stenosis

Spine ◽  
2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Sunao Tanaka ◽  
Kanichiro Wada ◽  
Gentaro Kumagai ◽  
Toru Asari ◽  
Shuichi Aburakawa ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Clinical Results ◽  
Short Term ◽  
Lumbar Canal Stenosis ◽  
Canal Stenosis ◽  
Surgical Methods

scholarly journals Minimally Invasive Percutaneous Fixation of Thoraco-Lumbar Fractures in a Major Trauma Centre and Single Institute Experience

2016 ◽  
Vol 6 (1_suppl) ◽  
pp. s-0036-1583139-s-0036-1583139
Author(s):  
Hussien El-Maghraby ◽  
Radu Bletechi ◽  
Sanjoy Nagaraja
Keyword(s):  
Minimally Invasive ◽  
Major Trauma ◽  
Trauma Centre ◽  
Percutaneous Fixation ◽  
Major Trauma Centre ◽  
Lumbar Fractures

scholarly journals Radiographic Accuracy of Percutaneous Pedicle Screw Placement in Fluoroscopic- Versus CT Navigation-Guided Lumbar Spine Instrumentation

Neurosurgery ◽  
2019 ◽  
Vol 66 (Supplement_1) ◽  
Author(s):  
Guang-Ting Cong ◽  
Avani Vaishnav ◽  
Joseph Barbera ◽  
Hiroshi Kumagai ◽  
James Dowdell ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Minimally Invasive ◽  
Pedicle Screw ◽  
Spinal Instrumentation ◽  
Screw Placement ◽  
Pedicle Screw Placement ◽  
Intraoperative Computed Tomography ◽  
Percutaneous Pedicle Screw ◽  
Spine Instrumentation ◽  
Surgical Methods

Abstract INTRODUCTION Posterior spinal instrumentation for fusion using intraoperative computed tomography (CT) navigation is gaining traction as an alternative to the conventional two-dimensional fluoroscopic-guided approach to percutaneous pedicle screw placement. However, few studies to date have directly compared outcomes of these 2 minimally invasive instrumentation methods. METHODS A consecutive cohort of patients undergoing primary percutaneous posterior lumbar spine instrumentation for spine fusion was retrospectively reviewed. Revision surgeries or cases converted to open were excluded. Accuracy of screw placement was assessed using a postoperative CT scan with blinding to the surgical methods used. The Gertzbein-Robbins classification was used to grade cortical breach: Grade 0 (<0 mm cortical breach), Grade I (<2 mm), Grade II (2-4 mm), Grade III (4-6 mm), and Grade IV (>6 mm). RESULTS CT navigation was found to significantly improve accuracy of screw placement (P < .022). There was significantly more facet violation of the unfused level in the fluoroscopy group vs the CT group (9% vs 0.5%; P < .0001). There was also a higher proportion of poor screw placement in the fluoroscopy group (10.1% vs 3.6%). No statistical difference was found in the rate of tip breach, inferomedial breach, or lateral breach. Regression analysis showed that fluoroscopy had twice the odds of incurring poor screw placement as compared to CT navigation. CONCLUSION This radiographic study comparing screw placement in minimally invasive fluoroscopy- vs CT navigation-guided lumbar spine instrumentation provides evidence that CT navigation significantly improves accuracy of screw placement, especially in optimizing the screw trajectory so as to avoid facet violation. Long-term follow-up studies should be performed to ascertain whether this difference can contribute to an improvement in clinical outcomes.

scholarly journals External supravesical hernia is a rare type of abdominal wall hernia: A case report

2017 ◽  
Vol 7 (1) ◽  
pp. 40-41 ◽  
Author(s):  
Pankaj Kumar Saha ◽  
Ratna Rani Roy ◽  
Mohammad Emrul Hasan Khan ◽  
Md Mamunur Rahman ◽  
Kazi Shafiqul Alam ◽  
...  
Keyword(s):  
Case Report ◽  
Inguinal Hernia ◽  
Abdominal Wall ◽  
Abdominal Wall Hernia ◽  
Surgical Anatomy ◽  
Rare Type ◽  
First Case ◽  
Made In

The first case of external supravesical hernia was made in 1804; but it is so rare that it is very difficult to find any case reported in Bangladesh. Here a case of external supravesical hernia is described in a male who was presented with a left sided direct incomplete reducible inguinal hernia. This report aims to review and discuss the surgical anatomy of these rare supravesical hernias and calls attention to the confusing presentation and treatment of this conditionJ Shaheed Suhrawardy Med Coll, 2015; 7(1):40-41

scholarly journals Comparison of Two Surgical Methods in the Treatment of Acute Achilles Tendon Rupture: a Case-control Study

2021 ◽  
Author(s):  
Hao Yu ◽  
Fangyuan Wang ◽  
Jia Xie ◽  
Junfeng Zhan ◽  
Yunfeng Yao ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Achilles Tendon ◽  
Tendon Rupture ◽  
Achilles Tendon Rupture ◽  
Treatment Method ◽  
Suture Technique ◽  
Demographic Characteristics ◽  
Vein Thrombosis ◽  
Surgical Methods ◽  
Operative Recovery

Abstract Background: The Achilles tendon is the strongest tendon in the human body but also prone to injury and rupture, thereby requiring early diagnosis and treatment to prevent the development of lower limb dysfunction. Currently, the best treatment method for acute Achilles tendon rupture remains controversial. As both traditional incision repair and minimally invasive repair have limitations, we propose a new surgical method: the modified Ma-Griffith method combined with minimally invasive small incision(M-G/MISI). This study aimed to compare the efficacy of M-G/MISI and the modified suture technique (MST) for the treatment of acute Achilles tendon rupture.Methods: We conducted a retrospective review of the medical records of all patients who underwent treatment for acute Achilles tendon rupture between January 2012 and January 2020 at our hospital. A total of 67 patients were included and divided into two groups: 34 males in the M-G/MISI treatment group and 33 patients (2 females and 31 males) in the MST group. Demographic characteristics, operative details, and postoperative complications were recorded, and data were statistically analysed using SPSS 24.0 for Windows (IBM Corp. Released 2016. IBM SPSS Statistics for Windows, Version 24.0) to compare the treatment efficacy of the two surgical methods.Results: Although there was no difference in demographic characteristics between the two groups, there were significant differences in the incision length, intra-operative blood loss, post-operative Achilles tendon total rupture score, and post-operative American Orthopedic Foot and Ankle Society score. Post-operatively, there was one case of traumatic Achilles tendon rupture in the M-G/MISI group and one case each of infection and deep vein thrombosis in the modified suture group.Conclusion: After follow-up, the post-operative recovery of acute Achilles tendon rupture treated with M-G/MISI is better than that with the MST.

scholarly journals Efficiency of minimally invasive surgery for liver echinococcosis and its complications

2021 ◽  
Vol 26 (1) ◽  
pp. 84-91
Author(s):  
Z. A. Azizzoda ◽  
K. M. Kurbonov ◽  
K. R. Ruziboyzoda ◽  
S. G. Ali-Zade
Keyword(s):  
Minimally Invasive Surgery ◽  
Comparative Analysis ◽  
Surgical Treatment ◽  
Liver Resection ◽  
Minimally Invasive ◽  
Postoperative Mortality ◽  
Main Group ◽  
Control Group ◽  
Surgical Methods ◽  
Access Surgery

Aim. Improving outcomes of diagnosis and treatment of patients with liver echinococcosis and its complications. Materials and methods. A comparative analysis of the results of surgical treatment of liver echinococcosis and its complications with traditional laparotomy access surgery (control group) and minimally invasive interventions (main group) was performed.Results. The study included 300 patients (170 in the control and 130 in the main group). In the main group, 37 (28.4%) cases performed open echinococcectomy from various mini-accesses, and 27 (20.7%) performed twostage operations using minimally invasive technology. Laparoscopic echinococcectomy was performed in 23 (17.7%) patients, laparoscopic pericystectomy 12 (9.2%) and laparoscopic liver resection in 10 (7.7%) patients. The frequency of postoperative complications in the main group was 17.7%, in the control 51.8%, postoperative mortality decreased from 2.3% to 0.8%.Conclusion. Minimally invasive technologies in the surgical treatment of liver echinococcosis show the better immediate results compared to traditional open surgical methods.

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