scholarly journals Evaluation of the outcomes of right paralumbar fossa colostomy for type II colonic atresia in calves: a report of 24 cases

2019 ◽  
Vol 75 (02) ◽  
pp. 6213-2019
Author(s):  
MUHARREM EROL ◽  
HANIFI EROL ◽  
SEMIH ALTAN ◽  
NURI YAVRU
Keyword(s):  
Abdominal Cavity ◽  
Clinical Findings ◽  
Radiographic Examination ◽  
Type Ii ◽  
Ascending Colon ◽  
Postoperative Course ◽  
Colonic Atresia ◽  
Vertical Incision ◽  
Descending Colon ◽  
The Right

The aim of the present study was to evaluate the effectiveness of right fossa paralumbar colostomy on the survival rate of calves with atresia coli maintained under Anatolian farming conditions. The clinical diagnosis was confirmed by clinical findings, pain and contrast radiographic examination. In clinical and indirect radiographic examination, rectum and descending colon were seen as more constricted than usual. In surgery, the abdominal cavity was opened through a vertical incision from the right paralumbar fossa. The blind end of the ascending colon was fixed to the abdominal wall in order to create a stoma. The postoperative course of the calves was obtained from the owners of the calves during a period of four months. It was learned that only one calf survived and the others died because of diarrhea within the four month period. In conclusion, this study demonstrated that although right fossa paralumbar colostomy was successfully performed for type-II atresia coli, severe functional impairment and fluid imbalance due to the loss of an important fluid resorption resulted in the death of most calves that were kept under Anatolian farming conditions.

A Large Glandular Ordontogenic Cyst of the Mandible: Report of Case

2003 ◽  
Vol 4 (1) ◽  
pp. 53-58 ◽  
Author(s):  
Metin Güngörmüş ◽  
Ümit Ertaş ◽  
M. Cemil Büyükkurt ◽  
Ömer Kaya
Keyword(s):  
Case Reports ◽  
Clinical Findings ◽  
Odontogenic Cyst ◽  
Radiographic Examination ◽  
Health History ◽  
Glandular Odontogenic Cyst ◽  
Edentulous Mandible ◽  
Radiolucent Lesion ◽  
The Right ◽  
Excised Tissue

Abstract Glandular odontogenic cyst (GOC) is generally considered uncommon, but several investigators claim there is a more frequent occurrence than previously thought. However these case reports lacked confirming data to validate their claim. On the other hand, it is possible that cases of central mucepidermoid carcinoma or later periodontal cyst might be viewed as glandular odontogenic cyst. This is a report of a case of a 70-year old male who presented with a firm swelling in the right side of his edentulous mandible. Radiographic examination revealed a multilocular radiolucent lesion in the mandible extending from the right first premolar to the left second premolar and reaching the inferior mandible. Clinical findings, the health history, and microscopic examination of excised tissue confirmed the diagnosis of GOC. The lesion was excised and post-operative healing was uneventful. Citation Ertas Ü, Büyükkurt MC, Güngörmüs M, et.al. A Large Glandular Odontogenic Cyst of the Mandible: Report of Case. J Contemp Dent Pract 2003 February;(4)1:053-058.

scholarly journals Successful Laparoscopy-Assisted Resection of the Descending Colon in a Patient with Multiple Large Renal Cysts and Stricture of the Colon due to Ischemic Colitis

2018 ◽  
Vol 12 (2) ◽  
pp. 540-545
Author(s):  
Hiromichi Maeda ◽  
Ken Okamoto ◽  
Tsutomu Namikawa ◽  
Mai Shiga ◽  
Kazune Fujisawa ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Ischemic Colitis ◽  
Abdominal Cavity ◽  
Recovery Period ◽  
Renal Cysts ◽  
Postoperative Recovery ◽  
Left Colon ◽  
Serous Fluid ◽  
Postoperative Course ◽  
Descending Colon

Large pathological structures in the abdominal cavity curb the application of laparoscopic surgery. This case report describes a successful laparoscopy-assisted colectomy for benign colon disease in a patient with multiple large renal cysts. An 82-year-old man was referred to our department for treatment of stenosis of descending colon secondary to ischemic colitis. An abdominal computed tomography revealed multiple large renal cysts occupying a large proportion of the peritoneal cavity. To minimize the postoperative recovery period, laparoscopic surgery was planned despite the renal cysts. After inserting access ports, the walls of the several renal cysts were fenestrated with an electronic scalpel and the serous fluid was aspirated to enable continuation of the laparoscopic colectomy. The left colon was mobilized and extracted through an incision at the umbilicus, and the affected part of the colon was resected safely. The patient’s postoperative course was uneventful, and the present case suggests that laparoscopy-assisted colectomy can be performed safely even in patients with multiple large renal cysts.

scholarly journals Long splenic flexure carcinoma requiring laparoscopic extended left hemicolectomy with CME and transverse-rectal anastomosis: technique for a modified partial Deloyers in 5 steps to achieve enough reach and preserving middle colic vessels

2021 ◽  
Author(s):  
Salomone Di Saverio ◽  
Kostantinos Stasinos ◽  
Weronyka Stupalkowska ◽  
Umberto Bracale ◽  
Pierpaolo Sileri ◽  
...  
Keyword(s):  
Splenic Flexure ◽  
Primary Anastomosis ◽  
Colorectal Anastomosis ◽  
Ascending Colon ◽  
Right Colon ◽  
Left Hemicolectomy ◽  
Tension Free ◽  
Descending Colon ◽  
Deloyers Procedure ◽  
The Right

Abstract Introduction This How-I-Do-It article presents a modified Deloyers procedure by mean of the case of a 67-year-old female with adenocarcinoma extending for a long segment and involving the splenic flexure and proximal descending colon who underwent a laparoscopic left extended hemicolectomy (LELC) with derotation of the right colon and primary colorectal anastomosis. Background While laparoscopic extended right colectomy is a well-established procedure, LELC is rarely used (mainly for distal transverse or proximal descending colon carcinomas extending to the area of the splenic flexure). LELC presents several technical challenges which are demonstrated in this How-I-Do-It article. Technique and methods Firstly, the steps needed to mobilize the left colon and procure a safe approach to the splenic flexure are described, especially when a tumor is closely related to it. This is achieved by mobilization and resection of the descending colon, while maintaining a complete mesocolic excision to the level of the duodenojejunal ligament for the inferior mesenteric vein and flush to the aorta for the inferior mesenteric artery. Subsequently, we depict the adjuvant steps required to enable a primary anastomosis by trying to mobilize the transverse colon and release as much of the mesocolic attachments at the splenic flexure area. Finally, we present the rare instance when a laparoscopic derotation of the ascending colon is required to provide a tension-free anastomosis. The resection is completed by delivery of the fully derotated ascending colon and hepatic flexure through a suprapubic mini-Pfannenstiel incision. The primary colorectal anastomosis is subsequently fashioned in a tension-free way and provides for a quick postoperative recovery of the patient. Results This modified Deloyers procedure preserves the middle colic since the fully mobilized mesocolon allows for a tension-free anastomosis while maintaining better blood supply to the mobilized stump. Also, by eliminating the need for a mesenteric window and the transposition of the caecum, we allow the small bowel to rest over the anastomosis and the mobilized transverse colon and reduce the possibility of an internal herniation of the small bowel into the mesentery. Conclusions Laparoscopic derotation of the right colon and a partial, modified Deloyers procedure preserving the middle colic vessels are feasible techniques in experienced hands to provide primary anastomosis after LELC with improved functional outcome. Nevertheless, it is important to consider anatomical aspects of the left hemicolectomy along with oncological considerations, to provide both a safe oncological resection along with good postoperative bowel function.

scholarly journals Endoscopic Submucosal Dissection of Pseudo-polyps in the Right Colon Using a Flexible Grasper With Articulating Distal Tip and Elbow-Like Bending

2021 ◽  
Author(s):  
Shinya Urakawa ◽  
Teijiro Hirashita ◽  
Yuka Hirashita ◽  
Lea Lowenfeld ◽  
Krishna Gurram ◽  
...  
Keyword(s):  
Endoscopic Submucosal Dissection ◽  
3D Model ◽  
Posterior Wall ◽  
Ascending Colon ◽  
Procedure Time ◽  
Right Colon ◽  
Submucosal Dissection ◽  
Descending Colon ◽  
The Right ◽  
Surgical Platform

Abstract Endoscopic submucosal dissection (ESD) is challenging in the right colon. Traction devices can make it technically easier. In this study, we evaluated a flexible grasper with articulating tip and elbow-like bending (IgE) through a double-balloon surgical platform (DESP), compared with an earlier generation grasper without elbow-like bending (Ig). The reach of Ig/IgE was investigated at eight locations using a synthetic colon within a 3D model. Using a fresh porcine colorectum, 4 cm pseudo-polyps were created at the posterior wall of the ascending colon. Fifty-four ESD procedures were performed using three techniques: standard ESD (STD), ESD using Ig (DESP+Ig), and ESD using IgE (DESP+IgE). IgE was able to reach the full circumference at all the locations, whereas the medial walls proximal to the descending colon were out of Ig’s reach. Compared with the STD, both DESP+Ig and DESP+IgE showed significantly shorter procedure time (STD vs. DESP+Ig vs. DESP+IgE = median 48.9 min vs. 38.6 vs. 29.9) and fewer injuries (1.5 vs. 0 vs. 0). Moreover, the DESP+IgE had a shorter procedure time than the DESP+Ig (p=0.0025). The IgE with DESP increased instrument reach compared to Ig, and likely represented a traction tool for excision of large pseudo-polyps in the right colon.

scholarly journals Atresia of the Colon: Etiological Aberrations, Clinical Observations, and Challenges in Management

2018 ◽  
Vol 7 (2) ◽  
pp. 22 ◽  
Author(s):  
Nitin Pant ◽  
Sudhir Singh ◽  
Jiledar Rawat ◽  
Shiv Narayan Kureel ◽  
Ashish Wakhlu
Keyword(s):  
Sigmoid Colon ◽  
Primary Anastomosis ◽  
Care Center ◽  
Hepatic Flexure ◽  
Type I ◽  
Type Ii ◽  
Ascending Colon ◽  
Health Care Center ◽  
Colonic Atresia ◽  
Type Iiia

Objective: The objective of this study is to review the clinicoradiological profile, scheme of management and the outcome in cases of colonic atresia (CA), and ascertain an optimal approach for the treatment of CA to minimize morbidity and mortality. Design and Setting: This was a retrospective observational study carried out at a tertiary health‑care center. Duration: Total of 6 years duration (January 2011–December 2016).Materials and Methods: A retrospective analysis of 10 patients of CA managed over a 6- year period. Data related to demographics, clinical presentation, associated anomalies, radiologic, intraoperative findings, postoperative stay, complications, and outcome were analyzed.Results: There were three cases of Type II atresia involving terminal ileum, cecum, and adjacent colon. Three cases had proximal ascending colon atresia (Type IIIa [n = 2]; Type I [n = 1]) Type I [n=1], and two cases of type IIIa atresia of the hepatic flexure. Two babies had atresia involving the sigmoid colon; one had Type II atresia, while we were unable to assign a type to the other within the prevailing classification. Seven babies were initially treated with a stoma either in the ileum (n = 3), hepatic flexure (n = 2), and sigmoid colon (n = 2), whereas three were treated with a primary anastomoses. Cases treated with a primary anastomoses had lesser morbidity and a better outcome than those with an ileal or ascending colon stoma.Conclusion: Contrary to the theory of an acute antenatal vascular accident, CA may rarely result from a gradual, sequential obliteration of mesenteric vasculature. Primary anastomosis should be contemplated in proximal CA wherever possible as stomal complications, especially high stoma output can result in considerable morbidity.

scholarly journals Use of an endoscopic flexible grasper as a traction tool for excision of polyps: preclinical trial

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Shinya Urakawa ◽  
Teijiro Hirashita ◽  
Yuka Hirashita ◽  
Lea Lowenfeld ◽  
Krishna C. Gurram ◽  
...  
Keyword(s):  
Endoscopic Submucosal Dissection ◽  
3D Model ◽  
Posterior Wall ◽  
Ascending Colon ◽  
Procedure Time ◽  
Right Colon ◽  
Preclinical Trial ◽  
Descending Colon ◽  
The Right ◽  
Surgical Platform

AbstractEndoscopic submucosal dissection (ESD) is challenging in the right colon. Traction devices can make it technically easier. In this study, we evaluated a flexible grasper with articulating tip and elbow-like bending (IgE) through a double-balloon surgical platform (DESP), compared with an earlier generation grasper without elbow-like bending (Ig). The reach of Ig/IgE was investigated at eight locations using a synthetic colon within a 3D model. Using a fresh porcine colorectum, 4 cm pseudo-polyps were created at the posterior wall of the ascending colon. Fifty-four ESD procedures were performed using three techniques: standard ESD (STD), ESD using Ig (DESP + Ig), and ESD using IgE (DESP + IgE). IgE was able to reach the full circumference at all the locations, whereas the medial walls proximal to the descending colon were out of Ig’s reach. Compared with the STD, both DESP + Ig and DESP + IgE showed significantly shorter procedure time (STD vs. DESP + Ig vs. DESP + IgE = median 48.9 min vs. 38.6 vs. 29.9) and fewer injuries (1.5 vs. 0 vs. 0). Moreover, the DESP + IgE had a shorter procedure time than the DESP + Ig (p = 0.0025). The IgE with DESP increased instrument reach compared to Ig, and likely represented a traction tool for excision of large pseudo-polyps in the right colon.

scholarly journals Colonic Atresia: A Case Report

2016 ◽  
Vol 12 (1) ◽  
pp. 116-119
Author(s):  
Meherun Nessa ◽  
Shams ud Din Elias Khan ◽  
Md Shakhawat Hossain
Keyword(s):  
Case Report ◽  
Armed Forces ◽  
Middle Part ◽  
Type I ◽  
Ascending Colon ◽  
Medical College ◽  
Colonic Atresia ◽  
Descending Colon ◽  
Female Baby ◽  
Distal Intestinal Obstruction

Atresia of the colon is among the rare types of all gastrointestinal atresias. Descending colon is the rarest site of all the colonic atresias. A case report of 3 days old female baby was presented with the features of distal intestinal obstruction. At laparotomy type I atresia of the middle part of asending colon, with proximal dilatation of caecum and ilum. Microcolon was noticed in ascending colon, transverse colon, descending colon and sigmoid colon when newborn underwent exploration. Primary ileostomy and distal mucus stoma of ascending colon was done. After four weeks, closure of ostomy was done. Journal of Armed Forces Medical College Bangladesh Vol.12(1) 2016: 116-119

scholarly journals Application of a hormonal intrauterine device causing uterine perforation: A case report

2011 ◽  
Vol 139 (11-12) ◽  
pp. 815-818 ◽  
Author(s):  
Milica Berisavac ◽  
Radmila Sparic ◽  
Rajka Argirovic ◽  
Gernot Hudelist ◽  
Vojislav Zizic
Keyword(s):  
Case Report ◽  
Intrauterine Device ◽  
Abdominal Cavity ◽  
Unwanted Pregnancy ◽  
Menstrual Bleeding ◽  
Radiographic Examination ◽  
Uterine Perforation ◽  
Intrauterine Contraception ◽  
The Right ◽  
Patient Department

Introduction. The last decade of the usage of intrauterine contraception has been marked by the application of levonorgestrel-releasing hormonal devices. A hormonal intrauterine device (IUD) releases a certain amount of progestogen, whose effect on endometrium is such that, apart from preventing unwanted pregnancy, also regulates the menstrual bleeding by reducing the quantity and the duration of haemorrhage. This effect of hormonal IUDs has led to their additional indications and use, so that nowadays these IUDs are used not only as contraceptives but for therapeutic purposes as well. Case Outline. After examination and treatment in an out-patient department, a 38-year-old woman was referred to our hospital due to suspected spontaneous uterine perforation caused by hormonal IUD (Mirena?) one month after its application. Clinical and sonographic examinations were unable to determine the uterine perforation or the exact IUD location. Radiographic examination confirmed the presence of the IUD in the abdomen, so it was decided to operate on the patient. Perforation in the isthmus of the uterus and to the right was identified intraoperatively. By exploration of the genital organs and the abdominal cavity, the IUD was finally located in the omentum. Conclusion. Even in cases of adequate indications for hormonal IUD application, the doctor?s experience and complying with all the principles of appropriate insertion, we should always consider the possibility of the occurrence of serious complications, which sometimes may even require surgery. The extragenital position of IUD, as in this case, may create serious difficulties in the detection of location. A possible development of asymptomatic complications additionally emphasizes the necessity of regular check-ups of all IUD users.

scholarly journals Reliability of ultrasonographic examination of the large intestine in healthy cows

2014 ◽  
Vol 59 (No. 2) ◽  
pp. 63-67
Author(s):  
S. Imran ◽  
SP Tyagi
Keyword(s):  
Large Intestine ◽  
Longitudinal Axis ◽  
Ascending Colon ◽  
Linea Alba ◽  
Ultrasonographic Examination ◽  
Qualitative And Quantitative ◽  
Topographical Anatomy ◽  
Imaginary Line ◽  
Descending Colon ◽  
The Right

The aim of this study was to assess the usefulness of ultrasonographic examination of the large intestine in 10 clinically healthy Jersey/Red Sindhi crossbred cows. The area extending from the tuber coxae to the 6<sup>th</sup> intercostal space (ICS) and from the lumbar transverse processes to the linea alba on the right side was shaved. An imaginary line was drawn from the distal third of the femur up to the 8<sup>th</sup> ICS parallel to the longitudinal axis of the cow. The large intestine was scanned dorsal to this imaginary line. Only the near wall of the large intestine adjacent to the abdominal wall could be imaged ultrasonographically. Based on the topographical anatomy, the ultrasonographic images of the caecum and the proximal loop of the ascending colon (PLAC), resembling the &lsquo;arc of a circle&rsquo;, were observed in the mid to dorsal right paralumbar fossa and the 12<sup>th</sup> ICS; however, the caecum and the PLAC could not be differentiated with certainty using ultrasonography. Similarly, the ultrasonographic images of the spiral loop of the ascending colon (SLAC), resembling a &lsquo;cycloid&rsquo;, could be imaged through the 12<sup>th</sup>&nbsp;to 11<sup>th</sup>&nbsp;ICSs and in the dorsal right paralumbar fossa; yet, ultrasonographically, it was difficult to differentiate the SLAC from the descending loop of the ascending colon, transverse colon, and descending colon, respectively. The differences (qualitative and quantitative) in the degrees of curvatures of various ultrasonographic images of parts of the large intestine were also not helpful. In conclusion, ultrasonographic imaging of various parts of the bovine large intestine should be interpreted with caution. &nbsp;

scholarly journals Multiple Congenital Colonic Stenosis: A Rare Gastrointestinal Malformation

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Zambaiti Elisa ◽  
Chiaramonte Cinzia ◽  
Salerno Sergio ◽  
Li Voti Giuseppe ◽  
Siracusa Fortunato
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care ◽  
Histopathological Examination ◽  
Abdominal Distension ◽  
Ascending Colon ◽  
Colonic Stenosis ◽  
Colonic Atresia ◽  
Descending Colon ◽  
Stenotic Segment

Congenital colonic stenosis is a rare pediatric condition. Since 1968, only 16 cases have been reported in the literature. To the authors’ knowledge, multiple congenital colonic stenosis has not been previously reported in the literature. We report the case of a 2-month-old male, presented at our Neonatal Intensive Care Unit with a suspicion of intestinal malrotation. Clinical examination revealed persistent abdominal distension. During the enema examination, the contrast medium appeared to fill the lumen of the colon up to three stenotic segments and could not proceed further. Intraoperatively we confirmed the presence of four types of colonic atresia, located in the ascending, transverse, and descending colon, respectively, plus appendix atresia. First surgical steps consisted in resection of proximal stenotic segment, appendix removal, proximal cecostomy, and distal colostomy on ascending colon in order to preserve colonic length. Histopathological examination confirmed the diagnosis of colonic stenosis. Final surgical step consisted in multiple colocolostomy and enteroplasty. A planned two-stage procedure, consisting of resection with colostomy for decompression as the first step and a later anastomosis, is recommended in order to allow bowel length preservation.

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