scholarly journals Paracolic Gutter

2020 ◽  
Author(s):  
Keyword(s):  
Paracolic Gutter

scholarly journals LAPAROSCOPIC REPAIR OF LUMBAR HERNIA (GRYNFELT): TECHNICAL DESCRIPTION

2017 ◽  
Vol 30 (1) ◽  
pp. 56-59 ◽  
Author(s):  
Christiano Marlo Paggi CLAUS ◽  
Lucas Thá NASSIF ◽  
Yan Sacha AGUILERA ◽  
EduardoJose Brommelstroet RAMOS ◽  
Julio Cesar Uili COELHO
Keyword(s):  
Abdominal Cavity ◽  
Laparoscopic Approach ◽  
Lumbar Hernia ◽  
Lumbar Region ◽  
Anterior Axillary Line ◽  
Volume Increase ◽  
Paracolic Gutter ◽  
Lower Back ◽  
General Surgeons ◽  
Lateral Decubitus

ABSTRACT Background: Lumbar hernias are rare. Usually manifest with reducible volume increase in the post-lateral region of the abdomen and may occur in two specific anatomic defects: the triangles of Grynfelt (upper) and Petit (lower). Despite controversies with better repair, laparoscopic approach, following the same principle of the treatment of inguinal hernias, seems to present significant advantages compared to conventional/open surgeries. However, some technical and anatomical details of the region, non usual to general surgeons, are fundamental for proper repair. Aim: To present systematization of laparoscopic transabdominal technique for repair of lumbar hernias with emphasis on anatomical details. Method : Patient is placed in the lateral decubitus. Laparoscopic access to abdominal cavity is performed by open technique on the left flank, 1.5 cm incision, followed by introduction of 11 mm trocar for a 30º scope. Two other 5 mm trocars, in the left anterior axillary line, are inserted into the abdominal cavity. The peritoneum of the left paracolic gutter is incised from the 10th rib to the iliac crest. Peritoneum and retroperitoneal is dissected. Reduction of all hernia contents is performed to demonstrate the hernia and its size. A 10x10 cm polypropylene mesh is introduced into the retroperitoneal space and fixed with absorbable staples covering the defect with at least 3-4 cm overlap. Subsequently, is carried out the closure of the peritoneum of paracolic gutter. Results: This technique was used in one patient with painful increased volume in the left lower back and bulging on the left lumbar region. CT scan was performed and revealed left superior lumbar hernia. Operative time was 45 min and there were no complications and hospitalization time of 24 h. Conclusion: As in inguinal hernia repair, laparoscopic approach is safe and effective for the repair of lumbar hernias, especially if the anatomical details are adequately respected.

Cleaning the paracolic gutter: transcutaneous endoscopic necrosectomy through a fully covered metal esophageal stent

2015 ◽  
Vol 81 (5) ◽  
pp. 1252 ◽  
Author(s):  
Prashant Kedia ◽  
Viviana Parra ◽  
Steven Zerbo ◽  
Reem Z. Sharaiha ◽  
Michel Kahaleh
Keyword(s):  
Esophageal Stent ◽  
Endoscopic Necrosectomy ◽  
Paracolic Gutter

Ultrathin endoscope-guided trangastric nasocystic irrigation tube placement to manage paracolic gutter extension of pancreatic necrosis

2012 ◽  
Vol 76 (2) ◽  
pp. 457-459 ◽  
Author(s):  
Rei Suzuki ◽  
Atsushi Irisawa ◽  
Manoop S. Bhutani ◽  
Tadayuki Takagi ◽  
Tsunehiko Ikeda ◽  
...  
Keyword(s):  
Pancreatic Necrosis ◽  
Tube Placement ◽  
Paracolic Gutter

Experience with placing peritoneal dialysis catheters in the iliac fossa in cases of frozen pelvis

2021 ◽  
pp. 089686082110359
Author(s):  
Martyn Fredlund ◽  
Henry Van Niekerk ◽  
Brett Cullis
Keyword(s):  
Peritoneal Dialysis ◽  
Iliac Fossa ◽  
Optimal Placement ◽  
Laparoscopic Technique ◽  
Pelvic Cavity ◽  
Left Iliac Fossa ◽  
Paracolic Gutter ◽  
Catheter Tip ◽  
The Right ◽  
End Stage

Peritoneal dialysis (PD) is a modality frequently preferred by patients for the management of their end-stage kidney disease; however, a major factor in its success is PD catheter placement and subsequent function. Optimal placement of PD catheters is generally accepted to be in the true pelvis, for this reason, many patients who are found to have a pelvic cavity obliterated by adhesions are often denied the opportunity to do PD. We report on four cases of an alternative advanced laparoscopic technique used in patients with inaccessible pelvic cavities, with three catheter placements in the intraperitoneal left iliac fossa/paracolic gutter and one case in the right paracolic gutter with subsequent good outcomes. This report suggests that a ‘frozen pelvis’ is not a contraindication to successful PD, with alternative catheter tip placement in the iliac fossa.

Case 4.8

2014 ◽  
pp. 201-202
Author(s):  
Christine U. Lee ◽  
James F. Glockner
Keyword(s):  
Abdominal Pain ◽  
Fluid Collection ◽  
Portal Venous Phase ◽  
Paracolic Gutter ◽  
Large Complex ◽  
Venous Phase ◽  
Complex Fluid ◽  
The Right ◽  
T2 Weighted Images

74-year-old man with abdominal pain Axial fat-suppressed FSE T2-weighted images (Figure 4.8.1) reveal a small residual pancreas surrounded by a large, complex fluid collection that extends into the right paracolic gutter and contains extensive internal debris. Axial portal venous phase postgadolinium 3D SPGR images (...

scholarly journals EUS-guided drainage using lumen apposing metal stent and percutaneous endoscopic necrosectomy as dual approach for the management of complex walled-off necrosis: a case report and a review of the literature

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Cecilia Binda ◽  
Monica Sbrancia ◽  
Marina La Marca ◽  
Dora Colussi ◽  
Antonio Vizzuso ◽  
...  
Keyword(s):  
Endoscopic Ultrasound ◽  
Pancreatic Necrosis ◽  
Multiorgan Failure ◽  
Metal Stent ◽  
Ultrasound Guided ◽  
Dual Approach ◽  
Endoscopic Necrosectomy ◽  
Paracolic Gutter ◽  
Percutaneous Endoscopic Necrosectomy ◽  
Self Expandable Metal Stent

Abstract Background Endoscopic ultrasound-guided drainage is suggested as the first approach in the management of symptomatic and complex walled-off pancreatic necrosis. Dual approach with percutaneous drainage could be the best choice when the necrosis is deep extended till the pelvic paracolic gutter; however, the available catheter could not be large enough to drain solid necrosis neither to perform necrosectomy, entailing a higher need for surgery. Therefore, percutaneous endoscopic necrosectomy through a large bore percutaneous self-expandable metal stent has been proposed. Case presentation In this study, we present the case of a 61-year-old man admitted to our hospital with a history of sepsis and persistent multiorgan failure secondary to walled-off pancreatic necrosis due to acute necrotizing pancreatitis. Firstly, the patient underwent transgastric endoscopic ultrasound-guided drainage using a lumen-apposing metal stent and three sessions of direct endoscopic necrosectomy. Because of recurrence of multiorgan failure and the presence of the necrosis deeper to the pelvic paracolic gutter at computed tomography scan, we decided to perform percutaneous endoscopic necrosectomy using an esophageal self-expandable metal stent. After four sessions of necrosectomy, the collection was resolved without complications. Therefore, we perform a revision of the literature, in order to provide the state-of-art on this technique. The available data are, to date, derived by case reports and case series, which showed high rates both of technical and clinical success. However, a not negligible rate of adverse events has been reported, mainly represented by fistulas and abdominal pain. Conclusion Dual approach, using lumen apposing metal stent and percutaneous self-expandable metal stent, is a compelling option of treatment for patients affected by symptomatic, complex walled-off pancreatic necrosis, allowing to directly remove large amounts of necrosis avoiding surgery. Percutaneous endoscopic necrosectomy seems a promising technique that could be part of the step-up-approach, before emergency surgery. However, to date, it should be reserved in referral centers, where a multidisciplinary team is disposable.

scholarly journals Bowel Obstruction after Appendectomy Suspected to be Caused by an Internal Hernia in the Paracolic Gutter of the Ascending Colon

2014 ◽  
Vol 47 (10) ◽  
pp. 644-650
Author(s):  
Tomohiro Sugiyama ◽  
Hidenori Takahara ◽  
Motoyasu Tabuchi ◽  
Byonggu Ann ◽  
Tadashi Yokoyama
Keyword(s):  
Bowel Obstruction ◽  
Internal Hernia ◽  
Ascending Colon ◽  
Paracolic Gutter

scholarly journals Small Intestinal Strangulation Due to a Rare Type of Primary Internal Hernia

2013 ◽  
Vol 98 (4) ◽  
pp. 409-411 ◽  
Author(s):  
Makoto Takeda ◽  
Yoshinori Ohnuki ◽  
Takashi Uchiyama ◽  
Osamu Kubota ◽  
Kousuke Ohishi
Keyword(s):  
Internal Hernia ◽  
Epigastric Pain ◽  
Past History ◽  
Hepatic Flexure ◽  
Rare Type ◽  
Paracolic Gutter ◽  
Internal Hernias ◽  
History Of ◽  
The Right ◽  
Severe Epigastric Pain

Abstract Internal hernias in which the gate is located in the paracolic gutter are rare. A 75-year-old man was admitted to our hospital with severe epigastric pain without past history of laparotomy and/or trauma. He was diagnosed with strangulation of the ileum by the findings of computed tomography, and the operation was performed. During laparotomy, the small intestine was found to be strangulated and to enter the retroperitoneum from the right paracolic gutter near the hepatic flexure. The patient was diagnosed with an internal hernia, which differed from a pericecal hernia in that the hernia gate was located along the paracolic gutter near the hepatic flexure far from the cecum. Hence, it was considered to be a rare type of internal hernia. We report the clinical presentation and imaging findings of this rare internal hernia.

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