scholarly journals TRANSUMBILICAL MIDLINE ABDOMINAL INCISION SHOULD BE THE INCISION OF CHOICE FOR LAPAROTOMY

2009 ◽  
Vol 70 (11) ◽  
pp. 3240-3244 ◽  
Author(s):  
Tai-ping HUANG ◽  
Masahiro FUJIKAWA ◽  
Keigo YASUMASA ◽  
Tsuneyuki TANAKA ◽  
Masashi HIROTA ◽  
...  
Keyword(s):  
Abdominal Incision ◽  
Midline Abdominal Incision

scholarly journals Axial torsion and gangrene of Meckel’s diverticulum: Case report

2015 ◽  
Vol 143 (1-2) ◽  
pp. 79-82
Author(s):  
Sasa Radovic ◽  
Drago Albijanic ◽  
Marko Albijanic ◽  
Zoran Krstic
Keyword(s):  
Epigastric Pain ◽  
Ileocecal Valve ◽  
Postoperative Recovery ◽  
Normal Appearance ◽  
Abdominal Incision ◽  
Surgical Exploration ◽  
Axial Torsion ◽  
Abdominal Symptoms ◽  
Complete Physical Examination ◽  
Midline Abdominal Incision

Introduction. Meckel?s diverticulum (MD) is the most prevalent congenital anomaly of small intestine. It develops due to the incomplete obliteration of omphalomesenterict duct which normally undergoes obliteration during the seventh week of gestation. In the majority of cases MD is asymptomatic but it may cause various complications, such as bleeding, intestinal obstruction and inflammation. Cases of umbilical sinuses, fistulas and neoplasms related with MD have been reported, but extremely rare gangrene due to its axial torsion, especially in children, as is the case of our patients. Case Outline. An 11-year-old boy admitted to hospital due to 24 hours epigastric pain, vomiting and malaise. After a complete physical examination, and appropriate pre-surgical laboratory and radiographic tests, surgical exploration was performed with a midline abdominal incision. On 60th cm proximal to the ileocecal valve we found a long and in a narrow based ganrenous MD with axial torsion and fibrotic cord extending from the tip of MD to the ileal mesentery. Surrounding ileum had normal appearance. A demarcation and subsequent resection of MD and the surrounding ileum was performed with endto- end ileal anastomosis. Postoperative recovery was successful and the patient was discharged after six days. Conclusion. Axial torsion of MD is presented with non-specific abdominal symptoms and difficult preoperative diagnosis. The choice of diagnosis and therapy is surgical exploration and resection of MD.

scholarly journals Total retroperitoneal approach to aortic reconstruction: A novel technique for aorto-enteric fistulae and graft infections

2018 ◽  
Vol 6 ◽  
pp. 2050313X1876046 ◽  
Author(s):  
Abdullah Alfawaz ◽  
Jun Tashiro ◽  
Danny Sleeman ◽  
Keith Jones ◽  
Jorge Rey
Keyword(s):  
Blood Loss ◽  
Alimentary Tract ◽  
Bowel Function ◽  
Aortic Disease ◽  
Retroperitoneal Approach ◽  
Abdominal Incision ◽  
Intervention Treatment ◽  
Endovascular Stent Placement ◽  
Midline Abdominal Incision

Aorto-enteric fistulae pose a challenging negative outcome of aortic intervention. Treatment involves graft excision, and recently, more enthusiasm has met in situ revascularization over extra-anatomic bypass. This has been traditionally performed through the transperitoneal approach via a midline abdominal incision. We propose an exclusively total retroperitoneal technique in managing this complication with regard to both the vascular and alimentary tract technical aspects of the procedure. This involves exclusion and bypass of the affected segment followed by en-mass resection of the affected segment with the duodenum, and finally, bowel anastomosis. We present a case of an aorto-enteric fistulae illustrating classical radiological findings treated via a flank incision and retroperitoneal technique after a temporizing endovascular stent placement at an outside institution. Peri-operative course was uneventful. The retroperitoneal approach has been shown to be equivalent to its transperitoneal counterpart in many aspects of treating aortic disease. It has also been shown to be superior in others, including but not limited to, faster return of bowel function, decreased respiratory complications, less blood loss and shorter length of stay in the intensive care unit (ICU) and hospital. We recommend adding this approach to every vascular surgeons operative armamentarium when it comes to managing aorto-enteric fistulae. This might be especially helpful in avoiding re-operative planes, thus minimizing blood loss and iatrogenic bowel injury, better aortic exposure, and adequate access to the duodenum.

A multicentre collaborative study on the use of cold scalpel and electrocautery for midline abdominal incision

2001 ◽  
Vol 181 (2) ◽  
pp. 128-132 ◽  
Author(s):  
Massimo Franchi ◽  
Fabio Ghezzi ◽  
Pier Luigi Benedetti-Panici ◽  
Mauro Melpignano ◽  
Luca Fallo ◽  
...  
Keyword(s):  
Collaborative Study ◽  
Abdominal Incision ◽  
Midline Abdominal Incision

Chronic, nonocclusive, and maintenance-free central venous cannula in the rat

1980 ◽  
Vol 239 (1) ◽  
pp. R123-R125 ◽  
Author(s):  
S. Kaufman
Keyword(s):  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Vena Cava ◽  
Psoas Muscle ◽  
Tissue Reaction ◽  
Abdominal Incision ◽  
Heparinized Saline ◽  
Venous Cannula ◽  
Silastic Tubing ◽  
Midline Abdominal Incision

To provide a means of taking repeated blood samples from conscious, stress-free rats, we devised a method to chronically cannulate the inferior vena cava. The rat was anesthetized with pentobarbital sodium plus methoxyflurane. The inferior vena cava was exposed through a midline abdominal incision. Silastic tubing (0.020 in. ID, 0.037 in. OD) was pushed through a tiny hole punctured in the wall of the vein; it remained in place without leaking due to the elasticity of the vessel wall. The cannula was advanced towards the heart until its tip lay at the level of the xiphisternum at which point blood could be aspirated. A series of silk (4-0) sutures to the psoas muscle and body wall held the cannula secure without compromising blood flow. The cannula ran subcutaneously to the back of the neck where it was ligated to the underside of the skin (prolene 4-0 suture), plugged with a short metal obturator, and exteriorized through a small stab wound. The cannula was filled with heparinized saline, but it was not necessary to regularly flush it through to maintain patency. Sepsis did not occur and animals autopsied several months after cannulation showed no tissue reaction around the cannula.

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