scholarly journals A Case of Perforated Appendiceal Mucinous Cystadenoma Resected by Laparoscopic Surgery after Conservative Therapy: A Review of 149 Cases in the Japanese Literature

Author(s):  
Yoshiko Yano ◽  
Takuya Yamaguchi ◽  
Keisuke Toguchi ◽  
Kazutaka Toyama ◽  
Minoru Imai ◽  
...  
2018 ◽  
Vol 12 (2) ◽  
pp. 16-20
Author(s):  
Gehanath Baral ◽  
Rijuta Joshi

Aims: The purpose of this study is to review the reintroduced minimally invasive surgical practice in the hospital after a couple of decades long gap. Methods: It is a two years (2015 to 2017) retrospective cross-sectional study carried out in Paropakar Maternity and Women’s Hospital. The patients with pre-operative diagnosis of benign condition underwent laparoscopic surgery; hysteroscopy was diagnostic and operative both. Data were collected by demographics, indication of surgery, nature of surgery, complications, hospital stay and histo-pathological reports. Data were entered in the SPSS and MS-excel. Results were presented as tables and graphs.Results: Sixty five and 39 women underwent laparoscopic surgery and hysteroscopy respectively. None of them had major complications and hospital stay was1-3 days in majority.  The most common age group was 31-35 years. Preoperative diagnoses of them were adnexal tumor in 47 women, fibroid uterus in six, AUB in two, ectopic pregnancies in four, PCOD in two and one women each with primary sub-fertility and POP Q II with elongated cervix. Laparoscopic cystectomy was performed on 25 women for the adnexal masses while 13 women underwent laparoscopic oophorectomy for the ovarian masses. Total laparoscopic hysterectomy was the second commonest surgery (n=12). On histopathological examination of the ovarian tissues, mature cystic teratoma was the commonest finding (n=18) followed by the endometriotic cysts (n=9), benign serous cystadenoma (n=7) and mucinous cystadenoma (n=4).  Conclusions: Laparoscopy and hysteroscopy procedures have become the alternative in surgical modality at this hospital.


2017 ◽  
Vol 37 (2) ◽  
pp. 152-156
Author(s):  
Felipe Ramos Nogueira ◽  
Francisco Wendel de Sousa Arruda ◽  
Carla Camila Rocha Bezerra ◽  
Benjamin Ramos de Andrade Neto ◽  
Manoel Italo Pimentel Santos Lopes ◽  
...  

2014 ◽  
Vol 45 (S1) ◽  
pp. 112-114
Author(s):  
Zhenqiang Sun ◽  
Haijiang Wang ◽  
Xianbo Yu ◽  
Zeliang Zhao ◽  
Qisan Wang

2019 ◽  
Vol 12 (8) ◽  
pp. e229222
Author(s):  
Latifa Al Buainain ◽  
Turki Al Khaldi ◽  
Wael Mohamed Tahseen

A 57-year-old obese, diabetic woman, presented with 1 day history of purulent umbilical discharge. She was vitally stable and afebrile. Abdominal examination revealed a full abdomen with purulent discharge from the umbilicus, swelling with erythema and induration surrounding the umbilicus. Lab tests were normal. Initial impression was abdominal wall abscess. Ultrasound showed subcutaneous fluid collection. Non-contrast CT showed collection and abdominal wall defect at the umbilicus. On exploration of the abscess cavity, there were two defects (umbilical and supraumbilical) with appendix protruding through the umbilical defect and a part of a small bowel and omentum adherent to the other defect. Wash was given, bowel and omentum were released and appendectomy was performed. Histopathology showed mucinous cystadenoma with periappendicitis. We would like to highlight the rare occurrence of an appendiceal mucinous cystadenoma in such a clinical presentation.


2010 ◽  
Vol 26 (3) ◽  
pp. 219-221
Author(s):  
Ming C. Tsai ◽  
Luba Gulyaeva ◽  
Saya Segal ◽  
Elizabeth Maxwell ◽  
Khushbakhat Mittal

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Haruhiko Kanasaki ◽  
Aki Oride ◽  
Kohji Miyazaki

Objectives. The study was conducted to characterize the use of the laparoscopic surgery in elderly patients. Methods. The medical records of elderly patients aged ≥65 years who underwent laparoscopic surgery were retrospectively reviewed for diseases, surgical procedures, histological diagnosis, intraoperative and postoperative complications, and reasons for presentation. Results. Of the 405 patients who underwent laparoscopic surgery between January 2005 and March 2012, 41 (10.1%) were aged ≥65 years. The most common disease treated by surgery was ovarian tumor, followed by uterine prolapse. Histological diagnosis of ovarian tumor specimens obtained from 23 patients included serous cystadenoma (44.0%), mature cystic teratoma (20.0%), mucinous cystadenoma (20.0%), and endometrioma (4%). In contrast, in the non-elderly group, the most common histological diagnosis was endometrioma (42.9%), followed in order by mature cystic teratoma (28.3%), serous cystadenoma (18.0%), and mucinous cystadenoma (4.7%). While 23.7% of the non-elderly patients required emergency laparoscopic surgery, none of the elderly patients required emergency surgery. Only 1 of 27 patients who underwent surgery for an ovarian or adnexal mass presented with abdominal pain. No one developed serious intraoperative or postoperative complications. Conclusion. Laparoscopic surgery can be safely performed in elderly patients. It should be noted, however, that few elderly patients with benign pelvic mass manifest symptoms before undergoing surgery.


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