scholarly journals Less Invasive Endometrial Cancer Surgery with Extraperitoneal Pelvic and Para-aortic Lymphadenectomy via a Small Midline Abdominal Incision and the Retroperitoneal Approach

2016 ◽  
Vol 7 (8) ◽  
pp. 890-899 ◽  
Author(s):  
Shinichi Komiyama ◽  
Chiaki Takeya ◽  
Rena Takahashi ◽  
Sumito Nagasaki ◽  
Kaneyuki Kubushiro
Keyword(s):  
Endometrial Cancer ◽  
Cancer Surgery ◽  
Retroperitoneal Approach ◽  
Abdominal Incision ◽  
Less Invasive ◽  
Midline Abdominal Incision

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.

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 Impact of uterine manipulator on oncological outcome in endometrial cancer surgery

2021 ◽  
Vol 224 (1) ◽  
pp. 65.e1-65.e11 ◽  
Author(s):  
Pablo Padilla-Iserte ◽  
Víctor Lago ◽  
Carmen Tauste ◽  
Berta Díaz-Feijoo ◽  
Antonio Gil-Moreno ◽  
...  
Keyword(s):  
Endometrial Cancer ◽  
Oncological Outcome ◽  
Cancer Surgery ◽  
Uterine Manipulator

scholarly journals Does Use of Manipulator for Endometrial Cancer Surgery Lead to Increased Use of Adjuvant Therapy?

2018 ◽  
Vol 25 (7) ◽  
pp. S175
Author(s):  
F. Seifi ◽  
M. Clark ◽  
G. Menderes ◽  
D. Silasi ◽  
M. Azodi
Keyword(s):  
Endometrial Cancer ◽  
Adjuvant Therapy ◽  
Cancer Surgery

Class III Obesity and Other Factors Associated with Longer Wait Times for Endometrial Cancer Surgery: A Population-Based Study

2020 ◽  
Vol 42 (9) ◽  
pp. 1093-1102.e3
Author(s):  
Andrea N. Simpson ◽  
Rinku Sutradhar ◽  
Sarah E. Ferguson ◽  
Deborah Robertson ◽  
Stephanie Y. Cheng ◽  
...  
Keyword(s):  
Endometrial Cancer ◽  
Population Based ◽  
Cancer Surgery ◽  
Wait Times ◽  
Class Iii ◽  
Population Based Study ◽  
Factors Associated ◽  
Class Iii Obesity

The effects of obesity on recovery after endometrial cancer surgery.

2015 ◽  
Vol 33 (15_suppl) ◽  
pp. e20640-e20640
Author(s):  
Keayra Morris ◽  
Stephen L. Rose ◽  
Meredith E. Rumble ◽  
Christopher L. Coe ◽  
Hollis Moore ◽  
...  
Keyword(s):  
Endometrial Cancer ◽  
Cancer Surgery

Endometrial cancer surgery in Arizona: A statewide analysis of access to care

2011 ◽  
Vol 121 (1) ◽  
pp. 83-86 ◽  
Author(s):  
Ivor Benjamin ◽  
Heather Dalton ◽  
Yue Qiu ◽  
Leslie Cayco ◽  
William G. Johnson ◽  
...  
Keyword(s):  
Endometrial Cancer ◽  
Access To Care ◽  
Cancer Surgery
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