Surgical laparoscopy, endoscopy & percutaneous techniques
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Surg Laparosc Endosc Percutan Tech · Jun 2008
Case ReportsThoracoscopic retrieval of a "smiling" foreign body from the proximal esophagus: an impacted denture.
The esophagus is a common site for foreign bodies (FBs) because of areas of physiologic narrowing. Dentures pose special problems, especially if they are impacted. We present a case of a "smiling" foreign body in the proximal esophagus. ⋯ Minimally invasive techniques have been found to be very useful in the removal of intraluminal FBs, especially when conservative measures fail. Prevention of such incidents should be emphasized.
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Surg Laparosc Endosc Percutan Tech · Jun 2008
A national survey of current surgical treatment of acute gallstone disease.
Acute cholecystitis (AC) and acute pancreatitis are 2 potentially life-threatening complications of gallstone disease. There are national guidelines for the treatment of gallstone pancreatitis, but none exist for the management of AC. Consequently, the management of AC is subject to great variation. ⋯ Uncomplicated AC and mild gallstone pancreatitis are conditions managed by all subspecialties within general surgery in Scotland. The majority of surgeons (67%) now manage AC by same admission LC, although those not performing regular elective laparoscopy are significantly less likely to do so. Of those who manage conservatively, more than a third report lack of resources as being the reason. For mild gallstone pancreatitis, the majority of surgeons in Scotland (61.5%) perform urgent LC in accordance with current guidelines. A significant proportion of surgeons (17%) carry out endoscopic retrograde cholangiopancreatography as first line in all patients despite this being recommended only for those unfit for surgery.
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Surg Laparosc Endosc Percutan Tech · Jun 2008
Infective subcutaneous emphysema after laparoscopic rectopexy: a rare complication.
Subcutaneous emphysema after laparoscopic surgery is not uncommon but infection of the subcutaneous space because of gas forming organisms causing emphysema after a laparoscopic procedure is an extremely rare entity. We report a case of infective subcutaneous emphysema after laparoscopic rectopexy.
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Surg Laparosc Endosc Percutan Tech · Feb 2008
Clinical TrialLaparoscopic appendectomy for simple and complicated appendicitis in children--safe or risky procedure.
The aim of the study was to present our experience and to assess the advantages of laparoscopic appendectomy, particularly in children with perforated appendicitis. ⋯ Laparoscopic appendectomy is good alternative for classic appendectomy, irrespective of the degree of inflammation. Accurate cleaning and rinsing of the abdominal cavity essentially decreases the quantity of complications even in cases with perforated appendicitis. This suggests the expansion of indications toward laparoscopic appendectomy in case of all children with acute appendicitis.
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Catamenial pneumothorax is a subclass of secondary spontaneous pneumothorax occurring in women in their third or fourth decade of life. We describe a classic and typical case of this disease. Although it is believed to be rare historically, the recent study showed the much higher prevalence. It is essential to consider this disease in recurrent spontaneous pneumothorax of a middle-aged woman.