Low-cost wound protector for laparoscopic surgeries.

The role of wound protectors in laparoscopic surgeries is highly controversial in the literature. Some studies demonstrate their benefit in reducing the rate of surgical site infections; however, these results are not reproducible across all procedures. In addition to protecting the operative wound, these devices can be used at sites of surgical specimen extraction in laparoscopic procedures.

Hartmann's reversal as a safe procedure for selected patients: analysis of 199 patients at a high-volume center in Sao Paulo.

Purpose: We analyzed the morbidity and mortality associated with Hartmann's reversal (HR) and the risk factors for major complications and mortality.

Methods: The subjects of this retrospective study were patients who underwent HR in a high-volume center. We evaluated complications as categorical variables using univariate analyses.

Management of infected pancreatic necrosis: state of the art.

Pancreatic necrosis occurs in 15% of acute pancreatitis. The presence of infection is the most important factor in the evolution of pancreatitis. The diagnosis of infection is still challenging.

Pancreatic Necrosis and Gas in the Retroperitoneum: Treatment with Antibiotics Alone.

Objective:: To present our experience in the management of patients with infected pancreatic necrosis without drainage.

Methods:: The records of patients with pancreatic necrosis admitted to our facility from 2011 to 2015 were retrospectively reviewed.

Results:: We identified 61 patients with pancreatic necrosis.