Neumoperitoneo residual en laparoscopia: métodos de medición e implicaciones clínicas.

Background: The presence of subdiaphragmatic air observed on a chest x-ray after a laparoscopic procedure is a common finding and can lead to clinical confusion. Measuring the volume of gas present may be a useful tool to determine if this could be associated to a surgical complication.

Objective: Describe the frequency of presentation of residual pneumoperitoneum in patients undergoing laparoscopy and emphasize the importance of measuring its volume with a simple method.

Pulmonary recruitment can reduce residual pneumoperitoneum and shoulder pain in conventional laparoscopic procedures: results of a randomized controlled trial.

Background: This study is aimed to evaluate the pulmonary recruitment maneuver as a means to effectively reduce residual pneumoperitoneum and postoperative shoulder pain in patients undergoing conventional laparoscopic procedures and compare it to the instillation of intraperitoneal anesthetics.

Methods: Patients undergoing laparoscopic cholecystectomy, appendectomy or hernioplasty were randomized into two groups: pulmonary recruitment maneuver (PRM) and intraperitoneal anesthetic instillation (IAI). Six hours after surgery patients were asked to fill out a visual analog scale to identify shoulder pain and a chest X-ray was taken.

[Cyst of Nucks canal associated with recurrent inguinal hernia].

Cysts of a permeable vaginal process or cysts of Nuck are a rare entity in women and have a similar embryologic and etiologic origin as that of inguinal hernias. They should be considered a differential diagnosis when an inguinal mass is present or during a diagnostic laparoscopy in which a peritoneal defect or open inguinal ring is found. We report the case of a woman with a cyst of Nuck that presented as a recurrent inguinal hernia.

[Case report. Post cesarean section laparoscopic cholecystectomy for hydrocholecystitis].

Background: Acute cholecystitis is the second most common surgical emergency in pregnant women. Although laparoscopic cholecystectomy has been described previously in these cases, there is still controversy regarding the most appropriate moment in which to perform the procedure.

Objective: To describe the clinical presentation and management of a female with 36.

[Pelvic solitary fibrous nodule, incidental finding and laparoscopic resection. Case report].

The solitary fibrous nodule is a rare clinical disease that mainly affects the pleura, but has been occasionally described in other anatomical sites. This type of tumors can have malignant components and therefore it is important to differentiate them from other retroperitoneal masses. We describe the case of a patient with ectopic pregnancy in whom a solitary fibrous nodule with laparoscopy was found.

[Diagnostic difficulty of abdominal wall endometrioma: clinical case and literature review].

Abdominal wall endometrioma is a rare clinical condition with which the general surgeon is faced and usually presents a diagnostic challenge due to the similar signs and symptoms that this illness shares with other tumors of the abdominal wall. A clinical case which exemplifies this diagnostic challenge is presented, and a review is made about the physiopathology, diagnosis and treatment of abdominal wall endometriomas, emphasizing on the different diagnoses with which it can be confused.

Laparoscopic T-tube choledochotomy for biliary lithiasis.

T-tube choledochotomy has been an established practice in common bile duct exploration for many years. Although bile leaks, biliary peritonitis, and long-term postoperative strictures have been reported and are directly associated with the placement or removal of the T-tube, the severity of these complications may often be underestimated by surgeons. We present the case of a 31-year-old male patient who developed biliary peritonitis and septic shock after removal of a T-tube and illustrate one of the catastrophic events that may follow such procedures.

Splenic abscess after laparoscopic Nissen fundoplication: a consequence of short gastric vessel division.

A 53-year-old male patient underwent a Nissen fundoplication with short gastric vessel (SGV) division for gastroesophageal reflux disease. During the procedure, the upper pole of the spleen was noted to have discrete color changes suggesting ischemia of this area. One month later he presented with a splenic abscess, which required splenectomy.