Gastric perforation secondary to T-cell lymphoma.

Introduction: Malignant primary lymphoma represents only 1%-5% of all gastric tumours. Spontaneous gastric perforation in the absence of chemotherapy in these cases is extremely rare. The vast majority of primary gastric lymphomas have a B-cell phenotype that originates from mucosa-associated lymphoid tissue and primary gastric lymphomas with a T-cell phenotype are rarely reported.

Laparoscopic inguinal hernia repair: impact of surgical time in the learning curve.

Purpose: One of the procedures that has become very popular thanks to the advantages of minimally invasive approach is the laparoscopic treatment of inguinocrural hernias. As a disadvantage, it would imply a longer learning curve when compared to the conventional approach. There is no consensus about the number of procedures required to dominate this surgical technique, since according to bibliography it ranges from 20 to 240.

Ring closure outcome for laparoscopic ventral hernia repair (IPOM plus) in medium and large defects. Long-term follow-up.

Background: Despite advances in laparoscopic ventral hernia repair (LVHR) with the Intra-peritoneal onlay mesh technique (IPOM), recurrence continues to be a frequent postoperative complication. The aim of this study is to analyze the long-term recurrence rate in two series, by incorporating in IPOM technique the laparoscopic closure of the defect (IPOM plus). We also want to determine the ring size cut-off point from which the recurrence risk increases in IPOM technique and determine if the cut-off point is modified with IPOM plus technique.

Laparoscopic transgastric resection of a gastric leiomyosarcoma: report of a rare case.

Gastric leiomyosarcoma is a rare type of tumour that is far less prevalent than gastrointestinal stromal tumours. We describe a case of a 42-year-old male patient who consulted for upper abdominal pain. Blood work revealed low haemoglobin levels, requiring red blood cell transfusions.

Impact of the COVID-19 pandemic and restrictive measures on acute appendicitis: Do not let your guard down.

Background: The COVID-19 pandemic has altered the usual dynamics of consultation and presentation for acute appendicitis (AA). The aim of this study was to evaluate the impact of the pandemic and restrictive measures on the cases of AA.

Subjects And Methods: A retrospective study of patients diagnosed with AA between December 2019 and July 2020 was conducted.

Laparoscopic treatment (reTAPP) for recurrence after laparoscopic inguinal hernia repair.

Purpose: For inguinal hernia recurrences, the European Hernia Society guidelines recommend laparo-endoscopic repair (LR) following a previous open surgery (OS) and, conversely, OS following previous laparo-endoscopic repair. Laparoscopic treatment of recurrences after previous LR is controversial. The purpose of this study was to determine the safety, feasibility, and reliability of a repeated transabdominal preperitoneal laparoscopic repair (reTAPP) for a recurrent hernia.

Laparoscopic treatment of a pericaecal internal hernia.

We present the case of a pericaecal hernia treated successfully with a laparoscopic approach and full recovery after surgery. A 53-year-old female patient with a personal history of depression, osteoporosis and irritable bowel syndrome consulted to the emergency department for abdominal pain and distension in the last 12 h, associated with one episode of vomit and diminished frequency in the passage of stools. The right abdomen was tender to palpation, and blood work revealed no leucocytosis.

Esophageal perforation after transesophageal echocardiography: A case report.

Introduction: Esophageal perforation is a rare and severe complication following transesophageal echocardiography (TEE) that carries high morbidity and mortality rates. Management of these perforations usually requires complex open surgeries. We present the case of an esophageal perforation following TEE treated with a combined approach of upper endoscopy and left cervicotomy.

Totally endoscopic inguinal hernia repair: A new approach.

Background: Minimally invasive approach is used to repair as many defects of the abdominal wall as possible with the same approach, with the advantages implied by this way to perform surgery. Nowadays, efforts are made to create a minimally invasive approach to cope with the necessity to repair different defects of the abdominal wall at the same time.

Methods: A minimally invasive approach, with long standing endoscopic and laparoscopic principles on a well stablished inguinal hernia repair technique (Lichtenstein), is used to create a new approach to restore a unilateral inguinal hernia with the possibility to perform an adjunctive approach to solve other defects of the abdominal wall, in this case midline incisional hernia.