Publications by authors named "Michael P Stolz"
Background: Approximately 10% of intraoperative cholangiograms identify choledocholithiasis (CDL), stones in the common bile duct. Choledocholithiasis management options include endoscopic retrograde cholangiopancreatography (ERCP) followed by cholecystectomy, laparoscopic cholecystectomy (LC) followed by ERCP (LC + ERCP), cholecystectomy with open common bile duct exploration, or laparoscopic cholecystectomy with laparoscopic common bile duct exploration (LC + LCBDE). The goal of these interventions is to clear the obstruction from CDL.
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- Endoscopic sleeve gastroplasty (ESG) is a minimally invasive outpatient procedure that reduces stomach size using endoscopic suturing techniques.
- The text details a specific case of a serious complication occurring right after the ESG, which involved ischemia, perforation, and peritonitis.
- It also discusses the findings made during the operation and how the medical team managed the situation.
Article Synopsis
- The study investigates the use of Indocyanine green (ICG) during laparoscopic cholecystectomy to improve visualization of the biliary system, termed the "critical view of safety plus," aiming to reduce complications like bile leaks.
- A randomized and double-blinded approach was taken, comparing operative photos from the traditional critical view of safety and the critical view of safety plus, assessed by a control surgeon.
- The sample included 50 patients, predominantly female (72%) and non-Hispanic (76%), with an average age of 49 years, all undergoing laparoscopic cholecystectomy.
Incarcerated inguinal hernias with contamination frequently lead to an open inguinal hernia primary repair. If no contamination is present, a tension-free repair with mesh is a good option. In this case, we encountered an incarcerated femoral hernia with perforation of the small bowel.
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- Amyand hernias are considered rare, constituting only 0.5% of all hernias, with those found alongside acute appendicitis being even less common at about 0.11%.
- This paper discusses a case involving an 85-year-old man who had acute appendicitis within an Amyand hernia, and a serrated adenoma was identified in the pathology report.
- The study highlights the rarity of Amyand hernias, the technique used for treatment (laparoscopic appendectomy and hernia repair), and the importance of reviewing pathology results for follow-up on incidental findings.
Background: Therapeutic hypothermia is a treatment modality that is increasingly used to improve clinical neurological outcomes for ischemia-reperfusion injury-mediated diseases. Antibody-initiated classical complement pathway activation has been shown to contribute to ischemia-reperfusion injury in multiple disease processes. However, how therapeutic hypothermia affects complement activation is unknown.
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