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http://dx.doi.org/10.1097/01.tp.0000239191.21800.b8DOI Listing

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Article Synopsis
  • - The case study highlights the importance of accurate diagnosis and personalized management in treating complex bladder injuries, specifically a patient with a significant Grade V injury.
  • - In this instance, conservative treatment failed, leading to a decision for a less invasive procedure that involved using an external catheter, allowing the bladder to heal without exposure to urine.
  • - The successful outcome of this innovative approach demonstrates that careful monitoring and customized treatment plans can lead to positive recovery even in challenging cases of bladder trauma.
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Background: Increased survival can be achieved in patients with colorectal cancer peritoneal metastases (CRPM) treated with cytoreductive surgery. The benefit of this strategy remains uncertain when CRPM are associated with extraperitoneal metastases (EPM). The aim of this study was to compare short- and long-term outcomes of patients treated with CRS for CRPM, with or without EPM.

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Background: There have been few reports of a totally extraperitoneal approach for laparoscopic lateral lymph node dissection (LLND) for patients with metachronous lateral pelvic lymph node metastases following surgery for rectal cancer. Therefore, this study reports the short-term outcomes of LLND via an extraperitoneal approach.

Methods: A total of 10 patients underwent LLND through a laparoscopic extraperitoneal approach in our hospital since October 2018.

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Objective: To identify risk factors for failure of conservative management (CM) for uncomplicated extraperitoneal bladder injuries (EBI).

Methods: The trauma registry at a single Level 1 trauma center was queried for patients presenting with a blunt EBI between 2004 and 2022. Patients with CM and follow-up through at least 1 postoperative cystogram or catheter removal were included.

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Introduction: Assessment of retroperitoneal nodes is an important part of the surgical staging of gynecologic cancers. Although pelvic and paraaortic lymphadenectomy have been widely described by different authors, there is little consensus on the description of the different surgical steps for each procedure. An Intergroup Committee on Onco-Gyn Minimally Invasive Surgery has been established with members of the European Society for Gynecological Endoscopy (ESGE), European Society of Gynaecological Oncology (ESGO) and the Society of European Robotic Gynaecological Surgery (SERGS).

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