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Infected Haematoma Fistulating Through Adjacent Colorectal Anastomosis Mimicking an Anastomotic Leak.
Cureus
November 2024
General Surgery, Port Macquarie Base Hospital, Port Macquarie, AUS.
Anastomotic leakage is a well-understood major complication of colorectal surgery and carries significant implications for patient morbidity and mortality. However, an infected collection fistulating through an otherwise healthy colorectal anastomosis can mimic an anastomotic leak and warrants different management to a primary anastomotic leak. Such a presentation is undocumented in the current literature.
View Article and Find Full Text PDFUse of omentum during robotic-assisted reconstructive urological surgery: a systematic review of the current literature.
World J Urol
November 2024
Department of Urology, University of Leipzig, Leipzig, Germany.
Article Synopsis
- - The study reviews the effectiveness of the omentum in robotic-assisted reconstructive urology surgeries, highlighting its biological benefits and potential applications in complex procedures.
- - A systematic search of three databases yielded 13 relevant studies, covering various repairs, such as vesicovaginal and rectourethral fistulas, with recurrence rates between 0% and 6.7% and low complication rates.
- - The authors conclude that using omentum in robotic surgeries could be a safe and efficient option for complicated urological issues, but emphasize the need for more extensive studies to solidify its routine use in the field.
Robot-assisted extended rectal anterior resection for peritoneal dissemination of hepatocellular carcinoma invading rectum after atezolizumab plus bevacizumab combined therapy.
Int Cancer Conf J
October 2024
Department of Surgery, Graduate School of Medicine, Kyoto University, 54 Shogoin-Kawaharacho, Sakyo-ku, Kyoto, 606-8507 Japan.
Article Synopsis
- Patients with hepatocellular carcinoma (HCC) and extrahepatic metastasis generally have a poor prognosis, but combination therapy with atezolizumab and bevacizumab (ATZ/BEV) shows strong antitumor efficacy.
- A 74-year-old man with a history of HCC faced severe complications, including rectovesical pouch dissemination, but responded well to ATZ/BEV treatment despite needing to discontinue bevacizumab due to fistula formation.
- After a year of treatment, the tumors shrank significantly, allowing for curative robot-assisted surgery which confirmed the successful removal of the HCC with clear margins.
Robotic management of urinary fistula.
Asian J Urol
July 2024
The Catherine and Joseph Aresty Department of Urology, USC Institute of Urology, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Objectives: To highlight critical preoperative and intraoperative considerations in approaching fistula repair robotically.
Methods: A search of the literature was conducted to identify relevant articles pertaining to robotic management of urinary fistulae.
Results: Fistulae of the genitourinary tract can be a challenging dilemma for urologists, as definitive management may require surgical intervention.
A Neonatal Case of Lower Urinary Tract Obstruction and Imperforate Anus: Urethral Decompression Due to Rectourinary Fistula.
Cureus
May 2024
Division of Neonatology, Maternal and Perinatal Center, Toyama University Hospital, Toyama, JPN.
Lower urinary tract obstruction (LUTO) is a rare fetal condition associated with significant perinatal morbidity and mortality. Herein, we report a neonatal case of LUTO with anal atresia complicated by anhydramnios and pulmonary hypoplasia. After treatment for severe postnatal respiratory distress, the neonate underwent vesicostomy and colostomy.
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