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The Rationale of sub-hepatic drainage on a specialist biliary unit: a review of 6140 elective and urgent laparoscopic cholecystectomies and bile duct explorations.
Langenbecks Arch Surg
September 2024
Hashemite University, Zarqa, Jordan.
Article Synopsis
- Drains are often used to manage abdominal fluid collections after surgical procedures, but their necessity, especially after cholecystectomy, is debated.
- This study analyzed data from over 6,000 laparoscopic cholecystectomies to assess the outcomes and indications for using sub-hepatic drains in patients, particularly focusing on those undergoing emergency surgeries.
- Results indicated that while drains were frequently used, complications were minimal, and many post-operative issues resolved spontaneously, suggesting a selective approach to drainage might be beneficial.
Reoperation After Loop Duodenojejunal Bypass with Sleeve Gastrectomy: A 9-Year Experience.
Obes Surg
August 2024
Department of Surgery, Banas Medical College and Research Institute, Palanpur, Gujarat, India.
Article Synopsis
- Loop duodenojejunal bypass with sleeve gastrectomy (LDJBSG) is a weight-loss surgery that can also resolve obesity-related health issues, but there's limited information on reoperations following the procedure.
- In a study of 337 LDJBSG patients, only 3% required reoperative surgery, with complications occurring both early (within days) and late (after months), leading to various conversion procedures.
- The study found that while LDJBSG has low rates of needing reoperations, any conversion surgery should be done by highly skilled surgical teams due to potential complications and technical challenges.
Implementing protocol-based relaparoscopy for severe complications in laparoscopic colorectal surgery.
World J Surg
June 2024
Department of Gastrointestinal Surgery, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Background: Although laparoscopy has demonstrated growing applications for either primary colorectal resections or reoperations, no standardized criteria for implementing laparoscopy in revisional surgery have been reported. This study analyzes a single-center series of major complications after laparoscopic colorectal surgery, undergoing laparoscopic (LR), or open reoperations in compliance with a hemodynamics-based institutional management.
Methods: This study retrospectively analyzes a series of consecutive patients who primarily underwent either laparoscopic left colectomy or low anterior resection in a tertiary referral center between 2016 and 2021.
Aim: To review our experience of laparoscopic inguinal hernia repair (LIHR) regarding complication rates, the practice of closing the asymptomatic patent processes vaginalis (PPV), and comparison of complication rates between pre-term (< 37 week gestation) and term infants.
Methods: Retrospective review of LIHR performed between 2009 and 2021. Repair was performed by intracorporal single or double purse string/purse string + Z-stitch using a non-absorbable suture.
Endoscopic Administration of Combined Autologous Mesenchymal Stem Cells and Platelet-Rich Plasma for the Treatment of Gastric Staple Line Leaks After Sleeve Gastrectomy.
Obes Surg
January 2024
Department of Minimally Invasive Digestive & Bariatric Surgery, Metropolitan Hospital, HEAL Academy, 9 Ethnarchou Makariou & 1 Venizelou Streets, Neo Faliro, 18547, Athens, Greece.
Background: Gastric staple line leak treatment after laparoscopic sleeve gastrectomy (LSG) remains challenging. Regenerative medicine is gaining place in the accelerated treatment of damaged tissues. This study presents the first series of gastric leak treatment after LSG using endoscopic intragastric administration of combined autologous mesenchymal stem cells (MSC) and platelet-rich plasma (PRP).
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