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Preoperative Progressive Pneumoperitoneum and Botulinum Toxin A in a High-Risk Patient With Loss of Domain Inguinoscrotal Hernia.
Cureus
September 2024
Emergency Medicine, Public Health Institution Dom zdravlja Prijedor, Prijedor, BIH.
We present a challenging case of a loss of domain (LOD) inguinoscrotal hernia in a 77-year-old high-risk patient, successfully managed with the complementary preoperative use of progressive pneumoperitoneum (PPP) and botulinum toxin A (BTA) without complications. Giant inguinoscrotal and LOD hernias, particularly in multimorbid patients, are highly complex and require meticulous preoperative preparation. In this case, PPP was performed with ambient air and a gradual increase in insufflation volume, while BTA was injected at three points on each side, with a total dose of 300 IU.
View Article and Find Full Text PDFPediatric Pyloric Transection: An Unusual Injury Following Blunt Abdominal Trauma.
Am J Case Rep
September 2024
Department of Pediatric General Surgery, King Abdullah Specialized Children's Hospital, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia.
Article Synopsis
- Pediatric trauma often presents unique injury patterns due to anatomical and physiological differences, requiring clinicians to be prepared for diverse cases, including rare injuries like isolated pyloric damage.
- A case of a 19-month-old boy with abdominal pain and vomiting after being injured by a falling wardrobe demonstrated severe trauma, leading to the discovery of a complete transection of the pylorus during surgery.
- Isolated pyloric injuries in children are rare and can lead to significant complications; thus, timely and accurate diagnosis is crucial for better recovery outcomes.
Traumatic abdominal wall hernia as a component of the seatbelt syndrome: A case report of complete abdominal wall muscle transection.
Int J Surg Case Rep
September 2024
Abdominal Wall Surgery Unit, General and Digestive Surgery Department Hospital General Universitari de Castelló, VLC, Spain.
Introduction And Importance: Seat belt syndrome (SBS) is a rare condition described as injuries sustained due to thoracic, abdominal, and pelvic compression in the context of traffic accidents. These injuries can range from minor skin abrasions to large lesions of internal organs and spinal cord involvement. Traumatic abdominal wall hernias (TAWH) are one of the injuries that can be associated.
View Article and Find Full Text PDFBotulinum Toxin and Progressive Pneumoperitoneum in Loss of Domain Ventral Hernias: A Systematic Review.
J Abdom Wall Surg
March 2024
Department of Emergency Surgery, Parma University Hospital, Parma, Italy.
Preoperative progressive pneumoperitoneum (PPP) and botulinum toxin A (BTX) have been used together in the preoperative preparation of patients with loss of domain hernias. This study aims to evaluate the efficacy and safety of the combined use of PPP and BTX. A systematic electronic search was performed according to the PRISMA criteria.
View Article and Find Full Text PDFThawed Porcine Model for Surgical Training: A Novel Conservative Procedure.
J Laparoendosc Adv Surg Tech A
January 2024
Medical School, Faculdade São Leopoldo Mandic, Campinas, Brazil.
General Surgery course is a mandatory in medical schools and continuing surgery training is important even to experienced surgeons which they need to maintain and/or improve their surgical skills. Additionally, the models used for that practice are human cadavers, anesthetized porcine, or simulators and are not accessible for medicine schools or physicians in many countries. Therefore, we present a new technical procedure for preparation of frozen experimental animal's cadavers for medical surgical training.
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