Trocar site herniation (TSH) is a rare condition after laparoscopy and may cause obstruction of the bowel. TSH may be present despite attempted fascial closure. This case report includes two simultaneous TSH in a patient who had laparoscopic hysterectomy performed. She presented with symptoms with severe abdominal pain, excessive vomiting and bloating of the abdomen. A computed tomography showed herniation of the small bowel at two previous trocar sites. The case resulted in emergency laparoscopy with decompression of the herniated bowel.
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Ann Thorac Surg
December 2024
Division of Surgery, Department of Thoracic and Cardiovascular Surgery, University of Texas MD Anderson Cancer Center, Houston, Texas. Electronic address:
Background: Sternotomy is the traditional approach for thymectomy. However, over the last 2 decades, minimally invasive surgical approaches (multiport thoracoscopic and robotic-assisted surgery) have proven feasible, offering similar survival, lower morbidity, and shorter length of stay. Single-port (SP) subxiphoid thymectomy potentially offers less pain and allows bilateral visualization of the mediastinum.
View Article and Find Full Text PDFFront Surg
November 2024
Department of Anesthesiology, The Fourth Medical Center of the PLA General Hospital, Beijing, China.
Background: Infection is a devasting complication after arthroplasty. Identifying potential sources contributing to intraoperative bacterial transmission can help to reduce surgical-site infections.
Objective: The aim of this study was to identify the incidence and risk factors of intraoperative bacterial contamination (IBC) in primary total knee arthroplasty (TKA) procedures.
Eur J Dent
November 2024
Section of Periodontics, School of Dentistry, Department of Surgical Specialties, Radiological Science and Public Health, University of Brescia, Brescia, Italy.
Objective: The aim of this randomized, controlled, split-mouth study was to compare full-mouth air polishing followed by ultrasonic debridement (known as Guided Biofilm Therapy [GBT]) versus traditional Scaling and Root Planing (SRP), in terms of pocket closure in patients with stages III and IV periodontitis.
Materials And Methods: The patients underwent periodontal therapy in two sessions. At the beginning of the first session, quadrants I and IV and II and III were randomly assigned to GBT or SRP treatment.
Biomater Sci
December 2024
Division of Technology Convergence, National Cancer Center, 323 Ilsan-ro, Goyang, Gyeonggi-Do, 10408, Republic of Korea.
Accurate tumor localization is crucial for the success of minimally invasive surgery, as it minimizes the resection of normal tissues surrounding tumors. Traditional methods for marking gastrointestinal (GI) tumors, such as ink tattooing, intraoperative gastroscopy or colonoscopy, and placement of metal clips, have major drawbacks in their application in laparoscopic surgery. Therefore, the development of safe and easy-to-operate marking methods for accurate and real-time detection of GI tumors during laparoscopic surgery remains an ongoing challenge.
View Article and Find Full Text PDFCureus
October 2024
Department of Anesthesiology, Uniformed Services University of the Health Sciences, Bethesda, USA.
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