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Meticulous Closure of Mesenteric Defects Effectively Reduces the Incidence of Internal Hernia After Laparoscopic Roux-en-Y Gastric Bypass.
Obes Surg
August 2024
Department of Visceral Surgery, University Hospital (CHUV), Lausanne, Switzerland.
Introduction: Internal hernia (IH) after Roux-Y gastric bypass (RYGB) can lead to extended small bowel ischemia if it not recognized and treated promptly. The aim of this study is to show whether improvement in mesenteric defect (MD) closure reduces the incidence of IH.
Patients And Methods: Retrospective analysis of prospectively collected data from our database including all patients who underwent laparoscopic RYGB between 1999 and 2015.
Surgical Site Infection After Stoma Reversal: A Comparison Between Linear and Purse-String Closure.
Cureus
December 2023
General Surgery, Nishtar Hospital, Multan, PAK.
Article Synopsis
- The study evaluates the frequency of surgical site infections (SSI) following stoma reversal using two different skin closure methods: linear skin closure (LSC) and purse-string approximation (PSA).
- The randomized controlled trial involved 80 patients, finding SSI rates of 15% in the LSC group and 30% in the PSA group, indicating a higher risk in PSA, but the difference was not statistically significant (p-value of 0.108).
- The research highlights the need for further investigation into the methods of stoma reversal to better understand the impact on infection rates.
A new simple and innovative technique for surgical drains fixation.
J Surg Case Rep
December 2023
Plastic Surgery Department, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar.
Seroma is a common complication post many plastic surgery procedures. To overcome this issue, drain insertion became a standard of care in many procedures. Existing methods for fixing the drain like the Roman sandal, purse string, and mesentery have limitations, including loosening and skin problems.
View Article and Find Full Text PDFAim: 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.
Novel stent-assisted ileal bypass is applied to avoid protective stoma and prevent anastomotic leakage for rectal cancer.
ANZ J Surg
March 2024
Department of Gastrointestinal Surgery, Yongchuan Hospital of Chongqing Medical University, Chongqing, China.
Article Synopsis
- The study evaluated a new stent-assisted ileal bypass method for rectal cancer patients who underwent sphincter-preserving surgery, aiming to ensure safety and practicality.
- Data was gathered from 11 patients who received the procedure, which involved placing a biofragmentable stent in the terminal ileum to support recovery and eliminate the need for a protective stoma.
- Results showed that the procedure was successful with minimal complications, offering a promising alternative for rectal cancer treatment by potentially reducing the need for additional surgeries.
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