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Diaphragmatic Rupture in the Postpartum Period.
Cureus
December 2024
General Surgery, Ibn Rochd University Hospital/Hassan II University, Casablanca, MAR.
Diaphragmatic rupture during labor is an exceptionally rare condition, with a limited number of cases reported in the literature. A recent review underscores the rarity of this complication and emphasizes the associated challenges in diagnosis and management. This case report presents a postpartum diaphragmatic rupture, focusing on the diagnostic and therapeutic challenges it poses, particularly in the context of unsupervised deliveries.
View Article and Find Full Text PDFComputed tomography roadmap for post-operative fundoplication imaging with a novel structured reporting checklist.
J Minim Access Surg
November 2024
Department of Radiology, Delta Imaging, Zen Multispeciality Hospital, Mumbai, Maharashtra, India.
Introduction: With increasing numbers and acceptability of laparoscopic anti-reflux surgery (LARS) procedures over long-term medical treatment in the past decade, it follows that the complications of fundoplication wrap are seen intermittently with recurrent symptoms of heartburn and dysphagia. Endoscopy and barium swallow are the initial investigations performed for suspected fundoplication wrap failures. However, with easy availability of multislice computed tomography (CT) and the multiplanar reconstructions along with reduction in familiarity with barium examinations, it would be prudent for the surgeons to familiarise themselves with various appearances of wrap failure.
View Article and Find Full Text PDFUreter-ileum-interposition: Combined experience from two high-volume centres.
BJUI Compass
October 2024
Department of Urology, Faculty of Medicine, University Hospital Cologne University Cologne Cologne Germany.
Unlabelled: The current study aimed to evaluate short- and long-term complication rates and functional outcomes in a substantial cohort of patients undergoing ileal ureter interposition at two high-volume medical centres.
Materials And Methods: A retrospective single-arm analysis was conducted on patients who underwent ureter reconstruction using ileum between 2003 and 2022 at the University Clinic of Cologne and the National Cancer Institute of Ukraine. Data on aetiology, surgical techniques, pre- and postoperative kidney function changes, readmission rates and complication management were collected.
To wean or not to wean: proton pump inhibitor management after anti-reflux surgery amongst foregut experts.
Surg Endosc
July 2024
Division of Minimally Invasive Surgery, Department of Surgery, The Johns Hopkins Hospital, Baltimore, MD, USA.
Background: Most patients undergoing anti-reflux surgery (ARS) have a history of preoperative proton pump inhibitor (PPI) use. It is well-established that ARS is effective in restoring the anti-reflux barrier, eliminating the ongoing need for costly PPIs. Current literature lacks objective evidence supporting an optimal postoperative PPI cessation or weaning strategy, leading to wide practice variations.
View Article and Find Full Text PDFPredictability of magnetic sphincter augmentation device explantation: a nomogram-based scoring tool from an experienced quaternary center.
J Gastrointest Surg
August 2024
Center for Advanced Surgery, Baylor Scott & White University Medical Center, Dallas, Texas, United States; Division of Minimally Invasive Surgery, Baylor Scott & White University Medical Center, Dallas, Texas, United States; Texas A&M School of Medicine, Bryan, Texas, United States.
Background: Magnetic sphincter augmentation (MSA) explantation is an uncommon occurrence, and there are limited studies characterizing factors predictive of MSA explantation. This study aimed to create a nomogram to aid in determining the probability of explantation in patients before MSA implantation.
Methods: An institutional review board-approved, prospectively maintained database was retrospectively reviewed for all patients undergoing antireflux surgery between February 2015 and May 2023.
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