The article presents a clinical case of a 58-year-old patient T.N.V with enterocele following radical cystectomy with heterotopic neobladder.
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Challenges, Treatment Strategies, and Surgical Techniques in the Management of Spermatic Cord Sarcomas.
Ann Surg Oncol
December 2024
Soft Tissue Sarcoma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Rome, Italy.
Spermatic cord sarcomas (SCS) are a group of mesenchymal tumors whose rarity and anatomical location often lead to clinical misdiagnosis such as inguinal hernia, testicular tumor, or other conditions. Any inguinoscrotal mass with suspicious characteristics should prompt clinicians to perform imaging assessments (such as ultrasound or, in uncertain cases, magnetic resonance imaging (MRI)) and refer the patient promptly to a specialized center. Histological characterization of all suspicious masses via percutaneous biopsy is recommended, with staging completed through computed tomography (CT) scan for confirmed cases.
View Article and Find Full Text PDFConstruction of a preoperative emotional state and postoperative intra-abdominal pressure based prediction model for early enteral feeding intolerance in postoperative patients with gastric cancer.
Front Nutr
November 2024
Division of Gastric and Hernia Surgery, Department of General Surgery, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing, China.
Background: The incidence of enteral feeding intolerance (ENFI) in the early postoperative period is high in patients after gastric cancer resection due to the characteristics of surgical traumatic stress and changes in the physiological structure of the digestive tract, and the current evaluation of ENFI after gastric cancer resection mostly depends on the symptoms and complaints of patients after gastric cancer resection, which is lagging and subjective. Early accurate and objective prediction of the risk of early ENFI after gastric cancer resection is critical to guide clinical enteral nutrition practice.
Materials And Methods: This study included 470 patients who underwent radical gastric cancer surgery at the Division of Gastric Surgery of a tertiary hospital in Nanjing, Jiangsu Province, between November 2021 and October 2022.
Incidence of Incisional Hernias after Single-Port Versus Multi-Port Robotic Radical Prostatectomy.
J Endourol
November 2024
Department of Urology, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Article Synopsis
- A study aimed to compare incisional hernia rates between single-port (SP-RARP) and multi-port robotic-assisted radical prostatectomies (MP-RARP) using data from 493 patients over five years.*
- The overall hernia rate was found to be similar between the two techniques (8.1% for SP-RARP vs. 9.2% for MP-RARP), but SP-RARP had quicker operating room times (236 minutes vs. 276 minutes).*
- However, patients undergoing SP-RARP were 3.4 times more likely to develop hernias compared to those with MP-RARP, with higher BMI and previous abdominal surgeries being significant risk factors.*
Introduction: An inguinal hernia is frequently identified in men with prostate cancer, which is likely due to similar risk factors, including age, gender and smoking.
Aim: To assess the safety and feasibility of performing concomitant robotic-assisted radical prostatectomy (RARP) and robotic-assisted transabdominal preperitoneal (TAPP) inguinal hernia repair.
Materials And Methods: We retrospectively analyzed the treatment outcomes of 23 patients who underwent RARP between January 2022 and June 2023.
Predictive factors of immediate continence after conventional robot-assisted radical prostatectomy: a single-institution retrospective study.
Int J Clin Oncol
November 2024
Department of Urology, Itabashi Chuo Medical Center, 2-12-7 Azusawa, Itabashi, Tokyo, 174-0051, Japan.
Background: To assess the predictive factors of immediate urinary continence after robot-assisted radical prostatectomy.
Methods: This study included 282 patients who underwent conventional robot-assisted radical prostatectomy at our institution from April 2019 to March 2024. The primary outcome was immediate urinary continence, defined as the absence of urine leakage immediately after urinary catheter removal on postoperative day 6 or 7.
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