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Robotic Laparoscopic Assisted Treatment of Inguinal Hernia Containing an Incarcerated Ectopic Pregnancy.
CRSLS
December 2024
Rutgers New Jersey Medical School, Department of Surgery, Newark, New Jersey. (Drs. Lad, Hsiung, and Amin).
Introduction: It is rare for adult female patients to present with incarcerated inguinal hernias containing ovary, fallopian tube, or uterine tissue. Potential surgical treatment options for incarcerated inguinal hernias containing ovary, fallopian tube or uterine tissue include open inguinal hernia repair (IHR), laparoscopic or robotic IHR.
Case Description: Herein, we report a case of an adult female presenting with a unilateral incarcerated inguinal hernia containing ectopic pregnancy.
A review of early small bowel obstructions in staged IPAA procedures.
Surg Endosc
January 2025
Department of Surgery, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, Box 1259, New York, NY, 10029, USA.
Background: Small bowel obstructions (SBOs) are a common complication following staged IPAA. Our goal was to compare early post-operative SBO outcomes between different staged ileal pouch-anal anastomosis (IPAA) and to further analyze the type of procedures required in patients who needed operative management of SBO.
Methods: In this retrospective cohort study, we selected all patients who presented to our tertiary care center between 2008 and 2017, with ulcerative colitis or IBD-Unspecified colitis and who underwent a primary total proctocolectomy with IPAA for medically refractory disease or dysplasia (n = 623).
Surgical Management of Gallstone Ileus: Approach, Outcome, Case Report, and Literature Review.
Cureus
September 2024
Department of Surgery, Texas Tech University Health Sciences Center, Amarillo, USA.
Gallstone ileus (GSI) is a condition caused by migrating gallstones lodged in the terminal ileum. Stone migration results from fistula formation, typically between the gallbladder and duodenum, termed a cholecystoduodenal fistula. This mechanical obstruction has high mortality and requires prompt intervention.
View Article and Find Full Text PDFOpen vs. laparoscopic vs. robotic pouch excision: unveiling the best approach for optimal outcomes.
Tech Coloproctol
October 2024
Department of Colon and Rectal Surgery, Mayo Clinic, 200 First St. Southwest, Rochester, MN, USA.
Article Synopsis
- Restorative proctocolectomy with ileal pouch-anal anastomosis can lead to pouch failure, requiring pouch excision, with traditional open surgery having potential complications; robotic and laparoscopic methods are being explored but lack extensive comparative data.* -
- A study at Mayo Clinic followed 123 patients who had pouch excision using robotic, laparoscopic, and open techniques between 2015 and 2023, focusing on various surgical outcomes and complications.* -
- Findings showed that robotic surgery had longer operation times but significantly lower blood loss and postoperative complications compared to open surgery, along with fewer required preoperative ureteral stents and pelvic drainages.*
Ileal lengthening through internal distraction: A novel procedure for ultrashort bowel syndrome.
J Pediatr Surg Open
April 2024
Division of Pediatric Surgery, Department of Surgery, Stanford University School of Medicine and Lucile Packard Children's Hospital, Palo Alto, CA, United States.
Purpose: Ultrashort bowel syndrome is a rare, but morbid surgical problem without effective treatment. Recent clinical analysis has demonstrated the critical influence of ileal length on ultimate enteral autonomy. Surgical techniques to increase ileal length in nondilated bowel do not exist.
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