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Endoscopic gastric plication is an emerging procedure for obesity management, facilitated by advances in intraluminal suturing technology. However, concerns persist regarding the complete transfixion of sutures and their long-term durability. We present the case of a 28-year-old patient with a BMI of 31 kg/m² who underwent laparoscopic gastric plication using nonabsorbable sutures to ensure complete transfixion under direct visualization.

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Introduction: Amyand's hernia is incarceration of vermiform appendix within inguinal hernia. Amyand's hernia associated with acute appendicitis is rare.

Case Presentation: A male in his 5th decade of life presented with enlarged right reducible inguinal scrotal swelling and each episode of incarceration relieved manually.

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Postoperative pancreatic fistula (POPF) remains a major and serious problem after pancreaticoduodenectomy (PD). In its presence, pancreatic juice may leak from the main duct or branches of the pancreatic stump. To prevent this, we have applied a newly modified anastomosis of pancreaticogastrostomy (PG) using a linear stapler (stapled PG).

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Incidence of post-traumatic osteoarthritis in 44B ankle fractures: Analysis of risk factors.

Osteoarthr Cartil Open

September 2024

Department of Neurosciences and Rehabilitation, University of Ferrara, Via Aldo Moro 8, 44124, Ferrara, Italy.

Objective: The purpose of this study was to analyse the clinical and radiographic data of a consecutive series of patients treated surgically for AO/OTA 44B ankle fracture at Ferrara University Hospital, Italy, with a view to identifying risk factors contributing to worse clinical and radiographic outcomes with a minium follow up of 6 years.

Materials And Methods: For each patient the following data were recorded: gender, age, Body Mass Index (BMI), follow up (months), previous ankle sprains, type of work, Kellgren-Lawrence (K&L) score, AO/OTA classification for ankle fracture, Foot and Ankle Disability Index (FADI score), ankle dislocation, syndesmotic transfixation, quality of reduction.

Results: FADI score in patients with AO/OTA 44B1 fracture was 95.

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Article Synopsis
  • Needle trauma is commonly linked to peripheral nerve damage, but the occurrence of postblock dysfunction is rare, prompting a study to examine this relationship.
  • A cadaveric study involved puncturing median and ulnar nerves with various needles, assessing the extent and type of fascicular injury through histological analysis.
  • Out of 400 punctures examined, only three fascicular injuries were identified, all caused by 15° beveled needles, indicating that needle-induced injuries are infrequent and unlikely to account for postblock neurological issues.
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