9 results match your criteria: "Argentina. nrotholtz@hospitalaleman.com[Affiliation]"

Background: Laparoscopic surgery has shown clear benefits that could also be useful in the emergency setting such as early reoperations after colorectal surgery. The aim of this study was to evaluate the safety and feasibility of laparoscopic reintervention ("relaparoscopy") (RL) to manage postoperative complications after laparoscopic colorectal surgery.

Methods: We performed a retrospective study based on a prospectively collected database from 2000 to 2019.

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Background: Evidence is growing about the benefits of laparoscopic resection with primary anastomosis (RPA) in perforated diverticulitis. However, the role of a diverting ileostomy in this setting is unclear. The aim of this study was to analyze the outcomes of laparoscopic RPA with or without a proximal diversion in Hinchey III diverticulitis.

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Anastomotic leak (AL) is the most feared complication after colorectal surgery and time to diagnosis is variable. The aim of this study was to analyze the outcomes of patient who had an AL during or after hospital discharge. A retrospective analysis of a prospectively collected database of all patients undergoing laparoscopic colorectal resections without proximal diversion during the period 2008-2018 was conducted.

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Laparoscopic approach to colonic perforation due to colonoscopy.

World J Surg

August 2010

Colorectal Surgery Section, General Surgery Department, Hospital Alemán de Buenos Aires, Av Pueyrredón 1640 (1118), Buenos Aires, Argentina.

Background: Iatrogenic perforation due to colonoscopy is the most serious complication of this procedure. Usually, resolution of this event requires segmental resection. The laparoscopic approach could be an option to minimize the outcome of this complication.

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Patients with less than three episodes of diverticulitis may benefit from elective laparoscopic sigmoidectomy.

World J Surg

November 2009

Division of Colorectal Surgery, Department of General Surgery, Hopital Aleman Buenos Aires, Buenos Aires, Argentina.

Background: This study was designed to asses the predictive factors of postoperative complications in patients who underwent a laparoscopic elective approach for recurrent diverticulitis and to determine the relationship between the number of acute episodes and surgical morbidity.

Methods: A retrospective analysis was performed on patients with colonic diverticular disease treated by an elective laparoscopic approach between July 2000 and November 2007. The variables studied were age, sex, BMI, ASA, number of previous acute episodes, local severity, abdominal surgery history, comorbidity, and laparoscopic training of the surgeon.

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Is a laparoscopic approach useful for treating complications after primary laparoscopic colorectal surgery?

Dis Colon Rectum

February 2009

Colorectal Surgery Section, General Surgery Department, Hospital Alemán de Buenos Aires, Buenos Aires, Argentina.

Purpose: Although the use of laparoscopy for the management of postoperative complications has been previously well documented for different pathologies, there is scarce information regarding its use after laparoscopic colorectal surgery.

Methods: Data were prospectively collected from all patients undergoing laparoscopic colorectal surgery between June 2000 to October 2007. Patients were divided into two groups according to the approach used for the reoperation: laparoscopy (Group I) or laparotomy (Group II).

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Predictive factors for conversion in laparoscopic colorectal surgery.

Tech Coloproctol

March 2008

Colorectal Surgery Section Departament of Surgery, Hospital Alemán de Buenos Aires, Buenos Aires, Argentina.

Background: Although laparoscopic colon and rectal surgery can be safely performed in the hands of well-trained surgeons, criteria for patient selection should be further developed in order to decrease the conversion rate. The main objective of this study was to identify predictive factors for conversion of laparoscopic colorectal surgery to an open procedure based on statistical analysis.

Methods: A retrospective survey was performed using data collected from 400 patients who underwent laparoscopic colorectal surgery between March 2000 and December 2006.

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Laparoscopic-assisted proctocolectomy using complete intracorporeal dissection.

Surg Endosc

May 2008

Colorectal Section, General Surgery Department, Hospital Alemán, 1640 Pueyrredón Ave., Buenos Aires, C1118AAT, Argentina.

Purpose: Although many studies have demonstrated good results using laparoscopic proctocolectomy in patients with ulcerative colitis (UC), most surgical procedures require at least one additional incision larger than 5 cm to complete the surgery. The aim of this study was to evaluate the use of laparoscopic proctocolectomy with ileoanal J pouch, with a complete intracorporeal dissection using a 4-5 cm right lower quadrant (RLQ) incision.

Methods: Data were collected prospectively from all patients with UC that were subjected to a proctocolectomy with ileoanal J pouch between August 2003 and December 2006.

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Long-term assessment of fecal incontinence after lateral internal sphincterotomy.

Tech Coloproctol

July 2005

Colorectal Section, Department of Surgery, Hospital Alemán, Av. Pueyrredon 1640, 1118, Buenos Aires, Argentina.

Background: Lateral internal sphincterotomy (LIS) can cause fecal incontinence. The aim of this study was to evaluate this sequelae after long-term follow-up of patients treated by LIS and to identify possible associated factors.

Methods: Data were retrospectively collected for patients with chronic anal fissure who had LIS between 1994 and 1997.

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