Journal of laparoendoscopic & advanced surgical techniques. Part A
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J Laparoendosc Adv Surg Tech A · Dec 2007
Randomized Controlled Trial Comparative StudyComparison of the effectiveness of metoclopramide, ondansetron, and granisetron on the prevention of nausea and vomiting after laparoscopic cholecystectomy.
A relatively high incidence of postoperative nausea and vomiting (PONV) occurs in patients undergoing a laparoscopic cholecystectomy. Prophylaxis of PONV is usually achieved with a single-dose antiemetic drug administered during the surgical procedure. The aim of the current study was to compare the antiemetic activity of different 5-hydroxytryptamine-3 receptor antagonists with that of metoclopramide. ⋯ Granisetron, when given prophylactically, resulted in a significantly lower incidence of PONV than metoclopramide and ondansetron, whereas metoclopramide was ineffective. Garnisetron may be an effective treatment in the proflaxy of PONV.
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J Laparoendosc Adv Surg Tech A · Dec 2007
Laparoscopy: an excellent tool in the management of primary omental torsion in children.
Primary omental torsion (POT) is an uncommon acute condition, often occurring in obese children. The clinical presentation usually mimics that of acute appendicitis, and preoperative radiologic imaging may not be helpful in the diagnosis. In this paper, we report our experience of using laparoscopy in diagnosing and treating POT in children. ⋯ Laparoscopy is an excellent tool for both diagnosing and treating omental torsion in children.
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J Laparoendosc Adv Surg Tech A · Dec 2007
Role of laparoscopy in the management of visceral injuries following abdominal stab wounds.
Laparoscopy offers several advantages in the treatment of abdominal stab wounds. In this paper, we report our experience during 2004, where hemodynamically stable patients with stab wounds were managed laparoscopically. ⋯ Laparoscopy should be included in management algorithms in patients with anterior abdominal stab wounds who are hemodynamically stable. In addition to its diagnostic ability, this study demonstrates that laparoscopy can be an effective management modality with minimal morbidity and no mortality.
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J Laparoendosc Adv Surg Tech A · Dec 2007
Case ReportsLaparoscopic resection of schwannoma in the anomaly of obturator nerve.
Most retroperitoneal schwannomas are benign tumors originating from schwann cells and are relatively rare, especially schwannomas arising in the obturator nerve. In this paper, we describe a 44-year-old woman with a retroperitoneal schwannoma in the anomaly of the obturator nerve, which was treated by laparoscopy without any complications.