Journal of laparoendoscopic & advanced surgical techniques. Part A
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J Laparoendosc Adv Surg Tech A · Dec 2006
Laparoscopically guided ilioinguinal nerve block for groin hernia repair.
Percutaneous ilioinguinal nerve block may reduce postoperative pain after open groin hernia repair but may be complicated by transient femoral nerve palsy in some patients. The technique of laparoscopically guided ilioinguinal nerve block is reported, and its benefits assessed in patients undergoing laparoscopic total extraperitoneal groin hernia repair. ⋯ Laparoscopically guided ilioinguinal nerve block may be applied safely and with improved postoperative comfort after groin hernia repair.
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J Laparoendosc Adv Surg Tech A · Dec 2006
Case ReportsLaparoscopic cholecystectomy for isolated traumatic rupture of the gallbladder following blunt abdominal injury.
Gallbladder rupture following blunt abdominal trauma is a rare event usually recognized on evaluation and treatment of other visceral injuries during laparotomy. Isolated gallbladder rupture secondary to blunt abdominal trauma is even more uncommon. ⋯ We report the case of a patient who suffered isolated gallbladder rupture due to blunt abdominal trauma from a fall. We propose laparoscopic cholecystectomy as a safe and effective surgical treatment for this solitary injury.
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Minimally invasive surgery has a role in planning the resection of malignant chest wall tumors in the pediatric population. We studied the role of thoracoscopy in both the diagnosis and definitive surgery of chest wall Ewing's sarcoma tumors.
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J Laparoendosc Adv Surg Tech A · Aug 2006
Case ReportsTwo cases of thoracoscopic resection of esophageal duplication in children.
We report two cases of thoracoscopic resection of esophageal duplication cysts. Both patients underwent successful thoracoscopic excision. They were discharged on postoperative day 2 and 4, respectively. ⋯ Complete excision is possible even if the cyst shares a common muscular wall with the esophagus. Pseudodiverticulum may develop at the site of excision: follow- up is necessary and consideration should be given to closure of the muscular defect at the time of excision. To help avoid esophageal injury and, should it occur, recognize esophageal perforation, we recommend performing the dissection under intraesophageal endoscopic supervision.
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J Laparoendosc Adv Surg Tech A · Aug 2006
Management of acute upper gastrointestinal bleeding in a district hospital.
This study was conducted to assess the management of acute upper gastrointestinal bleeding in a district hospital and to compare these results with national guidelines and the published literature. ⋯ High-standard results in acute upper gastrointestinal bleeding can be achieved in a district hospital. The management, including the use of the operating theater facilities with operative and anesthetic support, was safe and efficient. A 24-hour-a-day endoscopy service is important to achieve early diagnosis and to plan management. A protocol and early endoscopy improve clinical outcome and reduce mortality, which occurred mostly among elderly patients with high risk scores. It is advisable to introduce the Rockall scoring system in practice.