Journal of laparoendoscopic & advanced surgical techniques. Part A
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J Laparoendosc Adv Surg Tech A · Oct 2004
Case ReportsSubcutaneous carbon dioxide emphysema following endoscopic extraperitoneal hernia repair: possible mechanisms.
We report on a patient who developed subcutaneous emphysema with hypercarbia during an endoscopic, totally extraperitoneal (TEP) repair of an inguinal hernia. The possible mechanisms of carbon dioxide (CO2) insufflation causing emphysema of the subcutaneous tissues are discussed and ways to prevent it are proposed.
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J Laparoendosc Adv Surg Tech A · Aug 2004
Randomized Controlled Trial Clinical TrialProphylactic antiemetics for laparoscopic cholecystectomy: droperidol, metoclopramide, and droperidol plus metoclopramide.
Postoperative nausea and vomiting (PONV) is one of the most significant problems in laparoscopic surgery. The antiemetic effects of metoclopramide and droperidol used alone or in combination for prevention of PONV after laparoscopic cholecystectomy (LC) were assessed in this prospective, double blind, placebo controlled randomized study. ⋯ The combination of metoclopramide and droperidol, and two-dose droperidol alone, were found to significantly decrease the incidence of PONV after LC, whereas metoclopramide alone proved inefficient.
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J Laparoendosc Adv Surg Tech A · Aug 2004
Randomized Controlled Trial Comparative Study Clinical TrialA prospective randomized trial comparing 2-octyl cyanoacrylate to conventional suturing in closure of laparoscopic cholecystectomy incisions.
To compare 2-octyl cyanoacrylate (Dermabond) with conventional suturing for closure of laparoscopic cholecystectomy (LC) wounds in a prospective randomized controlled trial. ⋯ The tissue adhesive 2-octyl cyanoacrylate is a safe and fast method for closure of LC wounds, with cosmetic results comparable to suturing.
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J Laparoendosc Adv Surg Tech A · Jun 2004
Case ReportsSpleen-preserving laparoscopic distal pancreatectomy after division of the splenic vessels.
A 37-year-old woman with a history of syncope was hospitalized with a diagnosis of hypoglycemia due to insulinoma. Computed tomography (CT) and magnetic resonance imaging revealed an enhanced solid mass, 1.5 cm in diameter, at the tail of the pancreas. Angiography via the splenic artery revealed a hypervascular mass. ⋯ The pancreatic pedicle was divided at the splenic hilum to preserve the spleen. The postoperative course was uneventful except for the appearance of splenic infarction on a CT scan 2 weeks after surgery but without any overt symptoms. Spleen-preserving laparoscopic distal pancreatectomy by division of splenic vessels is a feasible treatment option for benign pancreatic disease.
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J Laparoendosc Adv Surg Tech A · Apr 2004
Major retroperitoneal vascular injuries during laparoscopic cholecystectomy and appendectomy.
Serious complications may occur during laparoscopic surgery, as in any surgical procedure. Injuries of major retroperitoneal vascular structures are uncommon but important complications of laparoscopy. ⋯ The surgeon's experience and knowledge are the essential factors for prevention of major vascular injuries during laparoscopic procedures. In case of an injury, immediate laparotomy must be performed to achieve hemostasis and a surgeon who is familiar with vascular surgery should employ the definitive treatment.