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Malrotation
Published in Mark Davenport, James D. Geiger, Nigel J. Hall, Steven S. Rothenberg, Operative Pediatric Surgery, 2020
Simon Blackburn, Joseph I. Curry, Bhanumathi Lakshminarayanan
A laparotomy is performed via an upper abdominal, transverse, muscle-cutting incision, extending mainly to the right side. All of the intestines are delivered into the wound for careful examination. A small volume of white to yellowish, free peritoneal fluid (chylous ascites) is usually present in any early intestinal obstruction, but blood-stained fluid is indicative of intestinal necrosis.
Tropical Colorectal Surgery
Published in Peter Sagar, Andrew G. Hill, Charles H. Knowles, Stefan Post, Willem A. Bemelman, Patricia L. Roberts, Susan Galandiuk, John R.T. Monson, Michael R.B. Keighley, Norman S. Williams, Keighley & Williams’ Surgery of the Anus, Rectum and Colon, 2019
Meheshinder Singh, Kemal I. Deen
In addition to the traditional role of surgery for diagnosis, operative intervention by laparotomy or laparoscopy may be indicated for complications of the disease, notably small or large bowel obstruction and perforation, which requires immediate attention.2 A conservative approach to anorectal disease is generally preferred,38 but perianal or ischiorectal abscesses may require surgical drainage before resolution can be achieved with antituberculous chemotherapy. Similarly, surgery for fistulas may be necessary if healing is not achieved by antituberculous chemotherapy or if the diagnosis is in doubt.
Case 78
Published in Simon Lloyd, Manohar Bance, Jayesh Doshi, ENT Medicine and Surgery, 2018
Simon Lloyd, Manohar Bance, Jayesh Doshi
A 5-year-old boy is brought to hospital at 11 PM because he told his parents that he swallowed something but did not say what it is. He is not in distress and is swallowing his saliva. His chest x-ray is shown below. There is currently a laparotomy in the emergency operating room that will take another 4 hours to finish.
A case of excision of ovarian torsion necrosis due to luteoma in a female who conceived a twin pregnancy through in vitro fertilization misdiagnosed with acute appendicitis
Published in Gynecological Endocrinology, 2022
Lihua Zhu, Dachuan Zhang, Yanjun Yang
It is controversial whether the treatment of luteoma in pregnancy should involve conservative treatment or surgical treatment [14]. In most cases, patients are asymptomatic and luteomas are occasionally detected during cesarean section [15]. Traditionally, the laparotomic surgery is conducted to remove the mass, examine the contralateral ovary, obtain a diagnosis, obtain peritoneal washings and complete a staging procedure if the mass was malignancy. Before 24 weeks of pregnancy, compared with the laparotomic surgery, laparoscopic surgery in pregnancy for ovarian torsion has advantages, including decreased postoperative pain, lower wound infection rates and lower anesthetic use, some concerns for laparoscopic surgery during pregnancy are absorption of carbon dioxide, decreased uterine blood flow, fetal hypoxia and fetal hypotension [16]. Laparotomic surgery is recommended for gestational weeks above 24 weeks. In this case, we chose the surgery laparotomy considering relevant factors. The diameter of the ovary in patients with a luteoma of pregnancy can increase to 20 cm [7]. To avoid unnecessary surgical intervention, the proper treatment of patients with luteoma who have no obvious symptoms is postpartum ultrasound follow-up until the ovary spontaneously returns to its normal size [3]. For patients who have an accidentally detected luteoma during cesarean section or those who have acute abdominal pain, the appropriate treatment is biopsy combined with ovarian torsion correction.
Minimally Invasive Surgery for Cervical Cancer: Should We Look beyond Squamous Cell Carcinoma?
Published in Journal of Investigative Surgery, 2022
Andrea Giannini, Ottavia D’Oria, Vito Chiantera, Chrysoula Margioula-Siarkou, Mariano Catello Di Donna, Sanja Terzic, Zaki Sleiman, Antonio Simone Laganà
The gold standard treatment of early CA is radical hysterectomy, as recommended by current guidelines [5]. Conventional laparotomy or laparoscopic surgery are the surgical options. The evidence about the optimal surgical approach for patients with CA is still insufficient, because current recommendations are mostly based on patients with cervical squamous cell cancer [6]. The laparoscopic approach is widely known for reducing recovery time and minimizing postoperative pain, although the recent results of the multicenter phase 3 randomized Laparoscopic Approach to Cervical Cancer (LACC) trial comparing minimally invasive surgery (robot-assisted or laparoscopic) with open surgery for International Federation of Gynecology and Obstetrics (FIGO) 2009 stage IA (with lymphovascular space invasion [LVSI+]) −IB1 cervical cancer showed lower disease-free survival (DSF) and overall survival (OS) in the minimally invasive group [7]. A recent multicentric study tried to investigate the possible surgery-related factors associated with poor oncologic outcomes in patients who underwent laparoscopic surgery, suggesting that the tumor size represents the most important risk factors [8].
Life quality of endometrioid endometrial cancer survivors: a cross-sectional study
Published in Journal of Obstetrics and Gynaecology, 2021
Volkan Karataşlı, Behzat Can, İlker Çakır, Selçuk Erkılınç, Oğuzhan Kuru, Mehmet Gökçü, Muzaffer Sancı
The institutional review board (University of Health Sciences, Tepecik Education and Research Hospital, Turkey, March 13, 2019) approved the study (Approval no. 2019/4-27). SPSS version 21 software (IBM Corp., Armonk, NY) was used for statistical analyses. Continuous variables were described as means and standard deviations and categorical variables were described as frequencies and percentages. The one-way ANOVA and the chi-square test were used to detect differences among groups. The correlation of BMI with domains of EORTC QLQ-C30 and FSFI were determined using Spearmen correlation coefficients. Multiple linear regression analyses were performed to assess the effects of clinicodemographic variables and BMI on EORTC QLQ-C30 and FSFI domains. Age, marital status, monthly income, time since last treatment, surgical approach, adjuvant treatment (radiotherapy and chemotherapy) were the main confounding variables, according to a previously published review (Smits et al. 2015). Marital status was categorised as married or unmarried (single, widowed or divorced). Monthly income was divided into categories according to the national minimum wage (NMW) and classified as low (≤US$422 = NMW), middle (US$422–US$844), and high (≥US$844). The surgical approach was categorised as laparotomy or laparoscopy. The significance threshold was set to .05 for all analyses.