Search Results
Results 451 - 500 of 1553
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Soricelli E - - 2009
BACKGROUND: Laparoscopic antireflux surgery (LARS) represents the gold standard in the treatment of gastroesophageal reflux disease with or without hiatal hernia. It offers excellent long-term results and high patient satisfaction. Nevertheless, several studies have reported a high rate of intrathoracic wrap migration or paraesophageal hernia recurrence. To reduce the incidence ...
Serra-Aracil Xavier - - 2009
BACKGROUND: The prevalence of terminal parastomal hernia (PH) after colostomy placement may be as high as 50%. The effect of the PH may range from discomfort to life-threatening complications. Surgical procedures for repairing PH are difficult to perform and present a high-failure rate. OBJECTIVE: To reduce the incidence of PH ...
Sgourakis George - - 2009
This prospective randomized study aimed to evaluate the impact of hernia sac laparoscopy on the morbidity and mortality in cases with a spontaneous reduction of the strangulated hernia content before the assessment of its viability. Ninety-five patients underwent operation owing to incarcerated hernia. Forty-one patients, whose strangulated indirect inguinal hernia ...
Seiler Christoph M - - 2009
In patients undergoing midline incisions, the abdominal fascia can be closed with a continuous or interrupted suture using various materials. The aim of this study is to compare: (1) interrupted technique with rapidly absorbable sutures and (2) continuous techniques with different slowly absorbable sutures, focusing on the incidence of incisional ...
Baik Seung Hyuk - - 2009
BACKGROUND: The aim of this study is to compare the short-term results between robotic-assisted low anterior resection (R-LAR), using the da Vinci Surgical System, and standard laparoscopic low anterior resection (L-LAR) in rectal cancer patients. METHODS: 113 patients were assigned to receive either R-LAR (n = 56) or L-LAR (n ...
Mentes O - - 2009
BACKGROUND: In this randomized and prospective study, we compared the analgesic effects of lornoxicam and tramadol in patients after inguinal hernia repair. METHODS: A total of 160 patients were assigned in a randomized manner into two groups. Group L received 8 mg lornoxicam i.v. at the end of the operation, ...
Ansaloni Luca - - 2009
BACKGROUND: The aim of this study was to evaluate the safety and efficacy of Lichtenstein's hernioplasty using Surgisis Inguinal Hernia Matrix (SIHM; Cook, Bloomington, Indiana) compared with polypropylene (PP; Angiologica, Pavia, Italy). METHODS: This was a prospective, randomized, double-blind trial comparing Lichtenstein's inguinal hernioplasty using SIHM versus PP. RESULTS: Seventy ...
Harlaar Joris J - - 2009
BACKGROUND: There is no conclusive evidence which size of suture stitches and suture distance should be used to prevent burst abdomen and incisional hernia. METHODS: Thirty-eight porcine abdominal walls were removed immediately after death and divided into 2 groups: A and B (N = 19 each). Two suturing methods using ...
Rottoli Matteo - - 2009
BACKGROUND: Laparoscopic rectal resection (LRR) is an oncologically safe procedure. The impact of conversion to open surgery on outcomes has not been fully elucidated. The aim of the study is to compare short- and long-term outcomes of converted (CR) and not converted (NCR) patients undergoing LRR. METHODS: Data were drawn ...
Wang Sheng-zheng - - 2009
OBJECTIVES: To compare hand-assisted laparoscopic radical cystectomy (HALRC) with the standard laparoscopic radical cystectomy (LRC) in an attempt to delineate their role in bladder cancer treatment. METHODS: We retrospectively analyzed 51 patients who underwent HALRC (HALRC group, 31 cases) or LRC (LRC group, 20 cases). Urinary diversion was performed extracorporeally ...
Boylu Ugur - - 2009
PURPOSE: We compared the surgical outcomes of robot assisted laparoscopic dismembered pyeloplasty in patients presenting with anterior crossing vessels with and without transposition of the crossing vessel. MATERIALS AND METHODS: A total of 107 patients with ureteropelvic junction obstruction underwent robot assisted laparoscopic dismembered pyeloplasty. Evaluation of surgical success was ...
El-Awady S E - - 2009
AIM: To evaluate the effects of Lichtenstein tension-free inguinal hernioplasty on sexual function and generic quality of life, testicular volume, and perfusion. PATIENTS AND METHODS: In a prospective study, testicular volume, testicular perfusion, sexual function, generic quality of life, chronic inguinal pain, and groin sepsis were investigated before and 3 ...
Katsuno Goutaro - - 2009
BACKGROUND: Although laparoscopic appendectomy (LA) is widely performed in many countries, LA for complicated appendicitis, which includes perforated or gangrenous appendicitis with or without localized or disseminated peritonitis, has not become a common practice yet. METHODS: We retrospectively analyzed the clinical records of 230 patients who had undergone appendectomy for ...
Friedrich Klaus M - - 2010
OBJECTIVE: To evaluate the use of diffusion-weighted imaging (DWI) for the assessment of cartilage maturation in patients after matrix-associated autologous chondrocyte transplantation (MACT). MATERIALS AND METHODS: Fifteen patients after MACT were examined by 3.0-T magnetic-resonance-tomography; the examination was up to 13 month after surgery in group 1, and later than ...
Schug-Pass Christine - - 2010
BACKGROUND: The occurrence of incisional hernias after various types of abdominal procedures and incisions continues to be a problem. A number of studies conducted for diverse risk groups have identified a beneficial role for the prophylactic use of mesh augmentation. To what extent this affects the stability of a suture ...
SmietaƄski M - - 2009
BACKGROUND: This prospective cohort study evaluated whether partially absorbable monofilament mesh could influence postoperative pain and time of the return to normal activity while not increasing recurrence in modified Lichtenstein inguinal hernioplasty. METHODS: Two hundred and forty-two patients were operated on using poliglecaprone/polypropylene mesh. A modified Lichtenstein technique was used ...
Schumacher G - - 2009
Precise classification of cancers of the esophagogastric junction according to Siewert may be difficult for the presence of Barrett's esophagus or hiatal hernia, which subsequently leads to a difficult choice of the surgical procedure of esophagectomy or gastrectomy. Ninety-six patients with such cancers were operated on in our department in ...
Eklund Arne S - - 2009
OBJECTIVES: To compare a laparoscopic (totally extraperitoneal patch (TEP)) and an open technique (Lichtenstein) for inguinal hernia repair regarding recurrence rate and possible risk factors for recurrence. SUMMARY BACKGROUND DATA: Laparoscopic hernia repair has been introduced as an alternative to open repair. Short-term follow-up suggests benefits for those patients operated ...
Ondrusova M - - 2009
BACKGROUND: Testicular cancer (TC) is quite a rare malignancy, however, its medical importance has risen due to the rapid growth in incidence in the last three decades. Age-adjusted mortality rates have fallen within the space of 20 years. PATIENTS AND METHODS: A national retrospective descriptive study evaluated the data of ...
Safan Ahmed - - 2009
AIMS: To examine the efficacy of using fibrin glue (FG) as an interpositioning layer in the repair of complicated vesioovaginal fistulae (VVFe) as compared to the classical repair using martius flaps (Ml'). METHODS: The study was conducted in 3 African institutions. Forty female patients with complicated VVFs were randomized into ...
- - 2008
BACKGROUND:: The aim was to assess whether a partially absorbable monofilament mesh could influence postoperative pain and time to return to normal activity after Lichtenstein hernioplasty. METHODS:: The study randomized patients undergoing inguinal hernia repair in 15 centres into two groups according to mesh type: lightweight (poliglecaprone-polypropylene composite) and heavyweight ...
Chung Patrick Ho Yu - - 2008
BACKGROUND/PURPOSE: In this article, we are going to report our early experience on laparoscopic pneumovesical approach for ureteric reimplantation and to compare the result with traditional open approach. METHODS: A retrospective review of patients who underwent ureteric reimplantation from 2000 to 2007 was carried out. They were divided into open ...
Sajid Muhammad Shafique - - 2008
OBJECTIVE: To systematically analyze the role of heated humidified carbon dioxide (CO2) in laparoscopy. METHODS: Clinical trials on laparoscopic procedures using standard dry CO2 versus heated humidified CO2 for pneumoperitoneum were analyzed. RESULTS: Ten randomized controlled trials on 565 patients were analyzed. In both the fixed and random effect models, ...
Dall'oca Susanna - - 2008
The purpose of this study was to compare the 24-h composite-to-composite microtensile bond strength of Gradia Forte (GF) repaired with the same or a different material after different surface treatments. Different groups were set up, in which composite blocks of GF were subjected to the following treatments: Group 1, sandblasting ...
Lauscher Johannes C - - 2008
INTRODUCTION: Implantation of alloplastic material has become a standard surgical procedure in inguinal hernia repair. The properties of different meshes are discussed as determinants of postoperative outcome. The aim of this study was to comparatively evaluate long-term results after total extraperitoneal hernioplasty (TEP) with a heavyweight polypropylene mesh (PP) and ...
Kurzer M - - 2009
PURPOSE: To compare patients over 70 years old with those under 50 years old undergoing inguinal hernia repair. PATIENTS AND METHODS: Fifty patients aged >70 years (group A) and 50 patients age <50 years (group B) underwent local anaesthetic mesh repair. The mean age for group A was 77.2 years ...
Neuss H - - 2009
BACKGROUND: Effects of intraoperative application of fibrin glue following combined radical inguinal and iliacal lymph node dissection (RILND) on the amount of postoperative lymphatic secretion are discussed controversially. To detect whether fibrin glue application results in a decreased lymphatic secretion following RILND a randomized patient blinded clinical trial was conducted. ...
Chastan P - - 2009
BACKGROUND: Lichtenstein tension-free mesh repair is the most commonly used technique for the open treatment of inguinal hernia. Mesh fixation and the potential risk of associated pain are always a surgical concern. The aim of this study was to report the initial clinical experience using an innovative, partly resorbable mesh ...
Cabral Pedro Henrique Oliveira - - 2008
PURPOSE: To test the hypothesis that needlescopic cholecystectomies (NC) offer superior outcomes in comparison to common laparoscopic cholecystectomies (LC). METHODS: Sixty consecutive patients with gallbladder disease undergoing either LC or NC were evaluated with respect to differences in operative time, frequency of per-operative incidents, post-operative pain, late postoperative symptoms, length ...
Hofeldt Matthew - - 2008
Experience with laparoscopic cholecystectomy for biliary dyskinesia in children remains limited. The aim of this study was to examine the results of a single institution's experience with laparoscopic cholecystectomy for the treatment biliary dyskinesia in the pediatric population. Medical records were reviewed on all patients younger than age 18 who ...
Agarwal Brij B - - 2009
BACKGROUND: Success of totally extraperitoneal (TEP) inguinal herniorrhaphy depends upon strengthening of the weakened native tissue by inflammation resulting in mesh-aponeurosis scar tissue (MAST) complex formation. The inflammatory response attributable to polypropylene (PP) content of the mesh is linked to weight of PP and pore size of the mesh. Continuation ...
Nason Katie S - - 2008
BACKGROUND: Laparoscopic repair of giant paraesophageal hernia (LRGPEH) is routinely performed in many centers, but high recurrence rates have led to concerns regarding this approach. We evaluate long-term recurrence rates, symptom improvement and correlation with radiographic recurrence, and risk factors for recurrence in our cohort of patients. METHODS: A cohort ...
Pring Chris M - - 2008
Laparoscopic and open techniques are both recognized treatment options for ventral hernias. We conducted a prospective randomized trial of both methods, to assess hernia recurrence, postoperative recovery and complications. Fifty-eight patients with ventral hernias were enrolled into the trial between August 2003 and December 2005. Of these, 31 underwent laparoscopic ...
Koch A - - 2008
BACKGROUND: Groin hernia repair is one of the commonest operations in general surgery. Existing techniques have very low and acceptable recurrence rates, but chronic pain and discomfort remain a problem for many patients. New mesh materials are being developed to increase biocompatibility, and the aim of this study was to ...
Machairas A - - 2008
BACKGROUND AND AIMS: Incisional hernia repair with mesh is considered a clean operation and it is not recommended to be perfomed at the same time with a potentially contaminated operation. The aim of this study is to assess the short-term results of a group of patients who underwent a colon ...
Garg Pankaj - - 2009
BACKGROUND: This study aimed to examine the recurrence rate and postoperative pain in total extraperitoneal repair (TEP) performed without fixation of the mesh and to compare the rates with those for repairs using fixation of mesh. METHODS: A retrospective analysis was conducted over a 3-year period for 929 patients (1,753 ...
Cheung Hester Y S - - 2009
OBJECTIVES: To evaluate the perioperative short-term outcomes of laparoscopic rectal cancer surgery in patients after neoadjuvant chemo-irradiation. PATIENTS AND METHODS: This is a comparative cohort study designed to compare the perioperative and short-term outcomes of laparoscopic rectal cancer surgery in patients with and without neoadjuvant therapy. Patients undergoing elective laparoscopic ...
Atila Koray - - 2010
BACKGROUND AND AIM: Mesh usage in repair of acutely incarcerated hernia is still a concern owing to infectious complications. The aim of this prospective clinical observational cohort study was to evaluate factors that increase the risk of bowel necrosis and to document the clinical outcome of the patients with acutely ...
Deligiannidis Nikolaos - - 2008
AIMS: The use of prosthetic material is a well-accepted practice for the treatment of large ventral defects. The aim of this study is to present the effectiveness of two different prosthetic materials for large ventral defects. METHODS: In this retrospective 3-year study, 41 patients (17 males, 24 females) underwent surgical ...
Nieminen Kari - - 2008
To evaluate whether symptom resolution and sexual function is better after reinforcement with polypropylene mesh than with traditional anterior repair. Ninety-seven patients were randomized to anterior colporrhaphy and 105 to an operation with mesh. Participants were evaluated up to 24 months by physical examination, standard questions, and questionnaire. The overall ...
Agarwal A - - 2008
Postoperative pain is the dominating complaint and the primary reason for prolonged convalescence after laparoscopic cholecystectomy. We have evaluated the efficacy of a single preoperative dose of pregabalin for attenuating postoperative pain and fentanyl consumption after laparoscopic cholecystectomy. Sixty adults (16-60 yr), ASA physical status I and II, of either ...
Chandak Pankaj - - 2009
BACKGROUND: Despite the rapid introduction of laparoscopic living donor nephrectomy, doubts exist about safety compared with open surgery. Early series have often reported on selective donor groups. We present a consecutive, prospective analysis of morbidity following hand-assisted laparoscopic donor nephrectomy (HALDN) compared with historical controls undergoing open donation (ODN) in ...
Poulose Benjamin K - - 2008
INTRODUCTION: Paraesophageal hernia repair is often performed in an elderly population. Few studies have evaluated perioperative mortality in this group. We identified predictors of inpatient mortality using a nationally representative sample. METHODS: Patients >/=80 years old undergoing transabdominal paraesophageal hernia repair were identified in the 2005 Nationwide Inpatient Sample. Congenital ...
Lu C-T - - 2008
BACKGROUND: To review the results of elective laparoscopic anterior resection (LAR) for recurrent and complicated sigmoid diverticulitis, and determine the factors associated with surgical complications. METHODS: Data on patients who had had elective surgery for recurrent and complicated sigmoid diverticulitis were extracted from a prospective computerized database. RESULTS: Review of ...
Soria Federico - - 2008
PURPOSE: The aim of this work is to compare 3 endourologic techniques for treating a ureteropelvic junction (UPJ) obstruction. To accomplish this, we performed a study in a porcine animal specimen, in which we compared laparoscopic pyeloplasty that emerges as the future gold standard technique, with 2 endopyelotomy techniques. MATERIAL ...
Eriksen J R - - 2009
BACKGROUND: Laparoscopic ventral hernia repair (LVHR) is a well established procedure in the treatment of ventral hernias. It is our clinical experience that patients suffer intense postoperative pain, but this issue and other recovery parameters have not been studied in detail. METHODS: Thirty-five patients with hernias >3 cm prospectively underwent ...
Tobias-Machado Marcos - - 2008
BACKGROUND AND PURPOSE: Radical lymphadenectomy improves survival in penile cancer patients, but the morbidity of the classic open procedure exceeds 50%. We report the updated results of Video Endoscopic Inguinal Lymphadenectomy (VEIL), an original minimally invasive procedure recently reported for extended inguinal node dissection in clinical settings. PATIENTS AND METHODS: ...
He Dawei - - 2008
BACKGROUND AND PURPOSE: This study investigated the safety and efficacy of using the minimally invasive operation of laparoscopic orchiopexy to treat palpable inguinal canalicular undescended testes. PATIENTS AND METHODS: Laparoscopic orchiopexy was performed on 90 Chinese patients (103 testes) with inguinal canalicular palpable undescended testes. Patients with testes that were ...
Lindsey Stephanie - - 2008
Multiple patient and economic benefits have contributed to the widespread popularity of laparoscopic surgery. Although the laparoscopic approach is safe, it is not without potential complications. The following case study describes a patient undergoing a laparoscopic salpingo-oophorectomy who had a sudden rise in end-tidal carbon dioxide to 65 mm Hg ...
Dickinson K J - - 2008
BACKGROUND: Chronic post-operative pain (CPP) following laparoscopic inguinal hernia repair (LIHR) may cause significant morbidity and be more problematic than recurrence. Determining pre-operative risk may reduce morbidity. Our aim was to determine prevalence of CPP following LIHR and identify risk factors for its development. METHODS: Data from patients undergoing LIHR ...
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