Search Results
Results 401 - 450 of 1555
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Prabhu Ajita - - 2010
BACKGROUND: Proficiency-based simulator training in laparoscopic suturing leads to improved operative performance, but the skill transfer is incomplete. The objective of this study was to examine the stress level of trainees during the transition from the simulator to the operating room (OR) and its impact on performance. METHODS: Novices (n ...
Gholoum Suad - - 2010
PURPOSE: Although recent reports have suggested optimal wait times for inguinal hernia repair to prevent incarceration, these may not apply to all patients or be feasible in the context of limited resources. We evaluated our experience to determine if patient age and interval to operation increased the risk of incarceration. ...
Letouzey Vincent - - 2010
OBJECTIVES: Prospective randomized controlled trials, with 2 years' follow-up, seem to lean in favour of anterior repair using synthetic mesh. The goal of this study was to report on long-term (>5 years) follow-up. STUDY DESIGN: Polypropylene mesh was inserted in 63 women (in 1999-2001) from the retropubic space to under ...
Berrevoet Frederik - - 2010
BACKGROUND: Decreasing the amount of polypropylene by increasing pore size produces a lighter weight mesh that may improve tissue ingrowth and, functional properties of the abdominal wall and diminish mesh-related complications. It was the aim of this prospective observational cohort study to analyze the outcome of incisional hernia repair using ...
Kurian A - - 2010
To elucidate the differences in the pathology of incisional and primary ventral hernias and the outcomes of their laparoscopic repair. An operating room database of all laparoscopic ventral hernias performed between 2001 and 2009 was analyzed retrospectively. Patients were divided into two main groups: Group 1 (incisional hernias) and Group ...
Hamouda Ahmed H - - 2010
BACKGROUND: Minimally invasive techniques are now increasingly adopted for the treatment of esophageal cancers. Benefits such as earlier functional recovery and less need for transfusion and intensive care stay should be balanced by a determination to avoid compromise to the oncologic integrity of the procedure, especially in the early phase ...
Nakhamiyayev Vadim - - 2010
BACKGROUND: This study aimed to compare the results of laparoscopic appendectomy (LA) and open appendectomy (OA). METHODS: A retrospective analysis of 264 patients who underwent appendectomy (155 LA and 109 OA) over an 8-year period was performed. The variables analyzed included patient data (white blood cell count [WBC], duration of ...
Tchartchian Garri - - 2010
Safe and reliable access systems are crucial in laparoscopy, and trocar dislodgement is still a common and frustrating problem. Wall emphysema can occur besides the risky prolongation of the surgical procedure. Wall-anchoring components provide a better hold of the device. This comparative analysis assesses the frequency of dislodgement and a ...
Chen Jie - - 2010
BACKGROUND: Although many techniques exist for hernia repair, controversy still exists as to the best management of femoral hernias. We compared the preperitoneal approach with the mesh plug technique for the treatment of femoral hernias. METHODS: In this prospective study, 85 patients with primary unilateral femoral hernias were assigned randomly ...
Chang Wei-Hsi - - 2011
To compare transvaginal with laparoscopic tubal sterilization with respect to invasiveness and outcomes. The outcomes of 103 patients who received interval tubal sterilization were compared. Group A (n = 38) underwent the transvaginal approach, group B (n = 38) a laparoscopic approach, and group C (n = 27) underwent mini-laparotomy due to difficulties encountered in one ...
Reinders Jan Siert K - - 2010
Patients with choledochocystolithiasis generally undergo endoscopic sphincterotomy (ES) followed by laparoscopic cholecystectomy (LC). However, many patients receive this surgery 6-8 weeks after ES. There is a high conversion rate of elective LC after ES, and patients can develop recurrent biliary events during the waiting period. We investigated whether the timing ...
Hong Jeong-Yeon - - 2010
PURPOSE: In this prospective, randomized, double-blinded study we sought to evaluate the efficacy and safety of combined use of intravenous ketorolac and acetaminophen in small children undergoing outpatient inguinal hernia repair. MATERIALS AND METHODS: We studied 55 children 1 to 5 years old who were undergoing elective repair of unilateral ...
Lian Lei - - 2010
BACKGROUND: Concerns about prolonged postoperative recovery may detract surgeons from offering colectomy to patients older than 80 years. The adoption of a minimally invasive approach may help to counter these beliefs, but concerns remain as to whether these patients can tolerate a pneumoperitoneum. This study compared outcomes after laparoscopic colectomy ...
Kapischke Matthias - - 2010
INTRODUCTION: Secure fixation of the mesh in groin hernia repair is essential to avoid mesh dislocation. The fixation, however, is also thought to be a source of chronic postoperative pain. We tested the new self-fixating mesh Parietene progrip vs. traditional suture fixating Lichtenstein repair in a double-blinded randomized study evaluating ...
Nikkolo C - - 2010
PURPOSE: The aim of the present randomised clinical study was to compare the incidence of post-operative chronic groin pain and the feeling of a foreign body after inguinal hernioplasty with lightweight (LW) and heavyweight (HW) mesh, as well as to evaluate the patient's quality of life after inguinal hernia repair. ...
Pereira-Lucena C G - - 2010
PURPOSE: Incisional hernia occurs in approximately 11% of all laparotomies. Changes in collagen have been closely implicated in its pathogenesis. The high recurrence rate (45-54%) after primary suture has stimulated the development of meshes. Currently, meshes are the biomaterials implant group most used in medicine. This study aims to compare ...
Wolfson N - - 2010
Background/Aims: To evaluate the effect of long-term weight loss maintenance on arterial compliance, and metabolic and inflammatory parameters in obese patients who participated in a 6-month weight loss program featuring nutritional and exercise intervention. Methods: Sixty-seven obese subjects who participated in a 6-month weight loss program were followed for an ...
Osifo Osarumwense - - 2010
OBJECTIVE: To report outcomes of giant inguinoscrotal hernia repair using local lidocaine anesthesia in a resource-poor subregion. METHODS: Patients treated with giant inguinoscrotal hernia at 2 private healthcare facilities in Nigeria were studied between January 2004 and December 2008. RESULTS: A total of 134 patients aged between 13 and 70 ...
Pavlidis T E - - 2010
elderly patients are steadily becoming a growing part of the population. The aim of this study is to evaluate the outcome of open inguinal hernia repair in patients aged over 65 years. from January 1999 to December 2008, a total of 719 patients underwent open tension-free inguinal hernia repair with ...
Visser H - - 2010
In February 2009, an outbreak of 38 cases of gastroenteritis occurred among the participants of two Dutch coach trips (A and B) who visited the same hotel in Germany. We initiated an outbreak investigation to determine possible risk of food-borne infection. A retrospective cohort study was performed among 87 passengers ...
Malireddy Kishore - - 2010
OBJECTIVES: To define risk factors for recurrence and to determine whether postoperative prophylaxis would influence time to recurrence after primary laparoscopic ileocolectomy for Crohn disease. DESIGN: Retrospective record review. SETTING: Tertiary academic medical center. PATIENTS: All patients who underwent primary laparoscopic ileocolectomy for terminal ileal Crohn disease between April 28, ...
Moldovanu R - - 2010
BACKGROUND: Although laparoscopy has become the standard approach in other procedures, this technique is not generally accepted for acute appendicitis. AIM: To evaluate the results after minimally invasive appendectomies. METHODS: All medical records of patients operated for acute appendicitis during the last year were retrospectively reviewed. We considered only patients ...
Grimes Caris - - 2010
There is debate over whether a normal-looking appendix should be removed at diagnostic laparoscopy performed for right iliac fossa (RIF) pain. Faecaliths are associated with appendicitis. This study assessed whether there was an association between the removal of normal appendices containing faecaliths and improvement of symptoms. Analysis of the histology ...
Seiler Christoph - - 2010
Randomised controlled trials with a long term follow-up (3 to 10 years) have demonstrated that mesh repair is superior to suture closure of incisional hernia with lower recurrence rates (5 to 20% versus 20 to 63%). Yet, the ideal size and material of the mesh are not defined. So far, ...
Khan Nadim - - 2010
To compare outcomes of light and heavy weight mesh for repair of inguinal hernia. This study was conducted at the Department of Surgery; Lady Reading Hospital, Peshawar from January 1, 2007 to December 31, 2008. Patients were divided into two groups based on the type of mesh implanted for inguinal ...
Rice Robert D - - 2010
BACKGROUND: Surgisis and AlloDerm, two biosynthetic materials, have been previously used with success in abdominal wall repairs in the setting of contaminated fields. Historically, Vicryl Woven Mesh, a synthetic material, has also been used in such settings as a temporary bridge for abdominal wall reconstruction. This study compares Surgisis and ...
Abbas Muhammad Hasan - - 2009
Although needlescopic surgery may reduce postoperative pain, the use of 3-mm instruments is cumbersome and has not gained popularity. We have described an "all 5-mm ports" approach to laparoscopic cholecystectomy (LC) and Nissen fundoplication (LNF). Selected patients were randomized to undergo LC or LNF using either the "all 5-mm ports" ...
Jeon Seung Hyun - - 2009
PURPOSE: We evaluated the number of cases necessary to develop competence for performing laparoscopic radical nephrectomy (LRN) by chronologically analyzing the results of 150 cases. PATIENTS AND METHODS: 150 patients were included in this study, each of whom had had pure transperitoneal LRNs between March 2003 and February 2008 performed ...
Othman I - - 2010
AIM: Evaluation of combined transurethral resection of the prostate (TURP) and inguinal hernia repair with Vypro II mesh in comparison with patients undergoing TURP and hernioplasty sequentially. METHODS: Thirty patients were randomly categorized into two groups through a computer randomization program. Group I included 15 patients operated by TURP and ...
Bhattacharya P - - 2010
BACKGROUND: Inguinal herniorrhaphy can be successfully performed using general, regional or local anaesthesia. Paravertebral block (PVB) has been used for unilateral procedures such as thoracotomy, breast surgery, chest wall trauma, hernia repair or renal surgery. METHODS: We compared unilateral lumbar PVB with conventional spinal anaesthesia (SA) in 60 consenting ASA ...
Caliskan K - - 2010
PURPOSE: We assessed the efficacy of iliohypogastric neurectomy and subcutaneous transposition of the spermatic cord and ilioinguinal and genital nerves on the incidence of postoperative chronic pain (PCP) after open inguinal hernia repair with polypropylene mesh. METHODS: Between October 2006 and November 2006, 54 adult male patients with primary inguinal ...
Reece-Smith A M - - 2009
Whilst local anaesthesia (LA) has been preferred to general anaesthesia in specialist centres, this practice has not been reflected in general hospitals, where most operations occur. This meta-analysis will analyse differences in outcome between the two techniques from previous studies conducted in general hospitals to determine the evidence for practice ...
Daher Paul - - 2009
PURPOSE: There are no formal guidelines for the management of boys with nonpalpable testis. In this article, we report our experience in treating all nonpalpable intraabdominal testis (NPIT) with standard inguinal orchidopexy without dividing the spermatic vessels stating that the Fowler-Stephens technique is no longer indicated for the treatment of ...
Sakai Yasuyuki - - 2009
To reduce the incidence of inguinal hernia (IH) after radical retropubic prostatectomy (RRP), a simple prophylactic procedure was carried out during RRP. A consecutive 82 patients who had undergone RRP for clinically localized prostate cancer between July 2002 and October 2006 at Toride Kyodo General Hospital were enrolled. From July ...
Brehant Olivier - - 2009
BACKGROUND: The aim of this multicenter, randomized, prospective study was to reveal a difference in terms of a guided healing period in the case of stoma orifices after reestablishing digestive continuity by comparing an alginate mesh with a polyvidone iodine mesh. METHODS: Between April 2004 and September 2005, a total ...
Tsai Yao Chou - - 2010
BACKGROUND: A prospective clinical trial was designed to compare the midterm surgical and functional results between open (OR) and minilaparoscopic (MR) herniorrhaphy repairs for pediatric inguinal hernia. METHODS: Between May 2005 and May 2008, 174 children with inguinal hernias were prospectively enrolled for either open or minilaparoscopic hernia repair. Of ...
Catena Fausto - - 2009
BACKGROUND: Videolaparocholecystectomy (VLC) for acute cholecystitis (AC) is a technically demanding procedure, feasible by experienced surgeons, still affected by high conversion rate. Aim of this study was to prospectively evaluate whether the use of harmonic scalpel (HA) during VLC for AC, allowing a potentially better hemostasis and biliostasis, can decrease ...
Celik Atilla - - 2009
AIM: The aim of our study was to determine and compare the shrinking rates of different prosthetic materials used in ventral hernia repair and to establish a possible correlation with macroscopic adhesions, histopathologic inflammation, and fibrosis. METHODS: Thirty-six Wistar albino rats were divided into 4 groups (T, V, S, and ...
Farooq Tahir - - 2009
BACKGROUND: Early laparoscopic cholecystectomy (ELC) in acute cholecystitis improves hospital stay and outcome. Operative difficulty is said to increase with delay, and surgery is usually advised within 3 days of presentation. It can be difficult to accommodate all these patients within 3 days; this study evaluates results within and after ...
Berrevoet Frederik - - 2010
PURPOSE: The aim of this study was to compare the transinguinal preperitoneal technique (TIPP) using a memory ring patch versus the Lichtenstein technique in relation to acute and chronic pain, post-operative complications and recurrence rates. METHODS: During an 18-month period, all adult patients that needed treatment for a unilateral inguinal ...
Sanders D L - - 2009
INTRODUCTION: Mesh plug is an established and effective method for repair of inguinal hernia. The ProLoop plug (Atrium) is a recently developed mesh plug with a novel configuration, which may offer advantages over the standard Prefix plug (Bard) or the Lichtenstein repair. This two-centre double-blinded randomised control trial assessed the ...
Canes David - - 2010
BACKGROUND: Laparo-endoscopic single site (LESS) surgery is a recent development in minimally invasive surgery. Presented herein is the initial comparison of LESS donor nephrectomy (LESS-DN) and standard laparoscopic living donor nephrectomy (LLDN). OBJECTIVE: To determine whether LESS-DN provides any measurable benefit over LLDN during the perioperative period and subsequent convalescence. ...
Garg Pankaj - - 2010
BACKGROUND: This study aimed to compare the outcome and morbidity parameters of laparoscopic total extraperitoneal (TEP) repair for recurrent and primary inguinal hernias. METHODS: A retrospective analysis was conducted over a 3-year period. The recurrence rate; pain scores at 24 h, 1 week, and 4 weeks; hospital stay; days to ...
Kageoka Masanobu - - 2009
INTRODUCTION: The aims of the present study were to clarify the long-term prognosis of endoscopic sphincterotomy (EST) for choledocholithiasis and to evaluate the need for cholecystectomy after EST. METHODS: Between 1993 and 2007, 262 patients who underwent successful EST for choledocholithiasis were followed up for more than 6 months). Eighteen ...
Wei Hong-Bo - - 2010
BACKGROUND: Whether laparoscopy offers a benefit over open surgery in the management of acute appendicitis or not remains a subject of controversy despite the publication of numerous randomized studies. This study aimed to compare laparoscopic appendectomy (LA) with open appendectomy (OA) and to ascertain its therapeutic benefit. METHODS: Adult patients ...
Seiler Christoph M - - 2009
OBJECTIVE: There are 2 main types of access for patients requiring major open, elective abdominal surgery: the midline or the transverse approach. The aim of this study is to compare both approaches by focusing on postoperative pain, complications, and frequency of incisional hernias. SUMMARY BACKGROUND DATA: A recent Cochrane review ...
Tan Jie - - 2009
OBJECTIVE: To compare the operative data and early postoperative outcomes for myomectomy performed by minilaparotomy (MLT) with isobaric laparoscopic assisted minilaparotomy myomectomy (LM) in a series of patients with large uterine myomas (>or=5 cm) randomly assigned to each surgical technique. STUDY DESIGN: 80 patients were randomized blindly using a computer ...
Rocco Bernardo - - 2009
OBJECTIVE: To compare the early oncological, perioperative and functional outcomes of robotic-assisted radical prostatectomy (RARP) vs open retropubic RP (RRP) in a laparoscopically naive centre, as robotic assistance aids the laparoscopically naive surgeon in minimally invasive prostate surgery, by offering magnification and superior dexterity. PATIENTS AND METHODS: From 1 November ...
Cavallari G - - 2009
Hand-assisted laparoscopic donor nephrectomy (HALDN) outcomes are impaired mainly by the risks associated with the learning curve. Considering that practice by in vivo training may reduced this risk, we recently assessed a swine model of HALDN. The aim of this study was to analyze the learning curve of HALDN using ...
Kadam V Rao - - 2009
Intraoperative hypothermia is a known consequence of general anaesthesia. Forced air warming devices are commonly used to prevent hypothermia in anaesthesia, but there are limited data on the use of radiant warming devices. Previous trials comparing the efficacy of forced air and radiant warming devices have reported discordant results. The ...
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