40 research outputs found
Cecum cancer underlying appendicular abscess. Case report and review of literature
Peri-appendicular abscess is usually due to primary
appendicitis or it may be caused by various pathological
conditions: inflammatory, infective, neoplastic, immunological,
ischemic, occlusive (table 1).
We present a case of right iliac fossa abscess, initially diagnosed
as a complication of acute appendicitis that, at surgical
exploration, was proven to be produced by a cecal
tumour causing appendicitis for an obstructive mechanism
A modified Rives–Stoppa technique with composite mesh (FLaPp) in large incisional hernia: a multicentric retrospective cohort study
Background
Large incisional hernias (LIH) are challenging conditions, often necessitating complex surgical procedures such as transversus abdominis muscle release (TAR). We evaluated the feasibility and effectiveness of tension-free abdominal wall repair of LIH with an innovative modified Rives–Stoppa procedure employing a composite free lateral polypropylene (FLaPp) prosthesis.
Methods
Symptomatic patients affected by LIH and treated with FLaPp composite prosthesis between April 2010 and December 2016 were retrospectively analyzed. The FLaPp prosthesis is made up of two layers: an internal layer based on a polypropylene film that can be used in contact with the intestinal loops to address the posterior peritoneal defect, and an external layer based on a macroporous lightweight mesh, with which a classic repair according to Rives–Stoppa is carried out.
Results
Forty-three patients were enrolled in the study. All hernias were W3. Early complications were seroma (16.3%), hematoma (11.6%), wound infection (7.0%), and bowel injury (2.3%). Late complications were sinus tract (4.7%), occasional pain (2.3%), and stiff abdomen (9.3%). The median operative time was 126 min and median hospitalization was 8 days. At the median follow-up of 40 months (range 37.5–117), the recurrence rate was 9.3% (4/43).
Conclusion
Use of FLaPp mesh with a tension-free surgical approach is an effective strategy for managing LIH in selected cases with the presence of a posterior defect, with low rates of complications and recurrences
Sudden Sensorineural Hearing Loss after Lapaoscopic Sleeve Gastrectomy Under General Anaesthesia: A Case Report
We discuss the presentation of a sudden sensorineural hearing loss (SNHL)
occurred as a rare complication after laparoscopic sleeve gastrectomy (LSG). Etiology
of this complication is not clear, it seems that diverse and complex pathogenetic
mechanism are involved so the prevention and treatment seems to be difficult