Comparison of Laparoscopic Appendectomy with open appendectomy in Treating Children with Appendicitis
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The document compares laparoscopic appendectomy and open appendectomy for treating pediatric appendicitis. 260 patients were randomly assigned to either laparoscopic or open appendectomy. Results showed laparoscopic appendectomy had shorter incision lengths, less blood loss, shorter operation time, earlier time to leave bed and eat, and lower incidence of complications like infection. The conclusion is that laparoscopic appendectomy results in less trauma and faster recovery than open appendectomy for pediatric appendicitis patients.
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Laparoscopic appendectomy is a surgical procedure to remove the appendix through small incisions using an instrument with a camera, instead of one large incision. It has several advantages over traditional open appendectomy, including lower risk of infection, faster recovery, smaller scars, and shorter hospital stay. The surgeon makes small incisions and inserts surgical tools and a laparoscope to see the appendix and remove it.
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The document provides an outline for performing an open appendectomy surgery. It discusses the relevant anatomy of the appendix, causes of appendicitis, pre-operative care including investigations and antibiotic treatment. It describes the surgical technique including common incisions used, identifying and ligating the appendix and closing the wound. Post-operative care involves monitoring for complications and managing patients depending on whether the case was complicated or uncomplicated.
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Este documento contrasta la investigación cualitativa y cuantitativa. Explica que la investigación cualitativa se basa en descripciones y observaciones no numéricas obtenidas a través de técnicas como entrevistas y observación. La investigación cuantitativa examina datos numéricos obtenidos de encuestas y estadísticas. También describe las diferencias entre los enfoques, técnicas comunes a cada uno y cómo se usa la información resultante.
Capacitacion incendios y extintores
La combustión es una reacción química entre un material combustible, oxígeno y temperatura que produce luz y calor. Para que ocurra la combustión se requiere la presencia simultánea de estas tres condiciones. Existen diferentes clases de incendios clasificados según el tipo de material combustible involucrado y diferentes métodos para combatirlos.
AZMET-Newsletter 2016-17
AZMET Technology and Projects specializes in providing engineering design and project management services for the mining industry. The document discusses several projects AZMET has completed over the past 12 months, including optimizing processing facilities at Kibali and Tongon mines through adding circuits like a desliming cyclone circuit and gold room scrubber system. It also discusses AZMET's modular gold adsorption, desorption, and recovery plants.
Orígenes
Los celtas celebraban el Samhain hace más de 3000 años el 31 de octubre para marcar el fin del año. Esta tradición pagana se introdujo en los Estados Unidos con la inmigración europea y se convirtió en la celebración de Halloween. La Iglesia Cristiana designó el 1 de noviembre como el Día de Todos los Santos y la víspera pasó a llamarse All Hallows Eve y luego Halloween. En la Edad Media, la brujería se asoció con lo maligno y las brujas fueron perseguidas, aunque en real
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This document reviews 10 randomized controlled trials comparing single port laparoscopic cholecystectomy to conventional laparoscopic cholecystectomy. It finds that single port laparoscopic cholecystectomy has a longer operating time but provides an equivocal benefit in terms of postoperative pain. It offers an improved cosmetic outcome but is associated with a low risk of bile duct injuries or the need for conversion to conventional laparoscopic cholecystectomy. The review concludes that single port laparoscopic cholecystectomy is as safe as conventional laparoscopic cholecystectomy in carefully selected patients.
914.full.pdf
This review article summarizes the history and outcomes of treating Hirschsprung's disease. It describes how the cause was discovered in 1948 and the original Swenson procedure was developed. Over time, modifications like the Duhamel and Soave procedures were introduced. The article reviews diagnostic techniques, operative mortality rates, complications, and long-term outcomes for different surgical approaches. It finds that while modifications aimed to improve on the original Swenson procedure, they were associated with higher complication and reoperation rates compared to the original approach.
Notes
Transgastric and transvaginal endoscopic cholecystectomy procedures were performed in 27 patients between 2007-2008. The procedures were performed using hybrid NOTES techniques, with laparoscopic assistance. Both transgastric and transvaginal routes were utilized to access the peritoneal cavity. The authors present their initial experience with these novel natural orifice techniques for cholecystectomy in humans.
THESIS SYNOPSIS PRESENTATION (1).pptx
This document provides details regarding a thesis presentation on comparing outcomes of laparoscopic appendicectomy using single versus double endoloop knots at the base of the appendix. The study aims to evaluate operation duration, post-operative complications, and hospital stay for the two techniques. A literature review found no consensus on whether single or double knots are superior. The study plans to enroll 90 patients undergoing laparoscopic appendicectomy and randomly assign them to single or double knot groups. Patient details, operative findings, and outcomes will be collected and statistically analyzed to compare the techniques.
Minimally Invasive Esophagectomy
1) The authors reviewed outcomes of 104 consecutive minimally invasive esophagectomies (MIEs) performed between 1998-2007.
2) Surgical approaches included thoracoscopic/laparoscopic esophagectomy with cervical anastomosis (n=47), minimally invasive Ivor Lewis esophagectomy (n=51), and others.
3) Complications included anastomotic leak in 9.6% of patients and stricture in 26%. Mortality was 1.9% at 30 days and 2.9% in-hospital. Mean lymph nodes retrieved was 13.8.
Hiatal Hernia
This document summarizes several studies on surgical repair of hiatal hernias. It discusses the use of mesh reinforcement to reduce recurrence rates for both laparoscopic fundoplications and large paraesophageal hernia repairs. The studies found mesh reinforcement was associated with fewer recurrences compared to primary suture repair, with no reported instances of mesh erosion. Longer follow-up is still needed but current data support the use of mesh for hiatal repairs.
Sephaneous vein graft for anterior urethral stricutre
El-Morsi et al. [10] first used a saphenous vein graft (SVG) in 1972 in 10 patients with promising results and suggested it as an alternative to Johanson staged urethroplasty, which was widely used at that time
Aa 2014 119-5
Le degré de relâchement musculaire en chirurgie coelioscopique de la vésicule biliaire fait partie du quotidien des discussions entre anesthésistes et chirurgiens au bloc opératoire. Au fond tous sont convaincus de l'efficacité du curare : le chirurgien qui le demande et l'anesthésiste qui pense lui à sa décurarisation.
Cette étude teste curarisation profonde versus curarisation de routine dans la chirurgie coelioscopique de la vésicule biliaire. Avec comme première question "est-ce qu'une curarisation profonde permet de travaillert avec une pression abdominable moindre?", pression dont on sait qu'elle est pourvoyeuse de douleur post-opératoire.
La réponse est que le degré de curarisation participe de façon marginale au confort du chirurgien... et ne permet pas plus fréquemment de travailler à pression abdominale basse.
V10p0073
This study evaluated the experiences and outcomes of 150 patients who underwent single incision laparoscopic cholecystectomy (SILC) between 2009-2011. Two different techniques were used for the single incision procedure. The median operative time was 29 minutes. Patients were discharged after a median hospital stay of 1.33 days. Five patients developed superficial wound infections. Port site hernias developed in 5 patients within 6 months of surgery. No other major complications occurred. The study concluded that SILC is a safe procedure that can be performed successfully with conventional laparoscopic instruments and may provide advantages of reduced postoperative pain and improved cosmetic outcomes compared to traditional laparoscopic cholecystectomy.
Efficacy and safety evaluation of laparoscopic d3 lymphadenectomy combined wi...
Efficacy and safety evaluation of laparoscopic d3 lymphadenectomy combined wi...Clinical Surgery Research Communications
This research article evaluated the efficacy and safety of laparoscopic D3 lymphadenectomy combined with pelvic autonomic nerve preservation for treating rectal cancer. 211 patients underwent either laparoscopic (131 patients) or open (80 patients) surgery. Results showed that both surgeries were successfully completed with no differences in lymph nodes removed or post-op complications. The laparoscopic group had shorter time to pass gas, get out of bed, and hospital stay. No differences were found in recurrence, mortality, or urinary/sexual dysfunction between groups. The study concludes that laparoscopic D3 lymphadenectomy combined with nerve preservation is a feasible and safe treatment for rectal cancer.RCT on Base tie in laparoscopic appendecomy (Journal Club).pptx
This is ppt made on a study based on Randomised controlled trial on the tie of appendix base in laparoscopic appendectomy by hem-o-lok,endoloop or stapler.This study showed that hem-o-lok clips are better and cheaper as compared to others.
International Journal of Pharmaceutical Science Invention (IJPSI)
International Journal of Pharmaceutical Science Invention (IJPSI) is an international journal intended for professionals and researchers in all fields of Pahrmaceutical Science. IJPSI publishes research articles and reviews within the whole field Pharmacy and Pharmaceutical Science, new teaching methods, assessment, validation and the impact of new technologies and it will continue to provide information on the latest trends and developments in this ever-expanding subject. The publications of papers are selected through double peer reviewed to ensure originality, relevance, and readability. The articles published in our journal can be accessed online.
Uniportal video assisted thoracoscopic bronchial sleeve lobectomy in five pat...
Uniportal video assisted thoracoscopic bronchial sleeve lobectomy in five pat...Clinical Surgery Research Communications
This study investigated the clinical efficacy and safety of uniportal video-assisted thoracoscopic bronchial sleeve lobectomy (BSL) in 5 patients with central lung cancer. The results found that the BSL procedure was successfully completed in all 5 patients without severe complications. Key findings included an average operation time of 254 minutes, average blood loss of 116 ml, average hospital stay of 9.2 days, and no postoperative recurrence or metastasis during follow-up periods ranging from 3-19 months. The study concluded that uniportal video-assisted thoracoscopic BSL is a safe and minimally invasive treatment for central lung cancer.Trans-umbilical laparoscopy assisted appendicectomy
1) The document describes a study of 31 patients who underwent a trans-umbilical laparoscopy assisted appendicectomy (TULAA) procedure between November 2011 and October 2012 at a hospital in South Africa.
2) TULAA involves using laparoscopy to mobilize the appendix and deliver it through an incision at the umbilicus, then completing the appendicectomy via an open technique.
3) The results showed that TULAA was an effective approach in selected cases, taking advantage of laparoscopy's visualization benefits while using the familiar open technique. It also avoided the use of some costly disposable equipment required for standard laparoscopy.
STOMAPHYX CASE REPORT
Case report describing new endoluminal method of revising enlarged gastric pouch after failed gastric bypass surgery
downloadfile-7
This study retrospectively reviewed 11 patients who underwent laparoscopic repair of large hiatal hernias with reinforcement of the diaphragmatic crura using various biologic grafts. Three different biologic grafts were used - acellular human dermal collagen in 6 patients, cellular porcine dermal implant in 1 patient, and porcine urinary bladder matrix in 4 patients. Outcomes were evaluated including perioperative data, complications, recurrence rates, and improvement in symptoms. The study found the laparoscopic repair of large hiatal hernias can be safely performed in rural hospitals using biologic grafts for crural reinforcement, with the choice of graft depending on availability, cost and surgeon preference.
appendix paper.pptx
This study compared outcomes of laparoscopic appendicectomy using single versus double endoloops to tie off the base of the appendix. The study found that using a single endoloop (Group A) took less time than using double endoloops (Group B), with average times of 54.9 minutes and 61.2 minutes respectively. There was no significant difference in length of hospital stay or incidence of postoperative complications between the groups. However, one patient in Group B developed a superficial wound infection, whereas none in Group A did. Therefore, the study concluded that using a single endoloop for laparoscopic appendicectomy may be more appropriate due to taking less time without increasing complications.
ENDOSCOPIC TREATMENT OF PILONIDAL SINUS IN EGYPTIAN PATIENTS
Background: Treatment for pilonidal disease using minimally invasive methods is a reliable and successful alternative to conventional surgery, with quicker recovery, better cosmetic outcomes, and better pain management. The primary goals of this study are to assess the early outcomes of endoscopic pilonidal sinus treatment and to demonstrate the surgical approach and its adaptations. Materials and Methods: Our study was conducted on 30 patients with pilonidal sinus disease as a prospective cohort study for endoscopic treatment of the pilonidal sinus, from October 2021 to October 2022, in our surgical department at Theodor Bilharz Research Institute (TBRI). Surgical outcomes of sinus healing, pain, and discharge were reviewed in the outpatient clinic, and patient satisfaction levels were assessed through a standardized phone interview. Results: There were 24 males and 6 females, with a median age of 21.87±1.85 years (ranging from 16 to 57 years). The mean operative time was 44.17 (35-55) ±1.26 min. During the follow-up period of 24 weeks, wound closure was seen after a median of 4 weeks. Wounds were closed in 72% of patients after one month and 93% of patients after two months. 2 patients had to be re-operated due to failure: one had persistence of discharge, and the other had recurrence after 3 months. The satisfaction rate was 93.3%. Conclusions: Endoscopic pilonidal sinus treatment is a minimally invasive and cosmetically favorable procedure. To find out if it reduces recovery time and the long-term recurrence rate, a larger sample size and a longer follow-up are needed.
Basics of laparoscopic surgery.pptx
Basics of laproscopic surgery..
by dr navdeep s kamboj presented at sgrdumsar amritsar.
topics covered--
1 basics of laparoscopy
2 lap cholecystectomy
3 lap appendixcectomy
pneumoperitonem
merits and demerits of laproscopy
ligasure
endoscopy,
laparoscopic instruments
A retrospective study of outcome of intraoperative gallbladder perforation du...
Intraoperative gallbladder perforation occurs in around 5% of laparoscopic cholecystectomy cases. This retrospective study analyzed 310 patients who underwent laparoscopic cholecystectomy, of which 16 patients (5.17%) experienced gallbladder perforation. Perforation most commonly occurred during dissection from the liver bed. Patients with perforation had a longer average surgery time of 65 minutes compared to 50 minutes for non-perforated cases. They also had a longer average hospital stay of 56 hours compared to 22 hours. However, intraoperative gallbladder perforation did not result in any other adverse complications and did not require conversion to open surgery in any cases.
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Sephaneous vein graft for anterior urethral stricutre
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RCT on Base tie in laparoscopic appendecomy (Journal Club).pptx
RCT on Base tie in laparoscopic appendecomy (Journal Club).pptx
International Journal of Pharmaceutical Science Invention (IJPSI)
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ENDOSCOPIC TREATMENT OF PILONIDAL SINUS IN EGYPTIAN PATIENTS
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A retrospective study of outcome of intraoperative gallbladder perforation du...
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Dehradun #ℂall #gIRLS Oyo Hotel 8107221448 #ℂall #gIRL in Dehradun
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Part II - Body Grief: Losing parts of ourselves and our identity before, duri...
Comparison of Laparoscopic Appendectomy with open appendectomy in Treating Children with Appendicitis
- 1. COMPARISON OF LAPAROSCOPIC APPENDECTOMY WITH OPEN APPENDECTOMY IN TREATING CHILDREN WITH APPENDICITIS PRESENTED BY: JHON FREDDY HOYOS VERDUGO PRESENTED TO: DR ALEXEI ROJAS SURGERY IX 2016 Mar-Apr
- 2. OBJECTIVE To analyze feasibility and curative effect of laparoscopic appendectomy in the treatment of pediatric appendicitis and compare it with open appendectomy METHODS Two hundred and sixty patients were selected for this study and randomly divided into open appendectomy group (130 cases) and laparoscopic appendectomy group (130 cases). • Incision length • Blood loss during operation • Duration of operation • Time to leave bed • Time to take food • Catheter drainage time • Urinary catheterization time • Time of using antibiotics • Use of pain killer • Incidence of complications such as incision infection, residual abscess and intestinal obstruction were compared between two groups
- 3. INTRODUCTION Previous clinical treatment mostly used open appendectomy which has been practiced for more than 100 years as a classical therapy for treating pediatric appendicitis. But now this therapy is gradually rejected by patients and their family members due to problems such as incision infection, wound infection, intestinal adhesion, intestinal obstruction and slow recovery of intestinal tract
- 4. TRADITIONAL OPEN APPENDECTOMY Patients were given either general anesthesia or epidural anesthesia. A trans rectal incision was cut at mcburney point. Sroperitoneum was removed. Msentery and vermiform appendix were processed as usual. Apendiceal stump was embedded with purse string suture or figure-of-eight suture. Abdominal cavity was washed by metronidazole. Abdominal exudatives was wiped away with wet saline gauze. After being sutured layer and layer, the incision was washed by Povidone-iodine solution. Drainage tube was inserted if appendix perforates, and removed according to volume of drainage and body temperature
- 5. LAPAROSCOPIC APPENDECTOMY Laparoscopic appendectomy was performed under tracheal intubation and general anesthesia. A 5 mm incision was made on inferior margin of umbilicus. CO2 pneumoperitoneum was made and then 5 mm canula sheath and laparoscope were inserted. Two incisions were made at the position of equilateral triangle formed by left inguinal region and umbilicus under laparoscope; and 3 mm or 5 mm canula sheath was inserted
- 6. RESULTS As to the length of incision, the average value of open appendectomy group was 7.37±3.00 cm, 3.5 cm the shortest and 12 cm the longest The average value of laparoscopic appendectomy group was 2.11±0.21 cm, 2.0 cm the shortest and 2.5 the longest COMPARISON OF CURATIVE EFFECT
- 7. COMPARISON OF USAGE RATE OF ANALGESIC Number of cases taking analgesic in open appendectomy group and laparoscopic appendectomy group after operation was 16 and 8 (12.30% vs 6.10%). Usage of analgesic in laparoscopic appendectomy group was lower than open appendectomy group, but no significant difference was observed INCIDENCE OF COMPLICATIONS
- 8. CONCLUSION Laparoscopic appendectomy can result in small trauma, rapid recovery, significantly lower incidence of abdominal residual abscess and incision infection as well as good prognosis. But surgical approach still needs to be determined according to disease condition, economic condition, experience of surgeon and condition of the hospital. Though laparoscopic appendectomy has not completely replaced open appendectomy, laparoscopic appendectomy is supposed to be the better option for pediatric appendicitis with the improvement of surgical method and medical technology.
- 10. BIBLIOGRAPHY