incisional hernia/vômito

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Atropine: A Cure for Persistent Post Laparoscopic Pyloromyotomy Emesis?

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BACKGROUND Atropine has been used as a successful primary medical treatment for hypertrophic pyloric stenosis. Several authors have reported a higher rate of incomplete pyloromyotomy with the laparoscopic approach compared to open. In this study, we evaluated the use of atropine as a medical

Incidence of incisional hernia following vertical banded gastroplasty.

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BACKGROUND Our aim was to determine which patient-related factors influence the incidence of incisional hernia after vertical banded gastroplasty for morbid obesity. METHODS We reviewed the medical records of 80 morbidly obese patients operated on between 1986 and 1993. All the operations were

A case of closed loop small bowel obstruction within a strangulated incisional hernia in association with an acute gastric volvulus.

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Small bowel obstruction is a common clinical problem presenting with abdominal distention, colicky pain, absolute constipation and bilious vomiting. There are numerous causes, most commonly attributed to an incarcerated hernia, adhesions or obstructing mass secondary to malignancy. Here we present

Does the avoidance of nasogastric decompression following elective abdominal colorectal surgery affect the incidence of incisional hernia? Results of a prospective, randomized trial.

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OBJECTIVE In a previous, prospective, randomized study of the use of nasogastric tubes in patients undergoing elective abdominal colorectal surgery, we found that patients who did not have nasogastric (NG) decompression postoperatively had a significantly higher rate of abdominal distention, nausea,

Presentation and Management of Laparoscopic Incisional Hernias

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The incidence of incisional hernias at 12 mm trocar sites after laparoscopy has been reported as approximately 3%. We report on three cases involving this post-operative complication. The patients underwent a laparoscopically-assisted hysterectomy (LAVH) with fascial closure of 12 mm ports. Each

Incisional hernia as an unusual cause of hepatic encephalopathy in a 62-year-old man with cirrhosis: a case report.

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BACKGROUND Hepatic encephalopathy may be initiated by many factors such as gastrointestinal bleeding, infections, fluid and electrolyte disturbances. Hypokalemia is one of the most commonly encountered electrolyte abnormalities causing hepatic encephalopathy in patients with cirrhosis. METHODS We

Prophylactic mesh to prevent incisional hernia: a note of caution.

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BACKGROUND Ventral hernia is a common complication of open Roux-en-Y gastric bypass (RYGB). The aim of this study was to determine whether prophylactic mesh placement during RYGB would reduce the incidence of postoperative hernias. METHODS Obese patients undergoing RYGB by a single surgeon had

Incarceration of the hepatic lobe in incisional hernia: A case report.

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BACKGROUND Incisional hernias are abnormal peritoneal outward pouch-like protrusions that develop due to defects that arise as a result of the disruption of the fascia's continuity after abdominal surgery. METHODS A 77-year-old female patient presented to the emergency department of our hospital

The morbidity and mortality of laparotomy for uncomplicated intussusception in children.

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Non-operative management by pressure reduction is now the preferred treatment for uncomplicated intussusception in children. However, in many developing countries, laparotomy is routinely performed for such cases. This is a retrospective anlaysis of 24 children who had operative reduction of

Strangulated umbilical hernia including a mesenteric cyst: a rare cause of acute abdomen.

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Mesenteric cysts are rare intra-abdominal lesions. They are usually diagnosed as an incidental laparotomy finding in adults but in childhood, they may present with acute abdomen. In this report, a 72-year old female was referred to our hospital, suffering from acute abdominal pain, several episodes

Recurrences after laparoscopic ventral hernia repair: results and critical review.

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We describe the whole cohort of patients operated on laparoscopically for ventral hernias at our institution. Information on early results, complications, and long-term follow-up was collected prospectively. Of 90 operations attempted, five (5.8%) required conversion. Of the remaining 85 patients,

Successful management of ultra short bowel syndrome in an elderly patient.

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An 83-year-old woman presented emergently with a 1-week history of increasing abdominal pain and vomiting. Imaging confirmed an incarcerated incisional hernia containing viable small bowel. Laparotomy revealed profound ischaemic insult extending beyond the hernial contents, affecting virtually the

Typhoid intestinal perforation under 5 years of age.

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BACKGROUND Typhoid intestinal perforation is an important cause of morbidity and mortality in many developing countries. The peculiar features in children <5 years old need to be recognised in order to improve outcome. OBJECTIVE To determine the characteristic pattern and outcome of typhoid

Early oral feeding versus traditional postoperative care after abdominal emergency surgery: a randomized controlled trial.

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BACKGROUND Early oral feeding (EOF) has been demonstrated to be safe and beneficial after abdominal elective surgery. The aim of this randomized controlled trial is to assess the safety and benefits of EOF compared to traditional postoperative care (TPC) after abdominal emergency

Scrotal Abscess: A Rare Presentation of Complicated Necrotizing Pancreatitis.

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Acute pancreatitis is characterized by activation of digestive enzymes inside the pancreas. In severe pancreatitis, necrosis of pancreas and surrounding tissues may occur. Acute necrotizing pancreatitis commonly presents as pancreatic abscess occasionally with systemic complications. Rarely,

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