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  1 / 4922 MEDLINE  
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[PMID]:29390328
[Au] Autor:Choi JE; Lim S; Park CR; Cha HJ; Kwon WJ
[Ad] Endereço:Department of Radiology.
[Ti] Título:Foregut duplication cyst: a novel computed tomography finding mimicking a small bowel hernia: A case report.
[So] Source:Medicine (Baltimore);96(50):e9184, 2017 Dec.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: A foregut duplication cyst (FDC) is an uncommon congenital disease. This report presents a case of mediastinal foregut duplication cyst that mimicked a diaphragmatic small bowel hernia. PATIENT CONCERN: A 27-month-old girl was first referred for a mediastinal lesion found incidentally on a chest radiograph. At that time, our impression was cystic lung lesion such as congenital pulmonary airway malformation or pulmonary sequestration. At the age 6 years, she presented with recurrent vomiting. The physical examination and laboratory studies were within normal limits. DIAGNOSES: Chest CT revealed a thin- and smooth-walled cystic mass containing an air-fluid level in the left paravertebral space. It had several inner circular folds and characteristic double-layer enhancement and inner circular fold. Our radiological impression was a type I congenital cystic adenomatoid malformation. INTERVENTIONS: The patients undergone video-assisted thoracoscopic surgery for excision. The operative finding was the cystic mass with smooth bowel-like outer surface and located between the aorta and heart. The cyst was excised and confirmed to be a foregut duplication cyst pathologically. OUTCOMES: The patient was doing well with no postoperative complications during follow-up. Recurrent vomiting was improved. This is the first case report describing foregut duplication cyst mimicking a small bowel hernia. LESSONS: Foregut duplication cysts are rare congenital anomalies of primitive foregut origin. They can occur at any level of the alimentary track and comprise approximately 10% of all mediastinal tumors. Its characteristic double-layered histopathological nature, an FDC can show a double-layered enhancement pattern, which is typical in the alimentary tract.
[Mh] Termos MeSH primário: Cisto Mediastínico/congênito
Cisto Mediastínico/diagnóstico por imagem
Tomografia Computadorizada por Raios X
[Mh] Termos MeSH secundário: Criança
Feminino
Hérnia/diagnóstico por imagem
Seres Humanos
Achados Incidentais
Intestino Delgado/diagnóstico por imagem
Cisto Mediastínico/cirurgia
Cirurgia Torácica Vídeoassistida
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180203
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009184


  2 / 4922 MEDLINE  
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[PMID]:29373004
[Au] Autor:Fazi AC; Davis ML; Kurian S; McClellan WT
[Ti] Título:Acquires Anterior Thoracic Lung Herniation and Repair: A Rare Case and Discussion.
[So] Source:W V Med J;113(1):40-2, 2017 Jan-Feb.
[Is] ISSN:0043-3284
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:We report a case of acquired anterior thoracic lung herniation in a 63-yeal-old female. This painful herniation developed four years after uncomplicated video-assisted thoracic surgery for lung cancer resection and adjuvant radiation for concomitant breast cancer. The herniation site was remote from all prior incisions, and demonstrated intercostal muscle denervation and radiation fibrosis. The 8 cm x 10 cm chest wall defect was reconstructed with inlay PROCEED mesh and reinforced with a pedicled latissimus dorsi flap. Five months postoperatively the patient had complete resolution of symptoms, no evidence of herniation, and a stable wound.
[Mh] Termos MeSH primário: Hérnia/etiologia
Hérnia/terapia
Pneumopatias/etiologia
Pneumopatias/cirurgia
Parede Torácica/cirurgia
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Meia-Idade
Músculo Esquelético/cirurgia
Cirurgia Torácica Vídeoassistida/efeitos adversos
Procedimentos Cirúrgicos Torácicos/métodos
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180215
[Lr] Data última revisão:
180215
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180127
[St] Status:MEDLINE


  3 / 4922 MEDLINE  
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[PMID]:29224568
[Au] Autor:Li A; Hu R; Zhou D; Li S; Huang D; Wei X; Cao Z
[Ad] Endereço:Department of Gastrointestinal Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, No. 1095 JieFang Avenue, Wuhan, 430030, Hubei, China.
[Ti] Título:Internal herniation through lesser omentum hiatus and gastrocolic ligament with malrotation: a case report.
[So] Source:J Med Case Rep;11(1):344, 2017 Dec 11.
[Is] ISSN:1752-1947
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Internal herniation through lesser omentum hiatus and gastrocolic ligament with malrotation is extremely rare. This type of internal hernia has rarely been described before. Preoperative diagnosis is difficult and prone to misdiagnosis. CASE PRESENTATION: A 38-year-old Chinese woman was an emergency admission to our hospital with a sudden onset of acute epigastralgia for the past 14 hours. We made a presumptive diagnosis of gastrointestinal perforation and septic shock. Due to the acute onset and rapid progress, she received timely surgical treatment. During operation, we observed that her small intestine herniated into the hepatogastric ligament and ligamentum gastrocolicum hiatus accompanied with intestinal malrotation that resulted in internal hernia. We found a diverticulum of approximately 3.0 × 6.0 cm sited at a distance of 80 cm from the ileocecal intestine. We resected the strangulated intestinal loop and the diverticulum, performed an appendicectomy, and closed the ligamentous fissure. Postoperation, she recovered smoothly, without any complications, and was discharged on day 6. CONCLUSIONS: A case of internal hernia formation is quite rare; accurate preoperative diagnosis and timely surgery are essential because it can cause strangulation of the ileus. However, the incidence of this internal herniation is low and preoperative diagnosis is difficult. An accurate preoperative diagnosis of internal hernia is still a challenge.
[Mh] Termos MeSH primário: Hérnia
Herniorrafia/métodos
Volvo Intestinal/cirurgia
Intestino Delgado/cirurgia
Ligamentos/cirurgia
Mesentério/cirurgia
Omento/cirurgia
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Intestino Delgado/diagnóstico por imagem
Radiografia Abdominal
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180130
[Lr] Data última revisão:
180130
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171212
[St] Status:MEDLINE
[do] DOI:10.1186/s13256-017-1471-4


  4 / 4922 MEDLINE  
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[PMID]:28681372
[Au] Autor:Kayano H; Nomura E; Kuramoto T; Yatabe K; Yoshii H; Yokoyama D; Machida T; Uda S; Koike T; Izumi H; Hasegawa S; Mukai M; Makuuchi H
[Ad] Endereço:Department of General and Gastroenterological Surgery, Tokai University Hachioji Hospital, 1838 Ishikawa-machi, Hachioji, Tokyo 192-0032, Japan. h.kayano@tsc.u-tokai.ac.jp.
[Ti] Título:Two Cases of Laparoscopic Diagnosis and Treatment of Intersigmoid Hernia.
[So] Source:Tokai J Exp Clin Med;42(2):109-114, 2017 Jul 20.
[Is] ISSN:2185-2243
[Cp] País de publicação:Japan
[La] Idioma:eng
[Ab] Resumo:We present two cases of intestinal obstruction due to intersigmoid hernia that were diagnosed and treated laparoscopically. The first case was a 42-year-old woman with no surgical history. She was treated conservatively with the insertion of an ileus tube. Although the intestinal obstruction improved temporarily, since it subsequently worsened, laparoscopic surgery was performed, which revealed incarceration of the ileum in the intersigmoid fossa. Although there were no signs of necrosis after intestinal release, partial resection of the small bowel was performed before the hernial orifice was closed due to the evidence of serous damage. The second case was a 53-year-old man with no surgical history. An ileus tube was inserted for intestinal decompression, following which laparoscopic surgery was performed. Operative findings revealed incarceration of the ileum in the intersigmoid fossa, and, since there were no signs of necrosis after intestinal release, the hernial orifice was closed without performing intestinal resection. This condition is a good indication for laparoscopic surgery, given that intestinal necrosis is frequently absent and the operation can usually be completed simply by release of the incarcerated intestine and closure of the hernia orifice. Intersigmoid hernia should be suspected in cases of intestinal obstruction with no surgical history.
[Mh] Termos MeSH primário: Hérnia/diagnóstico por imagem
Herniorrafia
Obstrução Intestinal/diagnóstico por imagem
Obstrução Intestinal/cirurgia
Laparoscopia
Doenças do Colo Sigmoide/diagnóstico por imagem
Doenças do Colo Sigmoide/cirurgia
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Feminino
Hérnia/complicações
Seres Humanos
Obstrução Intestinal/etiologia
Meia-Idade
Doenças do Colo Sigmoide/complicações
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171005
[Lr] Data última revisão:
171005
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170707
[St] Status:MEDLINE


  5 / 4922 MEDLINE  
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[PMID]:28644948
[Au] Autor:Kim SY; Alfafara A; Kim JW; Kim SJ
[Ad] Endereço:Graduate Student, Researcher, Graduate School of Clinical Dentistry and the Department of Oral and Maxillofacial Surgery, Ewha Womans University, Seoul, Korea.
[Ti] Título:Traumatic Buccal Fat Pad Herniation in Young Children: A Systematic Review and Case Report.
[So] Source:J Oral Maxillofac Surg;75(9):1926-1931, 2017 Sep.
[Is] ISSN:1531-5053
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: Traumatic herniation of a buccal fat pad, predominantly seen in young children, is a rare condition. Because of its rarity and clinical features that resemble tumors, clinicians are faced with challenges at the initial diagnosis. This report describes a case of buccal fat pad herniation with excellent long-term prognosis after surgical relocation and conservative treatment and presents a systematic review of the literature on its management. MATERIALS AND METHODS: Through a PubMed search, 811 articles were initially identified. Case series, case reports, technical notes, case and review reports, and retrospective case series were included. After screening and manual review, the sample was narrowed to 35 reports (41 patients) based on eligibility criteria. Articles were included if the standard criteria for traumatic intraoral herniation of buccal fat pad were met. RESULTS: Patients' ages ranged from 4 months to 12 years, with no specific gender predilection. Management consisted of excision (82.9%), relocation (14.6%), and observation (2.4%). Follow-up ranged from 1 week to 4 months. No reports presented a follow-up longer than 4 months; hence, data on long-term prognosis were not reported. For the present case report, a 19-month-old boy diagnosed with traumatic buccal fat pad herniation was successfully treated with surgical relocation and antibiotic support. Twelve-month follow-up showed no esthetic or functional disturbance or recurrence. CONCLUSION: Traumatic herniation of the buccal fat pad requires special attention at the initial diagnosis. Considering its clinical importance in young children and few studies have reported long-term postresection follow-up, surgical relocation can be regarded as an excellent and more conservative treatment option.
[Mh] Termos MeSH primário: Tecido Adiposo
Bochecha
Hérnia/terapia
[Mh] Termos MeSH secundário: Criança
Pré-Escolar
Seres Humanos
Lactente
Prognóstico
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170920
[Lr] Data última revisão:
170920
[Sb] Subgrupo de revista:AIM; D; IM
[Da] Data de entrada para processamento:170624
[St] Status:MEDLINE


  6 / 4922 MEDLINE  
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[PMID]:28383625
[Au] Autor:Palumbo VD; Di Trapani B; Molinelli B; Tomasini S; Bruno A; Tomasello G
[Ad] Endereço:Euro-Mediterranean Institute of Science and Health (IEMEST), Palermo - Department of Surgical, Oncological and Stomatological Disciplines, University of Palermo.
[Ti] Título:The saxophonist's hernia: a rare case report of anterior primary perineal hernia in a young male patient.
[So] Source:Clin Ter;168(2):e133-e135, 2017 Mar-Apr.
[Is] ISSN:1972-6007
[Cp] País de publicação:Italy
[La] Idioma:eng
[Ab] Resumo:Perineal hernia is the protrusion of an intra-abdominal structure into the perineal area, that could be primitive or secondary to trauma or abdominoperineal resection. Main treatment could be transabdominal, transperineal or combined. Here is a rare case of anterior perineal hernia in a young saxophone male patient, treated with a mininvasive perineal approach. A 25-year-old Caucasian male patient referred 1-year history of perineal pain. The pain was more severe when he played his saxophone. Local exam was negative but a dynamic perineal ultrasonography revealed a small anterior perineal hernia. The defect was repaired with a polypropylene plug and the patient was discharged the day after. At one year, no signs of remission have been signalled. Perineal mesh hernioplasty of primary perineal hernia is technically feasible, is associated with rapid recovery and minimal complications, and has a good long-term outcome. The use of ultrasonography to detect the hernia could be considered the best choice whenever it is of small size. Ultrasonography allow to identify weakness areas, reducing diagnostic time and avoiding further costs.
[Mh] Termos MeSH primário: Hérnia/etiologia
Herniorrafia/métodos
[Mh] Termos MeSH secundário: Abdome/patologia
Adulto
Seres Humanos
Masculino
Períneo/patologia
Telas Cirúrgicas
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170529
[Lr] Data última revisão:
170529
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170407
[St] Status:MEDLINE
[do] DOI:10.7417/CT.2017.1994


  7 / 4922 MEDLINE  
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[PMID]:28280983
[Au] Autor:Miyo M; Takemasa I; Ikeda M; Tujie M; Hasegawa J; Ohue M; Kato T; Mizushima T; Doki Y; Mori M
[Ad] Endereço:Department of Gastroenterological Surgery, Osaka University Graduate School of Medicine, Suita, Japan.
[Ti] Título:The influence of specific technical maneuvers utilized in the creation of diverting loop-ileostomies on stoma-related morbidity.
[So] Source:Surg Today;47(8):940-950, 2017 Aug.
[Is] ISSN:1436-2813
[Cp] País de publicação:Japan
[La] Idioma:eng
[Ab] Resumo:PURPOSE: The association between technical maneuvers in fashioning a diverting loop-ileostomy and stoma-related complications remains unclear. Thus, this study aimed to evaluate their relevance to stoma-related morbidity. METHODS: This retrospective multicenter study was designed to collect data from 37 institutions. We evaluated the perioperative outcomes of consecutive patients who underwent surgery to create a diverting loop-ileostomy in 2013. RESULTS: A total of 4137 patients with colorectal disease underwent colorectomy, 279 of whom received an ileostomy. The results of these 279 patients were analyzed. The most common complications were parastomal dermatitis (n = 132) followed by ileus (n = 36), mucocutaneous separation (n = 24), parastomal hernia (n = 16), stoma retraction (n = 15), and stoma prolapse (n = 9). The technical maneuvers used in the creation of ileostomies were heterogeneous and some had a great deal of relevance to the complications. A long distance from the ileocecal valve to the ileostomy was associated with a low risk of stoma retraction and a high risk of ileus. Additionally, the height of the distal limb of the ileostomy significantly affected the incidence of parastomal dermatitis and mucocutaneous separation. CONCLUSIONS: Specific technical maneuvers that are utilized in the creation of diverting loop-ileostomies had a significant influence on the incidence of stoma-related morbidities. Our findings emphasize the possibility of minimizing stoma-related complications with appropriate surgical techniques.
[Mh] Termos MeSH primário: Ileostomia/métodos
Complicações Pós-Operatórias/epidemiologia
Complicações Pós-Operatórias/prevenção & controle
Estomas Cirúrgicos/efeitos adversos
[Mh] Termos MeSH secundário: Dermatite/epidemiologia
Dermatite/etiologia
Dermatite/prevenção & controle
Hérnia/epidemiologia
Hérnia/etiologia
Hérnia/prevenção & controle
Seres Humanos
Íleus/epidemiologia
Íleus/etiologia
Íleus/prevenção & controle
Morbidade
Período Perioperatório
Complicações Pós-Operatórias/etiologia
Prolapso
Estudos Retrospectivos
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY
[Em] Mês de entrada:1709
[Cu] Atualização por classe:171011
[Lr] Data última revisão:
171011
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170311
[St] Status:MEDLINE
[do] DOI:10.1007/s00595-017-1481-2


  8 / 4922 MEDLINE  
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[PMID]:28239833
[Au] Autor:Stenberg E; Szabo E; Ottosson J; Näslund I
[Ad] Endereço:Department of Surgery, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
[Ti] Título:Outcomes of laparoscopic gastric bypass in a randomized clinical trial compared with a concurrent national database.
[So] Source:Br J Surg;104(5):562-569, 2017 Apr.
[Is] ISSN:1365-2168
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: RCTs are the standard for assessing medical interventions, but they may not be feasible and their external validity is sometimes questioned. This study aimed to compare results from an RCT on mesenteric defect closure during laparoscopic gastric bypass with those from a national database containing data on the same procedure, to shed light on the external validity of the RCT. METHODS: Patients undergoing laparoscopic gastric bypass surgery within an RCT conducted between 1 May 2010 and 14 November 2011 were compared with those who underwent the same procedure in Sweden outside the RCT over the same time interval. Primary endpoints were severe complications within 30 days and surgery for small bowel obstruction within 4 years. RESULTS: Some 2507 patients in the RCT were compared with 8485 patients in the non-RCT group. There were no differences in severe complications within 30 days in the group without closure of the mesenteric defect (odds ratio (OR) for RCT versus non-RCT 0·94, 95 per cent c.i. 0·64 to 1·36; P = 0·728) or in the group with closure of the defect (OR 1·34, 0·96 to 1·86; P = 0·087). There were no differences between the RCT and non-RCT cohorts in reoperation rates for small bowel obstruction in the mesenteric defect non-closure (cumulative incidence 10·9 versus 9·4 per cent respectively; hazard ratio (HR) 1·20, 95 per cent c.i. 0·99 to 1·46; P = 0·065) and closure (cumulative incidence 5·7 versus 7·0 per cent; HR 0·82, 0·62 to 1·07; P = 0·137) groups. The relative risk for small bowel obstruction without mesenteric defect closure compared with closure was 1·91 in the RCT group and 1·39 in the non-RCT group. CONCLUSION: The efficacy of mesenteric defect closure was similar in the RCT and national registry, providing evidence for the external validity of the RCT.
[Mh] Termos MeSH primário: Derivação Gástrica/métodos
Hérnia/etiologia
Laparoscopia/métodos
Complicações Pós-Operatórias/epidemiologia
[Mh] Termos MeSH secundário: Bases de Dados Factuais
Feminino
Derivação Gástrica/efeitos adversos
Seres Humanos
Intestino Delgado/cirurgia
Laparoscopia/efeitos adversos
Masculino
Mesentério/anormalidades
Meia-Idade
Complicações Pós-Operatórias/etiologia
Sistema de Registros
Suécia
Resultado do Tratamento
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; MULTICENTER STUDY; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170425
[Lr] Data última revisão:
170425
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170228
[St] Status:MEDLINE
[do] DOI:10.1002/bjs.10448


  9 / 4922 MEDLINE  
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[PMID]:28226348
[Au] Autor:Xu H; Wang W; Li P; Zhang D; Yang L; Xu Z
[Ti] Título:[The key points of prevention for special surgical complications after radical operation of gastric cancer].
[So] Source:Zhonghua Wei Chang Wai Ke Za Zhi;20(2):152-155, 2017 Feb 25.
[Is] ISSN:1671-0274
[Cp] País de publicação:China
[La] Idioma:chi
[Ab] Resumo:Incidence of gastric cancer is high in China and standard radical operation is currently the main treatment for gastric cancer. Postoperative complications, especially some special complications, can directly affect the prognosis of patients, even result in the increase of mortality. But the incidences of these special complications are low, so these complications are often misdiagnosed and delayed in treatment owing to insufficient recognition of medical staff. These special complications include (1) Peterson hernia: It is an abdominal hernia developed in the space between Roux loop and transverse colon mesentery after Roux-Y reconstruction of digestive tract. Peterson hernia is rare and can quickly result in gangrenous ileus. Because of low incidence and without specific clinical symptoms, this hernia does not attract enough attention in clinical practice, so the outcome will be very serious. Once the diagnosis is made, an emergent operation must be performed immediately. Peterson space should be closed routinely in order to avoid the development of hernia. (2) Lymphatic leakage: It is also called chyle leakage. Cisterna chylus is formed by gradual concentration of extensive lymphatic net to diaphragm angle within abdominal cavity. Lymphadenectomy during operation may easily damage lymphatic net and result in leakage. The use of ultrasonic scalpel can decrease the risk of lymphatic leakage in certain degree. If lymphatic leakage is found during operation, transfixion should be performed in time. Treatment includes total parenteral nutrition, maintenance of internal environment, supplement of protein, and observation by clamp as an attempt. (3)Duodenal stump leakage: It is one of serious complications affecting the recovery and leading to death after subtotal gastrectomy. Correct management of duodenal stump during operation is one of key points of the prevention of duodenal stump leakage. Routine purse embedding of duodenal stump is recommend during operation. The key treatment of this complication is to promt diagnosis and effective hemostasis.(4) Blood supply disorder of Roux-Y intestinal loop: Main preventive principle of this complication is to pay attention to the blood supply of vascular arch in intestinal edge. (5) Anastomotic obstruction by big purse of jejunal stump: When Roux-en-Y anastomosis is performed after distal radical operation for gastric cancer, anvil is placed in the remnant stomach and anastomat from distal jejunal stump is placed to make gastrojejunal anastomosis, and the stump is closed with big purse embedding. The embedding jejunal stump may enter gastric cavity leading to internal hernia and anastomotic obstruction. We suggest that application of interruptable and interlocking suture and fixation of stump on the gastric wall can avoid the development of this complication.
[Mh] Termos MeSH primário: Anastomose em-Y de Roux/efeitos adversos
Gastrectomia/efeitos adversos
Gastrectomia/métodos
Excisão de Linfonodo/efeitos adversos
Complicações Pós-Operatórias/prevenção & controle
Neoplasias Gástricas/cirurgia
[Mh] Termos MeSH secundário: China
Ascite Quilosa/etiologia
Ascite Quilosa/prevenção & controle
Ascite Quilosa/terapia
Duodeno/irrigação sanguínea
Duodeno/cirurgia
Gastrectomia/mortalidade
Obstrução da Saída Gástrica/etiologia
Obstrução da Saída Gástrica/prevenção & controle
Coto Gástrico/cirurgia
Técnicas Hemostáticas
Hérnia/etiologia
Hérnia/prevenção & controle
Hérnia/terapia
Ablação por Ultrassom Focalizado de Alta Intensidade/instrumentação
Seres Humanos
Jejuno/irrigação sanguínea
Jejuno/cirurgia
Excisão de Linfonodo/instrumentação
Sistema Linfático/lesões
Complicações Pós-Operatórias/classificação
Complicações Pós-Operatórias/diagnóstico
Complicações Pós-Operatórias/mortalidade
Prognóstico
Estômago/cirurgia
Neoplasias Gástricas/complicações
Técnicas de Sutura/normas
Ducto Torácico/lesões
Técnicas de Fechamento de Ferimentos/normas
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170908
[Lr] Data última revisão:
170908
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170223
[St] Status:MEDLINE


  10 / 4922 MEDLINE  
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[PMID]:28182642
[Au] Autor:Pianka F; Probst P; Keller AV; Saure D; Grummich K; Büchler MW; Diener MK
[Ad] Endereço:Department of General, Visceral and Transplantation Surgery, University of Heidelberg, Heidelberg, Germany.
[Ti] Título:Prophylactic mesh placement for the PREvention of paraSTOmal hernias: The PRESTO systematic review and meta-analysis.
[So] Source:PLoS One;12(2):e0171548, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Parastomal hernia (PH) is the most common complication after ostomy formation. Prophylactic mesh placement may be effective in reducing the rate of PH at the stoma site. The aims of this systematic review were to summarize the evidence with regard to the safety and effectiveness in comparison with the standard procedure without mesh placement and to identify important risk constellations. METHOD: A systematic literature search was performed in PubMed, EMBASE and the Cochrane library with no language or date restrictions. Randomized (RCTs) and non-randomized controlled trials (nRCTs) were included. The main outcomes of interest were PH (primary outcome) rate and stoma-related complications (secondary outcomes) such as stenosis or fistula. Statistical analysis included meta-analyses of pooled data and subgroup analyses. RESULTS: Eleven trials (eight RCTs; three nRCTs) with a total of 755 patients were included. PH rate varied from 0% to 59% in the intervention and from 20% to 94% in the control group. RCTs showed a significant reduction of PH rate in the mesh group (OR 0.24; 95% CI 0.10 to 0.58, p = 0.034), whereas included nRCTs did not. No significant differences were observed in postoperative complication rates. Subgroup analyses showed superiority of non-absorbable meshes and sublay mesh positioning in open surgery. CONCLUSION: Prophylactic mesh placement is safe and reduces PH rate. A recommendation for prophylactic non-absorbable meshes in a sublay position can be made for patients undergoing open colorectal operations with end-ostomies. Further research endeavors should focus on patient-oriented outcomes, not only PH rate, with respect to tailored treatment in specific patient populations.
[Mh] Termos MeSH primário: Hérnia/prevenção & controle
Estomia/efeitos adversos
Complicações Pós-Operatórias/prevenção & controle
Telas Cirúrgicas/efeitos adversos
[Mh] Termos MeSH secundário: Estudos de Casos e Controles
Hérnia/epidemiologia
Seres Humanos
Estomia/métodos
Complicações Pós-Operatórias/epidemiologia
Ensaios Clínicos Controlados Aleatórios como Assunto
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; META-ANALYSIS
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170815
[Lr] Data última revisão:
170815
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170210
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0171548



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