Complication of endoscopic tattooing: a case report of covered perforation

Falco, N; Fontana, Tommaso; Tutino, Roberta; Raspanti, C; Mascolino, A; Melfa, I; Scerrino, Grégorio; Salamone, Giuseppe; Gulotta, Gaspare

doi:10.11138/gchir/2016.37.2.074

Cited by 5 publications

(2 citation statements)

References 15 publications

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“…During the 20° Century the differential diagnosis, in some cases, was a challenge for the clinician, and it was necessary taking into consideration several diseases, such as nephrolithiasis, Crohn's Disease, bowel perforation, Intestinal Ischemia, etc. (13)(14)(15)(16)(17)(18)(19)(20)(21)(22). The pitfalls of this disease are the doubtful diagnosis in its early stage in which it can be mimicking different digestive diseases, even functional, (23)(24)(25)(26)(27) and, subsequently, a possible evolution in severe peritonitis and sepsis (28)(29)(30)(31).…”

Section: Discussionmentioning

confidence: 99%

Acute appendicitis: should the laparoscopic approach be proposed as the gold standard? Six-year experience in an Emergency Surgery Unit

Guercio¹

2016

GCHIR

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clinical practice gold standard in the activity of a general emergency unit with a variety of senior surgeons with different skills on the basic laparoscopy. Study designThe present institutional retrospective cohort study included patients who have been preoperatively evaluated in case of emergency and scheduled for appendectomy within 24 hours after recovery.The main goal is to evaluate if the laparoscopic appendectomy on the whole is an advantageous procedure in a team consisting in senior surgeon who are mostly dedicated at a different kind of surgery, having different skills in laparoscopic surgery, and if those different skills affect the results. We performed a review of available data of patients who underwent appendectomy during the period in which the data of the surgical procedures were registered in the institutional electronic database (Intranet). MethodsThe present retrospective study was carried out from January 2010 to June 2016 in the Unit of General and Emergency Surgery of the "Policlinico P. Giaccone" -University of Palermo (Italy) and concerned the appendectomies performed by 6 senior surgeons working at the Unit during the whole period of observation. The activity of the surgeons that turned up successively in the team, and those who came out was excluded from this study. We included the appendectomies carried out with the conventional three-port laparoscopic approach or the Mac Burney incision for the conventional open approach. The midline xiphoid-pubis incision and the umbilicuspubis laparotomy were excluded if carried out as firstchoice approach. On the contrary, these were taken into consideration if a standard (laparotomic/laparoscopic) technique was converted to an open technique through a wide abdominal access (s).The surgeons were classified with a generic descriptor-based grading (Table 1), related exclusively to general laparoscopic skills and accepted by mutual consent of all operators (11). It should be underlined that the three "skilled" surgeons attended, during their career, a formal course of laparoscopy, on the other hand (contrary) the surgeons classified as "level 3" did not. The severity of acute appendicitis was classified according to the Disease Severity Score described by Garst et al. (12), reported on the Table 2. The surgical procedures were the conventional laparotomic appendectomy performed through a Mac-Burney incision or the three-port laparoscopic approach. The conventional, laparotomic approach was performed with a 2-5 cm long Incision along a Langer line at the junction of lateral one-third and medial twothird of right anterior superior iliac spine and umbilicus. Then, the superficial abdominal fascia is incised. Once the lateral margin of the rectum abdomen muscle is visualized it is medially retracted and the deep fascia incised, or rectum muscle is incised along the direction of its fibers. Then, the external oblique muscle is also incised and transversalis fascia visualized. After this fascia and the peritoneum were incised, the appendix is localized an...

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Section: Discussionmentioning

confidence: 99%

Acute appendicitis: should the laparoscopic approach be proposed as the gold standard? Six-year experience in an Emergency Surgery Unit

Guercio¹

2016

GCHIR

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“…) perfuração intestinal bloqueada(SINGH et al, 2006;FALCO et al, 2016); c) marcação de outra alça intestinal (ZION; GHERSIN, 2014), como visto na figura 5; d) depósito intraperitoneal simulando endometriose(ALGOE et al, 2008). .2 DEFINIÇÃO DO SEGMENTO E DA CIRURGIA Neste estudo, optou-se por analisar apenas os tumores de reto submetidos a tratamento neoadjuvante porque o tratamento cirúrgico é bem-definido, envolvendo a ligadura da artéria mesentérica inferior na sua origem, seguindo seu plano até a ressecção total do mesorreto (onde estão os linfonodos), independentemente da distância do tumor à borda anal.…”

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Influência da marcação com nanquim sobre a identificação de linfonodos em pacientes com câncer de reto operados

Claudio¹

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INTRODUÇÃO: o prognóstico e o tratamento dos pacientes com câncer colorretal são baseados na análise anatomopatológica, destacando-se a análise dos linfonodos. O número de linfonodos identificados depende da eficiência da equipe cirúrgica e do empenho do patologista. A marcação dos tumores com nanquim por colonoscopia é utilizada com a finalidade de facilitar a identificação do local da lesão pelo cirurgião. No entanto, além de marcar o local do tumor, a marcação com nanquim parece corar os linfonodos, o que poderia facilitar sua identificação pelo cirurgião e pelo patologista. OBJETIVO: avaliar se a marcação do tumor leva ao aumento do número de linfonodos dissecados. CASUÍSTICA E MÉTODO: foram estudados 22 pacientes com câncer de reto operados após tratamento neoadjuvante com rádio e quimioterapia. Foram distribuídos aleatoriamente em 2 grupos: I-marcação com nanquim; IInão submetidos à marcação. RESULTADOS: no grupo marcado, foram identificados em média 8,18 linfonodos por paciente, com 0,72 positivos e distância média do tumor à borda anal foi de 6,27 cm. No grupo não marcado, foram identificados em média 5,54 linfonodos, com 1,6 positivos e com distância da borda anal de 5,09 cm. O grupo marcado apresentou mais linfonodos identificados, mas sem diferença estatística. CONCLUSÃO: a marcação com nanquim, após a neoadjuvância, não aumenta o número de linfonodos identificados em pacientes com tumores de reto.

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Deep SSI after mesh-mediated groin hernia repair: management and outcome in an Emergency Surgery Department

Salamone¹,

Licari²,

Augello³

et al. 2017

GHIR

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Complication of endoscopic tattooing: a case report of covered perforation

Cited by 5 publications

References 15 publications

Acute appendicitis: should the laparoscopic approach be proposed as the gold standard? Six-year experience in an Emergency Surgery Unit

Acute appendicitis: should the laparoscopic approach be proposed as the gold standard? Six-year experience in an Emergency Surgery Unit

Influência da marcação com nanquim sobre a identificação de linfonodos em pacientes com câncer de reto operados

Deep SSI after mesh-mediated groin hernia repair: management and outcome in an Emergency Surgery Department

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