Temporary Simultaneous 2 Arterial Occlusions during Laparoscopic Management for Cornual Ectopic Pregnancy

Yang, Haeree; Song, Taejong

doi:10.1016/j.jmig.2018.01.012

Cited by 5 publications

(3 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Bulldog clamps have been widely used in urinary surgery [ 24 , 25 ] for vascular occlusion. In gynecology, Yang [ 26 ] has expressed that the Bulldog clamp is an adequate crossover clamp with serrated blades that effectively occludes vessels without slippage or significant crush injury and is the laparoscopic instrument of choice for minimizing blood loss during surgery. However, the use of Bulldog clamps in hepatic surgery has rarely been mentioned; and this is the first report to formally demonstrate their clinical effect in hepatic surgery.…”

Section: Discussionmentioning

confidence: 99%

Comparative analysis of vascular bulldog clamps used in laparoscopic liver resection

He¹,

Li²,

Zhou³

et al. 2021

Medicine

View full text Add to dashboard Cite

To compare the clinical effect of Bulldog clamps with traditional Pringle for vascular occlusion during laparoscopic hepatectomy. One hundred ten patients were retrospectively investigated in this research from December 2014 to January 2019 in the second hospital of Anhui Medical University, who underwent laparoscopic liver resection using Bulldog (modified group, n = 54) and cotton tourniquet (traditional group, n = 56) for blocking the liver inflow-blood. Intraoperative blood loss, duration of the operation time, clamping time, postoperative outcomes were analyzed. All the operations were accomplished successfully without conversion to laparotomy, perioperative period clinical date was calculated. Intraoperative operative time, blood loss and resection sections had no statistical significance, but the clamping time (36.2 ± 5.6 vs 277.3 ± 88.4 s, P < .001) was significantly shorter in the bulldog group. Albumin, alanine aminotransferase, aspartate aminotransferase and serum total bilirubin had no statistical differences in postoperative day (POD) 1and 3, but POD 5 alanine aminotransferase (71.0 ± 46.8vs 105.8 ± 61.7IU/L P = .018) and aspartate aminotransferase (72.8 ± 39.7 vs 100.2 ± 16.7 IU/L P = .028). The postoperative hospital stays (7.02 ± 1.56 vs 8.50 ± 2.35 days P = .026) in bulldog group were lower than cotton group and differences had statistical significance. The C-reactive protein levels were significantly higher in the traditional group than in the modified group on POD 3 (46.3 ± 19.2 vs 57.7 ± 23.9 mg/L P = .019), and POD5 (13.3 ± 4.2 vs 17.5 ± 7.3 mg/L P = .001). There were 8 postoperative complications occurred in cotton group, while there was 5 in Bulldog group, all patients with complications were discharged after adequate drainage and symptomatic treatment. Bulldog is an effectively performed approach for vascular occlusion during laparoscopic hepatectomy than traditional Pringle maneuver.

show abstract

Section: Discussionmentioning

confidence: 99%

Comparative analysis of vascular bulldog clamps used in laparoscopic liver resection

He¹,

Li²,

Zhou³

et al. 2021

Medicine

View full text Add to dashboard Cite

show abstract

“…Yang [26] Express the bulldog clamp is a well crossover clamp with serrated blades that effectively occlude vessels without slippage or significant crush injury, is the laparoscopic instrument for minimizing blood loss during the surgical procedure. But bulldog in hepatic surgery has rarely been mentioned, this is the first report to formally demonstrate the clinical application in hepatic surgery.…”

Section: Discussionmentioning

confidence: 99%

BULLDOG,A Useful Vascular Occlusion Tourniquet in Laparoscopic Liver Resection

Hou¹

2020

BJSTR

View full text Add to dashboard Cite

To compare the clinical effect of modified Pringle with traditional Pringle for vascular occlusion during laparoscopic hepatectomy.Methods:110 patients were retrospectively investigated in this research from December 2014 to January 2019 in the second hospital of An Hui Medical University, who underwent laparoscopic liver resection using bulldog (modified group, n=54 ) and cotton tourniquet (traditional group, n=56) for blocking the liver inflow-blood. Intraoperative blood loss, duration of the operation time, clamping time, postoperative outcomes were analyzed.Results: All the operations were accomplished successfully without conversion to laparotomy, perioperative period clinical date were calculated. Intraoperative operative time, blood loss and resection sections had no statistical significance, but the clamping and declamping time(36.2±5.6 vs.277.3±88.4s, p<0.001) was significantly shorter in the bulldog group. ALB, ALT, AST and TBIL had no statistical differences in PODs 1and 3, but POD 5 ALT (71.0±46.8vs.105.8±61.7IU/L p=0.018) and AST(72.8±39.7 vs.100.2±16.7 IU/L p=0.028). The postoperative hospital stay(7.02 ± 1.56 vs.8.50±2.35 days p=0.026) in bulldog group were lower than cotton group and differences had statistical significance. The C-reactive protein levels were significantly higher in the traditional group than in the modified group on POD 3 (46.3±19.2 vs.57.7±23.9 mg/L p=0.019), and POD5 (13.3±4.2 vs.17.5±7.3 mg/L p=0.001). There were 8 postoperative complications occurred in cotton group, while there was 5 in Bulldog group, All patients with complications were discharged after adequate drainage and symptomatic treatment.Conlusion: Bulldog is an effectively performed approach for vascular occlusion during laparoscopic hepatectomy than traditional Pringle manuever.

show abstract

“…Semantically, the terms cornual and interstitial pregnancy often were used as synonyms in many scientific publications [1−4] and textbooks [5] until the early 2000s, before an agreement on the significance of both terms was recommended by some scientific societies [6]. However, recent publications still use the terms as synonyms [7,8]. Broader agreement in semantics can be reached because of the revision of the classification of genital tract congenital anomalies in which the terms "unicornuate" or "bicornuate" uterus are no longer included [9].…”

mentioning

confidence: 99%

Author's Reply

Pluchino¹

2019

Journal of Minimally Invasive Gynecology

View full text Add to dashboard Cite

Temporary Simultaneous 2 Arterial Occlusions during Laparoscopic Management for Cornual Ectopic Pregnancy

Cited by 5 publications

References 0 publications

Comparative analysis of vascular bulldog clamps used in laparoscopic liver resection

Comparative analysis of vascular bulldog clamps used in laparoscopic liver resection

BULLDOG,A Useful Vascular Occlusion Tourniquet in Laparoscopic Liver Resection

Author's Reply

Contact Info

Product

Resources

About