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1.
Egyptian Journal of Hospital Medicine [The]. 2017; 66: 166-169
em Inglês | IMEMR | ID: emr-185312

RESUMO

Background: Laparoscopic approach for colorectal resections is now very popular. Internal small bowel herniation [SBH] through a mesenteric defect has been recorded especially if the mesentery is not repaired. Although it's rare, it is a severe complication. Lack of postoperative adhesions is one advantage of minimally invasive surgery but it's also responsible for a higher incidence of internal hernias. These patients often present with intermittent abdominal pain or small bowel obstruction with completely normal contrast radiographs. Laparoscopic surgery is a minimally invasive approach with good treatment outcomes and is currently the standard surgery for colorectal cancer in Saudi Arabia


Objective: the aim of our study was to evaluate the incidence and outcome of internal hernias after laparoscopic procedure in King Abdul-Aziz Hospital and Oncology Center


Patients and methods: a total of 372 patients underwent laparoscopic colon resection surgery for colon cancer during the study period from August 2015 to October 2016 in King Abdul-Aziz Hospital and oncology center. Results: our result found that internal hernia was reported 48 times

2.
Egyptian Journal of Hospital Medicine [The]. 2017; 67 (2): 660-665
em Inglês | IMEMR | ID: emr-188452

RESUMO

Background: Appendectomy is the most common surgical procedure performed in emergency surgery. Laparoscopic appendectomy [LA] for acute appendicitis has several advantages over open appendectomy [OA]


In cases of complicated appendicitis, LA is converted to OA at a constant rate, though converting appendectomy [CA]. In this study, we aimed to assess the LA complication and the prevalence of CA


Methods: A cross Sectional survey conducted among 243 patients with acute appendicitis who were suitable for the study between April and July 2016. Operative time, length of hospital stay, post-operative complication return to normal activity has been assessed among the all patients


Results and Conclusion: Our results showed the advantages of the laparoscopic appendectomy approach including shorter hospital stay, decreased need for postoperative analgesia, early food tolerance, earlier return to work, lower rate of wound infection. Furthermore we found a considerable preference [during the collection of consent] of patients and a high satisfaction after the surgery


Assuntos
Humanos , Feminino , Masculino , Adolescente , Adulto , Pessoa de Meia-Idade , Laparoscopia , Estudos Transversais , Tratamento de Emergência , Apendicite/cirurgia , Tempo de Internação , Inquéritos e Questionários
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