Presenter: Patricio Vanerio MD | Hospital Central de las Fuerzas Armadas Background: Gallstone ileus is an infrequent cause of mechanical bowel obstruction. It caused by transition a gallstone in the gastrointestinal tract usually through biliary-enteric fistula, occurring 1 to 3% all cases In patients with hepaticojejunostomy gallstones can be formed at proximal side it and then pass lumen. th...

Abstract Aim To demonstrate a technique to manage complications of mesh migration into bowel and subsequent enterocutaneous fistula following incisional hernia repair that avoids large laparotomy, adhesiolysis, removal all abdominal wall mesh, risk injury. Methods A 74 year old developed an with the small sublay mesh. She’d previously had multiple laparotomies subsequently turned down for surgi...

a considerable number of patients complaining of pain after spinal surgery reportedly have adhesions and fibrosis in the epidural space [1, 2]. Also, patients with chronic low back pain and/or radicular pain may have perineural adhesions due to perineural and neurogenic inflammation from mechanical or chemical irritation, while they don't have any history of surgery [3, 4]. Parke et al. [5] dis...

For percutaneous epidural adhesiolysis (PEA) in patients with chronic low back and/or leg pain, comparative efficacy of lumbar PEA between the sacral types has not yet been investigated. This study aimed to determine the comparative efficacy of lumbar PEA between the sacral types in chronic pain with lumbosacral herniated intervertebral disc (L-HIVD).A total of 1158 chronic low back and/or leg ...

BACKGROUND Epidural steroid injection has been frequently performed to treat chronic pain due to lumbosacral disc herniation (L-HIVD). However, a considerable number of patients do not achieve pain relief using this method because perineural or epidural adhesions prevent the spread of injectate into the epidural space. Percutaneous adhesiolysis (PA) is thought to be a useful method because it c...

Post lumbar laminectomy syndrome with its resultant chronic low back pain is estimated to occur in 20% to 50% of the patients. Among various procedures available, lysis of epidural adhesions is considered as one of the effective therapeutic modalities of management in these patients, and may be performed either non-endoscopically or endoscopically. This retrospective evaluation included 120 pos...

Acute appendicitis is a common surgical problem however the diagnosis is often overlooked when it presents as a small bowel obstruction. In this report we present two cases of elderly patients who presented with small bowel obstruction and raised inflammatory markers. Both patients were successfully treated with a laparotomy, adhesiolysis and appendicectomy and went on to make a good recovery.