INTRODUCTION Controversy remains about the management of gallstone ileus. While some authors propose enterotomy, others defend the one-stage procedure (simultaneously fistula repair). The objective of the present study was to analyze management options and comparative study their results. MATERIAL AND METHODS Retrospective and descriptive study with revision of clinical stories of patients wi...

OBJECTIVE The direct trocar technique is an alternative to Veress needle insertion and open laparoscopy for accessing the abdominal cavity for operative laparoscopy. We review our approach to abdominal entry in 1385 laparoscopies performed between September 1993 and June 2000 by our group at Stanford University Hospital, a tertiary Medical Center. METHODS We performed a retrospective chart re...

Small bowel obstruction secondary to phytobezoars is an unusual presentation in surgery. We present a case of an elderly female patient with an insidious onset of abdominal pain, abdominal distension, and bilious vomiting diagnosed radiologically to be small bowel obstruction. Exploratory laparotomy revealed a trapped mass of vegetable matter in the distal ileum. She had enterotomy with primary...

A 15 month old German shepherd dog was presented with a history of chronic vomitions, anorexia, dehydration and loss of condition. Physical examination revealed a hard palpable object in mid abdominal region and lateral abdominal radiograph revealed a radiolucent foreign body with moderate distension of intestinal loops. Emergency exploratory enterotomy was performed and maize corn was retrieve...

BACKGROUND AND OBJECTIVES The purpose of this study was to analyze the surgical technique, postoperative complications, and possible recurrence after laparoscopic ventral hernia repair (LVHR) in comparison with open ventral hernia repair (OVHR), based on the international literature. DATABASE A Medline search of the current English literature was performed using the terms laparoscopic ventral...

Q4: What are the possible treatment options? The simplest surgical option for small or crushable enteroliths is to milk them distally into the caecum and allow them to pass naturally. If this is not possible, the treatment of this condition is an enterotomy to remove the enterolith with or without resection of the segment of small bowel involved with diverticulosis. Resection may be advocated i...

Q4: What are the possible treatment options? The simplest surgical option for small or crushable enteroliths is to milk them distally into the caecum and allow them to pass naturally. If this is not possible, the treatment of this condition is an enterotomy to remove the enterolith with or without resection of the segment of small bowel involved with diverticulosis. Resection may be advocated i...

The laparoscopic management of difficult adhesions can be quite challenging for even the most experienced of laparoscopic surgeons. We describe a case of managing a suspected enterotomy with a laparotomy during a robot-assisted radical prostatectomy and the surgical options after repair. The case was complicated by a Meckel's diverticulum fused and continuous with a urachal cyst, itself a rare ...