#open surgery

[jcsmicasereports]

Misplaced Lumen apposing metallic stent (LAMS) leading to incomplete drainage of the infected pancreatic necrosis which was removed by open surgery by Dr. Vikas Gupta in Journal of Clinical Case Reports Medical Images and Health Sciences

Description

A 35- year female with a history of gall stone-induced acute necrotizing pancreatitis was referred to us in the second week of illness, she was managed conservatively with antibiotics and supportive measures given sepsis for a week. CECT (contrast-enhanced computed tomography) abdomen showed walled-off pancreatic necrosis (WOPN) and the necrosis was abutting the antro-pyloric region of the stomach. Endoscopic lumen apposing metallic stent was placed following endoscopic ultrasonography. One week later patient's symptoms were not relieved and she had multi-organ failure requiring ventilator support and a repeat CECT scan showed a displaced  LAMS [Fig-1], given her clinical condition, the patient was planned for endoscopic removal of the stent, which was a failure. A percutaneous catheter was placed to stabilize her clinical condition but her clinical condition did not improve.  Giver her clinical condition patient was operated on. On midline laparotomy, multiple adhesions lesser sac was entered with great difficulty because of multiple adhesions and the stent was removed. Postoperatively the patient was discharged on postoperative day 20. On follow-up, the patient has no symptoms.

Discussion

Lumen-apposing metal stents tend to be misplaced into the WOPN, however, to improve the patient's condition plastic stents can be placed and metallic stents can be retrieved later. There are reports of endoscopic removal of misplaced endoscopic stents, however, endoscopic removal could not be possible every time [1-3]. Surgery has the added advantage of removing the stent as well as necrotic tissue, however, it is associated with higher morbidity and mortality. To conclude LAMS can be misplaced, endoscopic retrieval has to be tried, if it fails surgery can be done once the patient's condition stabilizes.

Acknowledgments: We acknowledge the support given by our supporting staff

Disclosure statement: Nothing to disclose and there was no conflict of interest among the authors

Research ethics: Informed consent has been obtained from the patient and study has been carried out as per the Helsinki declaration and  institutional guidelines.

[siora-surgicals]

Open Fractures - What You Should Know About

An open fracture, also known as a compound fracture, is a serious bone injury where the broken bone protrudes through the skin or creates an open wound near the fracture site. This breach exposes the bone and underlying tissues to the external environment. It significantly increases the risk of infection compared to a closed fracture. Surgery is always required for the treatment and may involve the use of an External Fixator Device.

[drpriya]

Laparoscopic surgery, also known as minimally invasive surgery, encompasses various types of procedures across different medical specialties.

Some common types of laparoscopic surgery include:

Laparoscopic Cholecystectomy: This procedure involves the removal of the gallbladder and is commonly performed to treat gallstones and other gallbladder-related conditions.

Laparoscopic Appendectomy: It involves the removal of the appendix and is performed to treat appendicitis, an inflammation of the appendix.

Laparoscopic Hernia Repair: Hernias, which occur when an organ pushes through an opening in the muscle or tissue that holds it in place, can often be repaired using laparoscopic techniques.

Laparoscopic Nissen Fundoplication: This procedure is performed to treat gastroesophageal reflux disease (GERD) by wrapping the top of the stomach around the lower esophagus to reinforce the lower esophageal sphincter.

Laparoscopic Hysterectomy: It involves the removal of the uterus and possibly other reproductive organs and is performed to treat conditions such as uterine fibroids, endometriosis, or certain types of cancer.

Laparoscopic Colectomy: This procedure involves the removal of part or all of the colon (large intestine) and is performed to treat conditions such as colon cancer, diverticulitis, or inflammatory bowel disease.

Laparoscopic Nephrectomy: It involves the removal of a kidney and is performed to treat conditions such as kidney cancer or severe kidney disease.

Laparoscopic Prostatectomy: This procedure involves the removal of the prostate gland and is commonly performed to treat prostate cancer.

Laparoscopic Myomectomy: It involves the removal of uterine fibroids (noncancerous growths in the uterus) while preserving the uterus and is performed to treat symptoms such as pelvic pain or heavy menstrual bleeding.

Laparoscopic Splenectomy: This procedure involves the removal of the spleen and is performed to treat conditions such as splenic tumors, certain types of blood disorders, or traumatic injuries to the spleen.

Open surgery encompasses a wide range of surgical procedures across various medical specialties.

Here are some common types of open surgeries:

Open Cholecystectomy: This procedure involves the removal of the gallbladder through a large abdominal incision and is typically performed to treat gallstones or other gallbladder diseases.

Open Appendectomy: It involves the removal of the appendix through an abdominal incision and is performed to treat appendicitis, an inflammation of the appendix.

Open Hernia Repair: Open hernia repair involves making an incision in the affected area to push the protruding tissue back into place and strengthen the abdominal wall with sutures or mesh.

Open Heart Surgery: This category includes various procedures such as coronary artery bypass grafting (CABG), valve repair or replacement, and heart transplant, which are performed through a large incision in the chest to access the heart.

Open Prostatectomy: It involves the surgical removal of part or all of the prostate gland and is performed to treat conditions such as prostate cancer or benign prostatic hyperplasia (BPH).

Open Hysterectomy: This procedure involves the removal of the uterus through an abdominal incision and is performed to treat conditions such as uterine fibroids, endometriosis, or certain types of cancer.

Open Colectomy: It involves the removal of part or all of the colon (large intestine) through an abdominal incision and is performed to treat conditions such as colon cancer, diverticulitis, or inflammatory bowel disease.

Open Nephrectomy: This procedure involves the removal of a kidney through an abdominal incision and is performed to treat conditions such as kidney cancer, severe kidney disease, or traumatic injuries to the kidney.

Open Splenectomy: It involves the removal of the spleen through an abdominal incision and is performed to treat conditions such as splenic tumors, certain types of blood disorders, or traumatic injuries to the spleen.

Open Thyroidectomy: This procedure involves the removal of part or all of the thyroid gland through an incision in the front of the neck and is performed to treat conditions such as thyroid cancer, thyroid nodules, or hyperthyroidism.

These are just a few examples of the many types of open surgeries performed by surgeons across various medical specialties.

The specific type of open surgery recommended for a patient depends on their medical condition, the expertise of the surgical team, and other individual factors.

Get the best treatments for various diseases and full body health checkup at the best hospitals in India.

[endoscopybasavanagudi]

Finding best Hospitals for Open surgery, minimally invasive surgery, Laser surgery, Electrosurgery in Jayanagar, Basavanagudi, Banashankari, Bangalore? Contact Today!!

[drkarimsarhane]

A Comparison of Laparoscopic and Open Surgery

Karim Sarhane, MD Surgeons utilize two distinct methods for diverse surgical interventions: laparoscopic and open surgery. It is important for preoperative patients to understand these treatment alternatives, including the surgical processes, benefits and drawbacks, and ensuing discomfort after operation. While clinicians are the ideal experts to determine the preferred surgical approach,…

[drmayurdalvi]

Laparoscopic Kidney Stone Removal Surgery By Dr. Mayur Dalvi

Kidney stones are a common urological problem affecting millions of people worldwide. While small stones can pass through the urinary tract without any intervention, larger stones may require surgical removal. One of the most effective and least invasive procedures for removing kidney stones is laparoscopic kidney stone removal surgery. In this Blog, we will discuss everything you need to know about laparoscopic kidney stone removal surgery with inputs from Dr. Mayur Dalvi, a leading urologist with extensive experience in this field.

What is Laparoscopic Kidney Stone Removal Surgery ?

The procedure of laparoscopic pyelolithotomy, also known as laparoscopic kidney stone removal surgery, is used to remove kidney stones that are too large to pass through the urinary tract. This procedure involves making small incisions in the abdomen and using a laparoscope to view and remove the stones from the kidney.

When is Laparoscopic Kidney Stone Removal Surgery Recommended ?

Laparoscopic kidney stone removal surgery is recommended for patients with larger kidney stones (more than 2 cm) that cannot be removed through non-surgical means, such as shock wave lithotripsy or ureteroscopy. This procedure is also recommended for patients with anatomical abnormalities or other conditions that make other surgical options risky.

How is Laparoscopic Kidney Stone Removal Surgery Performed ?

Laparoscopic kidney stone removal surgery is performed under general anesthesia. The procedure involves the following steps:

Making small incisions: The surgeon makes several small incisions (usually 3-4) in the abdomen, each measuring less than 1 cm.

Inserting the laparoscope: A laparoscope, a thin, flexible tube with a camera, is inserted through one of the incisions. The camera transmits images to a monitor, allowing the surgeon to view the kidney.

Removing the stone: The surgeon uses specialized instruments, such as graspers and scissors, to locate and remove the stone from the kidney remove larger stones, the surgeon may need to make an additional incision in some cases. Closing the incisions: Once the stone is removed, the surgeon closes the incisions with sutures or surgical glue.

What are the Advantages of Laparoscopic Kidney Stone Removal Surgery ?

Laparoscopic kidney stone removal surgery has several advantages over traditional open surgery, including:

Minimally invasive: This procedure involves making small incisions, which results in less pain, scarring, and a shorter recovery time.

Shorter hospital stays: Most patients are able to leave the hospital within 1-2 days after the procedure.

Reduced risk of complications: The risk of complications, such as bleeding, infection, and injury to surrounding organs, is lower with laparoscopic surgery compared to open surgery.

Higher success rates: Laparoscopic kidney stone removal surgery has a higher success rate than non-surgical treatments for larger kidney stones.

What is the Recovery Process Like After Laparoscopic Kidney Stone Removal Surgery?

The recovery process after laparoscopic kidney stone removal surgery varies depending on the patient's overall health and the size of the kidney stone removed. Most patients can expect to resume normal activities within 2-3 weeks after the procedure. However, strenuous activities and heavy lifting should be avoided for at least 2-3 weeks to allow the incisions to heal properly. Your surgeon may also prescribe pain medication and antibiotics to manage pain and prevent infection.

Summary

For patients with larger kidney stones that cannot be removed non-surgically, laparoscopic kidney stone removal surgery is a safe and effective option. Dr. Mayur Dalvi, a renowned urologist with extensive experience in laparoscopic kidney stone removal surgery, is a recommended doctor for patients seeking this operation

[vices-of-a-feral-prince]

I love the colorful ones 🩵

[littleblood]

[mfdragon]

You can’t tell me this isn’t how that episode went.

[ohmi-ohmyj]

Happy 1-year-deathiversary to this guy 💣💥🎉

[teaableu]

Cyborg boy

[edo-sama]

super quick thing because i'm rusty with art

[erinwantstowrite]

personally i think the trope of "said something i wasn't supposed to while high on pain meds at the hospital" only works if it's smth actually incomprehensible. down with this trope. that and the whole "speaking out loud but the narrator doesn't know they are" trope. you should legally have to tag that i think. i know this usually happens for characters that would never admit something otherwise but actually there are a billion reasons someone would admit something they wouldn't otherwise. for example: someone else has a bomb-

[hoofpeet]

I love your oc lore!!! The "biblically accurate cow girl" post for me thinking - what would top(?) surgery for them look like

I have also put a lot of thought into top surgery scars for my guys !! A lot of opportunity for fun & stylized scars

[lvrtwn]

smile dog fursona xD

[artvm1s]

gazing lovingly at your friend while listening to him drunkenly infodump about his special interest, the perfect situation for a confession

Drunken confessions for week 3 of lawlu month

+WIP because I almost like that version more