Biomedical subjects

J E Balli

Publications and source records attributed to J E Balli.

3 recordsLinked to original sources

PubMed1999

Laparoscopic management of enterocutaneous fistula.

Enterocutaneous fistulas develop in settings of prior abdominal surgery, inflammatory bowel disease, diverticulitis, radiation or malignancy. Traditional surgical management requires laparotomy with bowel resection and anastomosis and is associated with a high incidence of wound infection. Recent advances in instrumentation and accumulation of experience has allowed minimally invasive surgery to become an alternative and often preferred approach to handling complex surgical problems. We present a case of successful laparoscopic management of an enterocutaneous fistula that developed in the setting of prior colectomy and laparoscopic inguinal hernia repair with prosthetic mesh. Laparotomy and its attending complications were avoided facilitating recovery and return to work.

Aged↗

PubMed1998

Laparoscopic choledochoenterostomy.

The modern biliary surgeon must deal with laparoscopic procedures as part of his or her daily routine. Almost all barriers to laparoscopic cholecystectomy have been erased, and more and more surgeons are approaching common bile duct problems from a new viewpoint. Laparoscopic common bile duct exploration is being advocated by many more surgeons than in the past. Bypass of the biliary tract for benign and malignant disease has always been the purvue of biliary tract surgeons, and the transition from open to laparoscopic techniques is an achievable goal and is primarily a function of imagination, planning, and the ability to suture.

Biliary Tract Neoplasms↗

PubMed1998

Laparoscopic ventral and incisional hernia repair.

Incisional hernia repair poses a difficult problem for the general surgeon because of the high incidence of recurrence (50%) and a reported 10% infection rate. Use of a mesh by the anterior approach to replace or reinforce the defect has marginally reduced the recurrence rate, but not the infection rate, especially in obese patients. With the evolution of minimally invasive surgery, we thought that a potential was present to reduce the postoperative stay, lessen pain, and decrease the incidence of both recurrence and infection. From February 1991 through February 1998, a total of 176 patients with complicated umbilical and incisional hernias have been repaired; the follow-up has been from 1 to 84 months. The complication rate was 5.1%, with an infection rate of 1.7% and a 1.1% incidence of recurrence. Seventeen patients had combined procedures, including cholecystectomy, inguinal hernia repair, and antireflux procedures.

Adult↗