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Results for “ABDOMINAL WALL”

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At least 1,405 records · Page 78Linked to original sources
PubMed2000

Stress responses during laparoscopy with CO2 insufflation and with mechanical elevation of the abdominal wall.

STUDY OBJECTIVE: To compare the intensity of stress responses caused by laparoscopy combined with CO2 insufflation (CI) with those caused by mechanical elevation of the abdominal wall (MEA). DESIGN: Prospective study (Canadian Task Force classification I). SETTING: Tertiary care university hospital. PATIENTS: Thirty-one women. Intervention. Laparoscopy, 16 with CI and 15 with MEA. MEASUREMENTS AND MAIN RESULTS: Circulating levels of norepinephrine, epinephrine, cortisol, and interleukin (IL)-6 were compared in the two groups. Arterial partial pressure of CO2 (PaCO2) did not increase during laparoscopy by either method. Plasma norepinephrine and epinephrine levels increased after extubation in the MEA group but not in the CI group. Circulating cortisol levels in both groups increased during laparoscopy; mean intraoperative levels were higher in the CI group. Serum IL-6 levels increased after extubation in the MEA but not the CI group. Mean heart rate increased during laparoscopy in both groups, whereas blood pressure increased only in the CI group. More patients in the MEA group required postoperative analgesia. CONCLUSION: Laparoscopy with MEA caused more pronounced adrenosympathetic and cytokine responses than that with CI when PaCO2 was maintained within the range of normocapnia.

Carbon Dioxide↗
PubMed1997

Laparoscopic-assisted colon surgery by abdominal wall lifting with newly developed lifting bars.

BACKGROUND: The aim of the study is to evaluate the efficacy of laparoscopic-assisted colon surgery by lifting the abdominal wall with newly developed lifting bars. METHODS: We have made and used two kinds of lifting bars: type I and type T. Two I-type lifting bars are used in transverse colectomy and right hemicolectomy. One I-type lifting bar and one T-type bar are used in sigmoid colectomy and low anterior resection. After the intestine is dissected and the mesenterium is treated under laparoscopy, a small laparotomy wound about 4 to 6 cm long is made, and the intestine is pulled out of the body for extracorporeal anastomosis. RESULTS: The mean operating time was 153.8 +/- 51.9 min, and no particular complications were noted. CONCLUSIONS: Since postoperative pain is mild and postoperative recovery is rapid, this method is considered to be an effective surgical procedure.

Abdominal Muscles↗
PubMed2001

[Application of computer thermography in diagnosis of chronic focus of inflammation and the definition of indications to the use of antibiotics before operation in patients with post-operative hernia of anterior abdominal wall].

We studied the informative value of computer thermography in diagnostics of inflammatory changes in hernia region in 53 patients with post-operative hernia of anterior abdominal wall. Four variants of thermogram were obtained depending from temperature gradient in symmetric points of hernia hilus. This was used to substantiate preventive antibiotics prescription according to general scheme in pre-operation period in 25 patients and administration of electrophoresis of cefazoline in further 28 patients. The method was effective to reduce inflammatory changes in hernia hilus region in 88.9% of patients, which was defined based on temperature gradient decrease in symmetric regions of hernia. Post-operative complications rate decreased from 15.7 to 12.3%. The suppuration of post-operative wound was not observed.

Adult↗
PubMed1987

[Measurement of pressure and force as a basis of the postoperative evaluation of abdominal wall function].

By quantifying profiles of pressure and effects of forces in the operating area of inguinal hernia operations we found coughing to be the extreme burden for the abdominal wall and Bassini suture. The described technique of measuring the forces exercised in the suture spot by using an expanding wire can be used in principle such as the measurement of pressure in the rectum, for similar cases of general care in surgery.

Abdominal Muscles↗
PubMed1996

[Results of partial splenic resection and transposition to the lateral abdominal wall in portal hypertension in childhood].

Between 1977 and 1995, 19 children with portal hypertension (nine extrahepatic, ten intrahepatic) were treated by transpositioning the spleen into the left abdominal wall. Among the patients with intrahepatic portal hypertension three died. Two patients underwent secondary diminuition of the transposed spleen due to relapsed hypersplenism. In one of our first patients the transposed spleen atrophied after tangential resection. All surviving patients except one preserved hepatic function. The serum colloid osmotic pressure was stable. Plasma ammonia levels were normal. Serum immunoglobulins (IgG, IgM, IgA and IgG subclasses) and complement components (C3c, C4) were analyzed. After transposition patients had normal or slightly elevated values of these proteins compared with controls.

Abdominal Muscles↗
PubMed1989

Carcinoid tumor of the ileum with perforation and infiltration of the abdominal wall.

The carcinoid tumor presented was noteworthy in several respects. It attained a large size within the space of only two months and was so extensive that it penetrated the abdominal wall. Despite its great size there were no liver metastases, and at no time did the patient exhibit any of the signs or symptoms of the carcinoid syndrome.

Abdominal Muscles↗
PubMed2001

Abdominal wall weakness and lumboabdominal pain revealing neuroborreliosis: a report of three cases.

The authors report three cases of thoracic radiculoneuropathy disclosing neuroborreliosis. All three patients had low back and abdominal pain and two had marked abdominal wall paresis. EMG confirmed a motor involvement of the lower thoracic roots and CSF analysis revealed a lymphocytic meningitis in all three cases. Antibodies against Borrelia burgdorferi were present in both the serum and the CSF. A favourable outcome was obtained in all three patients with appropriate antibiotherapy. The differential diagnosis of this misleading presentation is discussed.

Abdominal Muscles↗
PubMed2002

Rectus sheath hooking: alternative method of abdominal wall lifting and fixing for laparoscopy: a pilot cadaver bio-mechanical study.

Four bio-mechanical tests were used to study properties of the rectus sheath for laparoscopic abdominal access procedure and to provide surgical exposure by the ChulaLift gasless retractor. The profile of forces and displacement showed how some patients were good candidates for the gasless operation. The lifting weight should not excess 10 kg for minimal harm and optimal exposure. The rectus hooking could be an alternative choice for abdominal wall fixing during the first trocar entry. One-cm width hooking, the rectus sheath could withstand 18-20 kg lifting force. The exposure provided by the gasless technique was narrow between the lateral ports compared to the conventional technique. The rectus sheath could be hooked to provide effective fixing of the area to be penetrated by the first trocar, and this fascial layer could be lifted to produce exposure in the gasless technique.

Abdominal Muscles↗