General Surgery

Early Laparoscopic Resection of Ruptured Hepatocellular Carcinoma

General Surgery
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Brian K. P. Goh, MBBS, MMed, MSc, FRCS, Lip-Seng Lee, MBBS, MRCS, Pierce K. H. Chow, MBBS, MMed, PhD, FRCS Department of Surgery, Singapore General Hospital, Singapore, Singapore (Drs. Goh, Lee, Chow). Duke-NUS Graduate Medical School, Singapore, Singapore (Drs. Goh, Chow). ABSTRACT Introduction: Laparoscopic liver resection has increasingly been used as a therapeutic modality in hepatocellular carcinoma (HCC). […]

Adult Idiopathic Hypertrophic Pyloric Stenosis

General Surgery
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Mena Boules, MD, Ricard Corcelles, MD, PhD, Esam Batayyah, MD, John Rodriguez, MD, Matthew Kroh, MD Department of General Surgery, Cleveland Clinic Main Campus, Cleveland, Ohio (all authors). ABSTRACT Introduction: Adult idiopathic hypertrophic pyloric stenosis (AIHPS) is a rare entity. The most common clinical symptom is abdominal distention relieved by vomiting. There are several treatment modalities for

Recurrent Renovascular Hypertension due to Giant Liver Cyst

General Surgery
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Andrew W. Michael, MD, Peter F. Rovito, MD, Peter V. Rovito, BS Department of Surgery, Lehigh Valley Health Network, Allentown, PA, USA (Dr. Michael). Department of Surgery, Sacred Heart Hospital, Allentown, PA, USA (Drs. Rovito and Rovito). ABSTRACT Introduction: Renovascular hypertension is a rare but treatable cause of refractory hypertension and is usually the result of fibromuscular

Intraoperative Images of the Totally Extraperitoneal Repair of Concurrent Spigelian and Groin Hernias

General Surgery
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David B. Staab, MD, John D. Welander, MD Department of Surgery, Veterans Affairs Central Iowa Health Care System, Des Moines, IA, USA (Dr. Staab). Surgery Residency Program of the Iowa Methodist Medical Center, Des Moines, IA, USA (Dr. Welander). ABSTRACT Minimally invasive surgical technology is changing the management of spigelian hernias. In addition to open repairs, laparoscopic

Hem-o-lok Clip–Related Complications After Colorectal Surgery

General Surgery
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Ioannis Nikolopoulos, MRCS, Janakan Ghananandan, MRCS, Rajab Kerwat, FRCS Queen Elizabeth Hospital, London, United Kingdom (all authors). ABSTRACT Introduction: Hem-o-lok ligation clips are widely used for the hemostatic control of major mesenteric vessels during laparoscopic colorectal resection. We report 2 rare cases of bowel obstruction and perforation requiring urgent surgical intervention after the application of Hem-o-lok clips

Laparoscopic Management of a Canal of Nuck Cyst

General Surgery
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Jacqueline Ho, MD, John Maa, MD, Peter Liou, MD, Jeannette Lager, MD Department of Obstetrics and Gynecology, and Reproductive Sciences, University of California San Francisco, CA (Drs. Ho, Lager). Northern California Chapter of the American College of Surgeons, and Division of General and Trauma Surgery, Marin General Hospital, Larkspur, CA (Dr. Maa). Department of Surgery,

Severe Events Related to Use of Stents in Bariatric Surgical Complications

General Surgery
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Angelo Iossa, MD, Fausto Fiocca, MD, Mario Corona, MD, Giuseppe Cavallaro, MD, PhD, Fabrizio Cereatti, MD, Mario Rizzello, MD, PhD, Gianfranco Silecchia, MD, PhD Department of Medical Surgical Sciences and Biotechnologies, Division of General Surgery and Bariatric Center of Excellence “ICOT,” Sapienza University of Rome, Rome, Italy (Drs. Iossa, Cavallaro, Cereatti, Rizzello, Silecchia). Department of

Littoral Cell Angioma of the Spleen With Massive Splenomegaly Treated by Hand-Assisted Laparoscopic Splenectomy After Splenic Artery Embolization

General Surgery
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Sung Pil Yun, MD, Jae Hun Kim, MD, Hyung Il Seo, MD, PhD, Sung Jin Park, MD Department of Surgery, Biomedical Research Institute, Pusan National University Hospital, Busan, South Korea (all authors). ABSTRACT Introduction: Littoral cell angioma of the spleen is an extremely rare primary vascular tumor. Case Description: We report a case of littoral

Carbon Dioxide Embolism Following Veress Needle Insertion Into the Liver During Laparoscopic Adrenalectomy

General Surgery
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Jonathan B. Yuval, MD, Katya Chapchay, MD, Haggi Mazeh, MD Department of Surgery, Hadassah-Hebrew University Medical Center, Jerusalem, Israel (all authors). ABSTRACT Although rare, complications can arise during the establishment of pneumoperitoneum during laparoscopic surgery. These include injury to blood vessels, hollow viscera, solid organs, and CO2 embolism. We report a case of trauma to

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