ABSTRACT
A 52-year-old female underwent laparoscopic repair for recurrent epigastric hernia by hybrid natural orifice transluminal endoscopic surgery. Three 5-mm abdominal trocars and a 15-mm transvaginal trocar were used. The defect was closed by intracorporeal suturing before mesh fixation. She was discharged uneventfully on the 2nd post-operative day. Intracorporeal closing the defect may reduce the bulging of the mesh in laparoscopic ventral hernia repair. This case is the first hybrid transvaginal ventral hernia repair using defect closure technique.
Una mujer de 52 años se sometió a reparación laparoscópica por razón de una hernia epigástrica recurrente mediante cirugía endoscópica transluminal de orificio natural híbrido. Se utilizaron tres trócares abdominales de 5 mm y un trócar transvaginal de 15 mm. El defecto se cerró mediante sutura intracorpórea antes de la fijación de la malla. Fue dada de alta sin incidentes. El cierre intracorpóreo del defecto puede reducir el abultamiento de la malla en la reparación laparoscópica de la hernia ventral. Este caso es la primera reparación de hernia ventral transvaginal híbrida que utiliza la técnica de cierre de defectos.
Subject(s)
Hernia, Ventral , Laparoscopy , Natural Orifice Endoscopic Surgery , Female , Hernia, Ventral/surgery , Herniorrhaphy , Humans , Middle Aged , Surgical MeshABSTRACT
PURPOSE: To investigate the possible effects of argan oil on the healing of colorectal anastomoses. METHODS: n Group 1 (sham), laparotomy was performed and the colon was mobilized. In the control (Group 2) and argan oil (Group 3) groups, colonic resection and anastomosis were applied. To the control and sham groups, 2 mL of 0.9% NaCl was administred rectally, and in the argan oil group, 2 mL/day argan oil was applied rectally for 7 days. RESULTS: The mean bursting pressures of the argan oil and sham groups were significantly higher than the values in the control group. A significant difference was determined between the tissue hydroxyproline and prolidase levels of control group and other groups. Histopathologically, argan oil showed significant beneficial effects on colonic wound healing. In the argan oil and sham groups, the tissue malondialdehyde and fluorescent oxidation product levels were found to be lower and total sulfhydryl levels were higher than the control group. CONCLUSIONS: The rectally administered argan oil was observed to have significantly ameliorated wound healing parameters and exerted a significant antioxidant effect. This is the first study in the literature about the beneficial effects of argan oil on colorectal anastomoses.
Subject(s)
Anti-Inflammatory Agents/therapeutic use , Antioxidants/therapeutic use , Colon/surgery , Plant Oils/therapeutic use , Rectum/surgery , Wound Healing/drug effects , Anastomosis, Surgical , Animals , Collagen/analysis , Colon/pathology , Dipeptidases/analysis , Female , Hydroxyproline/analysis , Malondialdehyde/analysis , Oxidative Stress/drug effects , Oxidoreductases/analysis , Random Allocation , Rats, Wistar , Rectum/pathology , Reproducibility of Results , Spectrophotometry , Surgical Wound/drug therapy , Surgical Wound/pathology , Treatment OutcomeABSTRACT
Purpose: To investigate the possible effects of argan oil on the healing of colorectal anastomoses. Methods: I n Group 1 (sham), laparotomy was performed and the colon was mobilized. In the control (Group 2) and argan oil (Group 3) groups, colonic resection and anastomosis were applied. To the control and sham groups, 2 mL of 0.9% NaCl was administred rectally, and in the argan oil group, 2 mL/day argan oil was applied rectally for 7 days. Results: The mean bursting pressures of the argan oil and sham groups were significantly higher than the values in the control group. A significant difference was determined between the tissue hydroxyproline and prolidase levels of control group and other groups. Histopathologically, argan oil showed significant beneficial effects on colonic wound healing. In the argan oil and sham groups, the tissue malondialdehyde and fluorescent oxidation product levels were found to be lower and total sulfhydryl levels were higher than the control group. Conclusions: The rectally administered argan oil was observed to have significantly ameliorated wound healing parameters and exerted a significant antioxidant effect. This is the first study in the literature about the beneficial effects of argan oil on colorectal anastomoses.(AU)
Subject(s)
Animals , Female , Rats , Plant Oils/therapeutic use , Sapotaceae , Colorectal Surgery , Wound Healing , Anastomosis, Surgical , Administration, Rectal , Models, Animal , Rats, WistarABSTRACT
Abstract Purpose: To investigate the possible effects of argan oil on the healing of colorectal anastomoses. Methods: I n Group 1 (sham), laparotomy was performed and the colon was mobilized. In the control (Group 2) and argan oil (Group 3) groups, colonic resection and anastomosis were applied. To the control and sham groups, 2 mL of 0.9% NaCl was administred rectally, and in the argan oil group, 2 mL/day argan oil was applied rectally for 7 days. Results: The mean bursting pressures of the argan oil and sham groups were significantly higher than the values in the control group. A significant difference was determined between the tissue hydroxyproline and prolidase levels of control group and other groups. Histopathologically, argan oil showed significant beneficial effects on colonic wound healing. In the argan oil and sham groups, the tissue malondialdehyde and fluorescent oxidation product levels were found to be lower and total sulfhydryl levels were higher than the control group. Conclusions: The rectally administered argan oil was observed to have significantly ameliorated wound healing parameters and exerted a significant antioxidant effect. This is the first study in the literature about the beneficial effects of argan oil on colorectal anastomoses.