RESUMO
AIM: This paper presents our initial experience of single incision laparoscopic total colectomy and proctocolectomy. METHOD: Four female patients (mean age 35.5 years; mean body mass index 24.7 kg/m(2) ) underwent total colectomy with end ileostomy (n = 2) and proctocolectomy with stapled ileum pouch-anal (n = 1) and rectal (n = 1) anastomosis with loop ileostomy, for benign disease, using a single-incision laparoscopic approach. The single port was placed at the umbilicus or the ileostomy site. Specimen extraction was through the port site. RESULTS: Operative procedures were performed with a mean operative time of 212 min, mean blood loss of 30 ml and no intraoperative complication. No additional abdominal ports were required. A postoperative ileus (n = 1) on day three resolved spontaneously and the. mean hospital stay was 4.5 days. CONCLUSION: Single-incision laparoscopic total colectomy or proctocolectomy is feasible for benign disease in selected patients.
Assuntos
Colectomia/métodos , Laparoscopia/métodos , Proctocolectomia Restauradora/métodos , Polipose Adenomatosa do Colo/cirurgia , Adolescente , Adulto , Idoso , Perda Sanguínea Cirúrgica , Colite Ulcerativa/cirurgia , Doença de Crohn/cirurgia , Feminino , Humanos , Tempo de Internação , Fatores de Tempo , Umbigo/cirurgia , Adulto JovemAssuntos
Quimiocinas CXC , Quimiocinas/metabolismo , Peptídeos e Proteínas de Sinalização Intercelular , Interleucina-8/análogos & derivados , Pancreatite/metabolismo , Doença Aguda , Quimiocina CXCL1 , Quimiocina CXCL5 , Fatores Quimiotáticos/metabolismo , Substâncias de Crescimento/metabolismo , Humanos , Interleucina-8/metabolismoRESUMO
During revision hip arthroplasty, distal cement plugs and broken instrument tips in the femoral canal pose quite a challenge. We report the use of laparoscopic forceps to facilitate their removal thereby avoiding complications associated with other methods previously described.
Assuntos
Artroplastia de Quadril/instrumentação , Remoção de Dispositivo/instrumentação , Cimentos Ósseos , Falha de Equipamento , Fêmur/cirurgia , Corpos Estranhos/cirurgia , Humanos , Laparoscopia , Reoperação/instrumentaçãoRESUMO
A method is described for the determination of total polythionates plus thiosulphate by acidimetric titration. The titration can be carried out either at the Methyl Orange (pH = 4.30) or at the phenolphthalein (pH = 8.20) end-point, with standard sodium hydroxide solution, to determine the amount of acid produced on oxidation of the thiosulphate and polythionates. The precision and accuracy are good and samples containing as little as 0.1 mg of the thio salt can be analysed very easily. Results obtained by this method are compared with those obtained by a calorimetric method and are in good agreement.
