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Laying open(deroofing) and curettage under local anesthesia for pilonidal disease: An outpatient procedure 被引量:1
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作者 Pankaj Garg Mahak Garg +2 位作者 Vikas Gupta Sudhir Kumar Mehta Paryush Lakhtaria 《World Journal of Gastrointestinal Surgery》 SCIE CAS 2015年第9期214-218,共5页
AIM: To test the efficacy of lay open(deroofing, not excision) with curettage under local anesthesia(LOCULA) for pilonidal sinus as an outpatient procedure. METHODS: LOCULA procedure was done for all types of pilonida... AIM: To test the efficacy of lay open(deroofing, not excision) with curettage under local anesthesia(LOCULA) for pilonidal sinus as an outpatient procedure. METHODS: LOCULA procedure was done for all types of pilonidal disease. The primary outcome measure was cure rate. The secondary outcome measures were hospital stay, operating time, return to work, healing time and complication rate.RESULTS: Thirty-three(M/F-30/3, mean age-23.4 ± 5.8 years) consecutive patients were operated and followed for 24 mo(6-46 mo). Eleven were pilonidal abscess and 22 were chronic pilonidal disease. Six had recurrent disease. Operating time and the hospital stay was 22.3 ± 5.6 min and 63.8 ± 22.3 min respectively. The patients could resume normal work in 4.3 ± 3.2 d and the healing time was 42.9 ± 8.1 d. Thirty(93.8%)patients had complete resolution of the disease and two(6.2%) had a recurrence. Both the recurrences happened in patients who had complete healing but ignored the prescribed recommendations. One out of these got cured after getting operated again with the same procedure. Thus the overall success rate of this procedure was 96.9%.CONCLUSION: Lay open(deroofing) with curettage procedure under local anesthesia is an effective procedure to treat both simple and complicated pilonidal sinus and abscess. It is a simple procedure, has a high cure rate(up to 97%), doesn't require admission and is associated with minimal morbidity and scarring. Considering the distinct advantages, this procedure has the potential to become the first line procedure for treating pilonidal disease. 展开更多
关键词 Pilonidal LAY OPEN deroofing CURETTAGE SINUS
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Successful management of a mixed epithelial and stromal renal tumor masquerading as lower pole renal cyst:A laparoscopic deroofing approach
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作者 Alain M.Mukendi Emelia K.C.de Heer-Menlah Phaladi Charles E.Mathye 《UroPrecision》 2024年第1期36-39,共4页
Background:Renal cysts are common in clinical practice,but some may harbor rare pathological entities such as mixed epithelial and stromal tumors(MEST).Imaging studies are crucial for accurate diagnosis.While laparosc... Background:Renal cysts are common in clinical practice,but some may harbor rare pathological entities such as mixed epithelial and stromal tumors(MEST).Imaging studies are crucial for accurate diagnosis.While laparoscopic deroofing is an established approach for symptomatic renal cysts,encountering MEST within a cyst is uncommon.Case Presentation:We present the case of a 37-year-old female who presented with persistent left flank pain.Imaging revealed a large renal cyst in the lower pole of the left kidney,classified as Bosniak 2.Despite analgesia,the patient's symptoms persisted,leading to a laparoscopic deroofing procedure.Histopathological examination postprocedure revealed a MEST.The patient reported complete resolution of symptoms at the 3-month follow-up.Conclusion:This unique case presents the successful identification and surgical management of a MEST masquerading as a lower pole renal cyst through laparoscopic deroofing.It also contributes to the existing literature by highlighting the importance of considering rare pathological entities in the evaluation of renal cysts and the value of laparoscopic techniques in their management. 展开更多
关键词 laparoscopic deroofing mixed epithelial and stromal tumor renal cyst renal tumor
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Clinico-pathological profile and comparative study of conservative versus surgical deroofing as an effective technique in management of pseudocyst of pinna 被引量:4
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作者 Segana Hasan Abdul Cader Fahim Ahmed Shah S.K.G.Reghunandanan Nair 《World Journal of Otorhinolaryngology-Head and Neck Surgery》 2018年第4期234-239,共6页
Background and objectives:An auricular pseudocyst is not uncommon in routine ENT clinical practice,it occurs when fluid accumulates between the intracartilaginous spaces of the auricle.Many treatment modalities have b... Background and objectives:An auricular pseudocyst is not uncommon in routine ENT clinical practice,it occurs when fluid accumulates between the intracartilaginous spaces of the auricle.Many treatment modalities have been proposed such as incision and drainage of the cyst,simple needle aspiration,tight bandaging with dental rolls,however recurrence and cosmetic problems are still noted in some cases.The aim of this article was to discuss our experience of surgical treatment of intractable auricular pseudocysts with marsupialisation,deroofing and anterior cartilage leaflet removal along with compression suture therapy.Materials and methods:Twenty patients were included in the study conducted at ENT department,Sur Ministry of Health Hospital between January 2012 and January 2014 after prior consent and ethical approval.Those following trauma and other pinna conditions like relapsing polychondritis were excluded from our study.The clinical appearances were noted and all patients underwent surgical deroofing with removal of anterior cartilage leaflet and compression suture therapy using buttons for two weeks.Results and observations:There were 8 males and 12 females out of the 20 and right sided pinna(n Z 14)involvement in the region of the scaphoid fossa(n Z 12)was more than the triangular fossa(n Z 3)or conchal bowl involvement(n Z 5).Mostly patients between 30 and 40 years of age were affected(Mean age of 37 years and standard deviation of 8).The overall success rate with deroofing and compression suture therapy was 98%.Conclusions:Auricular pseudocysts are not an uncommon condition affecting middle aged patients without identifiable etiology.Conservative modalities may be the first choice of treatment for auricular pseudocysts although varied recurrence and failure rates have been published in the literature.However,the deroofing surgical technique with anterior cartilage leaflet removal with compression suture therapy is a reliable and easy procedure which can achieve an acceptable appearance of the pinna without recurrence when conservative management fails or is refused by the patient. 展开更多
关键词 PINNA PSEUDOCYST Surgical deroofing Perichondritis
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Successful aspiration and ethanol sclerosis of a large,symptomatic, simple liver cyst:Case presentation and review of the literature 被引量:51
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作者 Wojciech C Blonski Mical S Campbell +1 位作者 Thomas Faust David C Metz 《World Journal of Gastroenterology》 SCIE CAS CSCD 2006年第18期2949-2954,共6页
Simple liver cysts are congenital with a prevalence of 2.5%-4.25%. Imaging, whether by US, CT or MRI, is accurate in distinguishing simple cysts from other etiologies, including parasitic, neoplastic, duct-related, an... Simple liver cysts are congenital with a prevalence of 2.5%-4.25%. Imaging, whether by US, CT or MRI, is accurate in distinguishing simple cysts from other etiologies, including parasitic, neoplastic, duct-related, and traumatic cysts. Symptomatic simple liver cysts are rare, and the true frequency of symptoms is not known. Symptomatic simple liver cysts are predominantly large (〉 4 cm), right-sided, and more common in women and older patients. The vast majority of simple hepatic cysts require no treatment or follow-up, though large cysts (〉 4 cm) may be followed initially with serial imaging to ensure stability. Attribution of symptoms to a large simple cyst should be undertaken with caution, after alternative diagnoses have been excluded. Aspiration may be performed to test whether symptoms are due to the cyst; however, cyst recurrence should be expected. Limited experience with both laparoscopic deroofing and aspiration, followed by instillation of a sclerosing agent has demonstrated promising results for the treatment of symptomatic cysts. Here, we describe a patient with a large, symptomatic, simple liver cyst who experienced complete resolution of symptoms following cyst drainage and alcohol ablation, and we present a comprehensive review of the literature. 展开更多
关键词 Simple hepatic cyst Alcohol sclerosis Laparoscopic deroofing
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Results of percutaneous sclerotherapy and surgical treatment in patients with symptomatic simple liver cysts and polycystic liver disease 被引量:16
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作者 Deha Erdogan Otto M van Delden +4 位作者 Erik AJ Rauws Olivier RC Busch Johan S Lameris Dirk J Gouma Thomas M van Gulik 《World Journal of Gastroenterology》 SCIE CAS CSCD 2007年第22期3095-3100,共6页
AIM: To evaluate the results of the treatment of simple liver cysts (solitary and multiple) and polycystic liver disease (PLD) using percutaneous sclerotherapy and/or surgical procedures in a single tertiary referral ... AIM: To evaluate the results of the treatment of simple liver cysts (solitary and multiple) and polycystic liver disease (PLD) using percutaneous sclerotherapy and/or surgical procedures in a single tertiary referral centre. METHODS: Retrospective analysis of 54 patients referred for evaluation and possible treatment of simple liver cysts (solitary and multiple) and PLD, from January 1997 to July 2006. RESULTS: Simple liver cysts were treated in 41 pts (76/) with a mean size of 12.6 cm. The most common reason for referral was abdominal pain or discomfort (85/). Percutaneous sclerotherapy was performed as initial treatment in 30 pts, showing cyst recurrence in 6 pts (20/). Surgical treatment was initially performed in 11 pts with cyst recurrence in 3 pts (27/). PLD was treated in 13 pts (24/) with a mean size of the dominant cyst of 13 cm. Percutaneous sclerotherapy for PLD was performed in 9 pts with recurrence in 7 pts (77.8/). Surgical treatment for PLD was undertaken in 4 pts (30.8/) with recurrence in all. Eventually, 2 pts with PLD in the presence of polycystic kidney disease underwent liver-and kidney transplantation because of deterioration of liver and kidney function. CONCLUSION: The majority of patients with simple liver cysts and PLD are referred for progressive abdominal pain. As initial treatment, percutaneous sclerotherapy is appropriate. Surgical deroofing is indicated in caseof cyst recurrence after percutaneous sclerotherapy. However, the results of percutaneous sclerotherapy and surgical treatment for PLD are disappointing. Partial liver resection is indicated when there is suspicion of a pre-malignant lesion. 展开更多
关键词 Simple liver cyst Polycystic liver disease Percutaneous sclerotherapy deroofing COMPLICATIONS
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Step-up approach in emphysematous hepatitis: A case report
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作者 Silke Francois Maridi Aerts +4 位作者 Hendrik Reynaert Ruth Van Lancker Johan Van Laethem Rastislav Kunda Nouredin Messaoudi 《World Journal of Hepatology》 2022年第2期464-470,共7页
BACKGROUND Emphysematous hepatitis(EH)is a rare,rapidly progressive fulminant gasforming infection of the liver parenchyma.It is often fatal and mostly affects diabetes patients.CASE SUMMARY We report a case of EH suc... BACKGROUND Emphysematous hepatitis(EH)is a rare,rapidly progressive fulminant gasforming infection of the liver parenchyma.It is often fatal and mostly affects diabetes patients.CASE SUMMARY We report a case of EH successfully managed by a step-up approach consisting of aggressive hemodynamic support,intravenous antibiotics,and percutaneous drainage,ultimately followed by laparoscopic deroofing.Of 11 documented cases worldwide,only 1 of the patients survived,treated by urgent laparotomy and surgical debridement.CONCLUSION EH is a life-threatening infection.Its high mortality rate makes timely diagnosis essential,in order to navigate treatment accordingly. 展开更多
关键词 Emphysematous hepatitis Septic shock Step-up approach Percutaneous drainage Laparoscopic deroofing Case report
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