The number of bariatric operations,as well as the incidence of perioperative complications,has risen sharply in the past ten years.Perioperative acute portal vein thrombosis is an infrequent and potentially severe pos...The number of bariatric operations,as well as the incidence of perioperative complications,has risen sharply in the past ten years.Perioperative acute portal vein thrombosis is an infrequent and potentially severe postoperative complication that has not yet been reported after biliopancreatic diversion(BPD).Three cases are presented of portal vein thrombosis that occurred following BPD treatment for morbid obesity and type 2 diabetes.The thromboses were detectedby abdominal ultrasound and computed tomography with intravenous contrast.The portomesenteric venous thromboses in all three cases presented as unexpected abdominal pain several days after discharge from the hospital.The complications occurred despite adequate perioperative prophylaxis and progressed to bowel gangrene in the diabetic patients only.These cases demonstrate the occurrence of this rare type of complication,which may be observed by physicians that do not routinely treat bariatric patients.Awareness of this surgical complication will allow for early diagnosis and prompt initiation of adequate therapy.展开更多
We present a case of a very large ovarian cyst extending up to the patient’s xiphisternum, which was managed through a Pfannensteil incision. The cyst was excised without any spill of fluid, using a5 mmlaparoscopic p...We present a case of a very large ovarian cyst extending up to the patient’s xiphisternum, which was managed through a Pfannensteil incision. The cyst was excised without any spill of fluid, using a5 mmlaparoscopic port under suction, through a Pfannensteil incision. By this method, the operating time and the post-operative in-patient stay were reduced. Also, as our patient had a very high BMI, the associated morbidity was significantly reduced.展开更多
文摘The number of bariatric operations,as well as the incidence of perioperative complications,has risen sharply in the past ten years.Perioperative acute portal vein thrombosis is an infrequent and potentially severe postoperative complication that has not yet been reported after biliopancreatic diversion(BPD).Three cases are presented of portal vein thrombosis that occurred following BPD treatment for morbid obesity and type 2 diabetes.The thromboses were detectedby abdominal ultrasound and computed tomography with intravenous contrast.The portomesenteric venous thromboses in all three cases presented as unexpected abdominal pain several days after discharge from the hospital.The complications occurred despite adequate perioperative prophylaxis and progressed to bowel gangrene in the diabetic patients only.These cases demonstrate the occurrence of this rare type of complication,which may be observed by physicians that do not routinely treat bariatric patients.Awareness of this surgical complication will allow for early diagnosis and prompt initiation of adequate therapy.
文摘We present a case of a very large ovarian cyst extending up to the patient’s xiphisternum, which was managed through a Pfannensteil incision. The cyst was excised without any spill of fluid, using a5 mmlaparoscopic port under suction, through a Pfannensteil incision. By this method, the operating time and the post-operative in-patient stay were reduced. Also, as our patient had a very high BMI, the associated morbidity was significantly reduced.
