AnatomyDiseasesAnalytical, Diagnostic and Therapeutic Techniques and EquipmentHealth Care
AbdomenFasciaFascia LataLaparotomySuperficial Back MusclesObserver VariationAbdominal WallDupuytren ContractureReproducibility of ResultsFasciitis, PlantarAbdominal Injuries
LaparoscopicExploratory laparotomyOrgansCavityAbdomenPeritonitisEmergency laparotomyPeritonealTraumaPathologyTemporary abdominal closurePatient'sComplicationsNonspecific abdominalHospital with abdominal painPelvicCongenitalLaparoscopyAntimicrobialsCompartment syndromeAdhered to the anterior abdoTransversePost-operativeAbscessDiagnosisIncisionSurgical Infection SocietyMorbidityWall defectAcute abdominalComplex abdominalPatientMusclesNecrosisHerniasBluntEtiologyPelvisInjuriesFindingsWoundPathologicalIntestinalPhysiologicDiseasesPatientsContrastTissueNecrotizingLeukocytosis
Laparoscopic12
  • The incidence of postoperative complications for laparoscopic appendicectomy, including wound infection, is significantly less than for the open procedure, because the inflamed appendix is extracted within the trocar and did not touch the abdominal wall [ 4 ]. (scholars.direct)
  • Therefore, since NF is a very rare complication of appendicectomy, especially if performed by laparoscopy, there are many reports of NF after laparotomy appendicectomy and several laparoscopic surgeries, but few studies have reported the occurrence after laparoscopic appendicectomy. (scholars.direct)
  • The advent of laparoscopic surgery represents a landmark in surgery that initiated a shift from the era of open abdominal surgery to the minimally invasive surgery revolution. (medscape.com)
  • The literature on the advantages and efficacy of laparoscopic management for specific intra-abdominal diseases (including acute appendicitis, acute cholecystitis, and several others) is vast, and a full survey is beyond the scope of this review. (medscape.com)
  • Laparoscopic radical hysterectomy has emerged as an alternative to abdominal radical hysterectomy for patients with stage I cervical cancer. (medscape.com)
  • Indications for a total laparoscopic hysterectomy (TLH) are similar to those for total abdominal hysterectomy (TAH) and may include leiomyomata, pelvic organ prolapse, and abnormal uterine bleeding. (medscape.com)
  • This meta-analysis concluded that no differences existed between vaginal and laparoscopic hysterectomies for the following parameters: return to normal activities, conversion to laparotomy, and duration of hospital stay. (medscape.com)
  • Laparoscopic Ladd's procedure is an accepted alternative to Laparotomy in children but has not been well-studied in adult. (panafrican-med-journal.com)
  • The possibility of incidental injury to the obstetric organs, as well as the unproven effects of pneumoperitoneum and increased abdominal pressure on the fetus and gravid uterus, have hampered the rapid uptake of laparoscopic appendectomy during pregnancy. (e-jmis.org)
  • Why has the concern about the infection been raised among surgeons during laparoscopic surgery? (ogscience.org)
  • The laparoscopic approach is in fact usually preferred over laparotomy to reduce the risk of exposing surgeons to blood-borne viruses. (ogscience.org)
  • Laparoscopic colectomy for benign colorectal disease is associated with a significant reduction in disability as compared with laparotomy. (jamanetwork.com)
Exploratory laparotomy9
  • This article provides a comprehensive description of the role of exploratory (diagnostic) laparoscopy) as an alternative to traditional open exploratory laparotomy in the management of certain intra-abdominal conditions. (medscape.com)
  • Traditionally, NSAP has been treated either with open exploratory laparotomy for conditions the patient was presumed to have or with active observation. (medscape.com)
  • Exploratory laparotomy is used to visualize and examine the structures inside of the abdominal cavity. (indialaparoscopysurgerysite.com)
  • Exploratory laparotomy is a method of abdominal exploration, a diagnostic tool that allows physicians to examine the abdominal organs. (indialaparoscopysurgerysite.com)
  • Exploratory laparotomy is used to determine the source of pain or the extent of injury and perform repairs if needed. (indialaparoscopysurgerysite.com)
  • Exploratory laparotomy may be used to examine the abdominal and pelvic organs (such as the ovaries, fallopian tubes, bladder, and rectum) for evidence of endometriosis. (indialaparoscopysurgerysite.com)
  • Exploratory laparotomy plays an important role in the staging of certain cancers. (indialaparoscopysurgerysite.com)
  • The patient was diagnosed with small bowel obstruction and taken for exploratory laparotomy. (biomedcentral.com)
  • Based on these findings as well as the fact that the patient had no prior abdominal surgeries, making bowel obstruction secondary to adhesions less likely, the patient was subsequently taken to the operating room for exploratory laparotomy. (biomedcentral.com)
Organs14
  • Penetrating trauma to the chest below the fourth intercostal space (or nipple line) should also be evaluated as a potential abdominal wound because of the location of abdominal organs within the chest during the respiratory cycle. (msdmanuals.com)
  • Exploratory laparoscopy (also referred to as diagnostic laparoscopy) is a minimally invasive method for the diagnosis of intra-abdominal diseases through direct inspection of intra-abdominal organs. (medscape.com)
  • Because of the nature of the abdominal organs, there is a high risk of infection if organs rupture or are perforated. (indialaparoscopysurgerysite.com)
  • For example, endometriosis is a disorder in which cells from the inner lining of the uterus grow elsewhere in the body, most commonly on the pelvic and abdominal organs. (indialaparoscopysurgerysite.com)
  • A laparotomy enables a surgeon to directly examine the abdominal organs for evidence of cancer and remove samples of tissue for further examination. (indialaparoscopysurgerysite.com)
  • The abdominal organs in question will be examined for evidence of infection, inflammation, perforation, abnormal growths, or other conditions. (indialaparoscopysurgerysite.com)
  • Important muscular structures that surround the abdominal organs are shown in this figure. (radiologyassistant.nl)
  • the deep fascia invests muscles, nerves, and other organs. (lecturio.com)
  • The membrane lines both the abdominal walls (as parietal peritoneum) and all of the visceral organs (as visceral peritoneum). (lecturio.com)
  • In addition to the small abdominal wall defect, some of the baby's intestines and other abdominal organs may protrude through the opening and spill out into the amniotic fluid around the fetus. (fetalcaredallas.com)
  • The longer the exposure to amniotic fluid, the more opportunity for the abdominal organs to become damaged. (fetalcaredallas.com)
  • In contrast to other birth defects affecting the abdominal organs, such as omphalocele , gastroschisis-associated abnormalities are confined to the GI tract and are not associated with chromosomal abnormalities. (fetalcaredallas.com)
  • Soon after the birth of your baby, a pediatric surgeon may perform a surgical repair procedure to place the organs back inside your baby's belly and close the opening in the abdominal wall. (fetalcaredallas.com)
  • The venous trunk which receives blood from the lower extremities and from the pelvic and abdominal organs. (lookformedical.com)
Cavity6
  • In addition, bleeding into the abdominal cavity is considered a medical emergency. (indialaparoscopysurgerysite.com)
  • During a laparotomy, and an incision is made into the patient's abdomen (A). Skin and connective tissue called fascia is divided (B). The lining of the abdominal cavity, the peritoneum, is cut, and any exploratory procedures are undertaken (C). To close the incision, the peritoneum, fascia, and skin are stitched (E). (indialaparoscopysurgerysite.com)
  • Instruments called retractors may be used to hold the incision open once the abdominal cavity has been exposed. (indialaparoscopysurgerysite.com)
  • The surgeon may then explore the abdominal cavity for disease or trauma. (indialaparoscopysurgerysite.com)
  • Volume of the hernia sac in relation to the total peritoneal volume, also called "loss of domain", in order to determine whether there is enough space to reduce all herniated contents into the abdominal cavity without risk of recurrence or ventilatory restriction. (radiologyassistant.nl)
  • Contents of the hernia can freely return to the abdominal cavity. (lecturio.com)
Abdomen12
  • Besides introducing the concept of calculated antimicrobial therapy Wittmann conceptualized the operative strategy of Staged Abdominal Repair (STAR) or the planned open abdomen to reverse the detrimental effects of the abdominal compartment syndrome and to treat imminent intra abdominal complications before they progress to life-threatening conditions. (wikipedia.org)
  • Further, in some clinical situations, the abdomen cannot be closed due to the visceral edema, the inability to control the compelling source of infection or the necessity to re-explore (as a "planned second-look" laparotomy) or complete previously initiated damage control procedures or in cases of abdominal wall disruption. (uni-frankfurt.de)
  • A laparotomy is a large incision made into the abdomen. (indialaparoscopysurgerysite.com)
  • The procedure may be recommended for a patient who has abdominal pain of unknown origin or who has sustained an injury to the abdomen. (indialaparoscopysurgerysite.com)
  • the clinical examination revealed a temperature of 39°, a distended abdomen with generalized abdominal defense, a perineal and digital rectal examination revealed a left peri-anal abscess that was indurated and not fistulized to the skin, with an internal opening located at 2 o'clock. (panafrican-med-journal.com)
  • After the index operation, during which a large abdominal exposure is necessary for appropriate management of these pathologies, definitive closure of the abdomen may not be possible due to patient instability [ 2 , 3 ]. (jwmr.org)
  • The abdominal reapproximation anchor (ABRA, Canica Design Inc.) dynamic tissue system (DTS) allows for successful closure of the catastrophic open abdomen, largely by acting as a "faux linea alba" and can be used in conjunction with the above tools to achieve primary fascial closure. (jwmr.org)
  • An abdominal hernia is an abnormal protrusion of the abdominal contents through a weakness or defect of the abdominal wall Abdominal wall The outer margins of the abdomen, extending from the osteocartilaginous thoracic cage to the pelvis. (lecturio.com)
  • A hernia is an abnormal protrusion of the abdominal contents through a weakness or defect along the wall of the abdomen. (lecturio.com)
  • Acquired hernias are due to loss of the mechanical integrity of the abdominal wall Abdominal wall The outer margins of the abdomen, extending from the osteocartilaginous thoracic cage to the pelvis. (lecturio.com)
  • Primary: A genetic component causes weakness of the abdominal wall Abdominal wall The outer margins of the abdomen, extending from the osteocartilaginous thoracic cage to the pelvis. (lecturio.com)
  • Incisional: damage to abdominal wall Abdominal wall The outer margins of the abdomen, extending from the osteocartilaginous thoracic cage to the pelvis. (lecturio.com)
Peritonitis3
  • It is used for patients with a high potential for wound dehiscence (emergency laparotomies, revision laparotomies, peritonitis/ileus, elderly patients, bronchopulmonary infections, malignancy operations, operations that last long, coagulation abnormalities). (turkjsurg.com)
  • given this clinical-scanographic picture, a perforative peritonitis was strongly suspected, and an emergency laparotomy was performed, revealing purulent effusion of the supra-mesocolic floor without any evident digestive perforation. (panafrican-med-journal.com)
  • SPECIFIC INFECTIONS Necrotizing soft tissue infections Diagnosis and management of primary, secondary, and tertiary peritonitis High-risk patients: Who are they and how should they be managed? (docksci.com)
Emergency laparotomy1
Peritoneal4
  • BACKGROUND: Pressurized Intra-Peritoneal Aerosol Chemotherapy (PIPAC) is an innovative treatment against peritoneal carcinomatosis. (bvsalud.org)
  • Doxorubicin is a common intra-venous chemotherapy used for peritoneal carcinomatosis and for PIPAC. (bvsalud.org)
  • CONCLUSIONS: This study showed that applying a higher intra-peritoneal pressure during PIPAC treatment leads to a deeper penetration of doxorubicin in ovarian and caecum but does not affect distribution patterns. (bvsalud.org)
  • The SIS study to optimize peritoneal infection therapy (STOP-IT) trial: Four days of antibiotics result in similar outcomes compared to duration. (docksci.com)
Trauma6
  • Although nonoperative intervention is increasingly used in selected patients, surgical therapy for penetrating abdominal trauma remains an essential part of overall management. (medscape.com)
  • Penetrating abdominal trauma. (medscape.com)
  • Occasionally, patients with penetrating abdominal trauma develop such significant metabolic acidosis and coagulopathy that proceeding with the reconstruction phase of the laparotomy is not possible. (medscape.com)
  • Blunt or penetrating trauma may lacerate or rupture intra-abdominal structures. (msdmanuals.com)
  • [ 36 ] Use of a single-port access decreases access trauma and possible postoperative morbidities (eg, surgical site infection). (medscape.com)
  • Diagnostic laparoscopy is useful for making a definitive clinical diagnosis whenever there is a diagnostic dilemma even after routine diagnostic workup, including patients with nonspecific abdominal pain, hemodynamically stable patients who have sustained blunt or penetrating trauma with suspected intra-abdominal injuries, and critically ill intensive care unit (ICU) patients with suspected intra-abdominal sepsis or pathologies. (medscape.com)
Pathology2
  • Animal wellbeing, radiological contrast studies, gross intra-abdominal pathology and histological evaluation at post-operative days 5, 7, and 10. (omicsonline.org)
  • No intra-abdominal pathology. (mtsamples.com)
Temporary abdominal closure2
  • He is the inventor of a fascia prosthesis for temporary abdominal closure, the Artificial Bur Fascia Prosthesis (generic) or Wittmann Patch and Star Patch (trade names). (wikipedia.org)
  • Historically, temporary abdominal closure techniques have included the Bogota bag and the static traction closure Wittmann Patch [ 3 , 4 , 7 , 8 ]. (jwmr.org)
Patient's2
  • Additional port entries are established, depending on the configuration of the patient's abdominal dome and the presence of intra-abdominal adhesions. (medscape.com)
  • Laparotomy may be performed to determine the cause of a patient's symptoms or to establish the extent of a disease. (indialaparoscopysurgerysite.com)
Complications1
  • Complications associated with wound healing after abdominal tumor operations continue to be a significant problem. (turkjsurg.com)
Nonspecific abdominal2
  • When a diagnosis of persistent acute abdominal pain of less than 7 days' duration remains uncertain after baseline diagnostic and radiologic investigations, this condition is termed nonspecific abdominal pain (NSAP). (medscape.com)
  • The diagnosis of acute appendicitis during pregnancy may be challenging because of the nonspecific abdominal symptoms of pregnancy itself, physiological leukocytosis, transposition of the appendix, and the limitations of imaging modalities such as the risk of radiation and poor contrast. (e-jmis.org)
Hospital with abdominal pain2
  • 19 days after the procedure, the patient has come back to the hospital with abdominal pain and swelling in the right iliac fossa (RIF), evolving with infection of the surgical site, being treated with drainage and 500 mg amoxicillin and 125 mg clavulanate, with apparent resolution, being discharged home past 4 days. (scholars.direct)
  • The patient is a very pleasant 72-year-old female with previous history of hypertension and also recent diagnosis of C. diff, presents to the hospital with abdominal pain, cramping, and persistent diarrhea. (mtsamples.com)
Pelvic2
  • Morbidity rates comparing these 2 types of hysterectomies were similar for the incidence of pelvic hematoma, vaginal cuff infection, urinary tract infection, respiratory infections, and venous thromboembolism. (medscape.com)
  • Abdominal-pelvic CT scan revealed multiple retroperitoneal fluid collections, pneumo-retroperitoneum and an encapsulated intraperitoneal effusion in the peri-hepatic region accompanied by pneumoperitoneum ( Figure 1 ). (panafrican-med-journal.com)
Congenital1
Laparoscopy2
  • By enabling accurate staging, diagnostic laparoscopy permits patient selection for curative resection or neoadjuvant chemotherapy while avoiding nontherapeutic laparotomy, which is associated with a delay in the initiation of chemotherapy. (medscape.com)
  • Laparoscopy is advantageous over laparotomy due to earlier recovery and shorter hospital stay, less risk of spillage of blood and body fluids, limited exposure to surgical smoke due to the closed space of the pneumoperitoneum, reduced risk of transmission of virus particles, and greater distance between surgeons and between surgeons and patient. (ogscience.org)
Antimicrobials1
  • Based on these studies Wittmann habilitated for professor of surgery at the University of Hamburg defending his thesis about the concentration dynamics of antimicrobials intra-abdominal infections. (wikipedia.org)
Compartment syndrome2
  • In addition to his clinical work, research, publications and teaching and lecturing worldwide, he is mostly known for his work relating to intra-abdominal infections, abdominal compartment syndrome abdominal compartment syndrome and staged abdominal repair STAR. (wikipedia.org)
  • Damage control resuscitation may lead to postoperative intra-abdominal hypertension or abdominal compartment syndrome. (uni-frankfurt.de)
Adhered to the anterior abdo1
Transverse3
  • The multimodal approach included botulinum toxin A (BTA) injections to the abdominal wall flat muscles (external oblique, internal oblique, and transverse abdominus), installation of an abdominal reapproximation anchor (ABRA) dynamic tissue system (DTS), and porcine urinary bladder matrix (PUBM) xenografts. (jwmr.org)
  • Here, the anterior and posterior rectus sheaths connect with the three lateral abdominal wall muscles: the external oblique, the internal oblique and the transverse abdominal. (radiologyassistant.nl)
  • This illustration demonstrates how the anterior and posterior rectus sheath are formed by the aponeuroses of the external oblique, internal oblique and transverse abdominal muscles. (radiologyassistant.nl)
Post-operative3
  • Evisceration and post-operative wound infection were significantly lower in Group 2 as compared to Group 1 (p=0.008 and p=0.002). (turkjsurg.com)
  • Wound dehiscence may also develop secondary to hematoma causing suture loosening, increased intra-abdominal pressure due to post-operative persistent cough or vomiting ( 3 , 4 ). (turkjsurg.com)
  • Its applications range from anaesthesia for surgery in the lower half of the body, to labour analgesia, intra-operative analgesia (when combined with general anaesthesia) and post-operative analgesia. (developinganaesthesia.com)
Abscess4
  • We present a rare case of ischiorectal abscess with retro and intraperitoneal dissemination in a patient who presented with perineal pain associated with diffuse abdominal pain. (panafrican-med-journal.com)
  • Anorectal abscess is an infection of soft tissues caused by the obstruction and then infection of the crypts and anal glands due to chronic constipation, inflammatory bowel diseases (Crohn's), malignant tumors, foreign bodies, and sexually transmitted diseases [ 1 ]. (panafrican-med-journal.com)
  • We present a rare case of an ischiorectal abscess in a patient who exhibited diffuse abdominal pain due to the significant extension of the abscess through the abdominal fascia and retroperitoneal region. (panafrican-med-journal.com)
  • Incision and drainage (I&D) of abdominal abscess, excisional debridement of nonviable and viable skin, subcutaneous tissue and muscle, then removal of foreign body. (mtsamples.com)
Diagnosis2
  • Unfortunately, these approaches were often associated with prolonged hospital stays, higher numbers of radiologic imaging studies and laparotomies with negative findings, and patient dissatisfaction if the diagnosis could not be established. (medscape.com)
  • Abdominal hernias are usually a clinical diagnosis and have been considered a simple problem to be repaired. (radiologyassistant.nl)
Incision1
Surgical Infection Society1
  • Baltimore, Maryland May 1-3, 2014 Accreditation Statement This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of the American College of Surgeons and the Surgical Infection Society. (docksci.com)
Morbidity1
  • The advantages of TLH have been firmly established to include reduced short-term morbidity (less blood loss, wound infections, and postoperative pain), shorter hospital stay, and faster resumption of normal activities when compared with abdominal hysterectomy. (medscape.com)
Wall defect1
Acute abdominal2
  • Acute abdominal pain is one of the most common indications for an emergency department (ED) visit. (medscape.com)
  • a 65-year-old male patient presenting a medical history of uncontrolled diabetes has been admitted due to acute abdominal and perineal pain, accompanied by symptoms of constipation and abdominal distension. (panafrican-med-journal.com)
Complex abdominal3
Patient4
  • Abdominal fascia-to-fascia closure should be done as soon as the patient can physiologically tolerate it. (uni-frankfurt.de)
  • Necrotizing fasciitis represents a deep surgical site infection, which compromises the patient muscular tissues and fascia's. (scholars.direct)
  • One patient in TME group was converted to laparotomy. (researchsquare.com)
  • The patient presented to the emergency room last evening with approximately 7- to 8-day history of abdominal pain which has been persistent. (mtsamples.com)
Muscles3
  • Botulinum toxin A (BTA) injections can be used concurrently with AbThera to relax the abdominal flat muscles. (jwmr.org)
  • Condition of the abdominal wall musculature and the ratio between the defect and the width of the rectus muscles (RDR). (radiologyassistant.nl)
  • The Spigelian hernia is an uncommon hernia at a weak spot between the oblique abdominal muscles and the rectus abdominis. (radiologyassistant.nl)
Necrosis2
  • Therefore, it manifests with rapidly advancing polymicrobial (gram positive, negative and anaerobic microorganisms) soft tissue infection and secondary necrosis. (scholars.direct)
  • Other reasons are listed as wound infection (9%), broken sutures (8%), fascia necrosis (6%) and loose knots (4%) ( 5 , 6 ). (turkjsurg.com)
Hernias3
Blunt1
  • Blunt dissection was carried down to the fascia which was grasped with Kocher clamps. (mtsamples.com)
Etiology1
  • In 30-40% of these patients, the etiology of the abdominal pain remains elusive despite laboratory and radiologic investigations. (medscape.com)
Pelvis1
Injuries1
  • The nature and severity of abdominal injuries vary widely depending on the mechanism and forces involved, thus generalizations about mortality and need for operative repair tend to be misleading. (msdmanuals.com)
Findings1
Wound2
  • Wound dehiscence after abdominal operations is a multi-factorial problem in which local and systemic factors are involved. (turkjsurg.com)
  • It is used to relieve tension on the edges of the wound and prevent wound dehiscence following laparotomy as a retention reinforcement. (turkjsurg.com)
Pathological1
Intestinal1
  • Background: An intestinal stoma is a surgical opening of the intestine, mostly sutured to the anterior abdominal wall. (scirp.org)
Physiologic1
  • These conditions may result in a vicious, self-perpetuating cycle leading to severe physiologic derangements and multiorgan failure unless interrupted by abdominal (surgical or other) decompression. (uni-frankfurt.de)
Diseases1
  • After a year political unrest forced the Wittmanns to return to Germany but by then he had seen many diseases in their advanced stages including abdominal infections. (wikipedia.org)
Patients2
  • 1977: First-time investigation of antibiotic concentrations in body fluids of patients as a basis to guide antimicrobial therapy and monitor penetration of antibiotics to the site of infection. (wikipedia.org)
  • For this purpose, early and late term results of patients who underwent application of polydioxanone (PDS) and additional retention sutures for abdominal closure were retrospectively evaluated. (turkjsurg.com)
Contrast1
Tissue2
  • Concerning antimicrobial therapy of surgical infection, he started measuring antibiotic concentrations in tissue fluid representative for the site of infection by analyzing body fluids and bone chips and that would have been disposed of in the course of surgical procedures. (wikipedia.org)
  • Necrotizing fasciitis (NF) is an uncommon soft tissue infection, usually caused by toxin producing virulent bacteria. (scholars.direct)
Necrotizing1
  • The necrotizing fasciitis is more common after laparotomy for contaminated or infected abdominal procedures. (scholars.direct)
Leukocytosis2
  • A 62 year old male with a past medical history of non-ischemic cardiomyopathy induced heart failure, status post bridging left ventricular assist device and orthotopic heart transplant presented with abdominal distention, tenderness, and leukocytosis six days post-transplant. (biomedcentral.com)
  • While recovering in the surgical ICU he developed worsening abdominal distention, tenderness, and leukocytosis, prompting evaluation by the general surgery team 6 days post-transplant. (biomedcentral.com)