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Emmanouil Zacharakis Joseph Shalhoub Nowlan Selvapatt Ara Darzi Paul Ziprin 《JSLS, Journal of the Society of Laparoendoscopic Surgeons》2008,12(4):403-406
Background:
We herein report a laparoscopically performed re-do operation on a patient who had previously undergone a laparoscopic parastomal hernia repair.Case Report:
We describe the case of a 71-year-old patient who presented within 3 months of her primary laparoscopic parastomal hernia repair with recurrence. On relaparoscopy, dense adhesions to the mesh were found, and the mesh had migrated into the hernia sac. This had allowed loops of small bowel to herniate into the sac. The initial part of the procedure involved the lysis of adhesions. A piece of Gore-Tex DualMesh with a central keyhole and a radial slit was cut so that it could provide at least 3 cm to 5 cm of overlap of the fascial defect. The tails of the mesh were wrapped around the bowel, and the mesh was secured to the margins of the hernia with circumferential metal tacking and 4 transfascial sutures. The patient remains in satisfactory condition and no recurrence or any surgery-related problem has been observed during 8 months of follow-up.Conclusion:
Revisional laparoscopic repair of parastomal hernias seems feasible and has been shown to be safe and effective in this case. The success of this approach depends on longer follow-up reports and standardization of the technical elements. 相似文献125.
Bahadir Simsek MD Jaikirshan Khatri MD Laura Young MD Spyridon Kostantinis MD Judit Karacsonyi MD PhD Athanasios Rempakos MD Khaldoon Alaswad MD Farouc A. Jaffer MD PhD Darshan Doshi MD Sevket Gorgulu MD Omer Goktekin MD Jimmy Kerrigan MD Elias V. Haddad MD Stephane Rinfret MD SM Wissam A. Jaber MD William Nicholson MD Oleg Krestyaninov MD Dimitrii Khelimskii MD James W. Choi MD Taral N. Patel MD Brian K. Jefferson MD Steven M. Bradley MD Sunil V. Rao MD Bavana V. Rangan BDS MPH Salman S. Allana MD Yader Sandoval MD M. Nicholas Burke MD Emmanouil S. Brilakis MD PhD Paul B. Poommipanit MD the PROGRESS-CTO investigators 《Catheterization and cardiovascular interventions》2023,101(6):1028-1035
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Mauro Carlino MD Barry F. Uretsky MD Lorenzo Azzalini MD PhD MSc Angelo Nascimbene MD Emmanouil S. Brilakis MD PhD Antonio Colombo MD Sunao Nakamura MD Cosmo Godino MD Alexandre Avran MD Stéphane Rinfret MD SM Benjamin Faurie MD 《Catheterization and cardiovascular interventions》2023,102(4):577-584
Introduction
Antegrade dissection and re-entry (ADR) is an integral part of the hybrid algorithm, which has allowed for improved outcomes in chronic total occlusion (CTO) coronary intervention (PCI).Methods
A new ADR method, Subintimal Antegrade FEnestration and Re-entry (SAFER), is described. The results of a first-in-man series are presented.Results
SAFER was performed on seven consecutive patients with angiographic and clinical success in all patients.Conclusions
This first-in-man study has shown that the SAFER technique is feasible and effective with the possibility of improving the antegrade PCI CTO success rate. 相似文献127.
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Orestis Ioannidis Argiro Sekouli George Paraskevas Nikolaos Papadimitriou Athina Konstantara Anastasios Kotronis Stavros Chatzopoulos Apostolos Makrantonakis Emmanouil Kakoutis 《Arab Journal Of Gastroenterology》2013,14(1):20-23
Adenocarcinoma and lymphoma represent the two most common malignant tumours of the stomach, with both neoplasms being associated with infection by Helicobacter pylori. However, the presence of lymphoma and adenocarcinoma in the same patient is a rare entity with synchronous neoplasms being more common than metachronous types. We report a case of stage IV gastric MALT lymphoma of the gastric angle with infiltration of the bone marrow successfully treated with chemotherapy and the occurrence of metachronous early gastric adenocarcinoma of the fundus presenting 1 year after the diagnosis of the lymphoma. 相似文献
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