Search results for "Cholecystectomy"
showing 4 items of 64 documents
A case of splenic rupture: A rare event after laparoscopic cholecystectomy
2014
Background Laparoscopic cholecystectomy (LC) is generally safe and well-accepted. In rare cases, it is associated with complications (intra- e postoperative bleeding, visceral injury and surgical site infection). Splenic lesion has been reported only after direct trauma. We report an unusual case of splenic rupture presenting after “uncomplicated” LC. Case presentation A 77-year-old woman presented with distended abdomen, tenderness in the left upper quadrant and severe anemia 12 hours after LC. Clinical examination revealed hypovolemic shock. Abdominal computed tomography confirmed the diagnosis of splenic rupture, and the patient required an urgent splenectomy through midline incision. Th…
Video-assisted surgery: suggestions for failure prevention in laparoscopic cholecystectomy
2014
Background: Surgery differs from other medical specialties in its execution. It is often complex and includes considerable individual variations. Observing problems in operating theatres (OT) allows for the identification of system failures which should be defined for learning purposes to increase patient safety and enhance general safety culture within hospital organizations. This study evaluates a common video-assisted surgical procedure, laparoscopic cholecystectomy (LC) through failure analysis. The profile of the LC procedure and failure sources is presented. Methods: Data consisted video-observations and interviews concerning twelve LC operations performed at a day surgery unit. All o…
Akute emphysematöse Cholezystitis als Ursache eines Pneumoperitoneums
2008
A 48-year-old man developed progressively more severe epigastric pain, pain on pressure in the right upper abdomen and fever up to 38.6 degrees C so that acute cholecystitis was suspected. Ultrasound did not demonstrate a gall-bladder but a sickle shaped, dense echo with a distal adjoining echo-free zone. Computed tomography revealed air in the gall-bladder lumen as well as intramural and pericholecystic air pockets, findings pathognomonic for emphysematous cholecystitis. In addition pneumoperitoneum was diagnosed. Subsequent cholecystectomy intraoperatively revealed a gangrenous, nonperforating gall-bladder in which E. coli was demonstrated. During the first postoperative week, there were …
Iedzīvotāju zināšanas par žultsakmeņu slimības attīstību veicinošajiem faktoriem un profilaksi
2021
Visā pasaulē, tajā skaitā arī Latvijā, viena no biežākajām ķirurģiskajām saslimšanām, kam nepieciešama operatīva ārstēšana, ir žultsakmeņu slimība (ŽAS) jeb holelitāze. Tās izplatība pieaug līdz ar iedzīvotāju vecumu un mūsdienu dzīvesveida paradumiem, tādiem kā, nesabalansēts, neregulārs uzturs un mazkustīgs dzīvesveids. Šis bakalaura darbs tika izveidots ar mērķi - noskaidrot iedzīvotāju zināšanas par žultsakmeņu slimības attīstību veicinošajiem faktoriem un profilaksi. Pirms pētījuma veikšanas, lai pārliecinātos par anketas jautājumu saprotamību, tika veikts pilotpētījums, aptaujājot desmit respondentus. Analizējot, sniegtās atbildes, tika secināts, ka ir nepieciešams veikt labojumus 4. …