The laparoscopic management of complicated diverticular disease is feasible and appears to be safe in the hands of experts. Despite a high rate of conversion to open surgery, laparoscopy was the sole operative intervention for the majority of patients with complicated diverticular disease. Further studies are needed to allow rigorous comparison with an open control group.
Laparoscopic colostomy reversal after a Hartmann procedure: a prospective series, literature review and an argument against laparotomy as the primary approach Background: Open restoration of bowel continuity after a Hartmann procedure has been associated with significant morbidity, including anastomotic leak, incisional hernia, wound infections and inability to re-establish intestinal continuity. Few studies have examined the role of laparoscopy in performing a Hartmann reversal. The aim of this study was to review our laparoscopic Hartmann reversal (LHR) experience with an emphasis on intra-and postoperative adverse events.
Methods:A prospectively collected laparoscopic colorectal database involving 3 surgeons in 4 academic centres between 1991 and 2008 was reviewed. Factors evaluated were patient demographics, diagnosis, duration of surgery, intra-and postoperative complications, recovery of bowel function and length of stay in hospital.Results: Twenty-eight consecutive patients (13 men, 15 women) with a mean age of 61.1 (standard deviation [SD] 15.3) years and a mean weight of 72.3 (SD 20
El virus SARS-CoV-2 causante de la enfermedad COVID-19 es altamente contagioso y debido a que la propagación nosocomial ha sido bien documentada, se han implementado directrices que incluyen el uso de elementos de protección personal (EPP) con el objetivo de minimizar el riesgo de contagio en el personal de la salud. Secundario al uso continuo, repetitivo y prolongado de estos dispositivos, se pueden desencadenar procesos inflamatorios cutáneos tales como: dermatitis de contacto, prurito o urticaria por presión, o exacerbar procesos inflamatorios preexistentes como dermatitis seborreica, acné, entre otros. Por lo anterior, la Asociación Colombiana de Dermatología y Cirugía Dermatológica (AsoColDerma), en alianza con el Hospital Universitario Centro Dermatológico Federico Lleras Acosta, como ente asesor del Gobierno colombiano, nos permitimos hacer las siguientes recomendaciones encaminadas a reducir el riesgo de lesiones cutáneas derivadas del uso de los equipos de protección personal.
Estas recomendaciones son de orientación general para la práctica clínica, y el personal de la salud las debe seguir de forma individualizada, de acuerdo con sus necesidades y con los recursos disponibles.
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