Childhood obesity and a lower level of education are associated with insufficient weight loss 6 months after SG. However, prospective external validation is warranted, with a long-term follow-up of a large bariatric surgery population.
Aim: We aimed was to compare intraoperative results of the dissection of the Calot's triangle through classical method and the dissection starting from the posterior side of the cystic duct toward the cystic artery along lateral to the medial surface in LC. Methods: In Group 1 (n=60), peritoneum was dissected anteriorly along medial to the lateral surface of the Hartmann's pouch. In Group 2 (n=60), the peritoneal dissection started from the posterior side of the cystic duct toward the cystic artery along lateral to the medial surface of the Hartmann's pouch. Data including demographic characteristics of the patients, cystic duct dissection time, cystic artery dissection time, and intraoperative bleeding amount were recorded. Results: The median cystic duct and cystic artery dissection times were 308.00 (IQR=68-927) sec and 403.50 (IQR=98-1045) sec, respectively. In Group 1, these values were 347.90±186.33 and 469.73±225.02 sec for cystic duct and cystic artery dissection, respectively. In Group 2, the median cystic duct and cystic artery dissection times were 285.50 (IQR=68-927) sec and 389.50±143.28 sec, respectively. There was no statistically significant difference in the Calot's triangle dissection time (p=0.122 and p=0.075, respectively) and intraoperative blood loss amount between the groups (p=0.852). Conclusion: Our study results suggest that this technique can be safely performed in an acceptable time in LC patients. It also appears to be a safe alternative option for residents, left-handed surgeons, and patients with biliary and vascular abnormalities.
Fifty male Wistar albino rats were divided into 5 groups; Group 1 as a sham group. Group 2 as a control group, Group 3 as 100 mg/kg CDP-choline administered group, Group as 200 mg/kg CDP-choline administered group, and Group 5 as sepsis group. The sepsis model was performed by ligating and perforating the caecum of rats. Liver and small intestine tissues were assessed either histologically or quantitatively and qualitatively. There was a significant difference between the sepsis and CDP-choline groups for liver and intestinal damage evaluated in tissue samples. (p <0.001). CDP-choline treatment partially improved dose-dependent the clinical parameters of sepsis and septic shock, reversed micro-anatomical damage caused by sepsis.
Abstract:Mesenteric venous thrombosis is the least common cause of acute mesenteric ischemia which is generally difficult to diagnose and can be fatal. Mesenteric venous thrombosis has a variety of causes. Largescale follow-up studies have suggested an association between smoking and the venous thrombosis. In this case report we present a young male who presented to emergency department with acute peritonitis after cigarette over-consumption. He had significant leukocytosis and thrombocytopenia. An emergency laparotomy was performed. Ischemic segment of the ileum with thrombotic mesenteric veins was resected and the patient was discharged uneventfully on the 7 th postoperative day.
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