Reoperation following Minimally Invasive Surgery: Are the “Rules” Different?

McCormick, James

doi:10.1055/s-2006-956443

Cited by 17 publications

(8 citation statements)

References 23 publications

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“…Intraoperative localization of the source of bleeding can be challenging. Careful peritoneal lavage to remove blood and clots, and accurate examination of the trocar sites and the raw surfaces of dissection (commonly the retroperitoneum or pelvis) are required [ 51 ]. The combined use of different devices to achieve hemostasis may be useful.…”

Section: Complication Managementmentioning

confidence: 99%

Management of Complications Following Emergency and Elective Surgery for Diverticulitis

Holmer

Kreis

2015

Visc Med

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Background: The clinical spectrum of sigmoid diverticulitis (SD) varies from asymptomatic diverticulosis to symptomatic disease with potentially fatal complications. Sigmoid colectomy with restoration of continuity has been the prevailing modality for treating acute and recurrent SD, and is often performed as a laparoscopy-assisted procedure. For elective sigmoid colectomy, the postoperative morbidity rate is 15-20% whereas morbidity rates reach up to 30% in patients who undergo emergency surgery for perforated SD. Some of the more common and serious surgical complications after sigmoid colectomy are anastomotic leaks and peritonitis, wound infections, small bowel obstruction, postoperative bleeding, and injuries to the urinary tract structures. Regarding the management of complications, it makes no difference whether the complication is a result of an emergency or an elective procedure. Methods: The present work gives an overview of the management of complications in the surgical treatment of SD based on the current literature. Results: To achieve successful management, early diagnosis is mandatory in cases of deviation from the normal postoperative course. If diagnostic procedures fail to deliver a correlate for the clinical situation of the patient, re-laparotomy or re-laparoscopy still remain among the most important diagnostic and/or therapeutic principles in visceral surgery when a patient's clinical status deteriorates. Conclusion: The ability to recognize and successfully manage complications is a crucial part of the surgical treatment of diverticular disease and should be mastered by any surgeon qualified in this field.

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Section: Complication Managementmentioning

confidence: 99%

Management of Complications Following Emergency and Elective Surgery for Diverticulitis

Holmer

Kreis

2015

Visc Med

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“…Localizing the focus of hemorrhage can be challenging. Careful peritoneal lavage to remove blood and clots and accurate examination of the trocar sites and the raw surfaces of dissection (commonly the retroperitoneum or pelvis), are required [44]. The combined use of different devices to achieve hemostasis may be useful.…”

Section: Bleedingmentioning

confidence: 99%

Relaparoscopy for management of postoperative complications following colorectal surgery: ten years experience in a single center

et al. 2014

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“…5 Laparoscopic reoperation is feasible for the treatment of many complications following major laparoscopic abdominal surgery. 6 However, there is no report about the role of repeat single incision laparoscopic surgery (R-SILS). In this study, the purpose was to evaluate the feasibility of R-SILS.…”

Section: Discussionmentioning

confidence: 99%

Repeat Single Incision Laparoscopic Surgery after Primary Single Incision Laparoscopic Surgery for Colorectal Disease

Kim

Yun

Park

et al. 2018

J Minim Invasive Surg

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Single-incision laparoscopic surgery (SILS) for colorectal surgery is widely performed for many disease entities. However, there are few reports about the role of repeat single-incision laparoscopic surgery (R-SILS). The aim of this study is to analyze R-SILS data to evaluate the feasibility and safety of the occurrence and review its outcomes. Methods: This is a retrospective review of the prospectively collected SILS database in Samsung Medical Center, Seoul, Korea, between April 2009 and December 2015. A retrospective review of 38 patients who underwent R-SILS from 2,207 patients who underwent primary SILS for colorectal surgery was performed. Results: The indications of R-SILS were 23 primary SILS-related complications, 10 cancer-related, and 5 other surgical indications. Of the 38 repeat surgeries, 24 were emergent operations, and 14 were elective operations. Fecal diversion for anastomotic leakage after rectal surgery was the most common reason for reoperation. There were 2 cases of conversions: one case was converted to conventional multi-port, and the other case was converted to open surgery. Mean operative time was 137.9±64.1 min, estimated blood loss (EBL) was 105±98 ml, and length of hospital stay was 10.1±8.1 days. Post-operative complication was noted in 5 (13.2%) of 38 R-SILS cases, and there was no 30-day postoperative mortality. Conclusion: Repeat single-incision laparoscopy surgery is feasible and safe in select patients when performed by an experienced surgeon.

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Reoperation following Minimally Invasive Surgery: Are the “Rules” Different?

Cited by 17 publications

References 23 publications

Management of Complications Following Emergency and Elective Surgery for Diverticulitis

Management of Complications Following Emergency and Elective Surgery for Diverticulitis

Relaparoscopy for management of postoperative complications following colorectal surgery: ten years experience in a single center

Repeat Single Incision Laparoscopic Surgery after Primary Single Incision Laparoscopic Surgery for Colorectal Disease

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