Successful treatment with laparoscopy-assisted surgery for ileal perforation due to an ingested foreign body: A report of two cases

Ito, Soichi; Tsuchitani, Yuma; Hashimoto, Souhei; Uemura, Tomohiro; Katsura, Koji; Abe, Takayuki; Sato, Kazuya; Kato, Hirotaka

doi:10.1016/j.ijscr.2019.10.018

Cited by 4 publications

(4 citation statements)

References 19 publications

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“…Similarly, Ito et al outlined two cases who were diagnosed with ileal perforation caused by an ingested foreign body and underwent laparoscopic treatment accompanied by a mini laparotomy [ 7 ] Both patients had a shorter recovery period owing to the decreased invasiveness of laparoscopic surgeries compared to laparotomies [ 7 ]. Another patient with right lower abdominal pain who was misdiagnosed as acute appendicitis was reported by Yao et al where a swallowed wooden toothpick was discovered in the ileocecal region through abdominal CT scan.…”

Section: Discussionmentioning

confidence: 99%

Exploring the uncommon: A case report on localized peritonitis caused by ingested toothpick

Asif,

Shariq,

Alvi

2024

International Journal of Surgery Case Reports

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Section: Discussionmentioning

confidence: 99%

Exploring the uncommon: A case report on localized peritonitis caused by ingested toothpick

Asif,

Shariq,

Alvi

2024

International Journal of Surgery Case Reports

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“…13 Additionally, some case reports described the feasibility and advantages of laparoscopy for small bowel perforation secondary to an ingested foreign body. 14,15 These reports suggest that laparoscopic procedures are also beneficial in the treatment of small bowel perforation. Even though, poor laparoscopic view due to such conditions as severe intestinal distension or adhesion can be a limitation of laparoscopy.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopically-Assisted Repair of a Small Bowel Perforation Secondary to Multiple Metastases of Undifferentiated Pleomorphic Sarcoma

et al. 2020

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We present a very rare case of a laparoscopicallyassisted repair of a small bowel perforation secondary to multiple metastases of undifferentiated pleomorphic sarcoma from the posterior mediastinum. A 46-yearold man presented with middle to upper abdominal pain during chemotherapy for lung metastases from undifferentiated pleomorphic sarcoma. Computed tomography revealed intra-abdominal free air, and emergency laparoscopy was performed. Consequently, a perforation was detected in the jejunum, and partial jejunal resection was performed by mini-laparotomy. Pathological examination demonstrated an ulcerated tumor with perforation and four additional tumors in the resected jejunum. Pathological examination also revealed undifferentiated pleomorphic sarcoma in all five tumors. To our knowledge, our case is the first report of a laparoscopically-assisted repair of a small bowel perforation secondary to metastasis of undifferentiated pleomorphic sarcoma. Although the perforation site was unclear preoperatively, laparoscopic observation readily identified the lesion in this patient. Therefore, minimally invasive surgery could be performed successfully with mini-laparotomy following laparoscopic observation. Laparoscopic techniques for the small intestine are viable options, even in acute and uncommon situations, and small bowel perforation secondary to metastasis should be considered in patients with undifferentiated pleomorphic sarcoma and acute abdomen.

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“…Diagnostic laparoscopy can be combined with manual manipulations through extended port access. This technique is called laparoscopy-assisted surgery, and presented in the literature mostly as case reports [39][40][41]. In our series, ML was used in patients with abdominal trauma as a therapeutic procedure (Fig.…”

Section: Table 3 Postoperative Complicationsmentioning

confidence: 98%

“…By applying this criterion, we introduced additional selection for the ML group. The wide use of advanced imaging modalities, like computerised tomography, in routine clinical practice might practically resolve this challenge [39][40][41] and expand indications for the employment of the ML approach.…”

Section: Limitationsmentioning

confidence: 99%

Mini-laparotomy in emergency general surgery in a second-level hospital in Zambia: a prospective cohort study

Karachentsev

Kadochi

2023

Preprint

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Background Being an integral part of the Enhanced Recovery After Surgery methodology, the mini-invasive surgical technique is an important factor in attenuating surgical stress and minimising the risk of postoperative complications. Here we present our experience of utilising the mini-laparotomy (ML) approach in emergency surgery.Methods This prospective clinical study included adult patients operated on for acute abdominal conditions at a second-level hospital in Zambia. Thirty-four patients were explored through ML, and another 34 participants had a standard laparotomy (SL) incision. The size of ML ranged from 6 to 12 cm, with the median being 10.5 cm. ML was not attempted in abdominal malignancy, generalised peritonitis, and as an approach for the relaparotomy procedures. Length of hospital of stay (LOS) and morbidity/mortality were primary endpoints. Secondary outcomes of interest included operating time (OT) and post-operative pain control. Continuous variables were presented as mean with standard deviation or median with ranges; categorical data were given as proportions and percentages. Associations between data were estimated using the t-test and chi-square analysis, as appropriate. LOS was compared by log-rank test and presented graphically by Kaplan-Meier survival curves. A p-value < 0.05 was considered statistically significant.Results The most common procedures performed through ML were resection of the small bowel or colon, closure of hollow viscus perforation or rupture, and adhesiolysis. Employment of ML was associated with reduced LOS (p = 0.0002), shorter OT (p = 0.0003), and minimised need for opioid analgesia (p = 0.01); however, the difference in postoperative complications was not statistically significant (ML: 21% versus SL: 27%, p = 0.57), and mortality was similar (6% in each group).Conclusions As our data showed, ML is a feasible and safe technique that could be used in emergency visceral surgery and abdominal trauma in well-selected patients. Having comparable postoperative morbidity with the SL approach, it might lead to reduced pain and enhanced recovery after the procedure. We proposed an algorithm for the selection of exploration method in patients presented with acute abdominal conditions that could be of help to acute care surgeon operating in a resource-limited setting.

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Successful treatment with laparoscopy-assisted surgery for ileal perforation due to an ingested foreign body: A report of two cases

Cited by 4 publications

References 19 publications

Exploring the uncommon: A case report on localized peritonitis caused by ingested toothpick

Exploring the uncommon: A case report on localized peritonitis caused by ingested toothpick

Laparoscopically-Assisted Repair of a Small Bowel Perforation Secondary to Multiple Metastases of Undifferentiated Pleomorphic Sarcoma

Mini-laparotomy in emergency general surgery in a second-level hospital in Zambia: a prospective cohort study

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