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This issue of Focus on Acute Care Surgery brings to our attention different topics of interest encompassing diagnosis, management and outcome of acute abdominal conditions. Karagöz et al. [1] report on the ability of emergency physicians (EPs) to diagnose and score acute pancreatitis (AP) on computed tomography. Contrast-enhanced CT (CECT) is considered as the gold standard imaging modality in…
AbstractThis paper demonstrates the feasibility of a salpingectomy for ectopic pregnancy by transvaginal natural orifice transluminal endoscopic surgery (vNOTES). Conven-tional, reusable laparoscopic instruments were used and inserted through an inexpensive, self-constructed single port device. The self-constructed single port device was made by assembling a surgical glove, a wound protector, …
AbstractThere is a concern regarding the risk of occult leiomyosarcomas found at surgery for presumed benign fi-broids. We sought to produce a comprehensive reviewof pub-lished data addressing this issue and provide high-quality prevalence estimates for clinical practice and future research. A comprehensive literature search using the PubMed/ database and the Cochrane Library was per-formed. I…
Abstract Robotic-assisted laparoscopic surgery (RALS) is making an increasingly significant contribution to the field of gynaecological surgery. RALS offers similar patient bene-fits to standard laparoscopic surgery (SLS) with a potentially more ergonomically friendly and less stressful environment for the surgeon. However, our understanding of how RALS may potentially reduce physiological stre…
Abstract One recent innovation in the field of gynecology is laparoendoscopic single-site surgery (LESS). It is associated with reduced postoperative pain and better cosmetic outcome. The present paper aims to explain techniques and instrumen-tations associated with single-port hysterectomies. A retro-spective case-control study is included, comparing LESSwith conventional four-port hysterectom…
Abstract The aim of this study is to evaluate anatomical differences in vaginal length and axis between transvaginal mesh surgery (TVM) and laparoscopic sacropexy (LSC) by pelvic magnetic resonance imaging (MRI). Twenty-seven women with stage II or more symptomatic pelvic organ pro-lapse were involved in this study. Thirteen patients had un-dergone TVM, and fourteen had LSC. Preoperative and a…
Abstract Surgical site infection can result in increased mor-bidity for the patient, prolonged hospital stay and hospital readmission. Preoperative antibiotics reduce the incidence of such infections, particularly in open surgery. Universal use of antibiotic prophylaxis, however, is not recommended due to the risks of adverse reactions, generation of resistant bacteria and additional cost. Endo…
Abstract While surgery is gaining in efficiency it is equally getting more and more complex. Meanwhile patients are getting more and more demanding. In the past decades, safety and quality have become prominent criteria by which surgical care is evaluated. Several important factors can be identified which are influencing the quality of surgical care, in our view these factors can be classified …