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Biomedical subjects

B Pruett

Publications and source records attributed to B Pruett.

3 recordsLinked to original sources

Laparoscopic appendectomy: have we found a better way?

Laparoscopic appendectomy is an attractive option for the surgical treatment of acute appendicitis. When performed by an experienced laparoscopist, the procedure can be accomplished with little variation in time from the standard open technique, provide a superior cosmetic result, shorter hospital stay and a significant reduction in postoperative pain and length of convalescence. In this study a comparison of 42 open appendectomies and 37 laparoscopic appendectomies was made in regard to age, sex, length of stay, cost of stay, and length of convalescence.

Acute Disease↗

Laparoscopic inguinal herniorrhaphy: initial experience in a community hospital.

Since February 1992, 32 laparoscopic herniorrhaphies have been performed in 25 patients, including 15 indirect, 16 direct and 1 femoral defect. These were performed in a 275 bed community hospital initially using a "plug and patch" technique, and later employing repair of the hernia defect with a sheet of prolene mesh only. Patients were managed on an out patient basis and were able to resume full activity in 7 to 10 days. Despite the lack of long term follow-up and additional cost basis for the laparoscopic procedures, this method of repairing hernia defects promises to be safe and effective with a high degree of patient satisfaction.

Adult↗

Laparoscopic colectomy for sigmoid volvulus.

Laparoscopic assisted sigmoidectomy was the technique of choice for a mentally retarded adult male with severe seizure disorder and recurrent sigmoid volvulus in an effort to reduce post-op stress and discomfort and thereby diminish the possibility of exacerbation of his seizures. The technique was performed using standard laparoscopic technique and a 5cm incision in the left abdomen to perform extracorporeal bowel anastomosis. The surgery was successful and the patient experienced minimal post op discomfort, no complications and had no seizures. This newest addition to the portfolio of laparoscopic surgical techniques may be a useful tool in high risk or elderly patients who are poor candidates for conventional bowel surgery.

Adult↗