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Biomedical subjects

Carl A Weiss

Publications and source records attributed to Carl A Weiss.

8 recordsLinked to original sources
PubMed2006

Management of chylous ascites after laparoscopic cholecystectomy using minimally invasive techniques: a case report and literature review.

Chylous ascites is a rare complication after many abdominal procedures. It has never been reported after laparoscopic cholecystectomy. We describe a 31-year-old female who presented 2 weeks postoperatively after laparoscopic cholecystectomy with abdominal distention and pain. A percutaneously drained abdominal fluid collection revealed chylous ascites. Lymphoscintigraphy demonstrated extravasation at the level of the hepatic fossa. At laparoscopic exploration, a chylous leak within the gallbladder fossa was controlled with suture ligation and fibrin glue with immediate resolution of the leak. This demonstrates a novel, minimally invasive technique for control of a previously unreported complication after laparoscopic cholecystectomy.

Adult↗
PubMed2005

Laparoscopic splenectomy: what barriers remain?

Conditions that once were considered either relative or absolute contraindications for laparoscopic splenectomy have become fewer and less significant in the overall assessment of candidates for this procedure. Advances in surgical technique, operative conduct, and instrumentation have made it feasible to perform splenectomy laparoscopically with good outcomes and minimal morbidity in a variety of different pathologic conditions. Obesity, malignancy, pregnancy, and splenomegaly are assessed here in detail.

Contraindications↗
PubMed2002

Urgent laparoscopic splenectomy in a morbidly obese pregnant woman: case report and literature review.

Laparoscopic splenectomy (LS) has undergone significant evolution since its introduction more than a decade ago. It clearly has been shown to be advantageous in comparison with open splenectomy and is considered by some to be the treatment of choice for routine uncomplicated elective splenectomy. When LS was first introduced, contraindications to the procedure included pregnancy, obesity, and splenomegaly. Both technologic advances and experience with the technique have enabled surgeons to perform LS for a growing number of indications with seemingly fewer contraindications. Here, we present a case of successful LS in a morbidly obese pregnant woman with splenomegaly and hemolysis secondary to hereditary spherocytosis.

Adult↗
PubMedDate not supplied

Management of an occluded Wallstent for a benign biliary stricture: a case report.

Laparoscopic cholecystectomy is associated with a 0.5% incidence of major common bile duct injury. Management of this uncommon complication is determined by when the injury is recognized, by its extent, and by local surgical, radiological and endoscopic expertise. The use of titanium Wallstents for benign biliary stricture has been previously described, but complications from this approach are not well documented. The management of complications from titanium Wallstent deployment for treatment of a common bile duct stricture is described.

Bile Ducts, Intrahepatic↗