Biomedical subjects
Publications and source records attributed to G G Mukalian.
The rare complication of complete uterine prolapse can occur after a motor vehicle accident. One could speculate that a sudden increase in intra-abdominal pressure related to the trauma and seat belt position lead to this condition.
Acute calculus cholecystitis during pregnancy can be a difficult management problem. Two pregnant patients with cholecystitis refractory to conservative management underwent laparoscopic cholecystectomy at a community hospital. One patient was treated under epidural anesthesia. Pregnancy should not be an absolute contraindication to laparoscopic cholecystectomy, and epidural anesthesia should be considered.
Laparoscopic surgery has expanded rapidly since the introduction of laparoscopic cholecystectomy. We have performed three laparoscopic Hartmann reversals in the last year and have compared these cases to eight open reversals. Laparoscopic technique has the advantage with regard to early oral intake, shortened length of stay, decreased blood loss, and decreased postoperative pain. Laparoscopic Hartmann reversal has comparable operative time with the open technique. We believe that laparoscopic Hartmann reversal should be considered by experienced laparoscopic surgeons.
Presented is a case of a laparoscopic adrenalectomy and a small series of adrenalectomies performed by more traditional approaches both anterior and posterior. The laparoscopic adrenalectomy compares favorably with operating time and estimated blood loss and resulted in a shorter hospital stay and decreased total disability.