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Rete Trap

Publications and source records attributed to Rete Trap.

7 recordsLinked to original sources
PubMed2006

[Training in basic laparoscopic technique and implementation of diagnostic laparoscopy].

INTRODUCTION: Diagnostic laparoscopy (DL) is performed when the clinical diagnosis is acute appendicitis. Upon the perioperative diagnosis of appendicitis, laparoscopic appendectomy (LA) is performed. The aim of this study was to monitor the general implementation of a surgical procedure not previously universally utilized for this operative indication and determine whether DL was suitable for training basic laparoscopic abilities. METHODS: After discussing the relevant literature, surgical technique and aim and design of the study, DL was introduced. In the period 1 September 2002 to 1 March 2004, 100 patients with the diagnosis of acute appendicitis were included in the study. RESULTS: Out of the 19 residents included in the study, 14 performed DL, with 9 also performing LA. The percentage of DL increased to 66% during the study period. After an average of two supervised DLs, the surgeons were able to perform DL without supervision. Supervision was done primarily by the attending surgeons. Of the 100 patients operated on, 63 underwent appendectomy; 39 were performed laparoscopically and 24 were done by conventional appendectomy preceded by DL. Postoperative complications occurred in five patients in the OA group, three in the LA group and none in the DL group. The operative time was comparable with that published in the literature. The perioperative diagnosis of appendicitis was confirmed histologically in 92% of the cases. DISCUSSION: DL had a short learning curve. The surgeons were able to make a correct diagnosis laparoscopically. Supervision was performed primarily by attending surgeons. It is concluded that DL is suitable for training basic laparoscopic skills.

Acute Disease↗
PubMed2003

[Organization of the preoperative patient's course in ambulatory laparoscopic cholecystectomy].

INTRODUCTION: The aim was to describe the organisation of an out-patient clinic for patients with gallstone disease in a day-surgery department and to evaluate the collaboration between admitting doctors and the hospital concerning the preoperative course. MATERIAL AND METHODS: 101 patients who had gallstone disease were admitted consecutively to the out-patient clinic. Information provided by the admitting doctors regarding the history of the disease, the blood-samples and the ultrasound was registered. Information of the treatment was subsequently obtained from medical records. RESULTS: On the admission 15% had symptoms, in 28% there were results of the liver function-test and in 56% there were results of ultrasound on the liver, gallbladder and pancreas. 46 patients were direct scheduled for surgery without further investigation and eight patients were finished without any treatment. In total 65 patients were operated, 23 patients were finished without any treatment, five patients were further elucidated and in eight cases no decision were taken concerning treatment by the end of the study. DISCUSSION: It was possible to schedule surgery at the first consultation in only 50% of the patients admitted with gallstone disease. The reason was mostly missing information from the liver function test or the ultrasound examination of the liver and bile ducts. Collaboration between the general practitioners and the hospital is of importance to achieve a rational preoperative evaluation of patients admitted with gallstone disease.

Adult↗
PubMed2003

[Ventral herniotomy. Development of surgical technique and effect on the frequency of recurrence].

The surgical journal, Repair of Ventral Hernias, was reviewed with regard to recurrence of hernia. Ventral hernias must be operated on with a tension-free technique. It is recommended that hernias larger than 4 cm are repaired with mesh. A randomised, controlled trial has yet to be carried out to determine whether even small hernias should be repaired with mesh. Controlled and uncontrolled studies have shown that the use of mesh to repair larger hernias results in a lower recurrence rate. The operative technique with the mesh placed to bridge the wall defect gives a higher rate of recurrence than does an overlap technique. The overlap of the mesh and its placement in relation to the different layers of abdominal wall are not defined. The laparoscopic operation using the overlap technique and intraperitoneal mesh has shown a lower recurrence rate than the open technique. However, a randomised, controlled study comparing the laparoscopic and open overlap technique over a long follow-up period still needs to be conducted.

Hernia, Ventral↗