Biomedical subjects

T R Hackett

Publications and source records attributed to T R Hackett.

3 recordsLinked to original sources

PubMed1998

Laparoscopic cecectomy for massive appendiceal stump bleeding.

Massive bleeding from an appendiceal stump is extremely rare and typically requires emergency laparotomy and resection. We describe a case of severe gastrointestinal hemorrhage from an inverted appendiceal stump in a 20-year-old man 1 year after appendectomy. This was successfully managed by an urgent totally intracorporeal laparoscopic cecectomy. The patient benefited from the laparoscopic excision and made an uneventful and speedy postoperative recovery. The postoperative discomfort, morbidity, and long hospitalization typically associated with laparotomy were avoided. For appendiceal stump bleeding, totally intracorporeal laparoscopic excision offers a viable alternative to open laparotomy.

Adult↗

PubMed1997

Preemptive analgesia in the laparoscopic patient.

BACKGROUND: One hundred consecutive laparoscopic patients were prospectively followed in the Post-anesthesia Recovery Unit (PAR) in a community hospital. METHODS: Data was collected regarding (1) intraoperative administration of ketorolac, (2) instillation of local anesthesia into the wound, and (3) requirements for analgesic administration in the PAR. Those patients receiving both forms of preemptive analgesia required less narcotic administration in the PAR. The results were highly significant. RESULTS: Based on these data and the observance of markedly reduced pain in patients during the early postoperative period, an institutional plan of care was developed which has resulted in the virtual elimination of the need to administer narcotics to patients undergoing routine laparoscopic surgical procedures. CONCLUSIONS: The resultant plan of care, which includes preemptive analgesia, rapid ambulation, early feeding, and routine timed administration of non-narcotic pain medications, is presented. Data is also presented which demonstrates a more rapid discharge of patients from the hospital.

Analgesics, Non-Narcotic↗

PubMed1997

Laparoscopic resection of heterotopic gastric pancreatic tissue.

This report describes a laparoscopic approach for the treatment of a benign gastric mass. A 15-year-old female presented with recurrent epigastric pain. Preoperative endoscopic and x-ray evaluation demonstrated a submucosal tumor of the greater curvature. The patient underwent a laparoscopic resection of a heterotopic pancreatic tumor in the stomach. A description of our technique and a review of the pathophysiologic features of this disease is included.

Adolescent↗