The Experts below are selected from a list of 1737 Experts worldwide ranked by ideXlab platform

Angelos M Kappas - One of the best experts on this subject based on the ideXlab platform.

  • a new simplified one port laparoscopic technique of peritoneal dialysis Catheter placement with intra abdominal fixation
    American Journal of Surgery, 2006
    Co-Authors: Haralampos V Harissis, Christos S Katsios, Elli Koliousi, Margarita Ikonomou, Konstantinos Siamopoulos, Michalis Fatouros, Angelos M Kappas
    Abstract:

    Abstract Background Various laparoscopic techniques have been described for the insertion of peritoneal dialysis Catheters. However, most use 3 to 4 ports, thus multiplying the potential risk for abdominal wall complications (hemorrhage, hernia, leaking). Methods A Tenckhoff Catheter was placed laparoscopically, using just 1 port, in 13 consecutive patients with end-stage renal failure. All Catheters were fixed in the abdominal cavity with no additional ports for this purpose. Results After a follow-up of 76 patient-months, all Catheters are working properly. There were no postoperative wall hemorrhages, early leaking, or hernias. There was 1 case of Catheter Migration and 2 cases of late leaking in 2 patients in total, due to severe constipation. There were no exit site or tunnel infections. One episode of peritonitis was successfully treated with antibiotics. Conclusion The simplicity and the rapidity of the method justifies serious consideration for its use as the standard Tenckhoff Catheter placement.

Andrew G Shetter - One of the best experts on this subject based on the ideXlab platform.

  • cranial Migration of a baclofen pump Catheter associated with subarachnoid hemorrhage case report
    Neurosurgery, 2009
    Co-Authors: Peter Nakaji, Giac D Consiglieri, Mark P Garrett, Nicholas C Bambakidis, Andrew G Shetter
    Abstract:

    OBJECTIVE: Cephalad Migration of an indwelling intrathecal Catheter within the spinal canal has rarely been described. Cranial subarachnoid hemorrhage (SAH) related to movement of this type of Catheter has not been described. We report a case of SAH coincident with the Migration of a free fragment of a baclofen pump Catheter into the prepontine cistern. CLINICAL PRESENTATION: A baclofen pump system was removed from a 47-year-old man with spasticity related to multiple sclerosis. A section retained in the spinal canal extended up to the T9 level. Ten days after the pump and lower portion of the Catheter were removed, the patient presented with a severe headache and a classic aneurysmal pattern of SAH. The patient's Catheter was found to have migrated adjacent to the basilar artery at the level of the superior cerebellar artery. An extensive evaluation, including computed tomography angiography, digital subtraction angiography performed twice, magnetic resonance imaging, and magnetic resonance angiography, showed no apparent cause for the hemorrhage. initially, the Catheter was left in place. However, 5 months after the SAH, the patient elected to have the Catheter removed. INTERVENTION: The Catheter was pulled out from below through a C6-C7 laminoplasty without complications. The patient made an excellent recovery. DISCUSSION: Cephalad Catheter Migration is a rare phenomenon. The mechanism of rostral Migration remains unclear. The forces that propel a free fragment of Catheter under these circumstances seem to be sufficient to cause a small vessel to rupture and bleed. Given the lack of an observed arterial injury, we postulate that venous bleeding caused this hemorrhage.

John K Houten - One of the best experts on this subject based on the ideXlab platform.

  • vaginal Migration of ventriculoperitoneal shunt Catheter and cerebrospinal fluid leak as a complication of hysterectomy
    World Neurosurgery, 2017
    Co-Authors: John K Houten, Shiela Smith, Amit Y Schwartz
    Abstract:

    Background Ventriculoperitoneal (VP) shunting is a common neurosurgical procedure to treat hydrocephalus that diverts cerebrospinal fluid from the cerebral ventricles to the peritoneal cavity for reabsorption. The distal Catheter may potentially migrate through any potential or iatrogenic opening in the peritoneal cavity. Increasingly successfully management of childhood hydrocephalus and adult-onset conditions leading to hydrocephalus, such as subarachnoid hemorrhage, is leading many adult female patients harboring VP shunts needing to undergo hysterectomy. Hysterectomy creates a potential defect though which a VP shunt Catheter may migrate. It is not known whether the hysterectomy cuff closure technique may affect the likelihood of distal Catheter Migration though the repair site. Case Description We report the case of a 38-year-old woman with a VP shunt who underwent laparoscopic hysterectomy via an open vaginal cuff technique who subsequently presented with vaginal cerebrospinal fluid leakage secondary to Migration of the distal shunt Catheter through the hysterectomy cuff. Conclusions Vaginal Migration of the distal VP shunt Catheter is a possible complication of hysterectomy. The authors postulate that an open cuff hysterectomy closure technique may increase the risk of Catheter Migration, an issue that may be better understood with further investigation.

Haralampos V Harissis - One of the best experts on this subject based on the ideXlab platform.

  • a new simplified one port laparoscopic technique of peritoneal dialysis Catheter placement with intra abdominal fixation
    American Journal of Surgery, 2006
    Co-Authors: Haralampos V Harissis, Christos S Katsios, Elli Koliousi, Margarita Ikonomou, Konstantinos Siamopoulos, Michalis Fatouros, Angelos M Kappas
    Abstract:

    Abstract Background Various laparoscopic techniques have been described for the insertion of peritoneal dialysis Catheters. However, most use 3 to 4 ports, thus multiplying the potential risk for abdominal wall complications (hemorrhage, hernia, leaking). Methods A Tenckhoff Catheter was placed laparoscopically, using just 1 port, in 13 consecutive patients with end-stage renal failure. All Catheters were fixed in the abdominal cavity with no additional ports for this purpose. Results After a follow-up of 76 patient-months, all Catheters are working properly. There were no postoperative wall hemorrhages, early leaking, or hernias. There was 1 case of Catheter Migration and 2 cases of late leaking in 2 patients in total, due to severe constipation. There were no exit site or tunnel infections. One episode of peritonitis was successfully treated with antibiotics. Conclusion The simplicity and the rapidity of the method justifies serious consideration for its use as the standard Tenckhoff Catheter placement.

C S Butler - One of the best experts on this subject based on the ideXlab platform.