The Experts below are selected from a list of 5193 Experts worldwide ranked by ideXlab platform
Hiroshi Kishimoto - One of the best experts on this subject based on the ideXlab platform.
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FULL-THICKNESS SMALL Intestine Necrosis WITH MIDGUT VOLVULUS, DISTRIBUTED IN A PATCHY FASHION, IS REVERSIBLE WITH MODERATE BLOOD FLOW: RESUMPTION OF NORMAL FUNCTION TO NON-VIABLE Intestine
2016Co-Authors: Hizuru Amano, Hiroo Uchida, Hiroshi Kawashima, Yujiro Tanaka, Hiroshi KishimotoAbstract:Midgut volvulus is a highly life-threatening condition that carries a high risk of short gut syndrome. We report a case of catastrophic neonatal midgut volvulus in which second-look laparotomy revealed apparently non-viable remnant small Intestine but with a moderate blood supply. Full-thickness small Intestine Necrosis was distributed in a patchy fashion, with non-viable and necrotic areas distributed so widely that no portion of the Intestine could be resected. A section of full-thickness necrotic Intestine preserved at surgery was able to regenerate, and normal function was restored over a period of 1 month. This case indicated that intestinal resumption may be dependent on blood flow. Even when intestinal viability is questionable, preservation enables the chance of regeneration if moderate blood flow is present. Key Words: neonate, midgut volvulus, Necrosis, viability, second look operatio
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full thickness small Intestine Necrosis with midgut volvulus distributed in a patchy fashion is reversible with moderate blood flow resumption of normal function to non viable Intestine
Nagoya Journal of Medical Science, 2014Co-Authors: Hizuru Amano, Hiroo Uchida, Hiroshi Kawashima, Yujiro Tanaka, Hiroshi KishimotoAbstract:Midgut volvulus is a highly life-threatening condition that carries a high risk of short gut syndrome. We report a case of catastrophic neonatal midgut volvulus in which second-look laparotomy revealed apparently non-viable remnant small Intestine but with a moderate blood supply. Full-thickness small Intestine Necrosis was distributed in a patchy fashion, with non-viable and necrotic areas distributed so widely that no portion of the Intestine could be resected. A section of full-thickness necrotic Intestine preserved at surgery was able to regenerate, and normal function was restored over a period of 1 month. This case indicated that intestinal resumption may be dependent on blood flow. Even when intestinal viability is questionable, preservation enables the chance of regeneration if moderate blood flow is present.
Yang Wen-ka - One of the best experts on this subject based on the ideXlab platform.
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Clinical analyses of tension-free repair in inguinal strangulated hernia
Chinese Journal of Hernia and Abdominal Wall Surgery, 2013Co-Authors: Yang Wen-kaAbstract:Objective To discuss the methodology and value of tension-free hernia repair in the clinical practice.Methods From January 2005 to August 2012,A total of 107 cases with inguinal strangulated hernia tension-free hernia repair were enrolled in Dazhu People's Hospital.The clinical effects and complications were analyzed.Results All the patients were cured and discharged after 7 to 9 days.The acute urinary retention was found in 36 cases with 13 cases of scrotal hydrocele.There is one case of incision swelling and subcutaneous effusion.All the cases were recovered after treatment.All the patients were followed up for 3 months to 6 years without any recurrence.Conclusions The strangulated inguinal hernia without intestinal Necrosis can be safe and effective for tension-free hernia repair.For those patients with small Intestine Necrosis,no perforation and good surrounding tissue without infection,a one-stage tensionfree hernia repair was preferred.
Gong Jia-qing - One of the best experts on this subject based on the ideXlab platform.
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Tension-free hernia repair in adult inguinal strangulated hernia:a report of 6 cases
Chinese Journal of Hernia and Abdominal Wall Surgery, 2011Co-Authors: Gong Jia-qingAbstract:Objective To discuss the clinical application and effect of tension-free hernia repair in adult inguinal strangulated hernia.Methods Six patient's clinical data with tension-free hernia repair in adult inguinal strangulated hernia were analysed retrospectively from July,2008 to July,2010.All cases were with small Intestine Necrosis but not perforated.The small Intestine were excised partially and with hernia repaired at the same time.Results All cases were cured completely,blood plasma drainage tube laying aside time from 42 to 81 hours,hospital stay time from 7 to12 days.The gastrointestinal function restore time from 26 to 61 hours.There were no complications like the abdominal cavity infection,empyema,incisional infection,rejection reaction of patch,scrotal hydrocele and so on.Five cases were followed up with 2 to 21 months,average was 12 months,no recrudescence was found.Conclusions Adult inguinal strangulated hernia with tension-free repair should not be the ab-solute surgical contraindication,but should pay attention to choice the case.
Hizuru Amano - One of the best experts on this subject based on the ideXlab platform.
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FULL-THICKNESS SMALL Intestine Necrosis WITH MIDGUT VOLVULUS, DISTRIBUTED IN A PATCHY FASHION, IS REVERSIBLE WITH MODERATE BLOOD FLOW: RESUMPTION OF NORMAL FUNCTION TO NON-VIABLE Intestine
2016Co-Authors: Hizuru Amano, Hiroo Uchida, Hiroshi Kawashima, Yujiro Tanaka, Hiroshi KishimotoAbstract:Midgut volvulus is a highly life-threatening condition that carries a high risk of short gut syndrome. We report a case of catastrophic neonatal midgut volvulus in which second-look laparotomy revealed apparently non-viable remnant small Intestine but with a moderate blood supply. Full-thickness small Intestine Necrosis was distributed in a patchy fashion, with non-viable and necrotic areas distributed so widely that no portion of the Intestine could be resected. A section of full-thickness necrotic Intestine preserved at surgery was able to regenerate, and normal function was restored over a period of 1 month. This case indicated that intestinal resumption may be dependent on blood flow. Even when intestinal viability is questionable, preservation enables the chance of regeneration if moderate blood flow is present. Key Words: neonate, midgut volvulus, Necrosis, viability, second look operatio
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full thickness small Intestine Necrosis with midgut volvulus distributed in a patchy fashion is reversible with moderate blood flow resumption of normal function to non viable Intestine
Nagoya Journal of Medical Science, 2014Co-Authors: Hizuru Amano, Hiroo Uchida, Hiroshi Kawashima, Yujiro Tanaka, Hiroshi KishimotoAbstract:Midgut volvulus is a highly life-threatening condition that carries a high risk of short gut syndrome. We report a case of catastrophic neonatal midgut volvulus in which second-look laparotomy revealed apparently non-viable remnant small Intestine but with a moderate blood supply. Full-thickness small Intestine Necrosis was distributed in a patchy fashion, with non-viable and necrotic areas distributed so widely that no portion of the Intestine could be resected. A section of full-thickness necrotic Intestine preserved at surgery was able to regenerate, and normal function was restored over a period of 1 month. This case indicated that intestinal resumption may be dependent on blood flow. Even when intestinal viability is questionable, preservation enables the chance of regeneration if moderate blood flow is present.
Wang Chunxiang - One of the best experts on this subject based on the ideXlab platform.
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Feasibility of simultaneous bowel resection and primary tension-free herniaplasty in incarcerated inguinal hernia with Necrosis of Intestines
Chinese Journal of Hernia and Abdominal Wall Surgery, 2012Co-Authors: Wang ChunxiangAbstract:Objective To grade the Intestine Necrosis in incarerated inguinal hernia and explore the feasibility of primary tension-free herniaplasty.Methods Of 35 patients with incarcerated inguinal hernia and Intestine Necrosis,the extents of Necrosis were graded according to time of incarceration,morphology of Intestines,the hernia sac and the surrounding inflammatory levels and presence of peritonitis signs of intestinal Necrosis.Twenty-two cases with Grade 1 Necrosis,four cases with Grade 2 Necrosis performed bowel resection and primary tension-free herniaplasty under the individualized principles.Results There was no death in 26 patients with selective primary tension-free herniaplasty.Two cases of post-operation scrotum hematoma,3 cases of incision infection(one is Grade 1 and two are Grade 2) were included.They were recovered with dressing change and no patch was removed.After 6-month follow-ups,there was no rejection reaction and only one case recurred.Conclusions With appropriate assessments for the degree of Necrosis and combined with individual situation,individualized treatment is the key for simultaneous bowel resection and primary tension-free herniaplasty in the patients with incarerated inguinal hernia and Intestines Necrosis.
