The Experts below are selected from a list of 771 Experts worldwide ranked by ideXlab platform
K.s. Mehta - One of the best experts on this subject based on the ideXlab platform.
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Laparoscopic Cholecystectomy In Acute Cholecystitis Experience From A Single Centre
The Internet Journal of Surgery, 2010Co-Authors: Mohammad Ashraf Khanday, Majid Mushtaque, K.s. MehtaAbstract:A total of 140 patients with acute inflammation of the gall bladder were subjected to laparoscopic cholecystectomy. The majority of the patients (62.85%) were in the third and fourth decade of their life with 88 females and 52 males. Pain in the right hypochondrium (RHC), nausea/vomiting, and tenderness of the RHC were present in all patients. Fever (>100F) was noted in 80%, Murphys Sign in 71.4%, and a lump in the RHC in14.2% of the cases.All the patients had a total leukocyte count (TLC) of >10,000/cu mm and 11.4% had elevated serum bilirubin, transaminases, and alkaline phosphatase (ALP). Ultrasonography revealed edematous gallbladder (GB) with thickened wall, GB distension, gall stones, and sonographic Murphys Sign in all patients. Six (8.57%) cases had mucocele of the GB. A stone impacted at the neck of the GB was seen in 85.7%. The majority of the patients (77.1%) were operated within 48 to 72 hours of admission and the rest before 48 hours. Intra-operative findings included adhesions (100%), distended GB (77.1%), edematous GB wall (97.1%), inflamed GB(100%), and pericholecystic edema (42.8%). Mucocele was present in 8.5% and GB empyema in 68.5% of cases. All patients had gall stones of which 97.1% had them impacted at the neck of GB. Significant bleeding from the liver bed occurred in 34.2% and a short cystic duct was encountered in 5.7%. GB inflammation involved only fundus and body in 71.2%, extending up to the neck in 22.8% and further up to the cystic duct in 5.7%. During surgery, modifications in operative technique included GB decompression in 60%, closed suction drain used in 97.1%, and haemostatic agent used in 24.3%. The procedure was converted to open cholecystectomy in four (2.85%) patients. The mean operative time was 69.2± 8.9 min. Postoperative complications included abdominal pain in 12 (8.57%), fever in 16 (11.4%), basal pneumonitis in 4 (2.85%), biliary fistula in 4 (2.85%) and faecal fistula in 1 (0.71%) of the patients. The mean hospital stay was 5.4±3.7 days.
Ben Safta Zoubeir - One of the best experts on this subject based on the ideXlab platform.
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Left-sided gallbladder: An incidental finding on laparoscopic cholecystectomy
2017Co-Authors: Amin Makni Amin Makni, Houcine Magherbi Houcine Magherbi, Rachid Ksantini Rachid Ksantini, Rebai Wael, Ben Safta ZoubeirAbstract:Transposition of the gallbladder to the left side without situs inversus viscerum is rare. These gallbladders are situated under the left lobe of the liver between Segment III and IV or on Segment III to the left of the falciform ligament. This is a report of a 50-year-old woman who was admitted to our department with a history of pain in her right upper abdomen. The physical examination showed tenderness in the right upper quadrant of the abdomen without a Murphys Sign. Abdominal ultrasonography showed gall bladder stones without dilatation of the bile ducts. The patient underwent a laparoscopic cholecystectomy using the French position and four ports positioned as usual. We discovered a left-sided gallbladder located on the left of the round ligament. The gallbladder was excised as usual. Intraoperative cholangiogram showed neither dilatation of the bile ducts nor associated congenital anomalies of the biliary tree. The patient was discharged on the first postoperative day. Because routine preoperative examinations may not detect the anomaly, the latter may take surgeons by surprise during laparoscopy. Awareness of the unpredictable confluence of the cystic duct into the common bile duct and selective use of intraoperative cholangiography both contributed to the safe laparoscopic management of this unusual problem
Mohammad Ashraf Khanday - One of the best experts on this subject based on the ideXlab platform.
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Laparoscopic Cholecystectomy In Acute Cholecystitis Experience From A Single Centre
The Internet Journal of Surgery, 2010Co-Authors: Mohammad Ashraf Khanday, Majid Mushtaque, K.s. MehtaAbstract:A total of 140 patients with acute inflammation of the gall bladder were subjected to laparoscopic cholecystectomy. The majority of the patients (62.85%) were in the third and fourth decade of their life with 88 females and 52 males. Pain in the right hypochondrium (RHC), nausea/vomiting, and tenderness of the RHC were present in all patients. Fever (>100F) was noted in 80%, Murphys Sign in 71.4%, and a lump in the RHC in14.2% of the cases.All the patients had a total leukocyte count (TLC) of >10,000/cu mm and 11.4% had elevated serum bilirubin, transaminases, and alkaline phosphatase (ALP). Ultrasonography revealed edematous gallbladder (GB) with thickened wall, GB distension, gall stones, and sonographic Murphys Sign in all patients. Six (8.57%) cases had mucocele of the GB. A stone impacted at the neck of the GB was seen in 85.7%. The majority of the patients (77.1%) were operated within 48 to 72 hours of admission and the rest before 48 hours. Intra-operative findings included adhesions (100%), distended GB (77.1%), edematous GB wall (97.1%), inflamed GB(100%), and pericholecystic edema (42.8%). Mucocele was present in 8.5% and GB empyema in 68.5% of cases. All patients had gall stones of which 97.1% had them impacted at the neck of GB. Significant bleeding from the liver bed occurred in 34.2% and a short cystic duct was encountered in 5.7%. GB inflammation involved only fundus and body in 71.2%, extending up to the neck in 22.8% and further up to the cystic duct in 5.7%. During surgery, modifications in operative technique included GB decompression in 60%, closed suction drain used in 97.1%, and haemostatic agent used in 24.3%. The procedure was converted to open cholecystectomy in four (2.85%) patients. The mean operative time was 69.2± 8.9 min. Postoperative complications included abdominal pain in 12 (8.57%), fever in 16 (11.4%), basal pneumonitis in 4 (2.85%), biliary fistula in 4 (2.85%) and faecal fistula in 1 (0.71%) of the patients. The mean hospital stay was 5.4±3.7 days.
Amin Makni Amin Makni - One of the best experts on this subject based on the ideXlab platform.
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Left-sided gallbladder: An incidental finding on laparoscopic cholecystectomy
2017Co-Authors: Amin Makni Amin Makni, Houcine Magherbi Houcine Magherbi, Rachid Ksantini Rachid Ksantini, Rebai Wael, Ben Safta ZoubeirAbstract:Transposition of the gallbladder to the left side without situs inversus viscerum is rare. These gallbladders are situated under the left lobe of the liver between Segment III and IV or on Segment III to the left of the falciform ligament. This is a report of a 50-year-old woman who was admitted to our department with a history of pain in her right upper abdomen. The physical examination showed tenderness in the right upper quadrant of the abdomen without a Murphys Sign. Abdominal ultrasonography showed gall bladder stones without dilatation of the bile ducts. The patient underwent a laparoscopic cholecystectomy using the French position and four ports positioned as usual. We discovered a left-sided gallbladder located on the left of the round ligament. The gallbladder was excised as usual. Intraoperative cholangiogram showed neither dilatation of the bile ducts nor associated congenital anomalies of the biliary tree. The patient was discharged on the first postoperative day. Because routine preoperative examinations may not detect the anomaly, the latter may take surgeons by surprise during laparoscopy. Awareness of the unpredictable confluence of the cystic duct into the common bile duct and selective use of intraoperative cholangiography both contributed to the safe laparoscopic management of this unusual problem
Majid Mushtaque - One of the best experts on this subject based on the ideXlab platform.
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Laparoscopic Cholecystectomy In Acute Cholecystitis Experience From A Single Centre
The Internet Journal of Surgery, 2010Co-Authors: Mohammad Ashraf Khanday, Majid Mushtaque, K.s. MehtaAbstract:A total of 140 patients with acute inflammation of the gall bladder were subjected to laparoscopic cholecystectomy. The majority of the patients (62.85%) were in the third and fourth decade of their life with 88 females and 52 males. Pain in the right hypochondrium (RHC), nausea/vomiting, and tenderness of the RHC were present in all patients. Fever (>100F) was noted in 80%, Murphys Sign in 71.4%, and a lump in the RHC in14.2% of the cases.All the patients had a total leukocyte count (TLC) of >10,000/cu mm and 11.4% had elevated serum bilirubin, transaminases, and alkaline phosphatase (ALP). Ultrasonography revealed edematous gallbladder (GB) with thickened wall, GB distension, gall stones, and sonographic Murphys Sign in all patients. Six (8.57%) cases had mucocele of the GB. A stone impacted at the neck of the GB was seen in 85.7%. The majority of the patients (77.1%) were operated within 48 to 72 hours of admission and the rest before 48 hours. Intra-operative findings included adhesions (100%), distended GB (77.1%), edematous GB wall (97.1%), inflamed GB(100%), and pericholecystic edema (42.8%). Mucocele was present in 8.5% and GB empyema in 68.5% of cases. All patients had gall stones of which 97.1% had them impacted at the neck of GB. Significant bleeding from the liver bed occurred in 34.2% and a short cystic duct was encountered in 5.7%. GB inflammation involved only fundus and body in 71.2%, extending up to the neck in 22.8% and further up to the cystic duct in 5.7%. During surgery, modifications in operative technique included GB decompression in 60%, closed suction drain used in 97.1%, and haemostatic agent used in 24.3%. The procedure was converted to open cholecystectomy in four (2.85%) patients. The mean operative time was 69.2± 8.9 min. Postoperative complications included abdominal pain in 12 (8.57%), fever in 16 (11.4%), basal pneumonitis in 4 (2.85%), biliary fistula in 4 (2.85%) and faecal fistula in 1 (0.71%) of the patients. The mean hospital stay was 5.4±3.7 days.
