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Laparoscopic and Open Hernia Mesh Repair Surgery Market - Forecast to 2022: Key ... (prnewswire.com)https://www.prnewswire.com/news-releases/laparoscopic-and-open-hernia-mesh-repair-surgery-market---forecast-to-2022-key-players-are-medtronic-johnson--johnson-b-braun-c-r-bard-and-wl-gore-300654336.htmlDUBLIN, May 24, 2018 /PRNewswire/ --<br /><br />The "Laparoscopic and Open Hernia Mesh Repair Surgery Market by Mesh Fixator...
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Dr Rahul Pandey
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Fred Moll started a $50 billion robotics company. Now he has FDA approval for a device a doctor sends into the lungs to detect cancer.
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Dr Rahul Pandey
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Gynecologic Laparoscopy-Induced Urinary Tract Injuries Uncommon - Renal and Urol... (renalandurologynews.com)Injuries of the bladder were three times more common than those of the ureter.
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Dr Rahul Pandey
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Coughing, lifting something heavy and straining are all actions that can cause a weak spot in the abdominal wall to bulge out.
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Dr Rahul Pandey
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Individuals Are Filing Lawsuits for Faulty Hernia Mesh Products | The Urban Twis... (theurbantwist.com)A hernia repair requires two important things: a good doctor and trusty mesh products. These requirements are basic things and hernia repairs are incredibly common. However, it appears that things don’t always go as they are supposed to, and numerous lawsuits have been filed after faulty mesh products led to reoperations. For those who do […]
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Dr Rahul Pandey
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You may know that your surgeon is using the latest minimally invasive technology for your surgery, but how do you know if they've mastered it? To help answer that question, researchers at Keck Medicine of USC looked to a custom recording tool similar in concept to a flight recorder on an airplane.
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Dr Rahul Pandey
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Robotic-assisted surgery: more expensive, but not always more effective | Jordan... (jordantimes.com)Robotic-assisted surgery is much more expensive than other minimally invasive surgeries, but it does not improve outcomes of surgery for kidney tumours and rectal cancers.
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Dr Rahul Pandey
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Dr Rahul Pandey Yes Dr Lucia It is important in case like Radical Hysterctomy and prostatectomy where the outcome is very good compare to laparoscopy otherwise for simple procedure you can opt for laparoscopy only.
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Is open abdominal surgery preferable to laparoscopic surgery for management of small bowel obstruction? The authors of a paper, published in Annals of Surgery,[1] looked at data from 8584 Canadian patients treated for small bowel obstruction during the years 2005 to 2014.
Complication rates (operative and postoperative) were compared for the two alternative surgical approaches. Bowel intervention, which included repair or resection of injured bowel, was more frequent in the laparoscopic group (odds ratio, 1.64; P = .0001). In contrast, 30-day mortality was 47% lower in the laparoscopic group (odds ratio, 0.63; P = .03).
Viewpoint
An acute abdomen caused by bowel obstruction is a frequent cause of hospitalization, so that the most appropriate operative approach becomes an important issue for surgeons. This report found that bowel injury was significantly more frequent with laparoscopy and may be related to the potential risk of inserting a trocar into a distended abdomen.
But the report reveals a dilemma—30-day mortality was substantially lower in the laparoscopy group. Because this was not a randomized trial, patient selection and differential preoperative patient morbidity may be responsible for the mortality difference.
As pointed out in the discussion, before deciding on a laparoscopic approach, the surgeon should be aware of the increased risk for bowel injury; in selected patients, an open approach may be the best option. Although not discussed in this manuscript, it will be interesting to see if the overall frequency of intestinal obstruction diminishes now that so many abdominal procedures employ a laparoscopic approach with a much smaller abdominal wall scar.
Follow Medscape Surgery on Twitter for more surgery news: @MedscapeSurgery-
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Dr. Hassan El Motawkel Ala Allah Hassan I think in acute or surgical abdomen when the risk of intestinal obstruction or peritonitis,laparoscopic approach is more risk due to the blind insertion of the 1st trocar.
Abdominal incision is more safe. -
Dr Lucia Saputelli The risks always were/are /will be present for all surgeries , and the surgeons should be aware of..., but the best option (almost always a 99%), for abdominal surgeries is "Laparoscopic approach ", with less damage to tissues and "Super" Faster Recovery.
The issue is not the Laparoscopic approach, the risks are others variables.
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