Abstract：
:Laparoscopic Heller myotomy with antireflux procedure seems the procedure of choice in the treatment of patients with esophageal achalasia. Persistent or recurrent symptoms occur in 10% to 20% of patients. Few reports on reoperation after failed Heller myotomy have been published. No author has reported the realization of a total fundoplication in these patient groups. The aim of this study is to evaluate the efficacy of laparoscopic reoperation with the realization of a total fundoplication after failed Heller myotomy for esophageal achalasia. From 1992 to December 2007, 5 out of a series of 242 patients (2.1%), along with 2 patients operated elsewhere, underwent laparoscopic reintervention for failed Heller myotomy. Symptoms leading to reoperation included persistent dysphagia in 3 patients, recurrent dysphagia in another 3, and heartburn in 1 patient. Mean time from the first to the second operation was 49.7 months (range, 4-180 months). Always, the intervention was completed via a laparoscopic approach and a Nissen-Rossetti fundoplication was realized or left in place after a complete Heller myotomy. Mean operative time was 160 minutes (range, 60-245 minutes). Mean postoperative hospital stay was 3.1 +/- 1.5 days. No major morbidity or mortality occurred. At a mean follow-up of 16.1 months, reoperation must be considered successful in 5 out of 7 patients (71.4%). The dysphagia DeMeester score fell from 2.71 +/- 0.22 to 0.91 +/- 0.38 postoperatively. The regurgitation score changed from 2.45 +/- 0.34 to 0.68 +/- 0.23. Laparoscopic reoperation for failed Heller myotomy with the realization of a total fundoplication is safe and is associated with good long-term results if performed by an experienced surgeon in a center with a long tradition of esophageal surgery.
journal_name
Int Surgjournal_title
International surgeryauthors
Rossetti G,del Genio G,Maffettone V,Fei L,Brusciano L,Limongelli P,Pizza F,Tolone S,Di Martino M,del Genio F,del Genio Asubject
Has Abstractpub_date
2009-10-01 00:00:00pages
330-4issue
4eissn
0020-8868issn
2520-2456journal_volume
94pub_type
杂志文章,评审abstract：:Twenty-two cases to tuberculosis of the skull (14% of 156 cases of chronic osteomyelitis) verified by demonstration of tubercle bacilli in the discharge of cutaneous sinuses or histological examination of bone or granulation tissue are reported. Most of these patients had multiple operations elsewhere and non-healing ...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1981-01-01 00:00:00
abstract：:Two rare cases of carcinosarcoma of the esophagus are presented. In the first case the decision to operate was based on an initial diagnosis of leiomyosarcoma made by endoscopic biopsy. In the second, a diagnosis of carcinosarcoma was also obtained by endoscopic biopsy. The pathology is commented on. The authors discu...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1980-09-01 00:00:00
abstract：:It has been reported that avoidance of recurrences after laparoscopic ventral hernia repair (LVHR) depends on using sutures to secure the mesh. We developed a successful sutureless LVHR. The "Double Crown" LVHR using ePTFE mesh (overlap, 23 cm) was done in 140 cases. Tacks were placed 1 cm apart at the edge of the mes...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2005-07-01 00:00:00
abstract：:We examined eight patients with adenocarcinoma of the small intestine: four were localized in the duodenum and four in the jejunum. We performed six curative resections: two pancreatoduodenectomy, two total pancreatectomy and two jejunal resections; in two cases, only by-pass was performed. Three patients who were res...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1991-10-01 00:00:00
abstract：PURPOSE:The infrequency of right-sided colonic diverticulitis prompted this presentation of our experiences, with emphasis on the diagnostic aspects. PATIENTS AND METHODS:Charts and documentation regarding 20 patients who underwent surgery for diverticulitis of the caecum and/or ascending colon over 22 years were revi...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2000-01-01 00:00:00
abstract：:A case of cardiac tamponade as the first manifestation of bronchogenic adenocarcinoma is presented. Diagnosis of metastatic pericarditis with effusion was made by echocardiography and cytology of the pericarditis fluid. Because of rapid recurrence of the effusion, a pericardial window was created. This operation was w...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1985-01-01 00:00:00
abstract：:Paragangliomas or chemodectomas are neoplasms that arise from neural crest cells and histologically resemble their adrenal counterpart, the pheochromocytoma. Seventy-one percent of the extra-adrenal paragangliomas are located in the superior or inferior para-aortic area. This tumor usually presents as an abdominal mas...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2006-01-01 00:00:00
abstract：:Ten cases of renal hypertension with uncommon causes were presented and unusual problems in their diagnosis and surgical management were discussed. These causes included segmental stenosis involving aberrant renal artery, renal artery stenosis in association with renal arteriovenous fistula, postoperative renal hypert...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1976-03-01 00:00:00
abstract：:The study was undertaken to investigate the use of one-stage circumferential ring-constriction release with Z-plasties regarding the safety, aesthetic appearance, and limb function. A thorough review was conducted on all English publications in PubMed during the period of 2001 through 2011. Titles and abstracts were i...
journal_title：International surgery
pub_type： 杂志文章,评审
doi：10.9738/INTSURG-D-13-00230.1
更新日期：2015-02-01 00:00:00
abstract：:To fit for internal fixation of unstable fractures of various parts of the curved pelvis, plates of different shapes and sizes were devised. The plates were used in 18 clinical cases. The late complications such as leg length inequality, pelvic obliquity and low back pain were effectively avoided. ...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1998-01-01 00:00:00
abstract：:The natural course of biloma after laparoscopic cholecystectomy (LC) was successfully followed and evaluated by computed tomography (CT). Biloma is one of the major complications after LC. However, the processes of biloma progression and regression have not yet been reported in detail. We encountered a case of minor l...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2005-07-01 00:00:00
abstract：:Totally implantable access ports (TIAPs) are generally used in oncology. Few studies have addressed complications associated with the insertion site. A total of 233 consecutive oncology patients were enrolled to receive TIAP inserts via internal jugular vein (IJV) or subclavian vein (SV). Data on clinicopathologic par...
journal_title：International surgery
pub_type： 杂志文章
doi：10.9738/INTSURG-D-13-00185.1
更新日期：2014-03-01 00:00:00
abstract：:A totally implantable system was used for prolonged intravenous treatment in patients whose peripheral veins could no longer be punctured. Our experience showed this device, which was used for short periods in 20 patients, to be an effective solution to the problem of permanent venous access. ...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1985-07-01 00:00:00
abstract：:The therapeutic value of extended lymph node dissection (D2) for gastric cancer remains controversial. Limited lymph node dissection, however, leaves cancer cells in the second tier of nodes (N2) in patients with N2 metastasis. This retrospective study was, therefore, undertaken to clarify which patients would be most...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1997-07-01 00:00:00
abstract：:Endometriosis is an ectopic occurrence of tissue morphologically and functionally resembling endometrial tissue in regions outside the uterine cavity. Although scar endometriosis after surgery has been shown to be most common among all the extrapelvic forms of endometriosis, endometriosis after bladder exstrophy surge...
journal_title：International surgery
pub_type： 杂志文章
doi：10.9738/INTSURG-D-12-00011.1
更新日期：2013-04-01 00:00:00
abstract：:In an attempt to assess the different methods of treatment of tumors of the esophagus we contacted 170 surgeons (in 1975-1976). Seventy-six (45%) answered a questionnaire concerning the surgical management of esophageal tumors, the reasons for non operability and non resectability, the place of radiotherapy, the valid...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1979-03-01 00:00:00
abstract：:For a better quality of life in rectal cancer patients, high dose radiotherapy following abdominoperineal resection of the rectum with a pelvic partition is another surgical option replacing extended abdominoperineal resection. In addition to pelvic partition with polyglycolic acid mesh, the tissue expander was insert...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1994-01-01 00:00:00
abstract：:A case of endobronchial metastasis from breast cancer is presented. The anatomopathological findings suggested the presence of another primary site with metastatic pleural effusion. It is imperative, however, to consider intrathoracic metastasis in patients with breast carcinoma and presenting symptoms such as cough, ...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1981-04-01 00:00:00
abstract：:Among the causes of male infertility, the varicocele accounts for 40%. Videolaparoscopic varicocelectomy was used for the treatment of 800 men as day surgery cases. The operation enabled high bilateral ligation, with an average operating time of 1.5 hours. Operative difficulties were minor being colon adhesions, vascu...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2006-09-01 00:00:00
abstract：:This is a review of ectopic localizations of the parathyroid gland in one case. A hard mobile mass (2 x 2.5 cm) was detected on the right side of the neck of a patient who had previously been given a diagnosis of hyperparathyroidism. Computed tomography showed an adenoma (25 x 35 mm) in the paratracheal region on the ...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2004-01-01 00:00:00
abstract：:Free microvascular grafts have many advantages over conventional bone grafts. Above all they do not undergo creeping substitution and live on their own vessels, thus being able to heal quickly and fight infection. Research in rabbits has been done with radiographic, scintigraphic and light and fluorescence histologic ...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1991-01-01 00:00:00
abstract：:A randomized prospective study of 202 patients undergoing peripheral vascular surgery, with the use of autotransfusion, is presented. Hematologic and hemostatic studies were performed on 50 samples of reclaimed and bank blood. The study showed a lower hemoglobin content in autotransfused blood. At the same time it sho...
journal_title：International surgery
pub_type： 临床试验,杂志文章,随机对照试验
doi：
更新日期：1983-01-01 00:00:00
abstract：:We studied all the 70 cases of liver cancer referred to us in 1988. Sixty (85.71%) were primary hepatocellular carcinoma (HCC), the other 10 (14.29%) were metastatic liver cancer. Of the 60 HCC, 48 were males and 12 females. Peak age incidence was between 20-40 years. Forty-five (75%) had tumours in both lobes. Of the...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1992-10-01 00:00:00
abstract：:Nonspecific inflammatory lesions of the prostate are described and illustrated. The spectrum of inflammation in this group of lesions caused by exposure of prostatic secretions to, or their escape into, the stroma has not been fully recognized. Inflammation ranges from acute, through chronic lymphoplasmacytic to granu...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1975-03-01 00:00:00
abstract：PROBLEM:The function of hepatic allograft from non-heartbeating donors (NHBD) is significantly affected by warm ischemic injury before harvesting. MATERIALS AND METHODS:The effects of the endothelin (ET) antagonist TAK-044 and the platelet activating factor (PAF) antagonist E5880 on the function of grafts from NHBD we...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1998-07-01 00:00:00
abstract：:This paper reports a case of ectopic abdominal pregnancy following total hysterectomy and reviews the literature. Pregnancy following total hysterectomy is a rare event. Ectopic pregnancy following supracervical hysterectomy can be explained in view of the remaining patent cervical canal. In cases of total hysterectom...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1983-07-01 00:00:00
abstract：:This paper deals with the indications, techniques and results of laparoscopic total or partial posterior fundoplications (Nissen and Toupet procedures, respectively) performed in 41 patients with gastroesophageal reflux disease (GERD) failing to respond to medical treatment. Stationary manometry and 24-hour esophageal...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1995-10-01 00:00:00
abstract：:The indications, results and evaluation methods of lumbar sympathectomy are very controversial. The authors present their experience and results with phenol lumbar sympathectomy (PLS). PLS (Reid's technique) was carried out in 25 patients with severe peripheral arterial disease. Sympathetic tone abolition was achieved...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1983-04-01 00:00:00
abstract：:We evaluated in retrospect the applicability of conservative hepatic resection for hepatocellular carcinoma (HCC) of cirrhotic patients. Eighty (14.6%) of 548 patients with HCC underwent liver resection over a period of 10 years in this hospital. They were divided into two groups according to surgical procedures. In g...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1996-07-01 00:00:00
abstract：:Two hundred and seven patients aged from 37 to 65 years with noninflammatory breast cancer treated by surgery without radiation were studied over a ten year period with a view to forecasting the prognosis on the basis of the immune status and treatment. The immunocompetence or immune status was studied in 121 patients...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1988-01-01 00:00:00
