This is a 52 years old female who presented to the emergency room with two days history of severe left lower quadrant abdominal pain, nausea, vomiting, and fever. She was found to have severe tenderness and guarding in the left lower quadrant and her abdominal CT scan showed severe sigmoid diverticulitis with micro-perforation and significant peri-colonic inflammatory changes.
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This is a 61 years old male with history of multiple abdominal surgeries for placement of the gastrostomy and jejunostomy feeding tubes in the past. He recently required another feeding tube due to recurrent inability to tolerate the oral diet and significant malnutrition.
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Abdominal wall hernia is a common surgical problem. Hernia is a defect in the abdominal wall. Therefore, the content of the abdominal cavity could potentially protrude through this defect causing an abdominal wall bulge with on and off pain and discomfort especially during activity and straining. The hernias could be congenital or acquired and could get larger and more symptomatic by time.
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Gallbladder disease is a common problem in the world and at times it is underdiagnosed or even undertreated. The gallbladder is a small structure underneath of the liver and is connected to the liver via a common channel, called common bile duct. It is responsible to store a small portion of the bile that is produced by the liver.
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Gallbladder disease is a common problem in the United States and approximately 10-15 percent of the adult population have gallstones. Gallstones are more common in women, older patients, and certain ethnic groups, and are associated with multiple pregnancies, obesity, and rapid weight loss.
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Performing any abdominal surgery has the risk of developing abdominal wall hernia, called incisional hernia. The incisional hernia has many underlying reasons and could be associated with many factors, including technical issues, post-operative wound infection, obesity, Smoking, lung disease associated with cough, steroid usage, and age.
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This question is a very controversial topic in general surgery and coming up with one right answer for all situations is impossible and incorrect. Therefore, let`s evaluate different scenarios and situations. One major rule is, that in the presence of infection whether in the area of the hernia or in the remote location, repairing of the hernia with permanent mesh is not advised.
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For a long time, repairing the ventral hernia and diastasis recti required open surgical intervention with large mid-line abdominal incision, creation of large skin flap to approximate the mid-line muscle structures and reinforce the closure with mesh. That was associated with severe post-operative pain, long recovery, large mid-line scar and more potential for wound complications.
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This is a 65 year old male with history of a bulge in the left groin with on and off pain and discomfort during straining and heavy activity. Patient underwent a robotic assisted repair of inguinal hernia with placement of 3 D mesh. Patient was taken to the operating room and underwent a general anesthesia and placed in the lithotomy position.
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I am Dr. Andrew Iraniha, Robotic, Laparoscopic, and General surgeon. I earned my medical degree from Tehran University in Iran. Then I spent 6 years of general surgery training at Harbor-UCLA and UCI Medical Center in Southern California and graduated in year 2000. Since then I have been in private practice in Orange County, California.…
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What is Laparoscopic? Laparoscopic surgery is performing the surgical task with special instruments and guidance of a camera through small abdominal incisions. The idea is to minimize the trauma of the surgical procedure by eliminating the large abdominal wall incision compare to conventional open surgery. By minimizing the trauma of the abdominal wall incision, we…
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Is Biliary Dyskinesia, true or false? More than 10% of patients with gallbladder disease have negative ultrasound with no evidence of gall stones. Most of these patients suffer biliary dyskinesia and unfortunately do not get diagnosed for a long time or undergo medical management with little or no response. Biliary dyskinesia is a functional disease…
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