Карточка-задание по английскому языку на тему «MEDICAL WRITING: CASE ABSTRACT_139»
«MEDICAL WRITING: CASE ABSTRACT_139»
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Early experience with
single-incision laparoscopic surgery for the placement of a gastrostomy in a
10-year-old girl: a case report
Access procedures for alimentation
have been performed both endoscopically and surgically. In patients in whom
endoscopic gastrostomy feeding tubes cannot be placed, single-incision
laparoscopic surgery gastrostomy is an alternative method. This minimally
invasive approach is a new technique performed through a single umbilical
incision and without the need for additional laparoscopic ports.
In this article we present a case
of single-incision laparoscopic surgery gastrostomy performed with conventional
laparoscopic instruments in a 10-year-old girl of Caucasian ethnicity who was
not a candidate for a percutaneous endoscopic gastrostomy tube because of
esophageal varices due to her advanced-stage cystic fibrosis with liver
cirrhosis and portal hypertension. She also had an umbilical hernia, which was
repaired during the same procedure through the same incision. Access and
pneumoperitoneum were obtained through the umbilicus with the single-incision
laparoscopic surgery port. The selected site for the feeding tube in the
stomach was exteriorized through this incision and a feeding tube was placed.
The stomach was returned into the abdomen. The fascial defect, and thus also
the hernia, was repaired, and the 2cm umbilical incision was closed with
endocutaneous sutures. The total operative time was 25 minutes. Our patient’s
intra-operative and post-operative course was uneventful. We were able to use
the feeding tube on the first post-operative day with good intestinal function.
Our patient and her parents were pleased with the cosmetic result.
The single-incision laparoscopic
surgery procedure seems to be a less invasive alternative to open placement of
gastrostomy. This approach has the possible advantages of reduced
post-operative pain, faster return to normal function, reduced port site
complications, improved cosmesis and better patient satisfaction.
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