AN APPROACH TO INTRAOPERATIVE FINDING OF MIRIZZI’S SYNDROME
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2018, Vol 5, Issue 12
Abstract
BACKGROUND Currently various management approaches are described in the literature for Mirrizi’s syndrome. But there are no clear guidelines for the safe management approach for this rare syndrome. Aim of the study- How to deal with intraoperative finding of Mirrizi’s syndrome and its management while doing laparoscopic cholecystectomy. MATERIALS AND METHODS Three hundred laparoscopic cholecystectomy were done between May 2015 to Jan 2018, out of which, nine cases of Mirrizi’s syndrome were encountered during operation and they were managed, and the cases were documented. RESULTS The four cases were finally diagnosed as Mirizzi type IV; dissection was tiring and difficult due to unyielding and obliterated Calot’s triangle due to extensive inflammation. CONCLUSION A preoperative diagnosis may lead to take a better step in order to prevent any bile duct injury.
Authors and Affiliations
Satish Kumar, Tripurari Pandey
COMPLIANCE, SYMPTOMATIC AND SPIROMETRIC IMPROVEMENT WITH DIFFERENT TYPES OF DRY POWDER INHALERS (DPIs) IN BRONCHIAL ASTHMA PATIENTS- A COMPARATIVE STUDY
BACKGROUND Asthma is a common and potentially serious disease that imposes a substantial burden on patients, their families and the community. It is one of the major non-communicable diseases of the world and in India th...
IMMUNOEXPRESSION PATTERN OF P16 & P53 IN ORAL EPITHELIAL DYSPLASIA AND ORAL SQUAMOUS CELL CARCINOMA
BACKGROUND Oral squamous cell carcinoma (OSCC) has become one of the leading causes of death mostly in developing countries with worldwide estimated incidence of around 3,00,000 and accounts for more than 95% of oral can...
UTILITY OF FNAC IN UNCOMMON INFLAMMATORY AND REACTIVE LESIONS OF BREAST: AN UNSUSPECTED CLINICAL SCENARIO
BACKGROUND Fine Needle Aspiration Cytology (FNAC) has become an invaluable tool in the preoperative evaluation of the breast lumps and is a part of initial screening by triple assessment approach. Its main purpose is to...
PREDICTORS OF RISK FOR ABNORMAL KARYOTYPE IN DYSMORPHIC CHILDREN
BACKGROUND Chromosomal anomalies occur in 0.4% of live births. The phenotypic anomalies that result from chromosomal aberrations have multiple minor face- and limb-anomalies. These assume diagnostic significance in combi...
OUR EXPERIENCES WITH INTUBATING LARYNGEAL MASK AIRWAY FOR ENDOTRACHEAL INTUBATION
OBJECTIVE: A Prospective study was carried out to evaluate the clinical efficacy of ILMA for endotracheal intubation in patients with normal airway in terms of technical feasibility, problems encountered, hemodynamic res...