We describe a rare complication of Laparoscopic Nissen Fundoplication in the presence of a Gastri... more We describe a rare complication of Laparoscopic Nissen Fundoplication in the presence of a Gastric greater curvature Plication (LNFGP). An overweight 64-year-old woman was admitted for severe abdominal pain, dysphagia and fever 2 weeks after a Nissen fundoplication. She had pneumoperitoneum on scanner. At laparoscopy, we found a generalized peritonitis secondary to a perforated Nissen wrap in the presence of a gastric greater curvature plication. Gastric bypass and sleeve gastrectomy can be irrelevant in case of moderately and severely obese patients with gastroesophageal reflux disease. Four studies have investigated the risks and rewards of the LNFGP as an alternative. Only one case of leakage has been reported. We present another severe complication: the pylorus stenosis caused by a plication performed too close to the pylorus, causing gastric dilatation in the presence of the wrap, leading to wrap perforation.
A case report and review of literature. Four types of neoplastic dissemination exist in presence ... more A case report and review of literature. Four types of neoplastic dissemination exist in presence of ovarian adenocarcinomas. Commonly, these tumors metastasize along intraperitoneal ways or lymphatic channels. Less frequently, the tumors are invading surrounding organs by direct extension. Rarely, there is a hematogenous dissemination. The observation of a gastric metastasis is reported; we consider it as a hematogenous one. Reviewing the literature, we find few similar cases. Gastric metastases originate more frequently from malignant melanomas, adenocarcinomas of the breast and bronchogenic tumors.
Abdominal wall hernias are a common problem. Composite meshes placed intraperitoneally for abdomi... more Abdominal wall hernias are a common problem. Composite meshes placed intraperitoneally for abdominal wall hernia repair are widely used. This registry evaluated the safety and efficacy of one specific composite mesh with polypropylene and expanded polytetrafluoroethylene (Intramesh(®) T1) in laparoscopic ventral hernia repair. A prospective multicentre registry with data from seven centres was collected between January 2013 and September 2014. Primary endpoint was recurrence rate at 12 months determined by clinical examination. Secondary outcome measures included intraoperative complications, complications during hospitalisation and at 1-month and 12-months follow-up. The registry included 90 patients (30 female and 60 male). Fifty-five patients (61.1%) presented with primary ventral hernias and 35 patients (38.9%) with incisional ventral hernias. Median hernia size was 4 cm(2). Intraoperative complications were reported in two patients (2.2%). Complications during hospitalisation w...
We report 3 cases of spontaneous rupture of pancreaticoduodenal arteries (PDA). In the first case... more We report 3 cases of spontaneous rupture of pancreaticoduodenal arteries (PDA). In the first case, an aneurysm of the PDA was demonstrated with stenosis of the celiac trunk; in the second case occlusion of the hepatic artery was shown. In both cases, arterial pancreatic arcades ...
We describe a rare complication of Laparoscopic Nissen Fundoplication in the presence of a Gastri... more We describe a rare complication of Laparoscopic Nissen Fundoplication in the presence of a Gastric greater curvature Plication (LNFGP). An overweight 64-year-old woman was admitted for severe abdominal pain, dysphagia and fever 2 weeks after a Nissen fundoplication. She had pneumoperitoneum on scanner. At laparoscopy, we found a generalized peritonitis secondary to a perforated Nissen wrap in the presence of a gastric greater curvature plication. Gastric bypass and sleeve gastrectomy can be irrelevant in case of moderately and severely obese patients with gastroesophageal reflux disease. Four studies have investigated the risks and rewards of the LNFGP as an alternative. Only one case of leakage has been reported. We present another severe complication: the pylorus stenosis caused by a plication performed too close to the pylorus, causing gastric dilatation in the presence of the wrap, leading to wrap perforation.
A case report and review of literature. Four types of neoplastic dissemination exist in presence ... more A case report and review of literature. Four types of neoplastic dissemination exist in presence of ovarian adenocarcinomas. Commonly, these tumors metastasize along intraperitoneal ways or lymphatic channels. Less frequently, the tumors are invading surrounding organs by direct extension. Rarely, there is a hematogenous dissemination. The observation of a gastric metastasis is reported; we consider it as a hematogenous one. Reviewing the literature, we find few similar cases. Gastric metastases originate more frequently from malignant melanomas, adenocarcinomas of the breast and bronchogenic tumors.
Abdominal wall hernias are a common problem. Composite meshes placed intraperitoneally for abdomi... more Abdominal wall hernias are a common problem. Composite meshes placed intraperitoneally for abdominal wall hernia repair are widely used. This registry evaluated the safety and efficacy of one specific composite mesh with polypropylene and expanded polytetrafluoroethylene (Intramesh(®) T1) in laparoscopic ventral hernia repair. A prospective multicentre registry with data from seven centres was collected between January 2013 and September 2014. Primary endpoint was recurrence rate at 12 months determined by clinical examination. Secondary outcome measures included intraoperative complications, complications during hospitalisation and at 1-month and 12-months follow-up. The registry included 90 patients (30 female and 60 male). Fifty-five patients (61.1%) presented with primary ventral hernias and 35 patients (38.9%) with incisional ventral hernias. Median hernia size was 4 cm(2). Intraoperative complications were reported in two patients (2.2%). Complications during hospitalisation w...
We report 3 cases of spontaneous rupture of pancreaticoduodenal arteries (PDA). In the first case... more We report 3 cases of spontaneous rupture of pancreaticoduodenal arteries (PDA). In the first case, an aneurysm of the PDA was demonstrated with stenosis of the celiac trunk; in the second case occlusion of the hepatic artery was shown. In both cases, arterial pancreatic arcades ...
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Papers by Bernard MAJERUS