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Article ; Online: The Use of a Stoma Rod/Bridge to Prevent Retraction: A Systematic Review.

Gialamas, Eleftherios / Meyer, Jeremy / Abbassi, Ziad / Popeskou, Sotirios / Buchs, Nicolas Christian / Ris, Frédéric

Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society

2021 Volume 48, Issue 1, Page(s) 39–43

Abstract: Purpose: We evaluated evidence related to the use of a rod (bridge) to prevent stoma retraction during loop ostomy construction.: Methods: We completed a systematic review of the literature. We searched MEDLINE, EMBASE, and COCHRANE databases up to ... ...

Abstract	Purpose: We evaluated evidence related to the use of a rod (bridge) to prevent stoma retraction during loop ostomy construction. Methods: We completed a systematic review of the literature. We searched MEDLINE, EMBASE, and COCHRANE databases up to December 4, 2019. We posed the following question based on a PICO format. Do adult patients undergoing ostomy surgery experience less stomal retraction when compared to patients managed without placement of a stoma rod? Findings: Our initial search returned 182 articles; after reading studies in full, 5 articles were identified that collectively enrolled 1058 participants. Four studies were randomized controlled trials and one was a prospective cohort study. Meta-analysis could not be performed because of the small number of studies and the heterogeneity of outcomes measurements. The incidence of stoma retraction ranged between 0%-8% in patients managed with a rod and 0.78%-8.2% in patients with no rod. The number of reported adverse events was low. Placement of a stoma rod was associated with more adverse outcomes than in patients managed without a rod. Adverse events included local edema, stoma necrosis, skin necrosis, peristomal moisture-associated skin damage (irritant dermatitis), peristomal abscess, bleeding, and mucocutaneous separation. Conclusions: Stoma rod does not seem to reduce the risk of stoma retraction and might result in other adverse events. Implications: We recommend avoidance of stoma rod/bridge placement during ostomy surgery.
Language	English
Publishing date	2021-01-07
Publishing country	United States
Document type	Journal Article
ZDB-ID	1188388-1
ISSN	1528-3976 ; 1071-5754
ISSN (online)	1528-3976
ISSN	1071-5754
DOI	10.1097/WON.0000000000000730
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Article: Comment prendre en charge les patients avec suspicion de migration de calcul dans la voie biliaire principale ?

Iranmanesh, Pouya / Gialamas, Eleftherios / Toso, Christian

Revue medicale suisse

2018 Volume 14, Issue 611, Page(s) 1218–1221

Abstract: Symptomatic cholelithiasis associated with modified liver and pancreas function tests should raise the suspicion of a gallstone migration into the common bile duct (CBD). CBD evaluation is mainly done by endoscopic ultrasound or magnetic resonance ... ...

Title translation	How to manage patients with a suspicion of gallstone migration into the common bile duct ?
Abstract	Symptomatic cholelithiasis associated with modified liver and pancreas function tests should raise the suspicion of a gallstone migration into the common bile duct (CBD). CBD evaluation is mainly done by endoscopic ultrasound or magnetic resonance cholangio-pancreatography. CBD stone retrieval is performed by endoscopic retrograde cholangio-pancreatography (ERCP). Patients at low-risk of CBD stone should be treated by cholecystectomy without further investigation, whereas high-risk patients should undergo CBD clearance before cholecystectomy. For intermediate-risk patients, we recommend initial cholecystectomy with intraoperative cholangiogram, followed if necessary by postoperative ERCP.
Language	French
Publishing date	2018-06-13
Publishing country	Switzerland
Document type	English Abstract ; Journal Article
ZDB-ID	2177010-4
ISSN	1660-9379
ISSN	1660-9379
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Zs.A 5998: Show issues

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Article ; Online: Degenerated Serous Cystic Tumor of the Pancreas: Case Report and Literature Review of an Aggressive Presentation of a Benign Tumor.

Papazarkadas, Xenofon / Gialamas, Eleftherios / Hassan, Galab M / Chautems, Roland / Bornand, Aurelie / Puppa, Giacomo / Toso, Christian

The American journal of case reports

2022 Volume 23, Page(s) e936165

Abstract: BACKGROUND Serous cystic tumors of the pancreas are known to present a benign nature and course, not requiring surgery in the absence of symptoms. In rare cases, these benign tumors may present aggressive characteristics such as local infiltration and ... ...

Abstract	BACKGROUND Serous cystic tumors of the pancreas are known to present a benign nature and course, not requiring surgery in the absence of symptoms. In rare cases, these benign tumors may present aggressive characteristics such as local infiltration and lymph node and distant metastases. In such cases, a surgical approach may be necessary. CASE REPORT We present the case of a 79-year-old woman with an asymptomatic cytologically suggested caudal serous cystic tumor infiltrating the spleen and the splenic vein. This tumor was discovered in a computed tomography scan in the setting of evaluating distant spreading of a primary malignant neoplasm of the rectum. Suspicious malignant signs on imaging dictated a surgical approach and a distal splenopancreatectomy was carried out in the same operative time as the transanal resection of the rectal lesion. The nature of the pancreatic neoplasm was confirmed by histology, but 2 lymph nodes out of 4 retrieved were positive. The postoperative course was uneventful. No adjuvant treatment was proposed. Imaging control 6 months after surgery was not indicative of relapse. CONCLUSIONS Serous cystic adenomas of the pancreas, although generally considered benign neoplasms, may present with characteristics of malignancy. Moreover, they may prove difficult to differentiate from other malignant neoplasms by non-surgical modalities. Although current guidelines and data from the literature provide controversial information regarding management of these clinical entities, in the presence of suspicious radiological aspects, surgical resection could be considered.
MeSH term(s)	Abdomen ; Aged ; Female ; Humans ; Neoplasm Recurrence, Local/pathology ; Pancreas ; Pancreatic Neoplasms/diagnostic imaging ; Pancreatic Neoplasms/surgery ; Tomography, X-Ray Computed
Language	English
Publishing date	2022-08-15
Publishing country	United States
Document type	Case Reports ; Journal Article ; Review
ZDB-ID	2517183-5
ISSN	1941-5923 ; 1941-5923
ISSN (online)	1941-5923
ISSN	1941-5923
DOI	10.12659/AJCR.936165
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Article ; Online: Is an Early Resumption of a Regular Diet After Laparoscopic Roux-en-Y Gastric Bypass Safe?

Chevallay, Mickael / Gialamas, Eleftherios / Giudicelli, Guillaume / Vuagniaux, Aurélie / Guarino, Laetitia / Worreth, Marc / Saillant, Stéphane / Diana, Michele / Saadi, Alend

Obesity surgery

2022 Volume 32, Issue 10, Page(s) 3375–3383

Abstract: Background: Return to a normal diet is a crucial step after bariatric surgery. Proximal anastomosis is a source of concern for early feeding as the passage of solid food through a recent anastomosis could well increase pressure and the risk of leakage. ... ...

Abstract	Background: Return to a normal diet is a crucial step after bariatric surgery. Proximal anastomosis is a source of concern for early feeding as the passage of solid food through a recent anastomosis could well increase pressure and the risk of leakage. This study aims to assess the safety of an early normal diet after a laparoscopic Roux-en-Y gastric bypass (LRYGB). Materials and methods: All consecutive patients undergoing primary LRYGB between January 2015 and December 2020 were included prospectively. Three postoperative pureed diets were compared at 4 weeks, 2 weeks, and 1 week. All-cause morbidity at 90 days was the main outcome. Overall complications, severe complications (Clavien-Dindo ≥ grade 3a), length of hospital stay, number of emergency, and unplanned consultations during the 3 postoperative months were recorded for each group. Results: Three hundred and sixty-seven patients with a mean BMI of 42.10 kg/m Conclusion: Return to a normal diet 1 week after LRYGB did not increase short-term morbidity and unplanned consultations. It may be safe and contribute to patient comfort.
MeSH term(s)	Diet ; Gastric Bypass/adverse effects ; Humans ; Laparoscopy/adverse effects ; Obesity, Morbid/surgery ; Postoperative Complications/etiology ; Retrospective Studies ; Treatment Outcome
Language	English
Publishing date	2022-08-01
Publishing country	United States
Document type	Journal Article
ZDB-ID	1070827-3
ISSN	1708-0428 ; 0960-8923
ISSN (online)	1708-0428
ISSN	0960-8923
DOI	10.1007/s11695-022-06224-4
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Zs.A 3381: Show issues

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Article ; Online: Impact of the presence of median arcuate ligament on biliary complications after liver transplantation.

Gialamas, Eleftherios / Assalino, Michela / Elkrief, Laure / Apostolidou-Kiouti, Fani / Piveteau, Arthur / Oldani, Graziano / Compagnon, Philippe / Berney, Thierry

Clinical transplantation

2022 Volume 36, Issue 9, Page(s) e14771

Abstract: Introduction: The presence of median arcuate ligament (MAL) during orthotopic liver transplantation (OLT) may cause a significant reduction in the arterial hepatic flow. The aim of the present study is to investigate the impact of MAL on biliary ... ...

Abstract	Introduction: The presence of median arcuate ligament (MAL) during orthotopic liver transplantation (OLT) may cause a significant reduction in the arterial hepatic flow. The aim of the present study is to investigate the impact of MAL on biliary complications in patients who underwent OLT. Methods: We performed a retrospective case-control study among patients who underwent OLT in Geneva University Hospital between 2007 and 2017, depending on the presence or absence of MAL. The matching was performed according to age, gender, lab-MELD score at the time of OLT and type of donor (living or dead). The presence of MAL was assessed by an expert liver radiologist on the preoperative CT angiographic evaluation. Results: The incidence of MAL was 6.1% (19 patients). Baseline characteristics were comparable between the two groups. No significant difference in biliary complications was found between patients with and without MAL (37% and 24%, respectively). No patient presented hepatic artery thrombosis. After logistic regression, in patients with MAL, the MAL release and gastroduodenal artery preservation compared to no treatment, showed an odds ratio for post-OLT biliary complications of 1.5 and 1.25, respectively. There was no difference in overall graft survival and in hazard for biliary complications between patients with and without MAL. Conclusion: In the present study, we did not find any difference in the prevalence of biliary and arterial complications between patients with and without MAL. The choice of MAL treatment did not influence in a significant way the overall outcome and development of complications. However, if, at the end of arterial reconstruction, the arterial flow is not adequately established, MAL needs to be treated with the least invasive technique.
MeSH term(s)	Case-Control Studies ; Hepatic Artery/surgery ; Humans ; Ligaments/surgery ; Liver Transplantation/adverse effects ; Liver Transplantation/methods ; Retrospective Studies
Language	English
Publishing date	2022-07-21
Publishing country	Denmark
Document type	Journal Article
ZDB-ID	639001-8
ISSN	1399-0012 ; 0902-0063
ISSN (online)	1399-0012
ISSN	0902-0063
DOI	10.1111/ctr.14771
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Article ; Online: Levator ani and puborectalis muscle rupture: diagnosis and repair for perineal instability.

Alketbi, M S Gh / Meyer, J / Robert-Yap, J / Scarpa, R / Gialamas, E / Abbassi, Z / Balaphas, A / Buchs, N / Roche, B / Ris, F

Techniques in coloproctology

2021 Volume 25, Issue 8, Page(s) 923–933

Abstract: Background: Puborectalis muscle rupture usually arises from peri-partum perineal trauma and may result in anterior, middle compartment prolapses, posterior compartment prolapse which includes rectocele and rectal prolapse, with or without associated ... ...

Abstract	Background: Puborectalis muscle rupture usually arises from peri-partum perineal trauma and may result in anterior, middle compartment prolapses, posterior compartment prolapse which includes rectocele and rectal prolapse, with or without associated anal sphincter damage. Patients with puborectalis muscle and levator ani rupture may present some form of incontinence or evacuation disorder, sexual dysfunction or pelvic organ descent. However, the literature on this subject is scarce. The aim of our study was to evaluate management and treatment of functional disorders associated with puborectalis and/or pubococcygei rupture at the level of the insertion in the pubis in a cohort of patients referred to a tertiary care coloproctology center. Methods: We conducted a prospective cohort study of patients with levator ani and puborectalis muscle avulsion in the Proctology and Pelvic Floor Unit, Division of Digestive Surgery of the University Hospitals of Geneva from January 2001 to November 2018. Clinical examination, anoscopy and ultrasound were performed on a routine basis. Rupture of the levator ani muscle was diagnosed by clinical examination and ultrasound. A Wexner incontinence score was completed before and 6 months after surgery. Levator ani muscle repair was performed using a transvaginal approach. Results: Fifty-two female patients (median age 56 ± 11.69 SD years, range 38-86 years) were included in the study. Thirty-one patients (59.6%) had anal incontinence, 25 (48.1%) urinary incontinence, 28 (53.9%) dyschezia (obstructive defecation or excessive straining to defecate), 20 (38.5%) dyspareunia, 17 (32.7%) colpophony, and 13 (25.0%) impaired sensation during sexual intercourse. Deviation of the anus on the side opposite the lesion was observed in 50 patients (96.2%), confirmed with clinical examination and both endoanal and perineal ultrasound. Out of these 52 patients, levator ani rupture (including puborectalis rupture) were categorized into right sided, 43 (82.69%), left sided, 7 (13.46%) and bilateral, 2 (3.85%). Levator ani muscle repair was performed in all patients, associated with posterior repair and levatorplasty in 26 patients (50%) and with sphincteroplasty in 34 patients (63.4%). Four patients (7.7%) experienced postoperative complications: significant postoperative pain (n = 3; 5.77%), urinary retention (n = 2; 3.85%), hematoma (n = 1; 1.92%), and perineal abscess (n = 1; 1.92%). Forty-one patients (78.8%) had full restoration of normal puborectalis muscle function (Wexner score: 0/20) after surgery, and overall, all patients had an improvement in the Wexner score and in sexual function. Dyschezia was reported by 28 patients (53.9%) preoperatively, resolved in 18 (64.3%) and improved by 50% or more in 10 (35.71%). Conclusions: Diagnosis of levator ani and puborectalis muscle rupture requires careful history taking, clinical examination, endoanal and perineal ultrasound. Surgical repair improved anal continence as well as sexual function in all patients. Transvaginal levator ani repair seems to be well tolerated with good short-term results.
MeSH term(s)	Adult ; Aged ; Aged, 80 and over ; Anal Canal/diagnostic imaging ; Anal Canal/surgery ; Fecal Incontinence/etiology ; Fecal Incontinence/surgery ; Female ; Humans ; Middle Aged ; Pelvic Floor/diagnostic imaging ; Pelvic Floor/surgery ; Perineum/surgery ; Prospective Studies
Language	English
Publishing date	2021-03-20
Publishing country	Italy
Document type	Journal Article
ZDB-ID	2083309-X
ISSN	1128-045X ; 1123-6337
ISSN (online)	1128-045X
ISSN	1123-6337
DOI	10.1007/s10151-020-02392-6
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Article ; Online: Levator ani repair by transvaginal approach.

Ris, F / Alketbi, M / Scarpa, C R / Gialamas, E / Balaphas, A / Robert-Yap, J / Skala, K / Zufferey, G / Buchs, N C / Roche, B

Techniques in coloproctology

2019 Volume 23, Issue 2, Page(s) 167–169

MeSH term(s)	Adult ; Anal Canal/surgery ; Colposcopy/methods ; Female ; Humans ; Pelvic Floor/injuries ; Pelvic Floor/surgery ; Vagina/surgery
Keywords	covid19
Language	English
Publishing date	2019-01-17
Publishing country	Italy
Document type	Journal Article ; Video-Audio Media
ZDB-ID	2083309-X
ISSN	1128-045X ; 1123-6337
ISSN (online)	1128-045X
ISSN	1123-6337
DOI	10.1007/s10151-018-1907-x
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Article ; Online: Introduction of a specialized consultation prior to insertion of totally implantable access venous devices: Impact on cancellation rate and patient satisfaction.

Colucci, Nicola / Gregoris, Adrien / Meyer, Jeremy / Naiken, Surennaidoo Perumal / Staszewicz, Wojciech / Gialamas, Eleftherios / Toso, Christian / Abbassi, Ziad

Vascular

2020 Volume 28, Issue 6, Page(s) 816–820

Abstract: Objectives: Preoperative consultation is usually not performed before insertion of a totally implantable venous access device (TIVAD). In our experience, an incomplete preoperative assessment, a predictable medical condition contraindicating surgery, or ...

Abstract	Objectives: Preoperative consultation is usually not performed before insertion of a totally implantable venous access device (TIVAD). In our experience, an incomplete preoperative assessment, a predictable medical condition contraindicating surgery, or no-show patients the day of surgery led to several surgery cancellations. Therefore, we introduced a specific preoperative surgical consultation for TIVAD that took place shortly before surgery. The aim of the present study is to evaluate the patients' satisfaction and to establish the rate of cancellation after the adoption of this strategy. Methods: Two-hundred and four patients who benefited from the preoperative consultation before TIVAD insertion from August 2014 to August 2016 were included. Satisfaction of patients and cancellation rate were documented. Results: With that strategy, no TIVAD insertion was either delayed or cancelled. The overall level of satisfaction was high (91.8%); 184 patients (90.2%) judged the consultation useful in preparation for the surgery. The surgical procedure met their expectations in 92.2% of cases. Patients known for a psychiatric comorbidity were more likely to express dissatisfaction. Conclusions: The introduction of a specific preoperative surgical consultation for TIVAD insertion led to a high level of patients' satisfaction. After the preoperative consultation, no cancellation was recorded. Special approaches have to be considered for patients with a psychiatric comorbidity.
MeSH term(s)	Adult ; Aged ; Aged, 80 and over ; Appointments and Schedules ; Catheterization, Central Venous/adverse effects ; Catheterization, Central Venous/instrumentation ; Catheters, Indwelling ; Central Venous Catheters ; Female ; Humans ; Male ; Middle Aged ; Patient Satisfaction ; Planning Techniques ; Prospective Studies ; Referral and Consultation ; Treatment Outcome ; Young Adult
Language	English
Publishing date	2020-06-06
Publishing country	England
Document type	Journal Article
ZDB-ID	2137151-9
ISSN	1708-539X ; 1708-5381
ISSN (online)	1708-539X
ISSN	1708-5381
DOI	10.1177/1708538120930470
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Zs.A 4277: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (2.OG) ab Jg. 2022: Lesesaal (EG)
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Article ; Online: Combination of Adenomyoma and Adenomyomatous Hyperplasia of the Ampullary System: A First Case Report.

Gialamas, Eleftherios / Mormont, Murielle / Bagetakos, Ilias / Frossard, Jean-Louis / Morel, Philippe / Puppa, Giacomo

International journal of surgical pathology

2018 Volume 26, Issue 7, Page(s) 644–648

Abstract: Adenomyoma and adenomyomatous hyperplasia are benign tumor-like lesions that rarely involve the major or minor duodenal papilla. We report the case of a 73-year-old patient who underwent a cephalic duodenopancreatectomy due to clinical and radiological ... ...

Abstract	Adenomyoma and adenomyomatous hyperplasia are benign tumor-like lesions that rarely involve the major or minor duodenal papilla. We report the case of a 73-year-old patient who underwent a cephalic duodenopancreatectomy due to clinical and radiological evidence of underlying malignant neoplasm. The histopathology results revealed the unusual association of a major duodenal papilla adenomyoma and an adenomyomatous hyperplasia of the minor papilla. Because of their resemblance to pancreatic malignancy, the diagnosis of these lesions is particularly challenging. In most cases, it is established postoperatively, after histopathological examination of the surgical specimen.
MeSH term(s)	Adenomyoma/pathology ; Aged ; Ampulla of Vater/pathology ; Duodenal Neoplasms/pathology ; Female ; Humans ; Hyperplasia/pathology
Language	English
Publishing date	2018-04-04
Publishing country	United States
Document type	Case Reports ; Journal Article
ZDB-ID	1336393-1
ISSN	1940-2465 ; 1066-8969
ISSN (online)	1940-2465
ISSN	1066-8969
DOI	10.1177/1066896918767561
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Article ; Online: Liver Trauma During Combined Liposuction and Abdominoplasty: A Rare but Potentially Lethal Complication.

Gialamas, Eleftherios / Oldani, Graziano / Modarressi, Ali / Morel, Philippe / Toso, Christian

Aesthetic surgery journal

2015 Volume 35, Issue 7, Page(s) NP211–5

Abstract: Liposuction is a well-established procedure that is generally safe. However, rare complications can occur. The authors report on a 38-year-old woman who underwent combined abdominoplasty and liposuction at a private clinic. Four hours after the procedure, ...

Abstract	Liposuction is a well-established procedure that is generally safe. However, rare complications can occur. The authors report on a 38-year-old woman who underwent combined abdominoplasty and liposuction at a private clinic. Four hours after the procedure, severe hypovolemic shock developed and required emergency transfer to a tertiary-care center. After primary fluid resuscitation, abdominal ultrasonography and computerized tomography revealed severe right-sided liver trauma, with active bleeding and free intra-abdominal fluid. Two attempts at right hepatic artery embolization failed to fully control the bleeding, and surgical hemostasis was required. After a 2-week hospitalization, the patient was discharged, and she returned to work 3 months later. Although it appears that this is the first reported case of liver trauma during liposuction, this potential complication should be kept in mind and identified early to permit efficient and effective management.
MeSH term(s)	Abdominoplasty/adverse effects ; Adult ; Electrocoagulation ; Female ; Hemorrhage/etiology ; Hemorrhage/surgery ; Humans ; Lipectomy/adverse effects ; Liver/injuries ; Shock/etiology
Language	English
Publishing date	2015-09
Publishing country	England
Document type	Case Reports ; Journal Article
ZDB-ID	2087022-X
ISSN	1527-330X ; 1090-820X ; 1084-0761
ISSN (online)	1527-330X
ISSN	1090-820X ; 1084-0761
DOI	10.1093/asj/sjv028
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