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  1. Article: Laparoscopic bilateral inguinal hernia repair: Should it be the preferred technique?

    Doudakmanis, Christos / Kolla, Christina / Bouliaris, Konstantinos / Efthimiou, Matthaios / Koukoulis, Georgios D

    World journal of methodology

    2022  Volume 12, Issue 4, Page(s) 193–199

    Abstract: Inguinal hernias are amongst the most common conditions requiring general surgical intervention. For decades, the preferred approach was the open repair. As laparoscopy became more popular and available and more surgeons became familiarized with this ... ...

    Abstract Inguinal hernias are amongst the most common conditions requiring general surgical intervention. For decades, the preferred approach was the open repair. As laparoscopy became more popular and available and more surgeons became familiarized with this modality, laparoscopic inguinal hernia repair became an alternative. The aim of this study is to assess the effectiveness of laparoscopic inguinal repair, with a focus on bilateral inguinal hernias. Initial reports have shown promising clinical outcomes compared to those of conventional repair of bilateral hernias. However, there are only a few studies concerning laparoscopic repair of bilateral hernias. It is yet to be proven that laparoscopy is the "gold standard" in the treatment of bilateral inguinal hernias. So far, the choice of an inguinal hernia repair technique has been up to each surgeon, depending on their expertise and available resources after taking into consideration each patient's needs.
    Language English
    Publishing date 2022-07-20
    Publishing country United States
    Document type Journal Article ; Review
    ISSN 2222-0682
    ISSN 2222-0682
    DOI 10.5662/wjm.v12.i4.193
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Palliative Treatment of Bowel Obstruction With Colostomy Under Local Anesthesia in Frail Patients: A Single-Site Experience.

    Doudakmanis, Christos / Baxevanidou, Kyriaki / Chatzikomnitsa, Paraskevi / Kolla, Christina / Bouliaris, Konstantinos / Giaglaras, Anargiros / Efthimiou, Matthaios / Koukoulis, Georgios D

    Cureus

    2023  Volume 15, Issue 9, Page(s) e45698

    Abstract: Introduction: Attendance of patients to the emergency department due to acute large bowel obstruction is a common phenomenon. Most of these patients are elderly, critically ill, and with high comorbidity. The literature suggests that more than 50% of ... ...

    Abstract Introduction: Attendance of patients to the emergency department due to acute large bowel obstruction is a common phenomenon. Most of these patients are elderly, critically ill, and with high comorbidity. The literature suggests that more than 50% of these cases are due to colon cancer. Since this condition is considered to be an emergency, immediate intervention and response is imperative.
    Purpose: The aim of the present study is to present our surgical technique of colostomy formation under local anesthesia in selected critically ill patients, with increased perioperative risk and acute large bowel obstruction.
    Materials and methods: This is a retrospective study of 24 patients, with obstipation, who underwent emergency colostomy under local anesthesia, during the period from 2014 to 2021.
    Results: The mean age of the patients was 77 years. The vast majority of patients had an American Society of Anesthesiologists (ASA) score of ≥3 and a Charlson score of ≥7. The most common colostomy was transverse colostomy (21/24 patients). The patients' hospitalization ranged from four to 42 days. Only one patient died. All colostomies functioned properly in the immediate postoperative period. Only one patient required postoperative admission to the ICU.
    Conclusions: Colostomy under local anesthesia in critically ill, elderly patients is an alternative option for the treatment of ileus.
    Language English
    Publishing date 2023-09-21
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.45698
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Bacterial translocation in patients undergoing major gastrointestinal surgery and its role in postoperative sepsis.

    Doudakmanis, Christos / Bouliaris, Konstantinos / Kolla, Christina / Efthimiou, Matthaios / Koukoulis, Georgios D

    World journal of gastrointestinal pathophysiology

    2021  Volume 12, Issue 6, Page(s) 106–114

    Abstract: Bacteria of the human intestinal microflora have a dual role. They promote digestion and are part of a defense mechanism against pathogens. These bacteria could become potential pathogens under certain circumstances. The term "bacterial translocation" ... ...

    Abstract Bacteria of the human intestinal microflora have a dual role. They promote digestion and are part of a defense mechanism against pathogens. These bacteria could become potential pathogens under certain circumstances. The term "bacterial translocation" describes the passage of bacteria of the gastrointestinal tract through the intestinal mucosa barrier to mesenteric lymph nodes and other organs. In some cases, the passage of bacteria and endotoxins could result in blood stream infections and in multiple organ failure. Open elective abdominal surgery more frequently results in malfunction of the intestinal barrier and subsequent bacterial translocation and blood stream infections than laparoscopic surgery. Postoperative sepsis is a common finding in patients who have undergone non-elective abdominal surgeries, including trauma patients treated with laparotomy. Postoperative sepsis is an emerging issue, as it changes the treatment plan in surgical patients and prolongs hospital stay. The association between bacterial translocation and postoperative sepsis could provide novel treatment options.
    Language English
    Publishing date 2021-11-28
    Publishing country United States
    Document type Editorial
    ZDB-ID 2583474-5
    ISSN 2150-5330
    ISSN 2150-5330
    DOI 10.4291/wjgp.v12.i6.106
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Manual Reduction of Incarcerated Abdominal Wall Hernias. A Feasible Option during COVID-19 Pandemic: A Prospective Study.

    Bouliaris, Konstantinos / Efthimiou, Matthaios / Chatzikomnitsa, Paraskevi / Kolla, Christina / Doudakmanis, Christos / Zervas, Konstantinos / Giaglaras, Anargiros / Koukoulis, Georgios D

    Surgery journal (New York, N.Y.)

    2022  Volume 8, Issue 1, Page(s) e46–e51

    Abstract: ... ...

    Abstract Background
    Language English
    Publishing date 2022-02-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2864275-2
    ISSN 2378-5136 ; 2378-5128
    ISSN (online) 2378-5136
    ISSN 2378-5128
    DOI 10.1055/s-0041-1742178
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Manual Reduction of Incarcerated Abdominal Wall Hernias. A Feasible Option during COVID-19 Pandemic: A Prospective Study

    Bouliaris, Konstantinos / Efthimiou, Matthaios / Chatzikomnitsa, Paraskevi / Kolla, Christina / Doudakmanis, Christos / Zervas, Konstantinos / Giaglaras, Anargiros / Koukoulis, Georgios D.

    The Surgery Journal

    2022  Volume 08, Issue 01, Page(s) e46–e51

    Abstract: Background: Incarcerated hernia is a common surgical emergency with considerable morbidity or even mortality. Manual reduction (taxis) and elective surgery could be an alternative management approach. This study examines the role of taxis with the ... ...

    Abstract Background: Incarcerated hernia is a common surgical emergency with considerable morbidity or even mortality. Manual reduction (taxis) and elective surgery could be an alternative management approach. This study examines the role of taxis with the adjuvant use of the visual analogue scale (VAS) score in treating incarcerated hernias and thereby decreasing the emergency surgery rate, especially during the novel coronavirus disease 2019 (COVID-19) pandemic.
    Methods: All adult patients admitted to the emergency department of our hospital with incarcerated hernias of anterior abdominal wall were prospectively submitted to hernia manual reduction. The VAS score was used as an adjuvant tool for monitoring the success of this maneuver. Patients with successful taxis and low VAS score were hospitalized for a 24-hour period of observation. On their discharge, they were scheduled for an elective hernia repair. Patients with unsuccessful taxis or with less than a 50% reduction in VAS score after successful taxis were submitted to emergency surgical repair. Age, sex, type of hernias, time until taxis, VAS scores before and after taxis, length of hospital stay, and adverse events for both groups were recorded.
    Results: Between September 2018 and September 2020, 86 patients with incarcerated hernias were included. The types of hernias were incisional in 8 patients, umbilical in 15 patients, inguinal in 56 patients, and femoral in 7 patients. Taxis was successful in 66% of patients with a mean reduction in VAS score from 83 to 17 mm. Following successful taxis, patients were hospitalized for a 24-hour period of observation. No taxis-related complications were observed. Fifty-two patients were safely discharged from hospital and scheduled for an elective repair during the first month. Thirty-four patients were operated emergently. Five patients had successful taxis but with a reduction of posttaxis VAS score less than 50% (a mean reduction from 86 to 62 mm), while taxis failed in twenty-nine patients. Patients with emergency surgery had longer time until reduction and longer stay of hospitalization. In this group, two patients required admission to the intensive care unit while one patient died.
    Conclusion: In this protocolized approach, taxis is a safe and feasible option for most patients with incarcerated hernias. It should be kept in our armament, especially in times when emergency surgery capabilities are under strain like the ongoing COVID-19 pandemic.
    Keywords hernia ; visual analog pain score ; coronavirus ; manual reduction ; taxis
    Language English
    Publishing date 2022-01-01
    Publisher Thieme Medical Publishers, Inc.
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 2864275-2
    ISSN 2378-5136 ; 2378-5128
    ISSN (online) 2378-5136
    ISSN 2378-5128
    DOI 10.1055/s-0041-1742178
    Database Thieme publisher's database

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