  Laparoscopic repair of colonoscopic perforation: a new standard?Coimbra Marques, Carla  ; Bouffioux, Laurent ; Kohnen, Laurent et alin Surgical Endoscopy (2011), 25 BACKGROUND: Scientific evidence demonstrating interest in the laparoscopic approach for surgical repair of colonoscopic perforations is still lacking. The authors retrospectively reviewed the records of ... [more ▼] BACKGROUND: Scientific evidence demonstrating interest in the laparoscopic approach for surgical repair of colonoscopic perforations is still lacking. The authors retrospectively reviewed the records of 43 patients who suffered from colonic perforations after colonoscopy between 1989 and 2008 in two tertiary centers in order to compare the results of the laparoscopic and the open approaches to repair. METHODS: The patients' demographic data, perforation location, therapy, and outcome were recorded from the medical charts. Forty-two patients were managed operatively (19 laparoscopies and 23 laparotomies). In three patients who underwent explorative laparoscopy, the procedure had to be converted to laparotomy due to surgical difficulties. The patients who underwent laparotomy management had a longer period between the colonoscopy and the surgery (P = 0.056) and more stercoral contaminations. RESULTS: The mean hospital stay was shorter for the laparoscopy group (P = 0.02), which had fewer postoperative complications (P = 0.01) and no mortality (NS). CONCLUSION: This series demonstrates that early laparoscopic management of colonoscopic perforation is safe. Laparoscopic management may lead to reduced surgical and psychological stress for the patient because of its low morbidity and mortality rates and shorter hospital stay. However, the procedure should be converted to a laparotomy if necessary. [less ▲] Detailed reference viewed: 60 (6 ULg) Laparoscopic management of colonoscopic perforationsBouffioux, Laurent ; Coimbra Marques, Carla ; et alin Acta Gastro-Enterologica Belgica (2009, January), 72(1), 70 Detailed reference viewed: 68 (23 ULg)Un cas de régurgitation aortique liée aux anorexigènes.Bouffioux, Laurent ; Radermecker, Marc ; de Leval, Laurence et alin Revue Médicale de Liège (2009), 64;9 Detailed reference viewed: 41 (8 ULg)Description and Evaluation of a Simplified Technique for Replacement of the Ascending Aorta and Proximal Arch in Degenerative Aneurysmal Disease; ; et al in Acta Chirurgica Belgica (2007), 107(6), 733-8 The distal extension of ascending aorta pathology often requires prosthetic grafting into the proximal arch. In order to perform optimal distal anastomosis, an open technique under a short period of ... [more ▼] The distal extension of ascending aorta pathology often requires prosthetic grafting into the proximal arch. In order to perform optimal distal anastomosis, an open technique under a short period of circulatory arrest (CA) was adopted. For this purpose we evaluated prospectively a simplified technique for surgery and perfusion. The aneurysmal aorta was directly cannulated to cool down the patient to 26 degrees C. Under CA and retrograde cerebral perfusion, the diseased aorta and aortic cannulation site were resected. After completion of the distal anastomosis, antegrade rewarming was performed via recannulation of the AAo graft (side branch graft) whilst surgery was proceeded on the root and/or aortic valve. This technique clearly addresses the safety of cannulation into the aneurismal aorta. The issues of cerebral and visceral protection during CA and antegrade reperfusion and rewarming have been analysed prospectively in eight patients operated on over a period of 6 months. Our preliminary results indicate that this technique of arterial cannulation and CA at 26 degrees C for the management of degenerative AAo disease involving the proximal arch appears safe both in terms of cerebral and systemic (visceral, muscular) protection. By this way, the complications related to deep hypothermia and prolonged cardiopulmonary bypass are avoided. This assumption may be only valid for a CA period less than 30 min. This preliminary study is limited by its small size and heterogeneity of the pathologies. However, the simplicity, surgical ease, rapidity and efficacy conveyed by this technique warrant further consideration and evaluation. [less ▲] Detailed reference viewed: 12 (3 ULg)Peut-on prevenir le developpement du cancer prostatique?Bouffioux, Laurent ; Willems, Evelyne ; Waltregny, David in Revue Médicale de Liège (2003), 58(4), 240-6 Prostate cancer is the most frequent cancer in men living in industrialized countries. Numerous epidemiological and laboratory studies suggest that various hereditary, toxic, hormonal, and dietary factors ... [more ▼] Prostate cancer is the most frequent cancer in men living in industrialized countries. Numerous epidemiological and laboratory studies suggest that various hereditary, toxic, hormonal, and dietary factors may be involved in the development and/or progression of prostate cancer lesions. Several large prospective randomized trials for the chemo-prevention of prostate cancer are currently ongoing. In this review, data regarding the implication of dietary factors have been analyzed under the light of recent literature in order to determine whether proven efficient prevention is available today. [less ▲] Detailed reference viewed: 53 (2 ULg)Syncope sur passage en tachycardie ventriculaire par accélération d’une fibrillation auriculaire; Melon, Pierre ; Bouffioux, Laurent et alin Revue Médicale de Liège (2003), 58(7-8), 468-471 We report a rare case of rapid atrial fibrillation triggering an episod of ventricular tachycardia. We review the literature and discuss the potential mechanisms of the ventricular arrhythmia. Detailed reference viewed: 58 (0 ULg) |
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