A retained intra-abdominal foreign body is a common occurrence that is frequently underreported due to its medicolegal implications. Sponges, gauzes, surgical instruments, abdominal drains, etc. have been reported in the literature. The most common presentation for a retained intra-abdominal foreign body is postoperative abdominal infections or bleeding, frequently seen in the immediate postope...

Up until 20 years ago, laparotomy was the single method of surgical treatment for endometrial cancer. Wider acceptance for the laparoscopic approach has been gained by gynecologic surgeons as an alternative surgical method. Clinical application of laparoscopic surgery has grown rapidly, yet it remains to be proven if this technique has brought great benefits. The location of minimal-access surg...

CONTEXT Postoperative ileus is a major complication of abdominal surgical procedures OBJECTIVE To evaluate the incidence of ileus and gastrointestinal morbidity in patients who received immediate postoperative feeding and bowel stimulation after undergoing major gynecologic surgical procedures. METHODS During a 5-year period, the authors tracked demographic, surgical outcome, and follow-up ...

Lower abdominal pain in females of reproductive age continues to be a diagnostic dilemma for the emergency physician (EP). Point-of-care ultrasound (US) allows for rapid, accurate, and safe evaluation of abdominal and pelvic pain in both the pregnant and non-pregnant patient. We present 3 cases of females presenting with right lower quadrant and adnexal tenderness where transvaginal ultrasonogr...

Non-traumatic abdominal pain is a common presenting complaint in emergency department (ED) patients, quoted in some contemporary literature as being the third most frequent reason for ED visits. We present the ED and hospital course of an unusual case of an 11 year old female with right lower quadrant abdominal pain. The admission assessment of this patient was "possible appendicitis versus gas...

OBJECTIVES To determine whether perioperative fluid restrictive administration can reduce specific postoperative complications in adults undergoing major abdominal surgery.  Methods: We searched the MEDLINE, EMBASE, and Cochrane Central Register of Controlled Trials, Google scholar, and article reference lists (up to December 2015) for studies that assessed fluid therapy and morbidity or mortal...

Background: Incidental appendectomy (IA) remains a debatable procedure to prevent appendicitis. We used the National Health Insurance Research Database (NHIRD) of Taiwan to compare two groups’ of patients undergoing appendectomies with or without abdominal surgical history to discuss the value of incidental appendectomy. Study design: A retrospective review of the NHIRD of Taiwan was performed ...