A 40-year-old G0P0 presented with uterine leiomyomas and underwent total laparoscopic hysterectomy bilateral salpingectomy for management of worsening hypermenorrhea. Intraperitoneal findings included an endometriotic lesion (approximately 1 cm) in the peritoneum Douglas pouch partial adhesion. The vaginal canal was incised, uterus transected removed after transvaginal morcellation. Histopathol...

Background: Incomplete appendectomy may predispose to the development of stump appendicitis. Stump appendicitis, the interval re-inflammation of the residual appendiceal tissue, is a rare complication of appendectomy. Stump appendicitis should be considered in the differential diagnosis of any patient with a previous history of appendectomy who presents with signs and symptoms of appendicitis. ...

Phantom Limb Pain (PLP) is an excruciating type of pain that gives a sensation of the continued presence of an amputated limb. Physicians have used many methods and drugs to treat PLP. We present a case of continued sciatic nerve block performed for PLP that developed after a traumatic amputation. We conclude that infusing a local anesthetic via a perineural sciatic catheter effectively treated...

Phantom limbs refer to the sensation that an amputated or missing limb is still attached to the body. Phantom limbs may be perceived as continuous with the stump so as to resemble a normal limb, or as "telescoped" with the more distal portion of the phantom being perceived as having withdrawn within the stump. Telescoping tends to be related to increased levels of phantom pain, making it a clin...

A case of a 79-year-old man, status post laparoscopic cholecystectomy with a drainage catheter placed at the gallbladder fossa is presented. The case was complicated postoperatively by abdominal pain and bilious discharge from the drainage catheter. Endoscopic retrograde cholangio-pancreatography demonstrated leakage through the cystic duct stump into the gallbladder fossa. Placement of a cover...

A. Failed back surgery syndrome with low back pain and significant radicular pain; or B. Complex regional pain syndrome (also known as reflex sympathetic dystrophy); or C. Inoperable chronic ischemic limb pain secondary to peripheral vascular disease; or D. Last resort treatment of moderate to severe (5 or more on a 10-point VAS scale) chronic neuropathic pain of certain origins (i.e., lumbosac...

Following nerve injury or transection, a disorganized sprouting of axons can result in painful neuroma formation due to disruptions and damage the peripheral tissue. Currently, there are various treatments; however, nonsurgical treatment is inconsistent high rate residual pain postoperatively. This study reports results from pilot phase multicenter clinical on use Axoguard Nerve Cap® (nerve cap...

Early carcinoma of the gastric remnant was diagnosed in 19 patients between January 1976 and January 1986. In all patients early cancer was suspected at endoscopy and confirmed by biopsy and histology. The main reason for endoscopic examination was diffuse epigastric pain suggestive of stump gastritis. The surgical procedure was stump gastrectomy. Two of the 19 patients were not operated on bec...

Stump appendicitis is an acute inflammation of the residual appendix and is a rare complication after appendectomy. The physician should be aware of the possibility of stump appendicitis in patients with right lower abdominal pain after appendectomy so that delayed diagnosis and treatment can be prevented. Stump appendicitis is usually treated by surgical resection, and endoscopic treatment has...