Background Obesity is an important risk factor for knee osteoarthritis (OA), Weight loss can reduce the symptoms of OA. No prospective studies assessing impact weight on cartilage structure and composition have been performed. Objectives To assess thickness composition. Methods 111 obese adults were recruited from either laparoscopic adjustable gastric banding or exercise diet programmes two tertiary centres. MRI was performed at baseline 12-month follow-up to thickness. 78 eligible subjects...

The aim of this study was to determine health-related quality life and fatigue measures in obese subjects compare scores with age- gender-matched population norms. A total 163 were recruited from laparoscopic-adjustable gastric banding or exercise diet weight loss programs between March 2006 December 2007. All completed the Medical Outcomes Study Short Form 36 (SF-36), Assessment Quality Life (AQoL), Multidimensional Fatigue (MAF) questionnaires. One-sample t-tests used transformed norms...

Primary repair of large hiatal defects is associated with higher than acceptable recurrence rates. This has led to the increased use fascial prostheses for reinforcement repair. We report a case intraluminal mesh erosion after recurrent paraesophageal hernia composite polytetrafluoroethylene/expanded polytetrafluoroethylene prosthesis in an 80-year-old woman. Mesh rarely reported complication repair, and because many cases will go unreported, their true incidence unknown. Besides durability...

Paraesophageal hernias (PEH) occur when there is herniation of the stomach through a dilated hiatal aperture. These more commonly in elderly, who are often not offered surgery despite failure medical treatment to address mechanical symptoms and life-threatening complications. The aim this study was assess impact laparoscopic repair PEH on quality life an elderly population. Data were collected prospectively 35 consecutive patients aged >70 years had symptomatic between December 2001...

Objective. To describe the associations between physical disability measures and knee cartilage defects in obese adults. Methods. One hundred eleven subjects were recruited from laparoscopic adjustable gastric banding or exercise/diet weight loss programmes. All completed disease-specific (WOMAC) general health status (SF-36) questionnaires, assessed for range of motion, tibiofemoral alignment quadriceps strength. Knee graded on MRI according to established protocol. Regression analysis was...

Objective. Delayed gadolinium-enhanced magnetic resonance imaging (MRI) of cartilage (dGEMRIC) is used to assess glycosaminoglycan distribution. Our aim was determine the relationships between self-reported pain and disability, clinical variables, serum leptin, dGEMRIC indices in obese subjects with without knee osteoarthritis (OA). Methods. Seventy-seven were recruited from laparoscopic adjustable gastric banding or exercise diet-weight loss programs. The index assessed on MRI according...

The use of mesh to augment suture repair large hiatus hernias remains controversial. Repair with may help reduce the recurrence rate primary repair, but concerns about potential for serious complications, such as erosion or stricturing, continue limit its use. We aim evaluate long-term outcome hernia lightweight polypropylene (TiMesh) specifically looking at rates clinical recurrence, dysphagia, and mesh-related complications. From a prospectively maintained database, 50 consecutive patients...

Abstract Background Within our ageing population, there is an increasing number of elderly patients presenting with oesophagogastric cancer. Resection remains the mainstay curative treatment however it has substantial morbidity. The aim this study was to assess whether age independent predictor resection related complications in unit. Methods A retrospective cohort prospectively collated data from 2002 2020 undergoing for oesophageal and gastric cancers analysed. Patients aged over 75 under...

Laparoscopic antireflux surgery is an established method of treatment gastroesophageal reflux disease (GERD). This study evaluates the efficacy Nissen versus Toupet fundoplication in alleviating symptoms GERD and compares two techniques for development post-fundoplication quality life (QOL) at 12 months post-surgery. In this prospective consecutive cohort study, 94 patients presenting laparoscopic underwent either (LN) (n = 51) from February 2002 to 2004 or a (LT) 43) March 2006, performed...

Large bowel obstruction by incarceration in the lesser sac through foramen of Winslow is exceedingly rare and often associated with nonviable at time operation according to older reports. In modern times, widespread availability computed tomography (CT) for investigation acute abdomen may decrease necessity resection these cases. Here, we present a case laparoscopic reduction viable transverse colon from young woman. With diagnosis suggested CT, were able approach two five millimeter working...

Accurate staging of esophageal cancer is important when determining which patients will potentially benefit from curative surgery. The aim this study was to evaluate the incremental effect 2-fluoro-2-deoxyglucose positron emission tomography (FDG-PET) used in addition standard modalities. Patients referred two surgeons an Australian metropolitan teaching hospital with or esophago-gastric junction malignancy between May 2002 and December 2006 were included. who had undergone prereferral...

The use of mesh for laparoscopic repair large hiatal hernias may decrease recurrence rates in comparison with primary suture repair. type material, as well its size and shape, is still a matter debate. aim this study was to evaluate lightweight polypropylene (TiMesh) hernias, particular reference symptomatic relief, patient satisfaction quality life (QOL). From prospectively maintained clinical database, 40 consecutive patients were identified who underwent elective hernia TiMesh between...

Retained gallstones are the most common cause of postcholecystectomy pain. They may be in a long remnant cystic duct (CD), bile (CBD), or within gallbladder (GB) post subtotal cholecystectomy. Although endoscopic management is often attempted, occasionally surgical clearance required. Rates preoperative surgery to remove stones GB rising due increased practice cholecystectomy during problematic laparoscopic This study aims review symptomatic retained at tertiary hepatobiliary referral center...

Incisional hernia is a relatively frequent complication of abdominal surgery. The use mesh to repair incisional and ventral hernias results in lower recurrence rates compared with primary suture techniques. laparoscopic approach may be associated postoperative morbidity open procedures. Long‐term after are not well defined. A prospective study the initial experience standardized technique carried out tertiary referral hospital was undertaken between January 2003 February 2007. Laparoscopic...

Introduction . A paraoesophageal hernia (PH) may be one reason for iron-deficiency anaemia (IDA) but is often overlooked as a cause. We aimed to assess the incidence and resolution of transfusion-dependent IDA in patients presenting hiatal surgery. Methods analysed prospective database undergoing laparoscopic repair order identify with severe requiring red cell/iron transfusion. Results Of 138 PH managed over 4-year period, 7 (5.1%; M : F 2 5; median age 62 yrs (range 57–82)) transfusion...