C Faranda's research while affiliated with Hôpital Jean-Verdier – Hôpitaux Universitaires Paris-Seine-Saint-Denis and other places

Publications (5)

Article
The classic treatment of generalized peritonitis due to perforation of sigmoid diverticula is based on the principle of a two-stage surgery with a temporary derivation of the colonic transit. This procedure is associated with a prohibitively high immediate and delayed morbidity, especially associated with the abdominal wound. The laparoscopic appro...
Article
The authors report a case of strangulated obturator hernia, presenting a non-specific clinical picture, where the diagnosis and treatment were made by laparoscopy. This mini-invasive approach, in a predominantly female population where precise preoperative diagnosis is rare, allowed both rapid diagnosis and repair of the hernia. Apart from emergenc...
Article
The classical treatment of perforated sigmoid diverticulitis with generalised peritonitis is based on the principle of two-stage surgical procedures with a temporary initial defunctioning colostomy. This approach is associated with significant morbidity, concerning mainly the abdominal wall. Ten consecutive patients, eight female and two male, with...
Article
Background The classical treatment of perforated sigmoid diverticulitis with generalised peritonitis is based on the principle of two-stage surgical procedures with a temporary initial defunctioning colostomy. This approach is associated with significant morbidity, concerning mainly the abdominal wall.Patients and methodsTen consecutive patients, e...
Article
Laparoscopic staging and laparoscopic treatment of gastrointestinal malignancy is still controversial because some studies report port sites metastases. The aim of the study is to determine in 131 patients, with prospective follow-up, after laparoscopic staging or laparoscopic treatment, the incidence of port site metastases. 131 patients with loca...

Citations

... The possible operations advocated range from a simple washout of the abdomen with drainage, as described in a few case reports from Scotland and France, to primary resection with a Hartmann pouch, primary resection with anastomosis, diverting ileostomy, and finally, a primary resection with anastomosis and no temporary stoma. Of these, 1,13,14 American surgeons are most likely to perform the Hartmann procedure, which has been advocated as the standard of care for perforated diverticulitis. 1 The Hartmann's resection has proven to be a safe and effective approach, and is based upon the idea that an anastomosis in the setting of acute infection/inflammation is dangerous and associated with a high rate of suture line breakdown. ...
... In the literature, the rate of sub-occlusive episodes varies from 11.8% to 34.7% [4,6]. OH most often occurs on the right side, associated with inguinal hernia in 2.1% of cases [7], and is bilateral in 6% of cases. ...
... 14 Emergent laparoscopic colon resection has been reported; however, it remains controversial as a result of a high 1 Female 59 2 No 1a 2 LPL 2 Male 39 3 No 1a 3 HP 3 Male 85 3 No 1a 3 LPL 4 Male 47 3 No 1a 3 LPL* 5 Female 38 2 No 1a 3 LPL 6 Male 53 2 No 3 3 LPL 7 Male 60 3 No 1b 3 LPL 8 Male 65 3 No 1a 3 LPL 9 Male 46 2 No 2 3 LPL 10 Female 46 3 Yes 2 15 Several feasibility studies have explored the use of LPL for perforated diverticulitis and have published encouraging results including low cumulative surgical morbidity, median hospital stays, and rates of conversion to laparotomy at both the index laparoscopy and subsequent elective resections. 5,[16][17][18][19][20][21][22][23][24][25][26][27][28] Additionally, LPL is typically less technically demanding than open or laparoscopic PRA in the setting of acute inflammation and resolution of an acute episode allows for medical optimization and bowel preparation before subsequent elective laparoscopic resection. A recent meta-analysis found that overall surgical morbidity and hospital stay were lower in patients undergoing LPL who subsequently underwent elective resection compared with those treated acutely with PRA. ...
... Besides that, the SCANDIV trial authors did in fact report that major disagreements between trial monitors and investigators were on Hinchey grading, which led to a change of grade in 17% of patients. Numerous retrospective studies [8][9][10][11][12][13][14][15]21,24,30,34,35 have shown good results when acute perforated diverticulitis is treated by LPL. Roig et al. 33 reported that LPL was associated with an increased rate of disease-associated subsequent surgery. ...