When Stomach Pain isn’t gas
Editor Published: July 28, 2015
Medical Science fiction now reality
Guardian Lifestyles Editor
Published: March 3, 2015
Single Incision Laparoscopic management of a ruptured Heterotopic pregnancy presenting as an acute appendicitis
Single incision cholecystectomy using a clipless technique with LigaSure in a resource limited environment: The Bahamas experience. Downes RO, McFarlane M, Diggiss C, Iferenta J
Colonic perforation: a lethal consequence of cannabis body packing. Cawich SO1, Downes R, Martin AC, Evans NR, Mitchell DI, Williams E.
A case of intra-abdominal hemorrhage secondary to peliosis hepatis. Downes RO, Cambridge CL, Diggiss C, Iferenta J, Sharma M.
We report a case of peliosis hepatis diagnosed post laparotomy. She required a re-look laparotomy with removal of packs peritoneal lavage, placement of intraseed and subhepatic drain. The patient was discharged after an 11-day recovery period.
A case of a paraduodenal hernia Downes R1, Cawich SO.
Paraduodenal hernias are rare hernias that result from error of rotation of the mid-gut. It can be discovered incidentally at laparotomy, seen on radiological imagining or infrequently cause intestinal obstruction.
Implementation of single incision laparoscopic appendectomy at a tertiary institution in the Bahamas. Ross Downes
The aim of this study was to examine the inauguration of single-port laparoscopic appendectomy (SILA) for un-complicated appendicitis and demonstrate its efficacy and safety. Thirty-two patients who underwent single-port laparoscopic appendectomy between January 2014 and December 2014 were compared retrospectively with 20 prior consecutive patients who underwent surgery in the three-port manner. Length of hospital stay, operative time, conversion rate, and complications were used as the indicators of effective implementation. Demographics were similar between the single-port and three-port groups. In the SILA series, operative duration was unchanged after the first 10 cases. An operative duration less than that of the conventional three-port method could be achieved after 30 cases.
Single-port laparoscopic appendectomy is a safe and feasible procedure. The learning curve could be overcome safely without major complications. Our preliminary analysis showed that 30 cases are sufficient to achieve an equivalent operative duration compared with conventional three-port laparoscopic appendectomy.
Health and wellness
The National Insurance Board’s Get Well Bahamas Challenge (GWB) is gaining support from the corporate community as yet another company has partnered with NIB to fight obesity and related chronic conditions in The Bahamas.
Generali Worldwide Insurance Company recently donated a check for almost $4,000 to secure tee-shirts and pedometers for Get Well Bahamas Phase 2 which is set to benefit another 40 Bahamians beginning July 25.
Alana Ingraham, business development manager of Generali Worldwide said NIB should be commended for the visionary program that provides 12 weeks of wellness coaching and personal fitness training to its participants.