Long-term incisional hernia rate after single-incision laparoscopic cholecystectomy is significantly higher than that after standard three-port laparoscopy: a cohort study
Background ::: Single-incision laparoscopic cholecystectomy (SILC) is a feasible technique that provides comparable results to standard laparoscopic cholecystectomy (LC). However, despite the theoretical advantages of minor wound complications and cosmetic results, SILC usually requires a larger incision, which may increase the incidence of incisional hernias. This study evaluated SILC and standard multiport cholecystectomy with respect to perioperative outcomes, hospital stay, cosmetic results, and postoperative complications, including the 5-year incisional hernia rate.
Budd-Chiari syndrome (BCS) with an intracaval stent is a rare presentation. In most Western patients with BCS, it is predominantly the hepatic veins that are involved, not the inferior vena cava (IVC). In the case presented, the patient had antiphospholipid syndrome with BCS that involved the IVC and required an intracaval stent. Presented with the case study are scanning techniques for BCS and the IVC to help sonographers evaluate the normal and abnormal anatomy and hemodynamics of this system.