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Laparoscopic operation

Mathew A Kozman, Darren Tonkin, Jimmy Eteuati, Alex Karatassas, Christopher R McDonald
BACKGROUND: Laparoscopic ventral hernia repair provides several benefits over the open approach. Intraperitoneal surgical mesh placement without fascial defect closure is associated with increased seroma formation and other adverse hernia-site outcomes. Transfascial sutures and tacs for fascial closure and surgical mesh fixation are associated with greater post-operative pain. Robotic-assisted ventral hernia repair (rVHR) may afford benefits of the laparoscopic approach while facilitating a more robust and less painful repair...
February 18, 2019: ANZ Journal of Surgery
S Dey, R Parthasarathi, S C Sabnis, R Jain, P Praveen Raj, P Senthilnathan, S Rajapandian, C Palanivelu
BACKGROUND: To evaluate the predisposing factors and characteristics of recurrent ventral hernia (RVH) along with the feasibility and outcome of laparoscopy in managing RVH. METHODS: This study is a retrospective analysis of all patients with reducible or irreducible, uncomplicated RVH who underwent surgical management from January 2012 to June 2018. RESULTS: Out of 222 patients, 186 (83.8%) were female, and 36 (16.2%) were male. The mean age was 54...
February 18, 2019: Hernia: the Journal of Hernias and Abdominal Wall Surgery
Yifei Lin, Youlin Long, Sike Lai, Yonggang Zhang, Qiong Guo, Jin Huang, Liang Du
BACKGROUND: Knotless barbed sutures can eliminate knot tying during the bariatric surgery (BS). Since effects reported on patients and surgeons are ambiguous, this study is determined to identify the effectiveness and safety of knotless barbed suture in BS. METHODS: PubMed, EMBASE, Cochrane Register of Clinical Studies, and were searched for randomized controlled trials (RCTs) and cohort studies comparing barbed sutures with conventional sutures in BS (until July 2, 2018)...
February 18, 2019: Obesity Surgery
Toshinori Sueda, Mitsuyoshi Tei, Haruna Furukawa, Tae Matsumura, Chikato Koga, Masaki Wakasugi, Hiromichi Miyagaki, Ryohei Kawabata, Junzo Shimizu, Atsuya Okada, Junichi Hasegawa
BACKGROUND: A case of a short circuit (Retzius shunt) from the inferior mesenteric vein (IMV) to the inferior vena cava (IVC) without accompanying portal hypertension due to liver cirrhosis is rare. CASE PRESENTATION: An 83-year-old woman who was followed after surgery for thyroid and breast cancer was incidentally found to have rectal cancer on computed tomography (CT). Preoperative three-dimensional CT showed a venous malformation forming a short circuit (Retzius shunt) from the IMV to the IVC...
February 18, 2019: Surgical Case Reports
J Kirchberg, J Weitz
The superiority of minimally invasive operative methods compared to open surgery with respect to various parameters of short-term outcome with adequate oncological long-term results has already been confirmed for many tumor entities in high-quality studies. The continuously expanding robotic surgery offers certain additional benefits in minimally invasive oncological visceral surgery, such as a high-resolution stable 3‑dimensional view, optimal freedom of movement in situ, elimination of natural tremor and better ergonomics...
February 18, 2019: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
Mustafa Zafer Temiz, Brusabhanu Nayak, Serdar Aykan, Prabhjot Singh, Aykut Colakerol, Atilla Semercioz, Ahmet Yaser Muslumanoglu
Background: The use of minimally invasive surgical approaches for the repair of retrocaval ureter (RCU) has been increased in time. However, the results of the robotic approach have not yet been compared with those of open or laparoscopic approaches. We aimed to compare the results of laparoscopic and robotic transperitoneal repair of RCU from two centres. Patients and Methods: Initially, we performed a systemic literature search using MEDLINE/PubMed and Google Scholar about the RCU...
February 18, 2019: Journal of Minimal Access Surgery
Harshit Garg, Deviprasad Tiwari, Brusabhanu Nayak, Prabhjot Singh, Siddharth Yadav, Rajeev Kumar, Amlesh Seth, Rishi Nayyar, Premnath Dogra
Background: Nephron-sparing surgery (NSS) is the standard of care for small renal masses whenever feasible. This study aims to evaluate the perioperative outcomes of NSS performed by open (open partial nephrectomy [OPN]) or laparoscopic (laparoscopic PN [LPN]) or robotic (robotic PN [RPN]) approach over the past 6 years and to study the correlation of histopathological grade of renal cell carcinoma with the RENAL score. Materials and Methods: A retrospective analysis of prospectively collected data of all patients who underwent NSS was done...
February 18, 2019: Journal of Minimal Access Surgery
Awanish Kumar, Ajay Kumar Pal, Anuraag Choudhary, Akshay Anand, Abhinav Arun Sonkar, Harvinder Singh Pahwa
Purpose: Among laparoscopic surgeries in inguinal hernias, totally extraperitoneal (TEP) repair has demonstrated favourable results in reduction of post-operative pain and mean operative times with early return to physical activity. We have done a prospective comparative study on two different techniques of mesh fixation, i.e., transfascial suture and tack fixation. Materials and Methods: It was a prospective, non-randomised comparative study done on inguinal hernia patients operated by TEP repair from October 2014 to September 2016...
February 18, 2019: Journal of Minimal Access Surgery
Saseem Poudel, Yusuke Watanabe, Yo Kurashima, Yoichi M Ito, Yoshihiro Murakami, Kimitaka Tanaka, Hiroshi Kawase, Toshiaki Shichinohe, Satoshi Hirano
OBJECTIVE: Item response theory (IRT) was originally developed to make performance assessments more accurate. However, IRT analysis of the intraoperative performance of surgical trainees could help identify the elements that the trainees find difficult during the skill acquisition process. The aim of this study was to identify the essential portions of the skill acquisition process of a surgical procedure using the IRT. DESIGN: The 24-item assessment checklist was used to evaluate a recorded intra-operative performance of a laparoscopic inguinal hernia repair...
February 15, 2019: Journal of Surgical Education
(no author information available yet)
No abstract text is available yet for this article.
March 2019: American Journal of Surgery
Makito Miyake, Shinji Fukui, Daisuke Gotoh, Yoshiaki Matsumura, Shoji Samma, Yoshihiro Matsumoto, Hitoshi Momose, Shunta Hori, Shuji Watanabe, Takuya Owari, Yosuke Morizawa, Yoshitaka Itami, Yasushi Nakai, Takeshi Inoue, Satoshi Anai, Kazumasa Torimoto, Katsuya Aoki, Nobumichi Tanaka, Kiyohide Fujimoto
BACKGROUND: Retroperitoneal tumors are an uncommon disease known to consist of a diverse group of benign and malignant neoplasms. Treatment of unresectable retroperitoneal lesions requires pathological diagnosis. Here, we report the utility and safety of retroperitoneoscopic biopsy for unresectable retroperitoneal lesions excluding urogenital cancers. METHODS: We analyzed 47 patients consisting of 23 (49%) and 24 (51%) cases that underwent retroperitoneoscopic tissue biopsy and open biopsy, respectively...
February 18, 2019: World Journal of Surgical Oncology
Valerio Celentano, Gianluca Pellino, Mark G Coleman
BACKGROUND: Video recordings of open surgical procedures could provide a method for enhancing surgical education, analysing operative performance and presenting cases to a wider audience of surgeons. The aim of this pilot study was to systematically search the World Wide Web to determine the availability of open surgery videos and to evaluate their potential training value in terms of the educational content presented. METHODS: A broad search for open right hemicolectomy videos was performed on the three most used English language internet search engines (Google...
February 18, 2019: ANZ Journal of Surgery
Qing He, Ning-Ning Yang, Yong-Jiu Xie, Yong-Song Guan
INTRODUCTION: Presently, bariatric surgery is a widespread treatment for obesity and its co-morbidities. Comprehensive evidence from outcomes of bariatric surgery supported that the surgery is safe and effective. However, we should be aware of the multiple risks of bariatric surgery, especially the severe infection at the operation site. CASE PRESENTATION: A 30-year-old woman was hospitalized for anastomotic leakage with abscess after laparoscopic sleeve gastrectomy...
February 12, 2019: International Journal of Surgery Case Reports
Anastasios Tranoulis, Dimitra Georgiou, Moiad Alazzam, Jane Borley
OBJECTIVE: To ascertain the efficacy and safety of laparoscopic uterine artery occlusion (LUAO) during laparoscopic myomectomy (LM) on the intra- and post-operative morbidity and to assess its impact on leiomyomas recurrence rate. DATA SOURCES: MEDLINE, Scopus, Web of Science and Cochrane Database were searched for relevant references from inception until December 2018, in line with PRISMA guidelines. METHODS OF STUDY SELECTION: Two authors screened for study eligibility and extracted data...
February 15, 2019: Journal of Minimally Invasive Gynecology
B Kadler, A Shetye, D K Patten, A Al-Nowfal
Lumbar hernias can be superior (Grynfelt) and inferior (Petit). Inferior lumbar hernias are extremely rare and, therefore, are associated with diagnostic difficulty. We present a case of a primary spontaneous inferior lumbar hernia in a 79-year-old woman that was initially diagnosed as a large lipoma on ultrasound. The first operation was abandoned and an open mesh repair was conducted. Lumbar hernias can be primary acquired (55%), secondary acquired (25%) or congenital (20%). Cross-sectional imaging by CT or MRI appears to be the gold standard in diagnosis as ultrasound may lead to misdiagnosis...
February 18, 2019: Annals of the Royal College of Surgeons of England
Prajwala S Prakash, Sujith Wijerathne, Hrishikesh Pandurang Salgaonkar, Davide Lomanto
BACKGROUND/OBJECTIVE: Our study aims to compare clinical outcomes of laparoscopic Totally Extra-peritoneal (TEP) repair with mesh fixation in large inguinal hernias using titanium versus absorbable tacks. METHODS: This is a case control study of patients who underwent laparoscopic TEP repair with mesh fixation of large inguinal hernias in our institution from 2010 to 2015. In all patients a standard 10 × 15 cm large-pore polypropylene mesh was used and a standardized fixation technique was followed...
February 14, 2019: Asian Journal of Surgery
Catherine H Davis, Tanmay Gaglani, Linda W Moore, Xianglin L Du, Hyunsoo Hwang, Jose-Miguel Yamal, H Randolph Bailey, Marianne V Cusick
BACKGROUND: There is controversy regarding the use of laparoscopy for rectal cancer, especially after the ACOSOG Z6051 Randomized Clinical Trial determined that laparoscopy failed to meet non-inferiority compared with open surgery. With these new recommendations, the current practices for the treatment of rectal cancer across the country are unknown. METHODS: Using the ACS-NSQIP database from 2005-2016, resections for rectal cancer were studied. The proportion of laparoscopic versus open surgeries performed was determined by year, and 16 30-day outcomes were studied in each group...
February 13, 2019: International Journal of Surgery
Takako Tanaka, Yoshiaki Kita, Shinichiro Mori, Kenji Baba, Kan Tanabe, Masumi Wada, Yusuke Tsuruda, Kiyonori Tanoue, Shigehiro Yanagita, Kosei Maemura, Shoji Natsugoe
BACKGROUND: Perforated diverticulitis with purulent peritonitis (Hinchey III diverticulitis) has traditionally been treated with a Hartmann's procedure in order to avoid the considerable postoperative morbidity and mortality associated with one-stage resection and primary anastomosis. Although there have been reports regarding laparoscopic lavage as the initial treatment of perforated Hinchey III diverticulitis, a formal treatment strategy has not been established yet. We performed a three-stage surgery, including laparoscopic lavage and drainage with diverting ileostomy (first stage), laparoscopic sigmoidectomy (second stage), and ileostomy closure (third stage) in a morbidly obese patient with Hinchey III diverticulitis...
February 15, 2019: Surgical Case Reports
Suk Kyun Hong, Kyung-Suk Suh, Kyung Chul Yoon, Jeong-Moo Lee, Jae-Hyung Cho, Nam-Joon Yi, Kwang-Woong Lee
BACKGROUND: Although the use of pure laparoscopic donor hepatectomy (PLDH) is increasingly common, it remains limited to a few experienced centers and no data on the learning curve are currently available. The aim of this study is to evaluate the learning curve associated with the use of pure laparoscopic donor right hepatectomy (PLDRH). METHODS: Data from donors undergoing PLDRH performed by a single surgeon between November 2015 and October 2017 were retrospectively reviewed...
February 15, 2019: Surgical Endoscopy
Salvador Morales-Conde, Andrea Peeters, Yannick M Meyer, Stavros A Antoniou, Isaías Alarcón Del Agua, Alberto Arezzo, Simone Arolfo, Amir Ben Yehuda, Luigi Boni, Elisa Cassinotti, Giovanni Dapri, Tao Yang, Sofie Fransen, Antonello Forgione, Shahab Hajibandeh, Shahin Hajibandeh, Michele Mazzola, Marco Migliore, Christof Mittermair, Doris Mittermair, Antonio Morandeira-Rivas, Carlos Moreno-Sanz, Andrea Morlacchi, Eran Nizri, Myrthe Nuijts, Jonas Raakow, Francisco M Sánchez-Margallo, Juan A Sánchez-Margallo, Amir Szold, Helmut Weiss, Michael Weiss, Ricardo Zorron, Nicole D Bouvy
BACKGROUND: Laparoscopic surgery changed the management of numerous surgical conditions. It was associated with many advantages over open surgery, such as decreased postoperative pain, faster recovery, shorter hospital stay and excellent cosmesis. Since two decades single-incision endoscopic surgery (SIES) was introduced to the surgical community. SIES could possibly result in even better postoperative outcomes than multi-port laparoscopic surgery, especially concerning cosmetic outcomes and pain...
February 15, 2019: Surgical Endoscopy
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