A study of primary single and layered suture technique by using two-port laparoscopic choledocholithotomy
Conclusion: Application of layered suture technique in laparoscopic choledocholithotomy with primary suture is feasible and safe, with advantages of less bile leakage and shorter hospital stay.
ConclusionLaparoscopic surgery is effective, even for this rare abdominal emergency. Moreover, laparoscopy-assisted surgery accompanying mini-laparotomy is a rational treatment approach, especially for this condition.
ConclusionSclerosing peritonitis is a rare benign diagnosis which can manifest as complete bowel obstruction and a high index of suspicion is required to diagnose it. Contrast-enhanced computed tomography of the abdomen is a useful radiological tool to aid in preoperative diagnosis. Diagnostic laparoscopy is usually confirmatory.Peritoneal sac excision and adhesiolysis is the treatment and a short course of steroids in relapsing symptoms.
ConclusionLaparoscopy with temporary internal iliac artery occlusion technique offers effective surgical management of cesarean scar pregnancy, and hysteroscopy is necessary to deal with intrauterine lesions.
ConclusionPresented technique seems to be a safe and effective alternative to other POP treatment methods. It is associated with a negligible complications rate. Laparoscopic approach with it's superiority to laparotomy in some patients and a short learning curve, makes it even safer. Increasing the number of treated patients and continuing follow-up 3 and 5 years after the surgery is planned.
ConclusionSub-cutaneous and/ or intra-peritoneal anesthesia were not effective in reducing post-operative pain.
Publication date: November–December 2019Source: Journal of Minimally Invasive Gynecology, Volume 26, Issue 7, SupplementAuthor(s): JM Eom, JS Choi, J Bae, WM Lee, US Jung, H LeeStudy ObjectiveThe aim of this study was to assess the surgical and oncologic outcome of laparoscopic primary cytoreductive surgery on advanced epithelial ovarian cancer in comparison with conventional laparotomy surgery.DesignRetrospective cohort study.SettingUniversity hospital in Korea.Patients or ParticipantsPatients with FIGO stage up to III ovarian cancer undergoing laparoscopic primary cytoreductive surgery from January 2011 to March 20...
ConclusionThe incidence of complications is similar to that reported in open surgery and discretely larger than laparoscopic, however type I complications were the most frequent.The high incidence of probably due to what we are is a school hospital and surgeons are training period.
ConclusionRA-LESS myomectomy is a safe and feasible surgery with excellent cosmetic and postoperative outcomes in selected patients. Further investigation is needed to define the patient groups that will most benefit from it.
ConclusionRobot-assisted laparoscopy did not reduce intraoperative spillage of dermoid cyst contents compared to traditional laparoscopy or laparotomy. In patients with large (>6cm) dermoid cysts the use of RAL decreased blood loss, length of postoperative hospital stay, need for inpatient admission and conversion to LAP (compared to SLA), but increased the length of surgery and hospital cost compared to LAP. We conclude that larger dermoid cysts may be treated with RAL instead of LAP. Smaller cysts may have equivalent outcomes with traditional laparoscopic techniques.
ConclusionGU and GI fistulas are rare but morbid entities, which most often manifest after missed bladder or bowel injuries, post benign gynecological surgeries. Early detection and recognition of GI and GU injuries may be key for secondary prevention of fistula formation.