Everting the Jejunal Mucosa Ensures a Secure Hepaticojejunostomy Anastomosis During Laparoscopic Repair of Choledochal Cyst in Children
Journal of Laparoendoscopic&Advanced Surgical Techniques, Ahead of Print.
Publication date: Available online 18 October 2019Source: The SurgeonAuthor(s): Oleksandr Khoma, Miho Mugino, Gregory L. FalkAbstractPatients with giant hiatal hernia (GHH) are often symptomatic and have significantly reduced quality of life (QoL). Advanced age is a predictor of increased morbidity and mortality in open hiatal surgery, however, outcomes of laparoscopic surgery in patients over the age of 80 are limited to case reports and small case series.Data was extracted from a prospectively maintained database. Consecutive patients over the age of 80 with GHH that have undergone surgery were included. Peri-operative m...
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.
ConclusionThe survival outcome of laparoscopic radical hysterectomy is comparable to open radical hysterectomy after completing learning curve and reducing intraperitoneal tumor exposure during surgery.
Publication date: November–December 2019Source: Journal of Minimally Invasive Gynecology, Volume 26, Issue 7, SupplementAuthor(s): KW Fan, MK Shu, A Eddib, C TysonStudy ObjectiveTo compare perioperative outcomes of patients undergoing standard oncology staging versus combined oncology staging and urogynecologic procedures for pelvic floor dysfunction repair.DesignA retrospective cohort study of two gynecologic oncology patients groups who underwent robotic assisted surgical staging versus surgical staging with concomitant pelvic floor repair.SettingMany women diagnosed with a gynecologic malignancy may have comorbid ...
ConclusionThe robotic-assisted laparoscopy view, with the 3-D dimension, and the forceps joint make the suture easily to be performed by the gynecologic surgeon.
ConclusionThere are numerous reports of the minimally invasive repair of CSD; however, it remains unknown in the obstetrical literature when interventions are required. Patients with minimal myometrial thinning and without evidence of serosal dehiscence may not require repair of the defect. More evidence is needed to observe obstetrical outcomes with or without repair.
ConclusionSacrospinous ligament suspension for the correction of massive vaginal vault prolapse utilizing PEEK anchors and porcine urinary bladder extracellular matrix is a reasonable alternative to transvaginal synthetic mesh repairs.Advantages to this vaginal approach include: 1) Avoidance of laparoscopic risks in a patient with massive ascites, 2) Avoidance of chronic pain, erosion and extrusion associated with synthetic mesh.
ConclusionPectopexy appears to be a new, useful tool in the armamentarium of gynecological endoscopists for hysteropexy in patients desirous of further child bearing as it gives bilateral support at level of pericervical ring. It is also applicable for vault prolapse repair and after Laparoscopic Subtotal Hysterectomy for vault suspension.
To illustrate the use of robotic-assisted laparoscopy with simultaneous hysteroscopy for the repair of an isthmocele.
The objective of this video is to review the definition, diagnosis, consequences of an uterine isthmocele. This video also demonstrates surgical management of isthmoceles using a combination of laparoscopy and hysteroscopy.