Iatrogenic bladder perforation post laparoscopic totally extraperitoneal inguinal hernia repair: Troubleshooting with laparoscopic approach
Rafique Umer Harvitkar, Abhijit JoshiJournal of Minimal Access Surgery 2021 17(4):584-585 (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - September 17, 2021 Category: Surgery Authors: Rafique Umer Harvitkar Abhijit Joshi Source Type: research

Trocar insertion in enhanced-view totally extra-peritoneal (eTEP) repair of inguinal hernias
Conclusion: The exact sequence of trocar insertion and their positioning described by us improves ergonomics and ensures a safe division of the arcuate line with minimal risk of damage to underlying peritoneum. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - September 17, 2021 Category: Surgery Authors: Rahul Mahadar Eham Arora Source Type: research

Laparoscopic real-time vessel navigation using indocyanine green fluorescence during laparoscopy-assisted gastric tube reconstruction: First experience
This study included five oesophageal cancer patients who underwent video-assisted thoracoscopic oesophagectomy and LAGR. We confirmed the presence of the left gastroepiploic artery (LGEA) in all cases, and no findings such as post-operative gastric tube ischaemia were observed. In all cases, no vascular injury was observed, and the vascularization of LGEA was confirmed. This report is the first to consider the usefulness of LRTVN using ICG during LAGR. LRTVN using ICG during LAGR was considered to be useful for evaluating gastric tube blood flow and avoiding vascular injury around the splenic hiatus. (Source: Journal of Mi...
Source: Journal of Minimal Access Surgery - September 17, 2021 Category: Surgery Authors: Yuma Ebihara Toshiaki Shichinohe Yo Kurashima Soichi Murakami Satoshi Hirano Source Type: research

& #8220;Misra & #39;s appendicular hitch & #8221; stich & #8211; Innovative technique for simplifying endo-suturing during laparoscopic appendectomy
Krishna Asuri, Mayank JainJournal of Minimal Access Surgery 2021 17(4):573-575Laparoscopic suture transfixation and free tie ligation are the most commonly used cost-effective technique of managing the base of the appendix during laparoscopic appendectomy in low resource settings such as India. This becomes technically cumbersome especially in the presence of the long friable appendix and for novice surgeons. We hereby describe an innovative technique of suspending the appendix using a transfacial suture to ease the placement of suture at the base of the appendix during laparoscopic appendectomy. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - September 17, 2021 Category: Surgery Authors: Krishna Asuri Mayank Jain Source Type: research

Laparoscopic radical hysterectomy with enclosed colpotomy without the use of uterine manipulator for early-stage cervical cancer
Conclusion: We found that laparoscopic radical hysterectomy with TUSS and vaginal closure before colpotomy is a useful and effective procedure to prevent tumour spillage for the treatment of cervical cancer. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - September 17, 2021 Category: Surgery Authors: Bo Ding Xiaoming Guan Kristina Duan Yang Shen Source Type: research

Robotic infrahepatic vena cava clamping and Pringle manoeuvre for major hepatectomy: A safe and bloodless procedure & #8211; First technical report
Francesco Marchegiani, Antonio Pesce, Isacco Damoli, Cristiano HuscherJournal of Minimal Access Surgery 2021 17(4):566-569Mini-invasive approaches in hepatic surgery are associated with a significant decrease in the incidence of post-operative morbidity and liver failure. Intraoperative blood loss represents the major intraoperative accident during hepatectomy. Infrahepatic inferior vena cava clamping is an emerging technical trick which guarantees a lower intraoperative blood loss and transfusion rates during liver surgery. Herein, we present the first report of infrahepatic caval clamping during robotic hepatectomy at ou...
Source: Journal of Minimal Access Surgery - September 17, 2021 Category: Surgery Authors: Francesco Marchegiani Antonio Pesce Isacco Damoli Cristiano Huscher Source Type: research

Ultrasound-guided thoracal paravertebral block for awake thoracoscopic lobectomy in a high-risk patient: The first reported case
Volkan Ozen, Onur Derdiyok, Serap KaracalarJournal of Minimal Access Surgery 2021 17(4):562-565One-lung ventilation provided by double-lumen tube intubation under general anaesthesia has conventionally been considered necessary for thoracoscopic major pulmonary resections. Recently, regional anaesthesia techniques have been used to avoid complications of tracheal intubation and general anaesthesia. Although paravertebral block (PVB) comes to the fore as a safe and useful regional anaesthesia technique for intra-operative and post-operative analgesia for a wide variety of surgeries involving the thoracic and lumbar regions,...
Source: Journal of Minimal Access Surgery - September 17, 2021 Category: Surgery Authors: Volkan Ozen Onur Derdiyok Serap Karacalar Source Type: research

A case of unusual evisceration through laparoscopic port site
Mathews James, G Senthil, R Kalayarasan, Biju PottakkatJournal of Minimal Access Surgery 2021 17(4):559-561Drain site eviscerations have been reported as a rare complication following abdominal surgery. An 82-year-old women was diagnosed with carcinoma stomach and underwent laparoscopic subtotal gastrectomy. A few hours following removal of the duodenal stump drain, she developed small bowel evisceration through the drain site. It was successfully managed with immediate bedside release of fascial constriction followed by definitive repair later. Although herniations and eviscerations via larger drain sites have been report...
Source: Journal of Minimal Access Surgery - September 17, 2021 Category: Surgery Authors: Mathews James G Senthil R Kalayarasan Biju Pottakkat Source Type: research

Thoracoscopic excision of double-pulmonary sequestration in left haemithorax, without anomalous blood supply (supply from pulmonary artery) in a neonate: First case
Sunita Ojha, Prabhar Srivastava, Anil Poonia, Rajiv BansalJournal of Minimal Access Surgery 2021 17(4):556-558Pulmonary sequestration (PS) is a rare anomaly. PS is a mass of abnormal pulmonary tissue that does not communicate with the tracheobronchial tree and is supplied by an anomalous systemic artery. Although aberrant systemic arterial supply is considered the key element to diagnose PS, rarely it can have arterial supply from the pulmonary artery as a spectrum of sequestration. Here, we present an unusual case of double (upper and lower) extralobar sequestration, present unilaterally (left haemithorax) in a neonate, w...
Source: Journal of Minimal Access Surgery - September 17, 2021 Category: Surgery Authors: Sunita Ojha Prabhar Srivastava Anil Poonia Rajiv Bansal Source Type: research

Minimally invasive approach for retrieval of retropharyngeal foreign body
K Devaraja, Suresh Pillai, Kailesh PujaryJournal of Minimal Access Surgery 2021 17(4):554-555Ingested fish bone at times can migrate extraluminally into the surrounding soft tissue, leading to complications. Conventionally, these migrated fish bones are retrieved by open procedures, which could add to the morbidity. We successfully retrieved one such foreign body by a minimally invasive transcervical approach in a 64-year-old female patient. The method offered an easy identification of the foreign body with minimal soft-tissue dissection, which ultimately aided in the early post-operative recovery. This is the first report...
Source: Journal of Minimal Access Surgery - September 17, 2021 Category: Surgery Authors: K Devaraja Suresh Pillai Kailesh Pujary Source Type: research

Gastric glomus tumour: A case report
We report a rare case of gastric GT in a 28-year-old female presenting with upper abdominal pain, intermittent haematemesis and melena. Contrast-enhanced computed tomography indicated a well-defined, heterogeneously enhancing lesion in the antral region of the stomach and a possibility of gastrointestinal (GI) stromal tumour (GIST). Upper GI endoscopy showed a wide-based lesion in the sub-mucosal plane with ulcerated mucosa. Laparoscopic excision of the tumour with primary closure of the defect was performed, with an uneventful post-operative course. Histopathological and immunohistochemical findings confirmed a gastric GT...
Source: Journal of Minimal Access Surgery - September 17, 2021 Category: Surgery Authors: Mridul Tantia Pravin R Suryawanshi Akshi Gupta Praveen Rachakatla Source Type: research

Non-Hodgkin & #39;s lymphoma of the appendix and distal ileum. A rare case report
Aparna Govil Bhasker, Jay D Kotecha, Rahul Pandey, Sachin WaniJournal of Minimal Access Surgery 2021 17(4):548-550Primary gastrointestinal (GI) tract lymphomas constitute 1%–4% of all GI malignancies. Primary lymphomas of appendix are even more rare and are seen in 0.015% of all appendicectomy specimens. Here, we report a rare case of non-Hodgkin's lymphoma tumours in the appendix and distal ileum in a non-immune compromised young male patient who presented with intermittent intussusception and pain in the right iliac fossa. A laparoscopic right hemicolectomy was performed and the patient recovered un...
Source: Journal of Minimal Access Surgery - September 17, 2021 Category: Surgery Authors: Aparna Govil Bhasker Jay D Kotecha Rahul Pandey Sachin Wani Source Type: research

Impact of COVID-19 pandemic on bariatric surgery in India: An obesity and metabolic surgery society of India survey of 1307 patients
Conclusion: BMS may be considered as a safe treatment option for patients suffering from clinically severe obesity during the COVID-19 pandemic. Due care must be taken to protect patients and healthcare workers and all procedures must be conducted in line with the safe practice guidelines. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - September 17, 2021 Category: Surgery Authors: Aparna Govil Bhasker Manish Khaitan Vivek Bindal Amardeep Kumar Anirudh Rajkumar Anshuman Kaushal Arun Prasad Chirag Parikh Daksh Sethi Deep Goel Deepak Thampi Hareendran Digvijay Bedi Gurvinder Singh Jammu Jayanth Leo Kuldeepak Kular Mahendra Narwaria Ma Source Type: research

Measurement of hiatal surface area and other hiatus oesophageal diameters at computed tomography imaging in patients with gastroesophageal reflux disease and its relationship with hiatal hernia
Conclusions: CT imaging helps investigate the presence of HH at GERD+ patients. In addition, pre-operative valuable data can be obtained from the detection of HH types and HSA measurements in cases with HH. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - September 17, 2021 Category: Surgery Authors: Emrah Karatay Mehmet Ali Gok Mirkhalig Javadov Source Type: research

Thoracoscopic bilateral dorsal sympathectomy for primary palmo-axillary hyperhidrosis short- and mid-term results
Conclusion: A significant percentage of the patients with primary palmo-axillary hyperhidrosis will be very satisfied with the procedure at 1 year after surgery despite 50% of them developing CH. Detailed counselling regarding CH in the pre-operative period would minimise the dissatisfaction rate after surgery. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - September 17, 2021 Category: Surgery Authors: Harsh Vardhan Puri Belal Bin Asaf Sukhram Bishnoi Mohan Venkatesh Pulle Shikha Sharma Arvind Kumar Source Type: research

Minimally invasive surgery for adult oesophageal duplication cysts: Clinical profile and outcomes of treatment from a tertiary care centre and a review of literature
Conclusion: MIS is feasible and safe in the management of adult ODC. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - September 17, 2021 Category: Surgery Authors: Suraj Surendran Ashish Sam Samuel Myla Yacob Vijay Abraham Birla Roy Gnanamuthu Inian Samarasam Source Type: research

Comparison of efficacy and safety of the enhanced-view totally extraperitoneal (eTEP) and transabdominal (TARM) minimal access techniques for retromuscular placement of prosthesis in the treatment of irreducible midline ventral hernia
Conclusion: Thirty-eight patients were operated by eTEP technique and the subsequent 35 were operated by TARM repair. There was no significant difference in the outcome of surgery and complications by the two techniques. However, there was a significant subjective technical ease in the TARM group due to ergonomic triangulated port placement and adhesiolysis and reduction of hernia contents under vision. The number of ports used and post-operative pain were, however, higher in the TARM group as compared to that of the eTEP group. Nearly 96% of the patients belonging to both groups were satisfied with their surgery after...
Source: Journal of Minimal Access Surgery - September 17, 2021 Category: Surgery Authors: Sameer Ashok Rege Jayati Jagdish Churiwala Abdeali Saif A. Kaderi Ketan Fakira Kshirsagar Abhay N Dalvi Source Type: research

Endoscopic ultrasound-guided drainage of intra-abdominal diverticular abscess. A case series
Conclusions: Management of diverticulitis has shifted from primary surgical intervention towards a non-operative approach of bowel rest and broad-spectrum intravenous antibiotics in conjunction with interventional procedures to drain abscesses whenever necessary. EUS-guided drainage with LAMS for the management of diverticular abscesses seems an efficient treatment modality for encapsulated abscesses more than 4 cm in size and close to colonic wall. In expert centres, it may avoid radiologic intervention and/or surgery in a relevant percentage of cases. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - September 17, 2021 Category: Surgery Authors: Gianfranco Donatelli Fabrizio Cereatti Maurizio Fazi Vincenzo Ceci Parag Dhumane Source Type: research

Changing paradigms in endoscopic thyroid surgery: A comparison between scarless-in-the-neck axillo-breast approach and totally scarless transoral approach
Conclusion: TOVA is associated with shorter operating time and hospital stay with comparable outcomes. Cosmetic outcome is excellent in TOVA, however requires further subjective evaluation. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - September 17, 2021 Category: Surgery Authors: Gyan Chand Nitish Gupta Goonj Johri Anjali Mishra Saroj Kant Mishra Source Type: research

Difficult biliary stones in the elderly: Endoscopic retrograde cholangiography & #8211; A single surgical tertiary centre experience with follow-up
Conclusion: ERCP in the elderly was found to be a safe procedure, carrying a high degree of success for the treatment of difficult biliary stones. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - September 17, 2021 Category: Surgery Authors: Pavlos Antypas Fabrizio Cereatti Fausto Fiocca Annalisa Cappello Chiara Eberspacher Gianfranco Fanello Domenico Mascagni Gianfranco Donatelli Source Type: research

Advanced training in laparoscopic gastrointestinal surgical procedures using Genelyn & #174;-embalmed human cadavers: A novel model
Conclusion: The participants of the surgical skill training workshop felt that the Genelyn®-embalmed cadavers were ideal for use in practicing advanced laparoscopic procedures. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - September 17, 2021 Category: Surgery Authors: S. S. S. N. Rajasekhar V Dinesh Kumar V Raveendranath Raja Kalayarasan Senthil Gnanasekaran Biju Pottakkat M Sivakumar Source Type: research

Transanal endoscopic microsurgery under spinal anaesthesia
Conclusion: TEM under spinal anaesthesia had short duration of surgery, no increase in operative and post-operative complications or hospital length of stay. Avoiding the use of general anaesthesia, in such challenging procedure, may open new opportunities for patients determined to be unfit for general anaesthesia. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - September 17, 2021 Category: Surgery Authors: Yael Berger Rachel Gingold-Belfer Muhammad Khatib Mostafa Yassin Wisam Khoury Hemda Schmilovitz-Weiss Nidal Issa Source Type: research

A novel two-port single-site laparoscopic pyloromyotomy for infantile hypertrophic pyloric stenosis
Conclusion: The novel SSLP method requires only two incisions through the umbilicus to complete the procedure, with barely visible scars and similar surgical complications to that of the two-site approach; thus, the novel method is worth promoting. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - September 17, 2021 Category: Surgery Authors: Chaoxiang Lu Zhongwen Li Weike Xie Qi Wang Yongkang Pan Source Type: research

Sentinel node mapping using indocyanine green and near-infrared fluorescence imaging technology for endometrial cancer: A prospective study using a surgical algorithm in Indian patients
Conclusions: SLN mapping holds a great promise as a modern staging strategy for endometrial cancer. In our experience, cervical injection was an optimal method of mapping the pelvis. ICG showed a high overall detection rate, and bilateral mapping appears to be a feasible alternative to the more traditional methods of SLN mapping in patients with endometrial cancer. The ICG fluorescence imaging system is simple and safe and may become a standard in oncosurgery in view of its staging and anatomical imaging capabilities. This approach can reduce the morbidity, operative times and costs associated with complete lymphadenectomy...
Source: Journal of Minimal Access Surgery - September 17, 2021 Category: Surgery Authors: SP Somashekhar R Arvind C Rohit Kumar Vijay Ahuja KR Ashwin Source Type: research

Video-assisted thoracoscopic surgery versus open thoracotomy in the management of empyema: A comparative study
Conclusion: We conclude that VATS, a minimally invasive procedure with its substantial advantages over thoracotomy and better functional outcome, should be preferred whenever feasible to do so. Also if needed, conversion of VATS to the conventional open procedure, rather than a failure, is a wise surgical judgement. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - September 17, 2021 Category: Surgery Authors: Rohit Jindal Amandeep Singh Nar Atul Mishra Ravinder Pal Singh Aayushi Aggarwal Namita Bansal Source Type: research

Impact of bariatric surgery on type 2 diabetes in morbidly obese patients and its correlation with pre-operative prediction scores
Conclusions: Besides leading to excess BMI loss of 61.2%, bariatric surgery also resulted in diabetes remission in 55.2% of the patients. Amongst various pre-operative scores, Advanced-DiaRem has the highest predictive accuracy for T2DM remission. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - September 17, 2021 Category: Surgery Authors: Mehul Gupta Sandeep Aggarwal Amit Bhambri Vitish Singla Rachna Chaudhary Source Type: research

Quantitative assessment of crural closure for laparoscopic anti-reflux surgeries: A novel technique to reduce post-operative dysphagia
Conclusion: Quantitative assessment of adequacy for crural closure during LARS using a 7 French Fogarty catheter balloon is a novel technique which may decrease the incidence of post-operative dysphagia or intrathoracic wrap migration or recurrence of hiatus hernia. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - September 17, 2021 Category: Surgery Authors: Pranav Mandovra Vishakha Kalikar Roy V Patankar Source Type: research

Symptomatic pseudoaneurysms following laparoscopic cholecystectomy: Focus on an unusual and dangerous complication
Conclusion: Clinicians should be aware of the PA occurrence following LC. Prompt diagnosis and treatment are essential. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - September 17, 2021 Category: Surgery Authors: Charalampos Lampropoulos George Markopoulos Stylianos Tsochatzis Aggeliki Bellou Theofilos Amanatidis Dimitrios Kehagias George Papadopoulos Ioannis Kehagias Source Type: research

Quality of life after giant hiatus hernia repair: A systematic review
Conclusion: Surgical repair of GHH improved QoL scores in all the 38 studies. The impact of recurrence on QoL needs further assessment. The authors also recommend uniform reporting of surgical outcomes in future studies. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - September 17, 2021 Category: Surgery Authors: Akshay R Date Yan Mei Goh Yan Li Goh Ilayaraja Rajendran Ravindra S Date Source Type: research

Long-term and short-term outcomes after laparoscopic versus open surgery for advanced gastric cancer: An updated meta-analysis
Conclusion: The safety and effectiveness of laparoscopic surgery for AGC is not inferior to that of traditional open surgery, and to a certain extent, can reduce trauma, facilitate recovery, and be validated in RCTs and non-RCTs. In the real-world cohort, laparoscopic surgery for gastric cancer achieved a better survival rate and DFS rate. However, to evaluate the efficacy of these two methods more comprehensively, high-quality randomized controlled trials and longer follow-up times are still needed. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - September 17, 2021 Category: Surgery Authors: Wei Zhang Zhangkan Huang Jianwei Zhang Xu Che Source Type: research

The story behind the time characteristics of shoulder pain after laparoscopic surgery
Xinyou Li, Kezhong LiJournal of Minimal Access Surgery 2021 17(3):421-422 (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - June 22, 2021 Category: Surgery Authors: Xinyou Li Kezhong Li Source Type: research

A case of Endometrioid endometrial adenocarcinoma with synchronous low-grade Appendiceal mucinous neoplasm and Pseudomyxoma peritonei
We present the case of a post-menopausal woman with endometrioid endometrial adenocarcinoma with unexpected low-grade appendiceal mucinous neoplasm and PMP. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - June 22, 2021 Category: Surgery Authors: Shweta Raje Sharda Arvind Gayatri Rao Source Type: research

Hand-assisted robotic surgery in the abdominal phase of robot-assisted oesophagectomy
In conclusion, HARS seems to be feasible and safe for abdominal manipulation during oesophageal cancer surgery. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - June 22, 2021 Category: Surgery Authors: Shinsuke Sato Kazuya Higashizono Erina Nagai Yusuke Taki Masato Nishida Masaya Watanabe Noriyuki Oba Source Type: research

A different suturing method of the duct-to-mucosa pancreaticojejunostomy for the normal pancreatic duct in laparoscopic pancreaticoduodenectomy
Ziyao Wang, Xin Wang, Nengwen KeJournal of Minimal Access Surgery 2021 17(3):412-414Although laparoscopic pancreaticoduodenectomy (LPD) is safe and widely used in clinical practice, pancreaticojejunostomy is still one of the most challenging parts of LPD surgery. We introduce a simpler method of pancreaticoenterostomy which reduces the technical complexity and produces acceptable results. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - June 22, 2021 Category: Surgery Authors: Ziyao Wang Xin Wang Nengwen Ke Source Type: research

Robotic left colectomy with double indocyanine green guidance and intracorporeal anastomoses
We report our technique of single-docking totally robotic left hemicolectomy for splenic flexure adenocarcinoma using Da Vinci Xi® Surgical System (Intuitive Surgical, USA) with indocyanine green near-infrared fluorescence for the assessment of both the lymph nodes and intestinal blood flow in real time. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - June 22, 2021 Category: Surgery Authors: Jan Grosek Ale & #353; Toma & #382;ic Source Type: research

Minimally invasive esophagectomy: Preservation of arch of Azygos vein in prone position
We describe our modified technique of MIE in prone position with preservation of the arch of azygos vein. In our experience with 14 patients, the mean operative duration was 378 min (standard deviation [SD] 378 ± 59 min) and the mean blood loss was 390 ml (SD 390 ± 142 ml). The mean lymph node count was 28 (range 17–54). The Visick score was I in 12 (85.7%) patients and II in 2 (14.3%) patients at follow-up. The preservation of azygos vein arch is a technically feasible procedure and may be associated with a better quality of life outcome. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - June 22, 2021 Category: Surgery Authors: Madhabananda Kar Mohammed Imaduddin Dillip K Muduly Mahesh Sultania Tim Houghton Manas Kumar Panigrahi Satyajeet Misra Susama Patra Sudipta Mohakud Source Type: research

The technique of precise and systematic vascular control during robotic pancreaticoduodenectomy for periampullary and pancreatic tumours
Raja Kalayarasan, MS Gautham, Senthil Gnanasekaran, Biju PottakkatJournal of Minimal Access Surgery 2021 17(3):399-404Robotic pancreaticoduodenectomy (PD) remains one of the most advanced robotic procedures. Improved ergonomics and stable 3D vision with robotic platform helped overcome the technical challenges of pancreatic reconstruction in minimally invasive PD. However, inadequate understanding of the complex vascular anatomy of the pancreatic head and uncinate process often results in intra-operative bleeding and prolongs the learning curve. The technique of precise identification and systematic control of the vessels ...
Source: Journal of Minimal Access Surgery - June 22, 2021 Category: Surgery Authors: Raja Kalayarasan MS Gautham Senthil Gnanasekaran Biju Pottakkat Source Type: research

Thoracoscopic oesophago-oesophagostomy in the prone position for oesophageal stenosis caused by dilated azygos vein in polysplenia-associated heterotaxy
Conclusion: Oesophageal stenosis may result from prolonged compression by anomalous vasculature. An isolated correctable anatomic derangement, young age with good functional reserve, other associated anomalies not causing any symptoms, the physiological advantages of executing the surgery in a prone position and availability of expertise in minimally invasive surgery ensured excellent outcomes. The hitherto unreported technique may open up avenues for further research regarding the behaviour of the oesophageal muscular tube with transection and re-anastomosis for rare benign abnormalities. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - June 22, 2021 Category: Surgery Authors: Rajesh Bhojwani Nikhil Jain Source Type: research

Successful endoscopic treatment of an obstructing gastric antral web in a paediatric patient: A case report
Bing-Bing Ren, Kui Jiang, Tao Wang, Da-Qing SunJournal of Minimal Access Surgery 2021 17(3):392-394Gastric antral web (GAW) is a rare anomaly of the gastric antrum and can result in gastric outlet obstruction. Currently, endoscopic treatment of GAW is considered challenging due to high technical requirements and restenosis. Herein, we present a rare case of a paediatric patient with GAW cured by endoscopic transection and partial resection of the web. An 8-year-old boy was admitted because of a 9-month history of postprandial fullness and intermittent non-bilious vomiting of gastric contents. On performing upper gastrointe...
Source: Journal of Minimal Access Surgery - June 22, 2021 Category: Surgery Authors: Bing-Bing Ren Kui Jiang Tao Wang Da-Qing Sun Source Type: research

Ganglioneuroma presenting as an adrenal incidentaloma: Feasibility of adrenal-sparing surgery
Rohit Ranjan, Ankur Mittal, Satish Kumar Ranjan, Vikas Panwar, Harkirat Singh TalwarJournal of Minimal Access Surgery 2021 17(3):389-391Adrenal ganglioneuromas (GNs) are very rare tumours that originate from neural crest cells. Most of the time, they are diagnosed incidentally as they are usually non-functional and remain asymptomatic. Nowadays, they are being detected more often due to better availability of imaging facilities such as computed tomography (CT)/magnetic resonance imaging (MRI). Minimally invasive adrenalectomy (laparoscopic or robotic) remains the standard of care for such lesions. Hereby, we report a case ...
Source: Journal of Minimal Access Surgery - June 22, 2021 Category: Surgery Authors: Rohit Ranjan Ankur Mittal Satish Kumar Ranjan Vikas Panwar Harkirat Singh Talwar Source Type: research

Pneumothorax as a rare complication during laparoscopic total extra-peritoneal inguinal hernia repair: A case report and review of the literature
Nikolaos Koliakos, Dimitrios Papaconstantinou, Andrianos-Serafeim Tzortzis, Dimitrios Schizas, Dimitrios Bistarakis, Anargyros BakopoulosJournal of Minimal Access Surgery 2021 17(3):385-388Totally extra-peritoneal (TEP) and trans-abdominal pre-peritoneal repair are the two most commonly performed types of laparoscopic hernia repair procedures. Herein, we present a rare case of pneumothorax and pneumomediastinum that ensued during a TEP inguinal hernia repair. A 73-year-old man presented for elective laparoscopic right-sided hernia repair. After intubation, a 10-mm and two 5-mm trocars were placed in the peri-umbilical and ...
Source: Journal of Minimal Access Surgery - June 22, 2021 Category: Surgery Authors: Nikolaos Koliakos Dimitrios Papaconstantinou Andrianos-Serafeim Tzortzis Dimitrios Schizas Dimitrios Bistarakis Anargyros Bakopoulos Source Type: research

Torsion of suprahepatic gall bladder
We report a patient of acute suprahepatic cholecystitis with torsion. A 69-year-old Korean male was admitted to our hospital for sudden-onset, severe epigastric pain. Abdominal computed tomography and ultrasonography showed a distended gall bladder with diffuse wall thickening and scanty pericholecystic fluid, which was located in ectopic suprahepatic position, accompanied by S4 hypotrophy of the liver without gallstones. Emergency laparoscopic cholecystectomy was performed, and intraoperative findings revealed a distended and ischaemic gall bladder that was located in the suprahepatic position and had twisted along the cy...
Source: Journal of Minimal Access Surgery - June 22, 2021 Category: Surgery Authors: Woo Young Nho Jae Oh Kim Soon Young Nam Se Kook Kee Source Type: research

Refractory lymphatic ascites following laparoscopic management of renal lymphangiectasia: An unusual presentation
We present an unusual complication of refractory lymphatic ascites following laparoscopic deroofing of a unilocular renal lymphangiectasia in a 21-year-old gentleman who presented with left flank pain. The ascitic fluid analysis suggested non-chylous lymphatic ascites. The surgical outcome was rather exasperating for the patient than the disease itself. Hence, in the interest of the patient with minimal symptoms, if the imaging is highly suggestive of renal lymphangiectasia, either no intervention or the least invasive procedures should be attempted, whenever possible. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - June 22, 2021 Category: Surgery Authors: Sumit Saini Brusabhanu Nayak Prashant Singh Amlesh Seth Source Type: research

Transoral robotic resection of unusual spindle cell/pleomorphic lipoma of the larynx
We present the first case of a SC/PL of larynx managed with TORS. Four hours after surgery, the patient was able to take a soft diet and was discharged 2 h later. The follow-up showed an excellent clinical and functional outcome. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - June 22, 2021 Category: Surgery Authors: Enrique Cadena-Pineros Alfredo Ernesto Romero-Rojas Ricardo Guerra Source Type: research

Laparoscopic distal pancreatectomy for pancreatic arteriovenous malformation complicated with portal hypertension
Takehiro Abiko, Yuma Ebihara, Motoya Takeuchi, Hiroki Sakamoto, Minoru Takahashi, Hisato Homma, Satoshi HiranoJournal of Minimal Access Surgery 2021 17(3):373-375Pancreatic arteriovenous malformation (PAVM) is defined as a vascular anomaly with an abnormal anastomosis of the arterial and portal networks within the pancreas. Treatment modalities of PAVM include transarterial embolisation (TAE), irradiation and operation. Most patients treated with TAE alone will experience recurrence, so surgery is the best radical treatment. A female patient was admitted to our institution for the treatment of haematemesis. Examination rev...
Source: Journal of Minimal Access Surgery - June 22, 2021 Category: Surgery Authors: Takehiro Abiko Yuma Ebihara Motoya Takeuchi Hiroki Sakamoto Minoru Takahashi Hisato Homma Satoshi Hirano Source Type: research

Laparoscopic hepatopancreatoduodenectomy for locally advanced gall bladder cancer
Mathews James, Raja Kalayarasan, Senthil Gnanasekaran, Biju PottakkatJournal of Minimal Access Surgery 2021 17(3):369-372Hepatopancreatoduodenectomy (HPD) can offer a survival advantage in selected patients with locally advanced gall bladder cancer (GBC). While the safety and feasibility of minimally invasive radical cholecystectomy have been recently documented, laparoscopic HPD for GBC has not been previously reported. A 73-year-old male with GBC infiltrating the bile duct underwent laparoscopic HPD to achieve R0 resection. The patient had an uneventful post-operative course except for delayed gastric emptying that impro...
Source: Journal of Minimal Access Surgery - June 22, 2021 Category: Surgery Authors: Mathews James Raja Kalayarasan Senthil Gnanasekaran Biju Pottakkat Source Type: research

Median arcuate ligament (Dunbar) syndrome: Laparoscopic management and clinical outcomes of a single centre
Conclusion: Laparoscopic decompression is an effective treatment for MALS and can provide symptomatic relief. This method may be the preferred modality of treatment in view of its lack of morbidity and good results. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - June 22, 2021 Category: Surgery Authors: Mehmet Tolga Kafadar Abdullah Oguz Ulas Aday H & #252;seyin Bilge & #214;mer Basol Source Type: research

Laparoscopic anterior resection: Analysis of technique over 1000 cases
Conclusion: This is one of the largest single-centre experiences of laparoscopic anterior resection. We have shown the progressive benefits of an evolving approach to laparoscopic anterior resection. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - June 22, 2021 Category: Surgery Authors: Senthil Kumar Ganapathi Rajapandian Subbiah Sathiyamoorthy Rudramurthy Harish Kakkilaya Parthasarathi Ramakrishnan Palanivelu Chinnusamy Source Type: research

Laparoscopic cholecystectomy in patients with portal cavernoma without portal vein decompression
Conclusion: LC is feasible in patients with PC at a centre with experience in both laparoscopic and portal hypertension surgeries. Excellent outcome with low rate of conversion to open surgery can be achieved. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - June 22, 2021 Category: Surgery Authors: Shridhar Vasantrao Sasturkar Nikhil Agrawal Asit Arora M. P. Senthil Kumar Ragini Kilambi Shalini Thapar Tushar Kanti Chattopadhyay Source Type: research

Laparoscopic sleeve gastrectomy: A role of inflammatory markers in the early detection of gastric leak
Conclusions: Because NLR and PCT detected GL with remarkably higher sensitivity and specificity than CRP, fibrinogen and WBC, these two markers seem to be more accurate for the early detection of this complication. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - June 22, 2021 Category: Surgery Authors: Lucia Romano Antonella Mattei Sara Colozzi Antonio Giuliani Giovanni Cianca Gianni Lazzarin Fabiana Fiasca Francesco Carlei Mario Schietroma Source Type: research