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 per...
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