Surgical laparoscopy, endoscopy & percutaneous techniques
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Surg Laparosc Endosc Percutan Tech · Jun 2008
Case ReportsUse of temporary esophageal stent in management of perforations after benign esophageal surgery.
Successful conservative management in 3 patients with catastrophic postoperative esophageal leak after nonresection surgery is presented. In each case, the placement of removable stent played a significant role. First patient had persistent leak after primary repair of intrathoracic esophageal perforation. ⋯ Stent placement was successful in all patients allowing immediate resumption of diet. After stent removal, contrast study showed no leak or stricture. Endoscopic stent therapy is an effective option in the management of postoperative esophageal perforation.
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Surg Laparosc Endosc Percutan Tech · Jun 2008
Laparoscopic ventral hernia repair: a new method for fixation of the mesh with sutures.
Laparoscopic technique has proven to be a safe and feasible alternative to open mesh repair in the treatment of ventral hernias. It has been seen that the recurrence rate is the same as with open repair but with lesser morbidity. For the repair of ventral hernia with laparoscopy, mesh is placed intraperitoneally. The most common approach for intraperitoneal fixation of the mesh is by using a combination of transfascial sutures and tackers. This paper describes a new technique for intraperitoneal fixation of the mesh using sutures. ⋯ This is a novel technique for fixation of the mesh to the abdominal wall intraperitoneally during laparoscopic repair of ventral hernia. Tackers are not required for the fixation of mesh.
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Surg Laparosc Endosc Percutan Tech · Jun 2008
Infective subcutaneous emphysema after laparoscopic rectopexy: a rare complication.
Subcutaneous emphysema after laparoscopic surgery is not uncommon but infection of the subcutaneous space because of gas forming organisms causing emphysema after a laparoscopic procedure is an extremely rare entity. We report a case of infective subcutaneous emphysema after laparoscopic rectopexy.
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Surg Laparosc Endosc Percutan Tech · Feb 2008
Clinical TrialLaparoscopic appendectomy for simple and complicated appendicitis in children--safe or risky procedure.
The aim of the study was to present our experience and to assess the advantages of laparoscopic appendectomy, particularly in children with perforated appendicitis. ⋯ Laparoscopic appendectomy is good alternative for classic appendectomy, irrespective of the degree of inflammation. Accurate cleaning and rinsing of the abdominal cavity essentially decreases the quantity of complications even in cases with perforated appendicitis. This suggests the expansion of indications toward laparoscopic appendectomy in case of all children with acute appendicitis.
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Surg Laparosc Endosc Percutan Tech · Feb 2008
Intracorporeal Billroth 1 reconstruction by triangulating stapling technique after laparoscopic distal gastrectomy for gastric cancer.
As the laparoscopic operations for gastric cancer have increased, the intracorporeal reconstruction of the digestive tract has received attention because the procedure offers a good visual field regardless of the patient's figure. We performed laparoscopic gastrectomies with regional lymph node dissection on 586 gastric cancer patients between March 1998 and June 2006: 465 distal gastrectomies, 42 proximal gastrectomies, and 79 total gastrectomies. Intracorporeal anastomosis was carried out in 303, 36, and 69 of the above cases, respectively. ⋯ Reducing postoperative wounds was possible TLDG by TST, compared with HALS and the extracorporeal anastomosis, that is, laparoscopy-assisted distal gastrectomy. Complications from anastomosis resulted in leakage in 2 HALS-TST patients and in 1 TLDG-TST patient, and anastomotic stenosis and bleeding were observed in each 1 case of reconstruction that used CEEA. Intracorporeal Billroth 1 reconstruction by TST is a safe procedure that provides a good visual field regardless of the patient's figure and a feasible technique for reconstruction after laparoscopic distal gastrectomies.