[Year:2010] [Month:May-August] [Volume:3] [Number:2] [Pages:1] [Pages No:0 - 0]
DOI: 10.5005/wjols-3-2-i | Open Access | How to cite |
[Year:2010] [Month:May-August] [Volume:3] [Number:2] [Pages:4] [Pages No:55 - 58]
DOI: 10.5005/jp-journals-10007-1083 | Open Access | How to cite |
Abstract
In this publication, we present our technique with 14 cases for clot removal using a laparoscopic method under local anesthesia that we have called the procedure “extra-corporeal clot extrusion” (ECCE). The result was that laparoscopic “ECCE” should be a considered option for management of catheter malfunction due to fibrin clot.
Laparoscopic Common Bile Duct Exploration
[Year:2010] [Month:May-August] [Volume:3] [Number:2] [Pages:4] [Pages No:59 - 62]
DOI: 10.5005/jp-journals-10007-1084 | Open Access | How to cite |
Abstract
Stones in the common bile duct are a common finding and is one of the most common cause for obstructive jaundice. These calculi may be primary ductal stones or secondary, which descend from the gallbladder. There are various therapeutic options for its management and could vary from chemical to surgical management. A combination of different methods is useful in those cases where isolated techniques are not successful. Based on the clinical situation at hand, the facilities available and the level of technical expertise, one should select the ideal modality for its successful management.
Laparoscopic Cholecystectomy in Situs Inversus Totalis
[Year:2010] [Month:May-August] [Volume:3] [Number:2] [Pages:3] [Pages No:63 - 65]
DOI: 10.5005/jp-journals-10007-1085 | Open Access | How to cite |
Abstract
A 42-year-old female known case of situs inversus presented with several attacks of epigastric pain. Abdominal ultrasound confirmed the diagnosis of gallstone, as well as situs inversus, laparoscopic cholecystectomy was performed safely, the operation done by left handed surgeon.
[Year:2010] [Month:May-August] [Volume:3] [Number:2] [Pages:8] [Pages No:67 - 74]
DOI: 10.5005/jp-journals-10007-1086 | Open Access | How to cite |
Abstract
Four different approaches for hysterectomy are possible: through laparotomy; via the vagina; with the help of laparoscopy using several small incisions; and by single incision laparoscopic surgery. Currently, around 70 to 90% of hysterectomies are carried out via abdominal incision. This article compares the outcome of LAVH with SILS. In the SILS hysterectomy, only a single small incision in the belly button is created for insertion of the surgical instruments. The entire hysterectomy is performed using the SILS Port allows for the removal of the uterus through a small incision which measures only 20 mm. Compare to laparoscopic assisted vaginal hysterectomy recovery from the SILS hysterectomy is similar to the 2 weeks; however, laparoscopic hysterectomies may require multiple incisions which has less cosmetic value. Technological advances in SILS, including those in port structure, will enable gynecologists in future to employ strategies that effectively enhance instrument coordination and suturing. However; benefits of SILS to the patient need to be further documented prospectively before it can be recommended widely for every gynecologist to perform.
Diagnostic and Therapeutic Management of Impalpable Testis in the Era of Laparoscopy
[Year:2010] [Month:May-August] [Volume:3] [Number:2] [Pages:5] [Pages No:75 - 79]
DOI: 10.5005/jp-journals-10007-1087 | Open Access | How to cite |
Abstract
Diagnostic laparoscopy has become the gold standard for the diagnosis of impalpable testis. Laparoscopy for surgical correction is gaining popularity in pediatric as well as adult group with more and more surgeons opting for laparoscopic treatment. It can also benefit the patient and is logical if both diagnosis and surgical correction are combined at one time.3
[Year:2010] [Month:May-August] [Volume:3] [Number:2] [Pages:4] [Pages No:81 - 84]
DOI: 10.5005/jp-journals-10007-1088 | Open Access | How to cite |
Abstract
Deep vein thrombosis of lower limbs affects 1-2% of hospitalized patients. Interplay of factors like vessel wall injury, venous pooling, decreased blood flow and state of hypercoagulability predispose to thrombi formation. In conventional surgery as compared to the minimal access surgery, the prolonged surgery time, longer hospital stay, prolonged immobilization and enhanced tissue disruption favors thrombi formation in lower limbs. However, the risk of deep vein thrombosis in laparoscopic surgery is related to the high intra-abdominal pressure and the reverse Trendelenburg position causing venous pooling in lower limbs particularly in upper gastrointestinal surgery.
[Year:2010] [Month:May-August] [Volume:3] [Number:2] [Pages:6] [Pages No:85 - 90]
DOI: 10.5005/jp-journals-10007-1089 | Open Access | How to cite |
Abstract
The recurrence rate after laparoscopic primary repair of giant hiatal hernias with paraesophageal involvement is reported to be high. Mesh reinforcement repair of hiatal defect is proposed for solving this problem which is debated. The indication for mesh use, the type of mesh to use, and the placement technique are controversial. After review of all literatures of our study it has been concluded that the use of prosthetic reinforcement of cruroplasty in laparoscopic giant hiatal hernias has very low recurrence, though certain mesh related complications are worse than recurrance which are up to certain extent are surgically correctable complications, as per different studies no one mesh type is clearly superior in terms of avoiding failure and complication. Only further studies and long-term evaluation will allow judgment of the effectiveness of laparoscopic mesh repair in patients with large hiatal hernias.
Laparoscopic Adrenalectomy: Surgical Technique
[Year:2010] [Month:May-August] [Volume:3] [Number:2] [Pages:7] [Pages No:91 - 97]
DOI: 10.5005/jp-journals-10007-1090 | Open Access | How to cite |
Abstract
Laparoscopic adrenalectomy was first described in 1992 by
[Year:2010] [Month:May-August] [Volume:3] [Number:2] [Pages:4] [Pages No:99 - 102]
DOI: 10.5005/jp-journals-10007-1091 | Open Access | How to cite |
Abstract
Polycystic ovarian syndrome (PCOS) has remained an enigma since it was first described as a clinical entity by Stein and Leventhal in 1935. The treatment of this condition has evolved through ovarian wedge resection at laparotomy, induction of ovulation with clomiphene citrate (CC) to laparoscopic ovarian drilling or other chemotherapeutic agents when CC treatment has failed. Evidence shows that laparoscopic ovarian drilling (LOD) reverses all the abnormalities associated with PCOS especially in those with CC treatment failure. The same could be said for these chemotherapeutic agents (metformin, gonadotropin-releasing hormone analogues (GnRHa), or follicle stimulating hormone (FSH) alone or in combination with CC). The seeming comparative advantage of LOD is in its one off therapy, sustained reversal of the pathology, high ovulation and pregnancy rates, cost safety reduced risk of multiple pregnancy and acceptability by patients.
Management of Spilled Stones during Laparoscopic Cholecystectomy
[Year:2010] [Month:May-August] [Volume:3] [Number:2] [Pages:5] [Pages No:103 - 107]
DOI: 10.5005/jp-journals-10007-1092 | Open Access | How to cite |
Abstract
Laparoscopic cholecystectomy has become the preferred method to treatment for patients with cholelithiasis. Perforation of the gallbladder during laparoscopic cholecystectomy with spillage of stones into abdominal cavity is not uncommon. Although, overall complication rate is less than in open technique, injury of biliary tree and perforation of gallbladder with spillage of stones are more frequent in laparoscopic cholecystectomy. The fate of spilled bile with gallstone is on a continuous debate. Recent reports have implicated dropped gallstones as a source of infrequent but severe complications of laparoscopic cholecystectomy. For this reason we have done this review regarding different possible outcomes, few suggestions to prevent these and their management.