Single-Incision Laparoscopic-Assisted Anorectoplasty Versus Three-Port Laparoscopy in Treatment of Persistent Cloaca: A Midterm Follow-up

2018 ◽  
Vol 28 (12) ◽  
pp. 1540-1547 ◽  
Author(s):  
Xianghai Ren ◽  
Hui Xiao ◽  
Long Li ◽  
Mei Diao ◽  
Long Chen ◽  
...  
Keyword(s):  
Single Incision ◽  
Persistent Cloaca ◽  
Laparoscopic Assisted

scholarly journals Suspension sutures facilitate single-incision laparoscopic-assisted rectal pull-through for Hirschsprung disease

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Liem Thanh Nguyen ◽  
Anh Tho Nguyen ◽  
Quang Thanh Nguyen ◽  
Quynh Anh Tran ◽  
Hau Duc Bui ◽  
...  
Keyword(s):  
Abdominal Wall ◽  
Single Incision ◽  
Hirschsprung Disease ◽  
Conventional Instruments ◽  
Long Term Follow Up ◽  
Pull Through ◽  
Laparoscopic Assisted ◽  
Suspension Suture

Abstract Background To present a surgical technique of single-incision laparoscopic-assisted endorectal pull-through (SILEP) with suspension sutures using conventional instruments for Hirschsprung disease (HD) and its long-term follow-up outcomes. Methods The procedure began with a 1 cm transumbilical skin incision. Three separate punctures were made in the fascia with a 5 mm scope in the middle and 5 mm and 3 mm ports for working instruments on the left and right, respectively. The first suspension suture was placed to secure the sigmoid colon to the abdominal wall. A window was created through the rectal mesentery, and dissection around the rectum was carried out. The second suspension suture was performed to suspend the rectovesical peritoneal fold or the rectovaginal peritoneal fold to the abdominal wall. Dissection around the rectum was continued downward to approximately 1 cm below the peritoneal fold. Then, the operation was completed by a transanal approach. Results Forty patients underwent SILEP from March 2013 to April 2015. The median age was 2.7 months (ranging from 1 to 17 months). The mean operative time was 96 ± 23 min. No conversion to an open operation was required. The average hospitalization time was 4.5 ± 2 days. There were no intraoperative or perioperative complications. Long-term follow-up results were obtained from 38 patients. A frequency of defecation from every other day to twice a day was noted for 33 patients (86.8%) and more often for 5 patients (13.2%). Two patients had enterocolitis (5.2%). Conclusion Single-incision laparoscopic rectal pull-through with suspension sutures using conventional instruments is feasible and safe for HD with good long-term outcomes.

Single-Incision Laparoscopic-Assisted Anorectoplasty for the Management of Persistent Cloaca

2016 ◽  
Vol 26 (4) ◽  
pp. 328-333 ◽  
Author(s):  
Chen Wang ◽  
Long Li ◽  
Mei Diao ◽  
Shuli Liu ◽  
Jinshan Zhang ◽  
...  
Keyword(s):  
Single Incision ◽  
Persistent Cloaca ◽  
Laparoscopic Assisted

scholarly journals Suspension Sutures Facilitate Single Incision Laparoscopic-Assisted Rectal Pull-Through for Hirschsprung Disease

2020 ◽  
Author(s):  
Liem Thanh Nguyen ◽  
Anh Nguyen Tho ◽  
Quang Nguyen Thanh ◽  
Quynh Tran Anh ◽  
Hau Bui Duc ◽  
...  
Keyword(s):  
Abdominal Wall ◽  
Single Incision ◽  
Hirschsprung Disease ◽  
Conventional Instruments ◽  
Long Term Follow Up ◽  
Pull Through ◽  
Laparoscopic Assisted ◽  
Suspension Suture

Abstract BackgroundTo present the surgical technique and long-term follow-up outcomes of single incision laparoscopic-assisted endorectal pull-through (SILEP) with suspension sutures using conventional instruments for Hirschsprung disease. MethodsThe procedure began with a 1cm transumbilical skin incision. Three separate punctures were made onto the fascia for a 5mm scope in the middle, a 5mm and 3mm ports for working instruments on the left and right, respectively. The first suspension suture was performed to secure the sigmoid colon to the abdominal wall. A window was created through the rectal mesentery, and dissection around the rectum was carried out. The second suspension suture was performed to suspense the rectovesical peritoneal fold or the rectovaginal peritoneal fold to the abdominal wall. Dissection around the rectum was continued downward to approximately 1cm below the peritoneal fold. The operation was completed by a transanal approach. Results40 patients underwent SILEP from March 2013 to April 2015. The median age was 2.7 months (ranged from 14 days to17 months). The mean operative time was 94.7 ± 20 minutes. No conversion to open operation was required. Mean hospital stay was 4.1±1.3 days. There were no intraoperative or perioperative complications. Long term follow-up results were obtained in 38 patients. The number of defecation from 1-2 times per day was noted in 36 patients (94.7%) and from 3-4 times per day in 2 patients (5.2%). Two patients had enterocolitis (5.2%).ConclusionSingle site laparoscopic rectal pull-through with suspension sutures using conventional instruments is feasible and safe for Hirschsprung disease with good long-term outcomes.

Three-year follow-up in patients with urinary stress incontinence treated with Altis® single-incision sling

2020 ◽  
Vol 72 (1) ◽  
Author(s):  
Gloria D'alessandro ◽  
Maurizio Leone ◽  
Jacopo Antolini ◽  
Simone Ferrero ◽  
Paolo Sala ◽  
...  
Keyword(s):  
Stress Incontinence ◽  
Single Incision ◽  
Urinary Stress Incontinence ◽  
Single Incision Sling

scholarly journals Persistent cloaca: A long-term follow-up study

2017 ◽  
Vol 22 (2) ◽  
pp. 126
Author(s):  
DineshH Kittur ◽  
RavindraM Vora
Keyword(s):  
Follow Up Study ◽  
Persistent Cloaca ◽  
Long Term Follow Up
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