scholarly journals Design of an Endoscope Lens Shielding Device for Use in Laparoscopic Procedures

2010 ◽  
Vol 4 (2) ◽  
Author(s):  
Sterling Anderson ◽  
Julia Zimmerman ◽  
Emily Houston ◽  
Kevin Farino ◽  
Nikolai Begg
Keyword(s):  
Laparoscopic Surgery ◽  
Surgical Procedures ◽  
Recovery Time ◽  
Current Practice ◽  
Significant Problem ◽  
Loss Of Vision ◽  
Laparoscopic Procedures ◽  
Multiple Trials ◽  
Laparoscopic Surgical Procedures

In recent years, laparoscopic surgical procedures have revolutionized many gynecological and abdominal procedures, leading to dramatic reductions in recovery time and scarring for the patient. While techniques and instruments for performing laparoscopic surgery have improved over the years, loss of vision through the endoscopic lens caused by fog, liquid, and solid debris common to laparoscopic procedures remains a significant problem. In this paper, a shielding mechanism that maintains visibility through the laparoscope by removing debris from the distal end of the lens is presented. This device provides an inexpensive and convenient alternative to the current practice of removing, cleaning, and re-inserting the laparoscope during surgical procedures. This device is shown in multiple trials to repeatably remove debris from the distal tip of the lens, thereby restoring vision for the surgeon without requiring removal or reinsertion of the endoscope.

scholarly journals Obstetric and non-obstetric surgery during pregnancy: A 20-year Danish population-based prevalence study

BMJ Open ◽  
2019 ◽  
Vol 9 (5) ◽  
pp. e028136 ◽  
Author(s):  
Anne Staub Rasmussen ◽  
Christian Fynbo Christiansen ◽  
Niels Uldbjerg ◽  
Mette Nørgaard
Keyword(s):  
Laparoscopic Surgery ◽  
Surgical Procedures ◽  
Outcome Measure ◽  
Smoking Status ◽  
Population Based ◽  
Main Outcome Measure ◽  
Medical Databases ◽  
Laparoscopic Procedures ◽  
High Prevalence ◽  
Obstetric Surgery

ObjectivesPopulation-based studies on use of non-obstetric and obstetric surgical procedures during pregnancy are sparse. Therefore, our objective was to estimate the prevalence of surgery during pregnancy, including potential time trends, overall and by trimester and describe the characteristics of pregnant women undergoing surgery.DesignThis study is a large nationwide cohort study.SettingFrom administrative and medical databases, we obtained information about all pregnancies ending in a live birth, a stillbirth or an abortion (spontaneous and induced) in Denmark during 1996–2015. Procedures (excluding caesarean sections) conducted during pregnancy were categorised as a non-obstetric or obstetric surgery and further divided into laparoscopic or non-laparoscopic procedures.Main outcome measureMain outcome measure is prevalence of surgery during pregnancy.ResultsWe included 1 687 176 pregnancies of which 108 502 (6.4%) received 117 424 surgical procedures. The prevalence of non-obstetric surgery was almost stable (1.5% in 1996–1999 to 1.6% in 2012–2015), whereas non-obstetric abdominal or gynaecological laparoscopic procedures increased from 0.5% to 0.8%. For appendectomies, the proportion of laparoscopic surgery increased from 4.2% to 79.2% during the study period. In 49 pregnancies, surgery for internal herniation was conducted in 2012–2015 versus none in 1996–1999. The prevalence of obstetric surgery, excluding invasive diagnostic tests, increased from 0.2% to 0.8%. High multiplicity, smoking, increasing age, body mass index (BMI) and parity were factors associated with a high prevalence of surgery during pregnancy.ConclusionsThe increase in the prevalence of laparoscopic surgery during pregnancy may reflect a decreased restraint concerning conductance of these surgical procedures during pregnancy. The increasing proportion of laparoscopic procedures complies with clinical recommendations, and the prevalence of surgery during pregnancy varied by multiplicity, smoking status, parity, age and BMI.

Gastrointestinal surgery

2021 ◽  
pp. 669-684
Author(s):  
Matt Rucklidge ◽  
Peter Garnett
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Inguinal Hernia ◽  
Laparoscopic Surgery ◽  
Colorectal Surgery ◽  
Hernia Repair ◽  
Surgical Procedures ◽  
Gastrointestinal Surgery ◽  
Anaesthetic Management ◽  
Colonic Surgery ◽  
Laparoscopic Surgical Procedures

This chapter discusses the anaesthetic management of gastrointestinal surgery. It begins with a description of management principles for major gastrointestinal (GI) surgery, both open and laparoscopic. Surgical procedures covered include colorectal surgery; laparoscopic surgery (including laparoscopic cholecystectomy and laparoscopic colonic surgery); appendicectomy; inguinal hernia repair, and anal/perianal procedures

scholarly journals Fertility Promoting Laparoscopic Surgery: Our Experience

2012 ◽  
Vol 4 (1) ◽  
pp. 12-16 ◽  
Author(s):  
Alokendu Chatterjee ◽  
Siddhartha Chatterjee ◽  
Rajib Gon Chowdhury ◽  
Sandip Dey ◽  
Debidas Ganguly
Keyword(s):  
Laparoscopic Surgery ◽  
South Asian ◽  
Surgical Procedures ◽  
Uterine Fibroids ◽  
Reproductive Technology ◽  
Vitro Fertilization ◽  
Laparoscopic Surgical Procedures ◽  
Set Up ◽  
Surgical Corrections

ABSTRACT Aim and objective This study was to find out optimal laparoscopic surgical procedures for fertility promotion and to compare its pregnancy outcome with in vitro fertilization (IVF) procedure. Design and setting Laparoscopic surgical procedures were performed under one consultant in a tertiary fertility set-up. Materials and methods Between January 1994 and December 2008, 3,982 cases of fertility promoting laparoscopic surgery (FPLS) were performed in our center. The procedures were related to uterus and appendages and especially endometriosis. Results The pregnancy rate following the surgical correction of minor tubal defects, ovarian cyst and uterine fibroids was between 25 and 30%, major tubal defects (5.7%) and severe endometriosis 18.5%. But the assisted reproductive technology (ART) outcome for the former was 30% and for the latter too, was between 25 and 30%. Conclusion Laparoscopic surgical corrections for minor tubal defects yield comparable results to ART, but for other two conditions, the latter is superior to the former. How to cite this article Chatterjee S, Chatterjee A, Chowdhury RG, Dey S, Ganguly D. Fertility Promoting Laparoscopic Surgery: Our Experience. J South Asian Feder Obst Gynae 2012;4(1):12-16.

Technical Aspects of Laparoscopic Surgery

2015 ◽  
Author(s):  
Charlotte Rabl ◽  
Guilherme M. Campos ◽  
James G. Bittner IV
Keyword(s):  
Laparoscopic Surgery ◽  
Surgical Procedures ◽  
Harmonic Scalpel ◽  
Single Incision ◽  
Single Incision Laparoscopic Surgery ◽  
High Definition ◽  
Laparoscopic Suturing ◽  
Technical Aspects ◽  
Laparoscopic Surgical Procedures ◽  
Almost All

Laparoscopic surgery is now an integral part of general surgery and is used in almost all known surgical procedures. There are many advantages to laparoscopic surgery, including faster patient recovery, shorter hospital stay, decreased pain and analgesic requirements, and faster return to work. A thorough understanding of the different technical aspects of laparoscopic surgery is necessary to perform procedures correctly, as well as to avoid certain predictable difficulties and complications that can occur. This review details operating room setup and patient and surgery team positioning; the laparoscope and instruments used; laparoscopic suturing; laparoscopic training and simulators; when and why to convert to open surgery; and the use of single-port or single-incision laparoscopic surgery. Figures show a schematic representation of a ceiling-mounted articulated boom for laparoscopic surgery; blueprints and photographs of the first endoscope; images of an articulated 5 mm scope and high-definition camera head, assorted laparoscopic instruments, 10 and 5 mm LigaSure sealing devices and a 5 mm Harmonic scalpel, an Endoloop ligature with a 2-0 polyglactin tie, various sizes of the 5 mm Nathanson retractor and the round Snake retractor, and 5 mm needle drivers and a 10 mm Endo Stitch suturing device; and an illustration of laparoscopic suturing (using a square knot). Tables list patient positions used for laparoscopic surgical procedures, guidelines for optimal laparoscopic surgery suites, and staple heights and colors. This review contains 9 figures, 2 tables, and 78 references.

scholarly journals Pediatric Laparoscopic Surgery: Four Years Experience in Dhaka Medical College Hospital

2015 ◽  
Vol 4 (1) ◽  
pp. 11-18
Author(s):  
Tahmina Hossain ◽  
Md Ashraf Ul Huq
Keyword(s):  
Inguinal Hernia ◽  
Surgical Procedures ◽  
Surgical Techniques ◽  
Oral Feeding ◽  
Medical College Hospital ◽  
College Hospital ◽  
Medical College ◽  
Laparoscopic Procedures ◽  
Surgical Conditions ◽  
Care Surgery

Purpose: Laparoscopy is gaining popularity over laparotomy in various surgical conditions. Now a day, an increasing number of diagnostic and therapeutic surgical procedures are being done laparoscopically. The aim of this study was to assess the safety and feasibility of laparoscopy in children.Materials and Methods: This retrospective study was carried out in the Department of Pediatric Surgery of Dhaka Medical College Hospital over a period of 52 (Fifty two) months from June 2009 to August 2013. A total of 123 patients were operated laparoscopically up to 12 years of age for different surgical conditions. Data was collected from the hospital records and analyzed retrospectively.Results: Out of these 123 laparoscopically performed cases, Appendectomy was performed in 39 cases, closure of internal inguinal ring for Inguinal Hernia was done in 36 patients, 20 patients underwent Cholecystctomy, 16 patients had laparoscopic procedures for impalpable Undescended Testis (UDT), 5 patients were operated for Adnexal Mass of which one case was converted into open procedure due to technical difficulties and 1 for Pancreatic Pseudo cyst. Diagnostic Laparoscopy was performed for 2 patients with Biliary Atresia and 4 patients for Ambiguous Genitalia. Median age of the patients was 6.08 years (ranging from 2 months to 12 years of age). The length of post operative hospital stay was 2-3 days. All the laparoscopic procedures for Inguinal Hernia and impalpable UDT were performed as day care surgery. Operative and post operative complications were minimal. Other advantages of the laparoscopic procedures were smaller incisions, incidental diagnosis of other associated pathology, lesser post operative pain, earlier oral feeding, quicker mobilization and a better cosmetic result.Conclusion: With the recent development of laparoscopic surgical techniques and equipments, laparoscopic surgical procedures are becoming popular day by day and can be performed safely for both diagnostic and therapeutic purposes in pediatric surgical patients.J. Paediatr. Surg. Bangladesh 4(1): 11-18, 2013 (January)

scholarly journals MODERN TRENDS TO LAPAROSCOPIC SURGERY IN GYNECOLOGY

2010 ◽  
Vol 1 (3) ◽  
pp. 98-102
Author(s):  
S A Levakov ◽  
A G Kedrova ◽  
N S Wanke
Keyword(s):  
Laparoscopic Surgery ◽  
Surgical Procedures ◽  
Endoscopic Sinus Surgery ◽  
Surgical Procedure ◽  
Sinus Surgery ◽  
Surgical Tool ◽  
Gynecologic Laparoscopy

Gynecologic laparoscopy has evolved from a limited surgical procedure used only for diagnosis and tubal ligations to a major surgical tool used to treat a multitude of gynecologic indications. Today, laparoscopy is one of the most common surgical procedures performed by gynecologists. The review presents the main trends of development of modern surgery in gynecology with the author's personal views on the key contentious issues of endoscopic sinus surgery.

Minimally Invasive: Minimally Reimbursed? An Examination of Six Laparoscopic Surgical Procedures

2005 ◽  
Vol 12 (3) ◽  
pp. 261-287 ◽  
Author(s):  
Adam R. Roumm ◽  
Laura Pizzi ◽  
Neil I. Goldfarb ◽  
Herbert Cohn
Keyword(s):  
Minimally Invasive ◽  
Surgical Procedures ◽  
Laparoscopic Surgical Procedures

Ureteral laparoscopic surgery: 5 years experience

1996 ◽  
Vol 63 (3) ◽  
pp. 360-367
Author(s):  
E. Belgrano ◽  
C. Trombetta ◽  
C. Lodolo
Keyword(s):  
Laparoscopic Surgery ◽  
Ureteral Obstruction ◽  
Retroperitoneal Fibrosis ◽  
Locally Advanced ◽  
Laparoscopic Procedures ◽  
The World ◽  
Vesico Ureteral Reflux

The main problem in surgically treating ureteral pathologies is the choice of approach. In this study we describe our experience in 8 cases of laparoscopic surgery. Two of these cases involved vesico-ureteral reflux, two retroperitoneal fibrosis, two ureterocele in a poorly functioning duplicated kidney and the last two cases dealt with ureteral obstruction from locally advanced pelvic neoplasia. The most widely performed ureteral laparoscopic procedures in the world are also reviewed.

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