scholarly journals Laparoendoscopic Single-Site Surgery for the Treatment of Benign Adnexal Disease: A Prospective Trial

2010 ◽  
Vol 2010 ◽  
pp. 1-4 ◽  
Author(s):  
Anna Fagotti ◽  
Francesco Fanfani ◽  
Cristiano Rossitto ◽  
Francesco Marocco ◽  
Valerio Gallotta ◽  
...  
Keyword(s):  
Prospective Trial ◽  
Late Complications ◽  
Laparoscopic Technique ◽  
Laparoscopic Treatment ◽  
Perioperative Outcome ◽  
Laparoscopic Procedures ◽  
Catholic University ◽  
Laparoendoscopic Single Site Surgery ◽  
Transumbilical Access ◽  
Adnexal Diseases

Background. To validate feasibility, efficacy, and safeness of laparoscopic treatment of benign adnexal diseases through a single transumbilical access (LESS) in a prospective series of patients. Methods. A prospective clinical trial including 30 women has been conducted at the Division of Gynecology of Catholic University of Sacred Hearth of Rome. Patients underwent different laparoscopic procedures by LESS utilizing a multiport trocar and conventional straight laparoscopic instrumentation. Intra and perioperative outcome has been reported. Results. Ten mono/bilateral adnexectomies and 20 cystectomies have been performed by LESS approach. Laparoscopic procedures were completed through a single access in 28 cases (93.4%). No major intra- or postoperative complications were observed. Mean hospital stay was 1.3 days. Conclusions. LESS approach is feasible to treat benign adnexal disease with a very low conversion rate and no early or late complications. More clinical data are needed to confirm these advantages compared to standard laparoscopic technique.

scholarly journals Laparoscopic Treatment Experience In Morgagni Hernia Repair In Children

2019 ◽  
Author(s):  
Ali İhsan Anadolulu ◽  
Gonca Gerçel ◽  
Osman Hakan Kocaman
Keyword(s):  
Hernia Repair ◽  
Primary Repair ◽  
Late Complications ◽  
Minimal Invasive ◽  
Laparoscopic Treatment ◽  
Morgagni Hernia ◽  
Hernia Sac ◽  
Treatment Experience ◽  
First Choice

Abstract Background: We aimed to present our laparoscopic treatment experience in Morgagni hernia repair. Methods: The patients who underwent laparoscopic surgery with diagnosis of Morgagni hernia between 2016-2019 were evaluated retrospectively. Results: Their mean age at diagnosis was 4,1±2,6 years (1 year-13 years). All patients were male. The presenting complaints were respiratory tract infection in 3 patients and vomiting in 3. Two patients were diagnosed incidentally. Associated Down’s Syndrome was detected in 3 (38%) cases. The defect was left-sided in 7 (87.5%) patients and bilateral in 1 (12,5%). Omentum was herniated in 2 patients, colon and omentum were in 6 and colon, omentum and stomach were in one. All patients underwent primary repair extracorporeally by removing sutures from single incision, without removal of the hernia sac. There were no complications or recurrence in the mean 19,2±15,8 months (6-42 months) follow-up period Conclusion: Minimal invasive repair of MH is efficient and safe. It should be the first choice because of fast recovery and better cosmetic results. In this series, it was seen that leaving the hernia sac had no effect on early and late complications. Leaving the hernia sac may prevent potential complications due to unnecessary dissection.

Heart rate responses and plasma cortisol and β-endorphin concentrations in ewes subjected to laparoscopy and its associated handling procedures

1995 ◽  
Vol 1995 ◽  
pp. 58-58
Author(s):  
W Haresign ◽  
R J Williams ◽  
M Khalid ◽  
R Rodway
Keyword(s):  
Heart Rate ◽  
Stress Responses ◽  
Local Anaesthesia ◽  
Plasma Cortisol ◽  
Surgical Intervention ◽  
Small Degree ◽  
Laparoscopic Technique ◽  
Laparoscopic Procedures ◽  
Codes Of Practice ◽  
Intra Uterine Insemination

The laparoscopic technique used for intra-uterine insemination of sheep within sire-referencing schemes involves a small degree of surgical intervention. Although current codes of practice require the use of sedation and local anaesthesia, the concept of laparoscopic procedures still raises welfare questions in the minds of some. In spite of its sensitivity, little work has yet been undertaken to objectively measure the stress responses of sheep to laparoscopic procedures, and the present studies were therefore designed to rectify this deficiency.

Laparoendoscopic single-site surgery for the treatment of benign adnexal diseases: a pilot study

2010 ◽  
Vol 25 (4) ◽  
pp. 1215-1221 ◽  
Author(s):  
Anna Fagotti ◽  
Francesco Fanfani ◽  
Francesco Marocco ◽  
Cristiano Rossitto ◽  
Valerio Gallotta ◽  
...  
Keyword(s):  
Pilot Study ◽  
Single Site ◽  
Laparoendoscopic Single Site ◽  
Laparoendoscopic Single Site Surgery ◽  
Adnexal Diseases ◽  
Single Site Surgery

scholarly journals Application of a laparoscopic spieker of own design in reposition and fixation of the left displacement of the abomasum (LDA) in cattle.

2018 ◽  
Vol 74 (1) ◽  
pp. 6059-2018 ◽  
Author(s):  
MICHAŁ GNUS ◽  
KORNEL RATAJCZAK ◽  
PAWEŁ ANTOSIK
Keyword(s):  
Minimally Invasive ◽  
Abdominal Wall ◽  
Dairy Production ◽  
Percutaneous Fixation ◽  
Laparoscopic Treatment ◽  
Normal Behaviour ◽  
Laparoscopic Procedures ◽  
First Case ◽  
Iatrogenic Complications ◽  
Surgical Methods

The first case of the left displacement of the abomasum was described in 1950 by Begg. Since then, the LDA has been diagnosed worldwide. It has been shown that there is a correlation between its increased occurrence and an increase in the intensity of cattle dairy production. The treatment methods include surgical ones, which are aimed at two objectives: reposition and fixation of the abomasum to the abdominal wall. The methods using the classic laparotomy include median abomasopexy, right-sided omentopexy and left-sided abomasopexy. A second group of surgical methods consists of procedures that are minimally invasive. These include percutaneous fixation, which requires positioning the patient on the back, and laparoscopic procedures performed by Janowicz and modified by Christiansen and later on by Newman. Recently, laparoscopic methods have become increasingly accessible and popular. The aim of the study was to evaluate the efficacy of laparoscopic treatment of the LDA, using equipment of the authors’ own design. The study involved the observation of 10 cows (aged between 24 and 90 months) treated surgically not later than 24 hours after the diagnosis. These animals were operated on with modified instruments. The modification presented here consisted in making a tube equipped with a trocar lock, which made it possible to reposition the abomasum non-traumatically and to fix it at the bottom of the abdomen. Signs of normal behaviour were observed, and all animals were eating and ruminating within 3-6 hours after surgery. The modification of the spieker proposed by the authors shortens laparoscopy and makes it safer by eliminating iatrogenic complications, such as accidental perforation of the bowels or diaphragm by the trocar edge..

scholarly journals LAPAROSCOPIC TREATMENT OF GASTRIC TRICHOBEZOAR

2019 ◽  
Vol 9 (1) ◽  
pp. 110-114 ◽  
Author(s):  
I. H. Shidakov ◽  
B. M. Kalniyazov ◽  
A. E. Voytkovsky
Keyword(s):  
Conservative Therapy ◽  
Abdominal Cavity ◽  
Endoscopic Examination ◽  
Laparoscopic Technique ◽  
Wound Complications ◽  
Laparoscopic Treatment ◽  
Pfannenstiel Incision ◽  
Gastrointestinal Obstruction ◽  
Gastric Trichobezoar ◽  
Upper Gastrointestinal

Purpose: to report a case of a giant stomach trichobezoar successfully treated with a laparoscopic technique. Methods. A 14-year-old girl with signs of partial upper gastrointestinal obstruction was admitted to the hospital. Stomach trichobezoar was found during an endoscopic examination. The child was discharged following conservative therapy, as her parents gave no consent to surgery. In 2 months, she was admitted to the hospital again for planned surgery. Result. Gastrotomy was performed laparoscopically. Giant bezoar was removed from the stomach, placed in an endosac and then removed from the abdominal cavity through a Pfannenstiel incision. No postoperative general or wound complications were found. The patient recovered and was discharged. Conclusion. Treatment of stomach trichobezoars should be surgical. The method depends on a certain case. We believe that laparoscopy is more useful as compared to open surgeries and recommend it in uncomplicated forms of stomach trichobezoars.

Repeated Gamma Knife surgery for refractory trigeminal neuralgia

2006 ◽  
Vol 105 (Supplement) ◽  
pp. 99-102 ◽  
Author(s):  
Chuan-Fu Huang ◽  
Jim-Chao Chuang ◽  
Hsien-Tang Tu ◽  
Long-Yau Lin
Keyword(s):  
Pain Relief ◽  
Trigeminal Neuralgia ◽  
Gamma Knife ◽  
Prospective Trial ◽  
Late Complications ◽  
Gamma Knife Surgery ◽  
Dose Effect ◽  
Duration Of Symptoms ◽  
Facial Numbness

ObjectRepeated Gamma Knife surgery (GKS) for trigeminal neuralgia (TN) is an acceptable method for refractory cases but not well established in terms of dose effect and nerve tolerance. The authors report their experience in 28 patients over 3.5 years of follow up.MethodsBetween 1999 and 2004, a total of 28 patients with recurrent or residual TN underwent repeated GKS. The median follow-up periods were 52 and 43 months after the first and repeated procedures, respectively. The entry zone of the trigeminal nerve was targeted using a 4-mm collimator and treated with 40 to 76 Gy as maximal dose. Additive doses ranged between 110 and 152 Gy. The median duration of symptoms was 4.86 years. There were 12 women (46%) and 16 men (54%).At the last evaluation, a total of 19 patients (68%) reported pain relief. Of these patients, 13 were no longer taking pain medications. Significant recurrent or residual pain was noted in nine patients after a median follow up of 12 months (range 6–48 months). New onset of facial numbness was noted in 10 patients. An additive dose above 115 Gy was found to be associated with facial numbness and nonfacial numbness (p = 0.047). No definite additive dose correlation with pain relief was noted (p = 0.23).Conclusions Repeated GKS established durable pain relief in a majority of patients, and a higher additive dose (> 115 Gy) tended to cause facial numbness. However, a prospective trial is needed to fully assess the efficacy and late complications of GKS.

The role of lasers in the laparoscopic treatment of infertility and endometriosis

1993 ◽  
Vol 2 (2) ◽  
pp. 85-94 ◽  
Author(s):  
Bryan R Kurtz ◽  
James F Daniell
Keyword(s):  
North America ◽  
Laser Surgery ◽  
Laser Light ◽  
Light Energy ◽  
Laparoscopic Treatment ◽  
Laparoscopic Procedures ◽  
Visible Laser ◽  
Surgical Lasers

Lasers have now been used laparoscopically in infertility surgery for over a decase. Use of the CO2 laser at laparoscopy began independently in France, Israel and North America. Investigators have subsequently reported use of the argon, Nd-YAG, and the KTP lasers for laparoscopic laser surgery. All of these surgical lasers are now widely available and have been used clinically for many laparoscopic procedures. This review will examine the laparoscopic use of both infrared and visible laser light energy in the treatment of infertility and endometriosis.

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