scholarly journals Laparoscopic Excision of Large Intra-Abdominal Cysts in Children: Needle Hitch Technique

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Brice Antao ◽  
Jeffrey Tan ◽  
Feargal Quinn
Keyword(s):  
Laparoscopic Surgery ◽  
Young Child ◽  
Laparoscopic Technique ◽  
Laparoscopic Skills ◽  
Small Children ◽  
Laparoscopic Excision ◽  
Technical Challenges ◽  
Abdominal Cyst

Laparoscopic surgery has both diagnostic and therapeutic advantages in the management of intra-abdominal cysts in children. Large cysts in small children pose technical challenges during laparoscopic surgery, requiring multiple incisions and advanced laparoscopic skills. This paper describes a novel laparoscopic technique using minimal manipulation for both aspiration and excision of the cyst. This simple, safe, and effective approach was used to achieve traction and facilitate excision of a large intra-abdominal cyst in a neonate and a young child.

scholarly journals Assessment of laparoscopic skills of Gynecology and Obstetrics residents after a training program

2016 ◽  
Vol 14 (4) ◽  
pp. 468-472 ◽  
Author(s):  
Carla Ferreira Kikuchi Fernandes ◽  
◽  
José Maria Cordeiro Ruano ◽  
Lea Mina Kati ◽  
Alberto Sinhiti Noguti ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Training Program ◽  
Demographic Data ◽  
Medical Residency ◽  
Box Trainer ◽  
Laparoscopic Skills ◽  
Surgical Competence ◽  
Gynecology And Obstetrics ◽  
Level 1 ◽  
And Training

ABSTRACT Objective To evaluate laparoscopic skills of third-year Gynecology and Obstetrics residents after training at a training and surgical experimentation center. Methods Use of a prospective questionnaire analyzing demographic data, medical residency, skills, competences, and training in a box trainer and in pigs. Results After the training, there was significant improvement in laparoscopic skills according to the residents (before 1.3/after 2.7; p=0.000) and preceptors (before 2.1/after 4.8; p=0.000). There was also significant improvement in the feeling of competence in surgeries with level 1 and 2 of difficulty. All residents approved the training. Conclusion The training was distributed into 12 hours in the box trainer and 20 hours in animals, and led to better laparoscopic skills and a feeling of more surgical competence in laparoscopic surgery levels 1 and 2.

Urologic laparoscopic surgery: Light and shade

1995 ◽  
Vol 62 (1_suppl) ◽  
pp. 80-84
Author(s):  
G. Breda ◽  
P. Silvestre ◽  
L. Gherardi ◽  
A. Giunta ◽  
A. Tamai ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Minimally Invasive ◽  
Surgical Approach ◽  
World Wide ◽  
Critical Evaluation ◽  
Minimally Invasive Technique ◽  
Laparoscopic Technique ◽  
Invasive Technique

— Analysing material and world-wide urologic laparoscopie surgery experience, the Authors try to define, also according to their experience, the indications for which the laparoscopic technique is established and well accepted and, on the contrary, those which are still controversial. Critical evaluation about laparoscopic surgery indications are often supported by the costs of the “minimally invasive” technique compared to the traditional surgical approach.

scholarly journals Impact of SupervIsed TraInIng on the AcquIsItIon of SImulated LaparoscopIc SkIlls

2013 ◽  
Vol 95 (6) ◽  
pp. 1-6 ◽  
Author(s):  
NA Healy ◽  
KH Chang ◽  
JB Conneely ◽  
C Malone ◽  
MJ Kerin
Keyword(s):  
Minimally Invasive Surgery ◽  
Laparoscopic Surgery ◽  
Minimally Invasive ◽  
Open Surgery ◽  
Alternative Methods ◽  
Time Constraints ◽  
Laparoscopic Skills ◽  
Supervised Training ◽  
Initial Learning ◽  
Safety Considerations

Laparoscopy or minimally invasive surgery requires surgeons to attain proficiency in skills that are fundamentally different to those required for open surgery. As a result, it both challenges junior trainees and surgeons who are experienced in open surgery. Not surprisingly, the initial learning phase of laparoscopy has been associated with an increased incidence of serious complications. Owing to time constraints and the ethical and safety considerations of allowing novices to perform laparoscopic surgery on patients, alternative methods have been sought to train junior surgeons on the basics of laparoscopic surgery.

Laparoscopic Surgery in Patients on Peritoneal Dialysis: A Review of the Literature

2017 ◽  
Vol 24 (4) ◽  
pp. 397-401 ◽  
Author(s):  
Giulio Mari ◽  
Renzo Scanziani ◽  
Sara Auricchio ◽  
Jacopo Crippa ◽  
Dario Maggioni
Keyword(s):  
Peritoneal Dialysis ◽  
Laparoscopic Surgery ◽  
End Stage Renal Disease ◽  
Open Surgery ◽  
Surgical Intervention ◽  
Case Series ◽  
Laparoscopic Technique ◽  
Review Of The Literature ◽  
Stage Renal Disease ◽  
End Stage

Peritoneal dialysis (PD) is an effective renal replacement therapy for the treatment of end-stage renal disease. Patients on PD undergoing abdominal open surgery often fail to resume PD. Laparoscopic surgery has recently become a serious alternative to open surgery in patients on PD to treat different abdominal pathologies. However, only a few studies have reported successful procedures without Tenckhoff catheter removal. The aim of this review is to describe how a laparoscopic technique can allow PD patients to deal with abdominal surgery without shifting to hemodialysis. Only 50 cases of laparoscopic surgical intervention in PD patients have been published to our knowledge. These case series largely concern laparoscopic cholecystectomies, appendectomies, nephrectomies, colectomies, and bariatric procedures. The reported cases show how laparoscopic surgery can be accepted as a valid option for several abdominal surgical procedures in patients on PD with good outcomes and early resumption of PD.

Pediatric Implants - A Clinical Dilemma

2012 ◽  
Vol 6 (3) ◽  
pp. 109-112
Author(s):  
Nidhi Agarwal ◽  
Brinda S. Godhi
Keyword(s):  
Young Child ◽  
Review Paper ◽  
Ectodermal Dysplasia ◽  
Small Children ◽  
Traumatic Injuries ◽  
Removable Prosthesis ◽  
Clinical Dilemma

ABSTRACT There are many diseases such as ectodermal dysplasia or oligodontia that lead to complete or partial anodontia in small children. Traumatic injuries commonly result in loss of one or more teeth in children . Such cases are usually rehabilitated by removable prosthesis which have to be refabricated from time to time to incorporate changes due to growth. Thus, it would be desirable to restore the dentition by means of implants in growing children. For this purpose it is important for a clinician to understand the amount and direction of the impending growth in a young child and how it is going to influence the ultimate position of the placed implant in the arch. This review paper focuses on the dilemma of when and where it could be possible to place implants for the growing child.

scholarly journals Open versus Laparoscopic Inguinal Hernioplasty - Outcome Correlation

2017 ◽  
Vol 8 (1) ◽  
pp. 3-7
Author(s):  
Akhter Ahmed ◽  
Salma Yesmin Chowdhury ◽  
Md Mustafizur Rahman ◽  
Farhana Shimu ◽  
Shaon Shahriar ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Confidence Interval ◽  
Mesh Repair ◽  
Open Surgery ◽  
Laparoscopic Group ◽  
Open Group ◽  
Laparoscopic Technique ◽  
Percent Confidence Interval ◽  
Surgery Group ◽  
Inguinal Hernias

Background: Repair of inguinal hernias in men is a common surgical procedure, but the most effective surgical technique is still in debate.Methods: We randomly assigned men with inguinal hernias at Mitford Hospital surgery, ward to either open mesh or laparoscopic mesh repair. The primary aim was to detect recurrence of hernias in both groups at 6 month. Secondary aims were to detect complications and patient compliance.Results: of the 70 patients who were randomly assigned to one of the two procedures, 62 underwent operation; 6 month follow-up was completed in 55 (78.6%). Recurrences were only one in the laparoscopic group (3.6%) and 1 in the open group (3.7%). The rate of complications was lower in the laparoscopic-surgery group than in the open-surgery group (17.6% vs. 27%). The laparoscopic- surgery group had less pain initially than the open-surgery group on the day of surgery (difference in mean score on a visual-analogue scale, 10.2 mm; 95 percent confidence interval, 4.8 to 15.6) and at two weeks (6.1 mm; 95 percent confidence interval, 1.7 to 10.5) and returned to normal activities earlier (adjusted hazard ratio for a shorter time to return to normal activities, 1.2; 95% confidence interval, 1.1 to 1.3). Hospital stay was shorter in laparoscopic group (2.6 days vs 3.2 days). Patients’ satisfaction with surgery was 95% in the laparoscopic group and 87% in open group. Nenety six laparoscopic and 87% of open surgery patients perceived that they were healthy after surgery. Total treatment cost was more in laparoscopic group.Conclusions: The laparoscopic technique is superior to the open technique for mesh repair of primary hernias.J Shaheed Suhrawardy Med Coll, June 2016, Vol.8(1); 3-7

Sign in / Sign up

Export Citation Format

Share Document