scholarly journals Rigid video laparoscope: a low-cost alternative to traditional diagnostic laparoscopy and laparoscopic surgery

2019 ◽  
Vol 2019 ◽  
Author(s):  
Sagar Jawale ◽  
Gnanaraj Jesudian ◽  
Prakash Agarwal
2021 ◽  
pp. 004947552199818
Author(s):  
Ellen Wilkinson ◽  
Noel Aruparayil ◽  
J Gnanaraj ◽  
Julia Brown ◽  
David Jayne

Laparoscopic surgery has the potential to improve care in resource-deprived low- and-middle-income countries (LMICs). This study aims to analyse the barriers to training in laparoscopic surgery in LMICs. Medline, Embase, Global Health and Web of Science were searched using ‘LMIC’, ‘Laparoscopy’ and ‘Training’. Two researchers screened results with mutual agreement. Included papers were in English, focused on abdominal laparoscopy and training in LMICs. PRISMA guidelines were followed; 2992 records were screened, and 86 full-text articles reviewed to give 26 key papers. Thematic grouping identified seven key barriers: funding; availability and maintenance of equipment; local access to experienced laparoscopic trainers; stakeholder dynamics; lack of knowledge on effective training curricula; surgical departmental structure and practical opportunities for trainees. In low-resource settings, technological advances may offer low-cost solutions in the successful implementation of laparoscopic training and improve access to surgical care.


2016 ◽  
Vol 23 (3) ◽  
Author(s):  
M G Gonchar ◽  
A Ye Bogush ◽  
L D Pryymak

During the period of three years, 1,414 patients underwent laparoscopic surgery. 18 patients underwent diagnostic laparoscopy under local anaesthesia. All these patients in addition to the suspected pathology of the abdominal cavity were diagnosed with severe concomitant cardiopulmonary pathology including acute myocardial infarction, ischemic and hemorrhagic stroke, coma of various genesis, pneumonia. The proposed technique included a local anaesthesia around the navel, laparolifting, the insertion of a laparoscope and a short inspection (3-5 min) of the abdominal organs. Sometimes, especially in patients with hypertension, spinal or epidural anesthesia was used. While diagnosticating the pathology, if necessary, the anaesthesia was given, carboperitonium was applied and the necessary surgery was performed. 


Author(s):  
Joshua Bhudial ◽  
Hemraj Ramcharran ◽  
Navindranauth Rambarran ◽  
Delon Ramnarine

Background: Laparoscopic surgery is a pioneering technique that has metamorphosed the field of surgery in the past and is now considered the recommended surgical approach for many procedures. 1 The last published data showed an average of eight cases per month. 5 The purpose of this study was to assess an increase or decrease in the number of Laparoscopic surgeries at GPHC and if there were more advanced cases as compared to the last published data. Methods: Data of the laparoscopic surgeries done at GPHC for the year 2018 was obtained from the records in the Main Operating theatre. Data collected will focus on the number and type of Laparoscopic surgeries. Results: An audit of GPHC operating register shows a total of 180 cases for 2018 representing an average of 15 cases per month. There was a significant difference in the first six months of 2018 (5 cases per month) versus the last six months of 2018 (25 cases per month). A total of 19 cases were converted. Most of the advanced cases were done in latter half of 2018 and included 27 diagnostic laparoscopy, 9 inguinal hernias, 2 AP resections, 2 Graham’s patch, 2 ventral hernias, 2 rectopexy and 1 Heller’s myotomy. Conclusion: The number of laparoscopic surgeries at GPHC has increased significantly especially in the latter half of 2018. This number has risen to three times the number in the last published data. While the majority of cases continued to be cholecystectomy and appendectomies, a greater variety of advanced cases were done in 2018 as compared to the last published data.


2009 ◽  
Vol 56 (1) ◽  
pp. 31
Author(s):  
Jin Hun Chung ◽  
Ki Ryang Ahn ◽  
On Sub Shin ◽  
Chun Sook Kim ◽  
Kyu Sik Kang ◽  
...  

Author(s):  
GUSTAVO MUNAYER ABRAS ◽  
THIAGO AUGUSTUS BLASCO E SILVA ◽  
LUIZ FELIPE PIMENTA NOGUEIRA DE SOUZA LIMA ◽  
MAURO VIDIGAL DE REZENDE LOPES

ABSTRACT The current Covid-19 pandemic has been the most discussed topic of the year, mostly about protection and ways to avoid dissemination of the virus. In the healthcare system, especially in the operating rooms, the viability of laparoscopic surgery was questioned, mostly because of the transmission through aerosol. This article tries to suggest a way to minimize risks of laparoscopic surgery, during this situation, by using electrostatic filters, a simple, effective and low cost alternative.


2020 ◽  
Vol 7 (4) ◽  
pp. 39-43
Author(s):  
Gnanaraj Jesudian

Given the COVID-19 global pandemic, there are severe restrictions on travel in India and other countries. The Indian Government has issued an advisory for postponing non-essential or elective surgeries. Surgeons, especially those working in rural areas, have more time at hand to learn new skills.  Unfortunately, due to the lockdown, purchasing new equipment has been difficult.  We describe how Fellowship of Laparoscopic Surgery course skills for Gas Insufflation Less Laparoscopic Surgeries could be practised at home with easily available materials to make use of the time and build surgical skill capacity.


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