scholarly journals Transanal one-stage endorectal technique for Hirschprung's disease: A preliminary report of 24 cases from a single institution

2009 ◽  
Vol 56 (1) ◽  
pp. 109-113 ◽  
Author(s):  
D.D. Jovanovic ◽  
V.A. Milojkovic ◽  
Z.M. Stevanovic ◽  
M.M. Vukadin
Keyword(s):  
Postoperative Complications ◽  
Preliminary Report ◽  
Minimal Invasive Surgery ◽  
Surgical Techniques ◽  
Minimal Invasive ◽  
Single Institution ◽  
Conventional Surgery ◽  
Pull Through ◽  
Laparoscopic Assisted ◽  
Hirschprung's Disease

Numerous surgical techniques for Hirschprung's disease have been developed and modified, being associated with extensive surgical procedures involving laparotomy, resection of affected segment of colon and descensus of the functional bowel to the anus. Conventional surgery was followed by complications, although the incidence of early and late postoperative complications has significantly decreased. Transanal mucosectomy was practiced as a part of conventional and laparoscopic assisted pull through procedures. The latest promising achievement is entirely transanal pull-through procedure, described by De la Tore-Mondragon and Ortega-Salgado: entirely transanal endorectal pull-through, thus avoiding both laparotomy and laparoscopy. Due to minimal invasive surgery it offers excellent results. During a five year period (2003-2008), 24 patients were operated with this technique. The recovery was uneventful in all patients. This study adds valuable information of meticulous details of the new, still developing technique with the emphasis on controversies about surgical complications reported in multicentric studies. .

scholarly journals Laparoscopically Assisted Anorectoplasty Using Perineal Ultrasonographic Guide

2014 ◽  
Vol 1 (1) ◽  
pp. 6-9
Author(s):  
Akio Kubota
Keyword(s):  
Muscle Contraction ◽  
Invasive Surgery ◽  
Minimal Invasive Surgery ◽  
Skin Incision ◽  
Minimal Invasive ◽  
Pelvic Cavity ◽  
Postoperative Mri ◽  
Pull Through ◽  
Narrow Space ◽  
Contraction And Relaxation

Background/Purpose : As minimal invasive surgery,laparoscopy assisted anorectal pull-through has been reported with new devices. However, it is not easy to create an accurate pull-through canal (PTC), because of the narrow space between the urethra and puborectal sling. The authors describe a new method employing perineal ultrasonography.Methods: The rectourethral prostatic fistula was dissected laparoscopically. Externally, electrostimulation identified the center of the muscle contraction, over which a 1.2 cm of skin incision was made, and the lower part of PTC was created by hemostat forceps guided by electrostimulation. An ultrasonographic probe applied to the perineum demonstrated the urethra, and the forceps was advanced behind the urethra into the pelvic cavity using the ultrasonographic guide. Anorectal pullthrough was performed following dilatation of the PTC with dilators.Results: The authors applied this procedure in 9 cases of male high  anomalies. Surgical damages to the urethra, the levator and vertical muscles were not encountered. Postoperative MRI demonstrated a good location of the rectum, and fluoroscopic study showed a good anterior angulation and intact contraction and relaxation of those muscles.Conclusion: The combination of laparoscopic dissection, pinpointing the center of anal sphincter by electrostimulation and identification of the urethra by ultrasonographic images from the perineum facilitated creation of appropriate PTC in the muscle complex.DOI: http://dx.doi.org/10.3329/jpsb.v1i1.19447

scholarly journals Learning Curve of Basic Surgical Skill Acquisition on the Sep Robot

2013 ◽  
Vol 95 (9) ◽  
pp. 300-302 ◽  
Author(s):  
MM Malik ◽  
AN Bahsoun ◽  
MS Khan ◽  
P Dasgupta ◽  
K Ahmed
Keyword(s):  
Skill Acquisition ◽  
Surgical Techniques ◽  
Minimal Invasive ◽  
Robotic Assistance ◽  
Surgical Skill ◽  
Conventional Laparoscopic Surgery ◽  
Rapid Acquisition ◽  
Conventional Laparoscopic ◽  
Surgical Trainees ◽  
Laparoscopic Assisted

The benefits of minimally invasive surgery have led to adoption of laparoscopic assisted robotic surgery across several surgical specialties. Surgeons have acquired considerable expertise in conventional laparoscopic surgery but robotic assistance has allowed performance of similar tasks with greater ease. However, the embracing of minimal invasive surgical techniques demands the rapid acquisition of new skills by surgical trainees and practising surgeons.

scholarly journals Has Minimal Invasive Surgery Caused Alterations in Open Surgical Techniques?

2020 ◽  
Vol 73 (1) ◽  
pp. 65-69
Author(s):  
Gülnur Göllü ◽  
Gönül Küçük ◽  
Fırat Kocaay ◽  
Onur Telli ◽  
Ahmet Murat Çakmak
Keyword(s):  
Invasive Surgery ◽  
Minimal Invasive Surgery ◽  
Surgical Techniques ◽  
Minimal Invasive

Laparoscopic-assisted cryptorchidectomy in a cat

2015 ◽  
Vol 43 (04) ◽  
pp. 248-252
Author(s):  
M. Brückner
Keyword(s):  
Invasive Surgery ◽  
Minimal Invasive Surgery ◽  
Minimal Invasive ◽  
Short Hair ◽  
Safe Method ◽  
Laparoscopic Assisted

SummaryA 21-month-old male castrated domestic short hair cat was presented due to suspected unilateral abdominal cryptorchidism. Unilateral abdominal cryptorchidism was confirmed with ultrasonography and laparoscopic-assisted cryptorchidectomy was performed. laparoscopicassisted cryptorchidectomy is a simple, fast and safe method for the treatment of abdominal cryptorchidism in dogs and cats, offering the benefits of minimal invasive surgery, which is still underreported in the veterinary literature.

scholarly journals Hormonal Treatment and Pelviscopic Myomectomy

1995 ◽  
Vol 1 (4) ◽  
pp. 217-221 ◽  
Author(s):  
L. Mettler ◽  
E. Alvarez-Rodas ◽  
K. Semm
Keyword(s):  
Minimal Invasive Surgery ◽  
Surgical Techniques ◽  
Hormonal Treatment ◽  
Minimal Invasive ◽  
Neural Function ◽  
Benign Lesions ◽  
Hormone Analogue ◽  
Gonadotropin Releasing Hormone Analogue ◽  
Abdominal Operations ◽  
New Surgical Technique

In cases of benign lesions, pelviscopy is used in about 70% of all abdominal operations at our Department of Obstetrics and Gynecology. From 1990 to 1992, 851 patients with myomas were treated by surgery. In 57% pelviscopy, in 2% laparotomy, and in 1% hysteroscopic myomectomies were treated. In 11%, a CISH (Classical Intrafascial SEMM—serrated edged macro morcellator—Hysterectomy) without colpotomy was applied using the operative technique of pelviscopy or laparotomy. The application of this new surgical technique preserves the patient's pelvic floor (diaphragm pelvis and urogenitalis), its blood supply, and neural function. Details of the surgical techniques used in pelviscopic myomaenucleations are described. One hundred sixteen patients were treated with a gonadotropin releasing hormone analogue (GnRH-a) before the pelviscopic myomaenucleation took place. In this study, 64 (55%) patients received 3,75 mg leuprorelin, and 52 (45%), patients 3.75 mg triptorelin. The monthly injections took place over a period of 3 to 6 months. After 3 months, an identical reduction of the myomas of about 10% to 50% was observed in 103 patients (88%) in both therapy groups. The preservation of the uterus by this minimal invasive surgery technique was generally accepted. No serious complications occurred.

Minimal invasive surgery for intracardiac tumors – report of 19 consecutive patients

2010 ◽  
Vol 58 (S 01) ◽  
Author(s):  
T Bossert ◽  
P Krieg ◽  
T Sandhaus ◽  
P Kley-Madaus ◽  
K Hekmat
Keyword(s):  
Invasive Surgery ◽  
Minimal Invasive Surgery ◽  
Minimal Invasive ◽  
Intracardiac Tumors

Association between Socioeconomic Factors and Postoperative Complications of Cholecystectomy

2021 ◽  
pp. 1-13
Author(s):  
Herman Romero Ramírez ◽  
Norma Muñoz Albán ◽  
Consuelo Albán Meneses ◽  
Alicia Escobar Torres
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Postoperative Complications ◽  
Socioeconomic Factors ◽  
Control Variable ◽  
Laparoscopic Technique ◽  
Safe Operation ◽  
Conventional Surgery ◽  
Socioeconomic Characteristics ◽  
Dependent Variables ◽  
Education Levels

The article´s goal isto determine if socioeconomic factors influence the postoperative complications of cholecystectomy. For this, the observational study was defined, analytical and quantitative study was conducted in 100 patients who underwent cholecystectomy. A logistic regression model was applied in which risk factors, socioeconomic characteristics, along with a control variable, were incorporated as variables. Three models were run with alternative dependent variables that are delimited by the type of postoperative complication recorded. The results found showed that women show a higher risk of presenting complications after cholecystectomy, the same occurs in older patients. Likewise, the risk is much lower in people with higher education levels and in patients who underwent laparoscopic cholecystectomy, they only have a 5% risk of presenting complications. Postoperative complications after cholecystectomy are minimized by using the laparoscopic technique and socioeconomic factors would influence the risk of suffering postoperative complications after said surgery, which makes laparoscopic cholecystectomy a safe operation with many other benefits and advantages over traditional or conventional surgery.

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