Robotic-assisted laparoscopy is a feasible method for resection of deep infiltrating endometriosis, especially in the rectosigmoid area

Objective This study aimed to compare outcomes of mini-invasive surgical treatment of endometriosis, especially conventional laparoscopy with robotic-assisted laparoscopy, and to evaluate the quality of life. Methods One hundred three consecutive patients with endometriosis who had surgery from 2014 to 2017 owing to an indication of pain were enrolled in this retrospective study. The majority (n = 77, 75%) of patients underwent conventional laparoscopy and 18 (17%) had robotic-assisted laparoscopy. The quality of life was postoperatively assessed with a questionnaire. Results The rates of parametrectomy (76% vs. 45%,) and rectovaginal resection (28% vs. 4%) were significantly higher in robotic-assisted laparoscopy than in laparoscopy. Additionally, the rate of bowel operations (50% vs. 17%), especially the shaving technique, was higher in robotic-assisted laparoscopy surgery than in laparoscopy (39% vs. 8%). There was no difference in the rate of postoperative complications between laparoscopy and robotic-assisted laparoscopy. Most (91%) of the patients who answered the questionnaire felt that surgical treatment had relieved their pain. In the laparoscopic and robotic-assisted groups, 88% of respondents felt that their quality of life had improved after surgery. Conclusions This study suggests that robotic-assisted laparoscopy is a feasible method to resect deep infiltrating endometriosis, especially in the rectosigmoid area.

Preparing Surgical Residents for the Fundamentals of Laparoscopy Surgery (FLS) Skills Examination Using Gamification: The March Madness Method

The purpose of this study is to assess any progress of General Surgery residents on the Fundamentals of Laparoscopic Surgery (FLS) skills while participating in a competitive tournament and to determine their satisfaction in participating in the tournament.

Idiopathic Omental Infarction Mimic Acute Appendicitis: A Case Report

Idiopathic Omental Infarct (IOI) is a rare cause of an acute abdomen that arises from an interruption of blood supply to the omentum. Since first case was described by Elitelin 1899, more than 300 cases have been published [1]. It can mimic serious surgical pathology. It occurs in <1% of appendicitis cases [2]. It’s challenge to diagnose, as features may mimic acute appendicitis and therefore in young patients, may only be discovered intra-operative. Here, we present a case of omental infarct in 26-year-old gentleman with no significant medical or surgical background who present with acute onset of right iliac fossa (RIF) pain. Examination revealed tenderness over the right iliac fossa and was having localized rebound. His inflammatory markers were high. He was successfully treated with laparoscopy surgery and he was subsequently discharged the following day.

Diagnostic laparoscopy in blunt abdominal trauma

Tóm tắt Đặt vấn đề: Chấn thương bụng kín (CTBK) rất khó chẩn đoán. Phẫu thuật nội soi (PTNS) nhìn rõ tổn thương có thể điều trị, liệu có thể là biện pháp chẩn đoán hỗ trợ trong cấp cứu? Phương pháp nghiên cứu: Nghiên cứu tiến cứu, các người bệnh (NB) bị CTBK khó chẩn đoán được ứng dụng PTNS chẩn đoán. Kết quả: 34 NB bị CTBK được ứng dụng PTNS để chẩn đoán. 73,5% có chấn thương phối hợp, 47% có tổn thương 2 tạng trở lên trong ổ bụng. 26 NB (76,5%) được chỉ định nội soi ổ bụng (NSOB) thăm dò chẩn đoán. 8 NB (23,5%) cần loại trừ tổn thương phối hợp. PTNS phát hiện được hết các tổn thương nhất là tổn thương tạng rỗng, mạc treo trừ tổn thương tạng đặc nhỏ sâu trong nhu mô và sau phúc mạc. Không có biến chứng do PTNS chẩn đoán gây ra. Kết luận: PTNS là biện pháp chẩn đoán xâm lấn tối thiểu có thể chẩn đoán an toàn, chính xác tổn thương trong ổ bụng ở NB bị CTBK. Ngoài ra có thể sửa chữa những tổn thương không quá phức tạp. Abstract Introduction: Diagnosis of blunt abdominal trauma (BAT) is challenging. Laparoscopy surgery allows us to see the lesions clearly for proper treatment, assist - it as a diagnostic method in emergency? Materials and Methods: Perspective descriptive study for all patients with BAT, very difficulty in diagnosis, were operated laparoscopically for this purpose. Results: Diagnostic laparoscopy was carried out in 34 BAT. 73,5% of patients had multiple traumas, 47% had more 1 injured organs in abdominal cavity. 26 patients (76,5%) was indicated to laparoscopic surgery for diagnosis purpose. It is necessery to exclude the associated lesions in 8 patiens (23,5%). Almost lesions were detected by laparoscopic surgery such lesions of hollow viscera, mesenteric lesions excepted the small lesions located deeply in parenchyme of solid viscera or retroperitoneal. No complication due to diagnostic laparoscopy occurred . Conclusion: Laparoscopic surgery is a minimally invasive, safe and accurate diagnostic approach for BAT. It also can repair the simple lesions during operation. Keywords: Diagnostic laparoscopy, abdominal trauma.