Gastrectomy and Hepatectomy By Multi Piercing Surgery Using 3-mm Diameter Electronic Control Forceps
INTRODUCTION: It is described in medical documents that Needlescopic Surgery by use of 3-mm diameter forceps is a minimally invasive surgery method which does not damage somatic pain nerves on the body surface. However, when we deal with bigger organs to be operated such as in gastrectomy or hepatectomy, we are faced with the problem… Continue Reading
Hepatic Inflow Restriction Device
During partial hepatectomy, most commonly performed for the treatment of liver tumors, blood loss is a significant patient risk, as the liver is a highly vascular organ with blood flow rates on the order of 1500 ml/min., which is approximately 25% of total cardiac output. Excessive liver bed bleeding can also obscure the operative field,… Continue Reading
Initial Experience With a Modified Mini Laparoscopic Technique for Cholecystectomy
Introduction: The use of smaller instruments in laparoscopic cholecystectomy has been well described in a number of trials, but the range of patients in which this minimalist technique can be used in is narrow. Here, we report on the use of a modified mini laparoscopic cholecystectomy in a range of patients with variable BMI’s. … Continue Reading
Laparoscopic Bile Duct Exploration Using Video-gastroscope
Background: Laparoscopic bile duct exploration (LBDE) is now a standard procedure in many centers for the management of ductal stones in calcular GB patients. The lowest incidence of retained CBD stone after duct exploration is achieved only with the use of operative choledochoscopy. Available choledochoscopes are so fragile, with fine channels and minimal control of… Continue Reading
Laparoscopic Vision Port
ObjectiveImprove the efficiency and accuracy of maintaining visual exposure of the operative field during laparoscopic surgery and mimic the multiple simultaneous views of standard open surgical approaches. This accomplishes the added benefit to allow for fewer ports and assistants. This system will provide multiple, simultaneous views that are in full control of the surgeon and… Continue Reading
Laser Guided Instrument Positioning
Introduction: A restricted visual field is a shortcoming of laparoscopic surgery. This limitation often leads to blind instrument insertion and can result in occult intra-abdominal injury. A navigation system which supports safe instrument use even outside of the camera’s view would be ideal. This study describes the use of a novel trocar system which employs a… Continue Reading
Leveraging Mobile Health Technology in a Model for Home-based Primary Care: a Demonstration Project
House calls by physicians and physician extenders are time-consuming and have historically been poorly reimbursed. Nevertheless a number of factors are driving a resurgence in this form of patient-provider encounter. The burgeoning fields of mobile health technology, mobile communications and electronic medical records are converging to create new opportunities to leverage advances in a robust… Continue Reading
Limited Incision Ileorectal Anastomosis and Cholecystectomy: A Case Report
Introduction: The trend towards minimally invasive procedures has progressed rapidly over the past several decades. Novel techniques and new technologies are constantly being introduced to perform increasingly complex procedures through very limited incisions. Utilization of an ostomy site for laparoscopic colorectal surgery has been described. We performed a cholecystectomy and ileorectal anastamosis (IRA) through an… Continue Reading
Measuring tissue oximetry as a method for evaluating acute tissue response to compression
INTRODUCTION Tissue percent oxygenation levels are affected by the amount of compression applied, the purpose of this study was to develop a method to evaluate the change in tissue oxygen saturation level during compression and uncompression. During surgery, tissue is compressed for various reasons, including grasping, manipulation and stapling. Excessive compression may irreparably damage tissue… Continue Reading
Minimally Invasive Surgery Using Intra-operative Real-time Capsule Endoscopy for Small Bowel Lesions
The small bowel has been considered as the “black box” in gastroenterology and a small bowel bleeding point is difficult to detect. It is stressful for surgeons to perform an operation for a bleeding lesion, the exact site of which is unknown. We report the successful management of small bowel bleeding lesion by intra-operative real-time… Continue Reading
Modified Circular Stapler for Laparoscopic Intracorporeal Colorectal Anastomoses
Objective of the device. During standard colorectal laparoscopic resection, in order to insert the anvil with the purse-string technique, anastomosis is performed by extracting the left colon through a small laparotomy. Intracorporeal colon anastomosis avoids extensive and unnecessary colon mobilisation, but is considered technically challenging. During intracorporeal colorectal anastomoses with the circular stapler, the anvil… Continue Reading
Multi-center Study of Ksharasutra in the Management of High Anal Fistula-A Clinical Study
iNTRODUCTION:The disease, high anal fistula is a common ano-rectal disorder as old as mankind and usually results as a sequel to some varieties of ano-rectal abscesses and is a challenge to surgeons still today. Fistula-in-ano has been recognized as special distinct entity for thousands of years. In the fifth century B.C. Hippocrates advocated the laying… Continue Reading
Multi-institutional Experience of Minimally Invasive Inguinal Lymph Node Dissection (milnd) for Melanoma
Objective: The most frequent site of spread of melanoma is to the regional lymph nodes. Operative intervention remains the mainstay of treatment and necessary for cure. Unfortunately, lymph node dissection is associated with significant morbidity. Three prospective trials report complications in over 50% of patients undergoing inguinal lymph node dissection; these include wound infections, wound… Continue Reading
Needle for Abdominal Wall Closure
Background: Laparoscopic surgery is increasingly present in our midst. There are some complications related to the use of portal namely bleeding, internal hernia, pain and bruising of the wall. The closing of the gates in our view it is important to minimize complications on bariatric surgery . There are on market tools that greatly facilitates… Continue Reading
New Area in Laparoscopic Hernia Repair: Devices for Mesh Introducing, Placing and Deploying
Background: The modern Meshes for intraperitoneal Ventral hernia repair create a barrier for bowel adhesion beside of capability of incorporation into the abdominal wall. Groin meshes become less irritating by reducing mesh weight and having bigger porosity. In spite of meshes progression and guidelines for the recommended surgical techniques the adaptation of Lap Hernias repair… Continue Reading