Background: Transverse colon cancer resection with lymphadenectomy is relatively difficult. The reasons of this are; 1) there are anatomical varieties of middle colic vessels, 2) the middle colic artery and vein do not run together around their origins, 3) transverse mesocolon attaches with pancreas head and some vein communicate to the pancreas, and so on.Purpose: […]
Background: Internal herniation is a dangerous complication following laparoscopic roux-en-y gastric bypass (LRYGB). Available studies have shown no clear benefit to operative closure of the jejunal mesenteric defect at the time of LRYGB.Objective: To analyze the impact of mesenteric defect closure on the incidence of internal herniation following LRYGB.Methods: We performed a retrospective study of […]
Objective: Creation of a safe endolumenal gastro-jejunal anastomosis with neodymium magnets.Background: This paper describes a new technique for performing an endolumenal gastro-jejunal anastomosis using neodymium magnets.Methods: An experimental survival study was conducted in seven swine with open translumenal placement of variable shaped magnets in the stomach and jejunum. An anastomosis was created between magnets in […]
Introduction: It has been recently demonstrated in a controlled trial that reinforcement of the crura with a biological mesh decreases the incidence of recurrence of paraesophageal hernias after hiatal repair. This technique is therefore increasing in popularity. Complications from this type of mesh have not been reported, but an animal study has suggested that a […]
Background: Difficult laparoscopic cholecystectomy can be anticipated based on the pre-operative and intra-operative factors such as old age, male sex, history of multiple attacks of recent origin or repeated admissions, diabetes mellitus, previous upper abdominal surgery, cirrhotic pancreatitis and patients presenting with cholangitis. Laparoscopic cholecystectomy has become the gold standard for all the gall bladder […]