Introduction: A perforated marginal ulcer (PMU) following laparoscopic Roux-en-y gastric bypass (LRYGB) is a potentially serious complication, but the incidence and etiology has rarely been investigated. We therefore performed a retrospective review of all patients undergoing LRYGB at our center to determine our incidence of perforated marginal ulcer and if any causative factors could be […]
INTRODUCTION: “Anatomic” or “organic” GERD is cured with antireflux Nissen fundoplication. Patients with symptom of “heartburn” but without erosive esophagitis or NERD are classified as “symptomatic GERD”. In our experience the outcome of patients with GERD and patients with NERD following laparoscopic Nissen fundoplication (LNF) was quite different.METHODS: Since Jan1993, one of us (C.V.) has […]
Background: NOTES is an evolving and controversial field of surgery on its beginning. Laparoscopic surgery and Endoscopy merges to fulfill it. Despite NOTES human experience had begin by the transgastric way with Rao in India, the transvaginal approach is taking place as a safer and easy way to achieve the upper abdomen. As on its […]
IntroductionLaparoscopic surgery of the pancreas is still not fully developed. Several laparoscopic pancreatic procedures have been described. The most frequent is diagnostic laparoscopy for staging pancreatic neoplasm and, less frequently, treatment of pancreatic pseudocyst and resection of benign lesions of the pancreas. We report a laparoscopic modified Roux-en-Y pancreaticojejunostomy for chronic pancreatitis.Case reportA 39-year-old man, […]
Background:Acute appendicitis has historically been considered a clinical diagnosis, necessitating a CT scan only in the face of equivocal signs and symptoms. The purpose of this study is to determine whether or not the liberal use of CT in the work up of acute appendicitis results in a decreased negative appendectomy rate (NAR). Methods:The medical […]