Laparoscopic assisted proctocolectomy and ileoanal pouch-anal anastomosis is performed with multiple ports and an extraction incision. When compared to the traditional open procedure, the laparoscopic approach shortens the postoperative recovery and reduces adhesion formation. To further reduce the number of incisions and abdominal wall trauma, we used a single-incision device to perform this operation. This […]
Many general surgeons initially perform single-incision laparoscopic surgery during cholecystectomy. The potential for bile duct injury makes single-incision cholecystectomy potentially dangerous while the surgeon is overcoming his learning curve. This describes one surgeon’s experience with single-incision totally extraperitoneal (TEP) inguinal hernia repair prior to performing more complex single-incision laparoscopic cases. Methods: All patients who underwent […]
Introduction: Natural Orifice Translumenal Endoscopic Surgery (NOTES) has emerged as a promising minimally invasive surgical approach. Extracting the gallbladder through an endoscopic overtube during NOTES cholecystectomy avoids potential obstruction or injury to the esophagus. This study sought to determine whether preoperative ultrasound findings could be used to predict successful passage of a gallbladder specimen through […]
Introduction: NOTES is an evolving field in minimally invasive surgery. This review quantifies the published NOTES experience to date and reports the most common techniques for access, dissection, extraction, and closure. Methods: We performed a search of the MEDLINE database using PubMed for all articles describing human NOTES cases. Articles providing a technical description of […]
Purpose: This study was designed to compare the rates of incisional hernia associated with a standard midline laparotomy (open surgery), a midline incision of reduced length (laparoscopic/hand-assisted surgery) and a Pfannenstiel incision (hand-assisted surgery). Methods: A retrospective review of a prospectively maintained database was performed to identify and evaluate all patients undergoing a pure laparoscopic, […]