Background: Laparoscopic Heller-Dor operation (LHD) has been the procedure of choice for the treatment of esophageal achalasia. However since, the incidence of achalasia is low, at one in 100,000 in USA and Japan, reports on the outcome of surgical treatment for such a disease are limited. In this study, we investigated the therapeutic results after […]
Objective: This study aims to know which access is chosen to operate perforated duodenal ulcer and to evaluate the intra operative and postoperative complications.Technique: Prospective analysis including all patients admitted with perforated duodenal ulcer. Open treatment is undertaken through midline laparotomy. Laparoscopic treatment is undertaken through 4 trocars. Suture of the ulcer, vagotomy or distal […]
Introduction:The application of the nonadjustable gastric band for the treatment of morbid obesity was common in the 1980s. Unfortunately, it was associated with an unacceptable re-operative rate with numerous post-operative complications such as gastric erosion. Removing an eroded gastric band is fraught with difficulty secondary to the extensive inflammatory response around the proximal stomach and […]
Objective: This study aims to know which access is chosen in case of appendicitis with localised or diffused peritonitis and to evaluate the intra operative and postoperative complications.Technique: Prospective analysis including all patients admitted with appendicular peritonitis. Open appendectomy is undertaken through iliac or midline laparotomy. Laparoscopic appendectomy is undertaken through 3 or 4 trocars.Patients: […]
Introduction: The transverse rectus abdominis musculocutaneous (TRAM) flap has become the standard and most popular method for autogenous breast reconstruction. Ligation of the deep inferior epigastric vessels prior to TRAM flap reconstruction (delay procedure) was introduced to augment vascularity to the island flap through improved superior epigastric flow, thus decreasing flap morbidity. Methods: A transverse […]