Background: Mortality, complication and conversion rates are significantly higher for patients with complicated forms of gallbladder stones than in those with uncomplicated types. To reduce these criteria we designed a working algorithm for management of such patients. Methods: In a period of 5 years (2004 – 2008) 412 patients with different complication forms of gallbladder […]
Introduction: Intra abdominal adhesions are responsible for 49-74% of small bowel obstruction [SBO]. Traditionally, open lysis of adhesions [OLA] is the treatment when conservative measures fail. Recent literature has shown safety of laparoscopic lysis of adhesions (LLOA) in treating adhesive SBO. In addition, length of stay and costs are less with LLOA. Despite these favorable […]
INTRODUCTION: Haptics is an expensive addition to virtual reality simulators, and the added value to training has not been proven. This study evaluated the benefit of haptics in virtual reality laparoscopic surgery training of novices. METHODS AND PROCEDURES: The Lap Mentor II (Simbionix, Cleveland, OH) haptic virtual reality simulator was used in the study. Laparoscopic […]
Introduction: This study investigates through biomechanical analyses NOTES and laparoscopic physical workloads. Research confirms that surgeons experience physical symptoms due to the unfavorable ergonomics of MIS performance. The ergonomics of NOTES—potentially the next evolutionary surgical step—is only now being quantitatively and systematically assessed Methods and Procedures: Six surgeons with varying MIS experience were recruited for […]
It is less known that at the beginning of laparoscopic era, two Hungarian surgeons, G. Jako and I. Rozsos, developed a new minimally invasive method for the removal of the gallbladder performed through the abdominal wall, using a similarly small 2.5-3 cm incision as that of the transumbilical single incision laparoscopic procedure. The technique called […]