Introduction: During single port access surgery (SPA), surgeons often find it difficult to triangulate their instruments to the target organ. Their hand movements are limited by the single port access to the abdominal cavity. The first goal of this study is to quantify the level of difficulty in performing a SPA procedure as compared to […]
Background: Laparoscopy is the standard approach for basic gastrointestinal procedures such appendectomy and cholecystectomy. We determined the disparities in access to basic laparoscopic surgeryat U.S. academiccenters. Methods: A retrospective analysis of a large administrative, clinical, and financial database (University Health System Consortium) of US Academic Medical Centers was conducted.Using appropriate ICD-9-CM procedure codes and diagnosis […]
BackgroundRecurrence is one of the major problems after open incisional hernia repair. Laparoscopic incisional hernia repair has brought down the recurrence rate to less than 10%. The main causes of recurrence have been inadequate mesh size, fixation of mesh and patient factors. The issue of mesh fixation to the abdominal wall in laparoscopic ventral hernia […]
BACKGROUND: Among pancreatic cysts, mucinous cystadenoma, and intraductal papillary mucinous neoplasms have the potential for malignant transformation. Differentiation between benign and potentially malignant cysts remains difficult at the preoperative time. Majority of these tumors must be resected and the laparoscopic approach is nowadays a valid option. OBJECTIVE of this presentation was to show in a […]
Introduction: Obturator hernias are rare, comprising less than 0.1% of all hernias and occurring in approximately 0.4% of bowel obstructions. Typically these hernias affect elderly, frail, debilitated women; 85% of patients are female with mean age of 82 years and mean weight of 34.5 kg. Only 1 of 10 cases is correctly diagnosed preoperatively. The […]