Background: Intraoperative bleeding is the main cause of conversion during laparoscopic splenectomy (LS). We present the advantages of implementing the combined anterior and posterior approach together with early splenic artery clipping and use of vessel sealing device to avoid the use of costy staplers. Methods:We have performed a total of 24LS in a 2-year period […]
Hereditary syndromes are responsible for a small number of pheochromocytomas. These hereditary pheochromocytomas are frequently bilateral and rarely malignant. Surgical treatment remains controversial secondary to the risk of Addisonian crisis and need for lifelong corticosteroid therapy associated with bilateral total adrenalectomy. Recently it has been reported that cortical sparing bilateral adrenalectomy is safe and can […]
Introduction: This video illustrates the use of laparoscopic techniques to resolve an acute gastric fundus necrosis after laparoscopic redo Paraesophageal Hernia Repair (PHR) and redo Nissen Fundoplication (NF) for a slipped NF. Case Report: A sixty six-year-old female 24 hours status post a redo procedure for recurrent paraesophageal hernia with slipped NF and high-grade dysphagia, […]
INTRODUCTION: The objective of this study was to compare the physicomechanical properties of composite prostheses with both absorbable and nonabsorbable barriers. The primary function of these barriers is to prevent adhesion formation. It is unknown how these barriers affect the physicomechanical properties of the prostheses. Seven composite prostheses commonly utilized for laparoscopic ventral hernia repair […]
INTRODUCTION – Most single-incision laparoscopic cholecystectomy procedures described to date were done with the patient in supine position. Although convenient for the operating surgeon (standing on the patient’s left), we found this position to be taxing on a surgical assistant (who stands on the patient’s right). To alleviate the strain on the assistant’s back we […]