Introduction: Cecal adenocarcinoma presenting as appendicitis , although rare is not unknown. The association of the two with umbilical hernial metastasis has not been reported before. Methods:A 61 year old lady presented with one day history of right lower quadrant pain. On exam, she had tenderness in the right iliac fossa and also an umbilical […]
Objectives: Rectocele and rectal intussusception can lead to mechanical obstruction with difficulty or inability to void formed faeces. Rectocele and intussusception are widespread, often asymptomatic and coexisting with other pelvic alterations like enterocele, hyperdescending perineum and genital prolapsed. The role of each alteration in Obstructed Defecation Syndrome (ODS) is unclear. The Circular Stapled Transanal Rectal […]
HYPOTHESIS: Laparoscopic surgery has decreased trauma and improved results of surgery and single incision laparoscopic surgery (SILS) should be a further step in this direction. Minimizing the number and size of ports was an attempt to improve postoperative pain control, rapid return to activity, patient satisfaction, and cosmetic result. The umbilicus is a scar could […]
OBJECTIVES: Common bile duct stones are found in approximately 16% of patients undergoing laparoscopic cholecystectomy (LC). The probability that a patient has CBD stones is a key factor in determining treatment strategies. Clinical models are inaccurate in predicting common bile duct (CBD) stones for patients who will undergo cholecystectomy for lithiasis. Prior to the development […]
Introduction: Laparoscopic ventral hernia repair (LVH) requires several skin incisions for trocar placement. We have developed a single incision approach to LVH repair. The technique was introduced in clinical practice to any consenting patients who were candidates for a standard multi-port laparoscopic hernia repair. A consecutive series of patients were then followed to evaluate feasibility. […]