INTRODUCTIONWhile laparoscopic appendectomy (LA) can be performed using a myriad of techniques, the cost of performing each method can vary considerably. The purpose of this study is to analyze the effects of the surgeon’s choice of technique on the costs of performing LA.METHODSThe surgeon operative notes, hospital invoice list, and surgeon instrumentation preference sheets were […]
Background: Laparoscopic Nissen surgery is the gold standard surgical treatment for gastro-esophageal reflux disease. Either one or both vagus nerves can be within or outside the fundoplication. The aim of this study was to determine if placing the posterior vagus nerve within or outside the fundoplication had any effect on patient symptom relief. Materials and […]
The feasibility of LESS using conventional laparoscopic instruments. Purpose: To determine the feasibility of Laparo-Endoscopic Single Site surgery (LESS) with non-articulating instruments and conventional trocars. MethodsFollowing Institutional-Review-Board approval, a prospective database was utilized to identify 22 patients who underwent LESS. All procedures were begun utilizing three 5 mm trocars, non-articulating instruments, and a 5 mm, […]
We report our procedures of incision and trocar placement in single port laparoscopic cholecystectomy (SPS Lap-C) for better cosmetic result. [Operative procedure] The 12-15mm incision from the lower ridge of the navel to the bottom was placed for the operation. After dissecting the subcutaneous tissues and pneumo-peritoneum by Verres needle, A trocar of 150mm length […]
Background:Recently the ultrasonically activated scalpels have been used in many kinds of operation. Clinical Engineers (CEs) need to check the ultrasonically activated scalpel handpiece after operations. We check the handpiece by working the tip of blade in water, however, it is impossible to inspect the deterioration of the handpiece. So, self-check “BME Mode” of Harmonic® […]