Introduction: Open technique for the placement of the first trocar in laparoscopic surgery has become the preferred method to gain safe entry into the peritoneal cavity in the last decade. This is largely due to the reduced visceral and vascular injuries with the open technique. We reported our technique in 2002 which has been accepted […]
Introduction: The use of mesh to potentiate the hiatal closure during laparoscopic foregut surgery is increasing among surgeons, as some consider this the standard of care. Our objective is to evaluate the incidence of mesh removal during revisional foregut surgery and to examine the complications that can arise from the use of mesh near the […]
Introduction: Chronic pancreatitis (CP), inflammatory conditions, anastomotic strictures from liver transplantation and choledocholithiasis, among other conditions, can cause benign biliary strictures (BBS). Serious and irreversible complications such as recurrent cholangitis, secondary biliary cirrhosis, and end-stage liver disease can be the result of BBS so promptness on treating this condition is essential. The definitive treatment for […]
Introduction: Laparoscopic splenectomy is a safe and effective procedure in elective situations, however it is rarely employed in acute trauma settings. The objective of this study was to compare outcomes between laparoscopic and open splenectomy in trauma patients, based on a nationwide database.Methods: The National Trauma Data Bank (NTDB) was queried for all splenic injuries […]
Study Objective: Although laparoscopic colon surgery has been described since the early 1990s its acceptance has been slower than that of other minimally invasive procedures. This is related to the steeper learning curve and the large number of cases needed to attain and maintain skills with the procedure. The introduction of hand assisted laparoscopic surgery […]