Cylindrical abdominoperineal resection poses great technical difficulties, especially in the case involving a narrow male pelvis in an obese patient. This video features our strategies to perform an efficient, yet oncologically sound resection in such a patient. Some of these strategies involve initial hand assisted laparoscopic colonic mobilization, robotic cylindrical pelvic dissection, perineal dissection in prone position, coccygectomy, and an air insufflation strategy to deliver the specime
This is a short video illustrating a laparoscopic posteropr resection rectopexy with obliteration of the pouch of douglas for rectal prolapse.
Study objective: In order to minimize the risk of unfavorable outcomes related to low colorectal resection of deep endometriosis in the lower and mid rectum, we routinely perform an original technique combining the deep rectal shaving using plasma energy and the transanal disc excision using the Contour Transtar stapler.
Method: The movie shows the main steps of this procedure performed in a 28 ys old nullipara referred with a large endometriotic nodule infiltrat
Since the inception of laparoscopy, there has been considerable development in instrumentation, cameras, and lens quality. Nearly all aspects of laparoscopy have seen advancement, except for insufflation, which has remained essentially unchanged over the past three decades. However, as surgeons are performing more challenging procedures, a need for improving the existing platforms has become necessary. Transanal minimally invasive surgery (TAMIS) has allowed surgeons to perform advanced transana
Introduction: In our short video, we describe our technique for a relatively novel approach for ventral hernia repair. In this video, we use the robotic platform to perform primary intracorporeal closure of a ventral hernia, followed by underlay mesh placement.
Case: Our patient was a 62 year old black female with no previous surgical history. She had a body mass index of 45.2 kg/m2 and an American Society of Anesthesiologist score of 2. She was positioned supine on the operating room table wit