Cystoceles and rectoceles are common findings in women after childbearing and often occur concomitantly. Although abdominal sacrocolpopexy is the gold standard in apical prolapse repair, newer techniques including robotically assisted laparoscopic sacrocolpopexy have made significant strides in reducing patient morbidity as well as length of hospital stay. We present a case of a 45yo multiparous female with grade 2 cystocle and rectocele, who had failed a previous repair using a vaginal approach
Introduction:
Post-operative complications such as anastomotic leaks and staple line dehiscence are associated with significant morbidity and mortality. Previously, endoscopy was used for the diagnosis and treatment of only small leaks and fistulae. Currently, novel therapeutic techniques can treat a wide variety of post-surgical complications. Here, we present a case of a large staple line dehiscence with leak managed by endoscopic suturing.
Case:
A 72-year-old male with a history of reflux
Introduction: Since the introduction of divided Roux -en- Y Gastric Bypass (RYGBP), the incidence of gastro-gastric fistula has been greatly reduced. When a fistula is present, it is usually followed by weight gain, abdominal pain or refractory ulcers. Fistulization between gastric segments is a late complication after (RYGBP). There are many ways to approach the resolution of this complication which depends on the characteristics of the fistula.
Material and Methods: The patient was a 46-ye
Background: The advantages of laparoscopic liver resection become more obvious as evidence on its long term outcome has emerged. Compared to open resection, there is no difference in term of overall survival. During laparoscopic liver resection, surgeons cannot use their tactile sensation to feel the liver and to evaluate the margin from the tumour. ICG immuofluoresence navigation is a new method to provide a visualisation of the tumor on display screen during the operation.
This video will dem
Marginal Ulcers (MU) are the most common cause of bleeding after RYGB. Surgical management is required if endoscopic treatment fails to control the bleeding. In this video, we present the case of a laparoscopic repair of an actively bleeding marginal ulcer after RYGB. The repair was performed via a jejunal enterotomy with meticulous ligation of bleeding vessels, and did not require revision of the gastrojejunal anastomosis.