Background:The science of surgical quality measurement is evolving!The need for unplanned early reoperation usually represents a major adverse event in the patient’s postoperative course. Unplanned early reoperations were suggested as a possible quality indicator in general surgery .There are only a small number of prospective studies concerning this issue in general surgery, and no reports […]
Background: The Natural Orifice Transgastric Cholecystectomy is a method in development. This study proposes the hybrid approach, transluminal and laparoscopic, showing the advantages of the technique.Methods: Non-survival procedures were conducted in pigs(n=15) using a transgastric approach. The procedure started with a puncture in the umbilical scar to create a CO2 pneumoperitoneum through the Veress needle. […]
Background: Anastomotic and staple line (ASL) leaks occur after laparoscopic Roux en Y gastric bypass (LRYGB) with a reported incidence as high as 6%. Leaks are the second most common cause of mortality, after pulmonary embolism, and can be associated with significant morbidity. Therefore, prevention and early detection are essential in limiting both morbidity and […]
Introduction: Although many studies have demonstrated good results with laparoscopic proctocolectomy in patients with ulcerative colitis (UC), most surgical procedure require al least one additional incision bigger than 5 cm to complete the surgery. The aim of this video is to show a laparoscopic proctocolectomy with ileoanal J pouch with complete intracorporeal dissection using 4 […]
INTRODUCTION: Safe access to the peritoneal cavity is paramount for success of the NOTES procedures. We have recently described a PEG-like approach and pneumoperitoneum-assisted translumenal access to the peritoneal cavity. Aim of the study: Direct comparison of different transgastric access techniques in a live porcine model. METHODS: Fifteen experiments were performed on 50-kg pigs (Sus […]