Background: Adult-congenital diaphragmatic hernias and chronic traumatic diaphragmatic hernias are uncommon entities that are often technically challenging to repair. But improvement in laparoscopic techniques and the vast experience in treating hiatus hernias by the advanced laparoscopic surgeons made them possible to treat such cases laparoscopically with better outcome. Materials and Methods: Thirty five different types […]
BACKGROUND: Component separation technique (CST) has traditionally been performed using an open approach to repair complex abdominal wall hernias. However, major wound morbidities may ensue from the large lipocutaneous skin flaps. Minimally invasive endoscopic approaches have recently been described. It is unclear if the additional cost of endoscopic instruments outweighs any clinical benefits gained from […]
OBJECTIVE: It is well established by Level 1 data that mesh reinforcement of the crural closure for hiatal hernia repair decreases the risk of recurrence of the hernia. Most of the early studies used various synthetic meshes for repair of hiatal hernia and while they showed decreased recurrence rates, the fear of erosion of the […]
Background: The use of Neo adjuvant chemotherapy followed by surgery is preferred by many centers dealing with locally advanced esophageal cancer. Minimally invasive surgery is also being evaluated in many centres for management of esophageal cancer. Aim: To compare technical feasibility and post operative outcome of minimally invasive esophagectomy in patients who received neoadjuvant chemotherapy […]
Background: Minimally invasive surgery is still considered controversial by many in terms of oncological clearance. This may be true due to the long learning curve in minimally access surgery. We postulate that minimally invasive esophagectomy is equally effective, if not better, in terms of radicality and oncological clearance at hands of a well experienced minimally […]