Introduction: Our objective is to evaluate the use of ERCP in the management of complex, traumatic biliary injuries in a case series. Grades I and II liver injuries are often amenable to expectant management and usually resolve without further intervention. More severe injuries may continue to hemorrhage, or develop further complications including bile leaks, biliary […]
INTRODUCTION: Live donor kidney transplantation is the treatment of choice for end-stage renal failure. Open Donor Nephrectomy (ODN) was the standard until the introduction of Laparoscopic Donor Nephrectomy (LDN) in 1995. Hand-Assisted Laparoscopic Donor Nephrectomy (HALDN)was added shortly thereafter. While decreasing post-operative analgesic requirements and speeding return to normal activity, the laparoscopic techniques are associated […]
Introduction: Post-Operative Ileus (POI) is a common complication of abdominal surgeries leading to increased hospital stay and healthcare costs. Alvimopan is a novel agent in which competitively binds to peripheral mu-opioid receptor in the gastrointestinal tract. Following oral administration, alvimopan antagonizes the peripheral effects of opioids on gastrointestinal motility. Use of this drug during laparoscopic […]
Objective:Robotic-assisted laparoscopic surgery is evolving as an important surgical approach in the field of colorectal surgery. Robotic techniques may help to overcome the limitations of laparoscopic and open surgery especially when operating in the narrow pelvis and neighboring critical structures. The aim of this study was to evaluate the learning curve of robotic-assisted laparoscopic procedures […]
BACKGROUND: About 20% of patients with colorectal carcinoma present with acute obstruction requiring emergency treatment. Emergency surgery for obstruction is associated with high operation risks and creation of a stoma is usually necessary. Endoscopic colonic stent insertion can effectively decompress the obstructed colon, allowing bowel preparation and elective resection. Laparoscopic resection is also possible after […]