Introduction:The most common causes for small-bowel obstructions with subsequent strangulation are intra-abdominal adhesions and external hernias. The occurrence of an internal hernia through a congenital or iatrogenic defect in the falciform ligament is extremely rare. However in the era of minimally invasive surgery, an increase in laparoscopic port related complications have been increasing. Method and […]
Since the introduction of laparoscopic cholecystectomy in 1987, several modifications have been described to reduce the number and size of transabdominal ports. Recently, natural orifice transluminal transorgan cholecystectomy using endoscopes have been performed in animal models and in humans with laparoscopic assistance. We present the operative video of a laparoscopic cholecystectomy performed via a single […]
BACKGROUND. The endoscopic transgastric technique is increasingly gaining popularity among surgeons and gastroenterologists. Factors that could potentially limit the use of the gastric lumen to endoscopically access the intra-abdominal cavity have not been fully investigated. The gastric chamber is a complex organ, physiologically and anatomically. The healing process of the gastric wall following a transgastric […]
Introduction: Laparoscopic splenectomy is an effective treatment for most patients with Idiopathic Thrombocytopenic Purpura (ITP). Patients in whom the response to treatment with splenectomy is incomplete or those who develop recurrence of symptoms should be evaluated for the presence of accessory spleen (AS). The effectiveness of laparoscopic excision of accessory spleen after previous splenectomy for […]
Percutaneous Endoscopic Gastrostomy (PEG) is a commonly performed procedure amongst hospitalized patients. Patients requiring PEG are frequently treated with antiplatelet agents for chronic conditions. Guidelines of the American Society of Gastrointestinal Endoscopy published in 2006 recommend that practitioners consider discontinuing antiplatelet agents for 7-10 days prior to PEG placement. Discontinuing antiplatelet agents for one week […]