Background: We investigated the risk of recurrence in laparoscopy-assisted radical gastrectomy.Materials and Methods: The clinical data on 398 consecutive patients were retrospectively reviewed, who underwent radical gastrectomy with D2-level lymph node dissection for gastric cancer at Gyeongsang National University Hospital between January 2005 and December 2007, were analyzed. Results: Of the 398 patients with gastric […]
Introduction: Traumatic flank hernias are caused by a blunt abdominal trauma with resultant detachment of the oblique musculofascial complex at the iliac crest and/or costal margin. Given such proximity to the bony structures and essential absence of the healthy fascia to anchor the mesh, traumatic flank hernias represent a challenging surgical problem. Although laparoscopic repair […]
Introduction In Laparoscopic hernia repair , particularly abdominal herniorrhaphy, fixation of the prosthetic mesh to the abdominal wall is commonly achieved by using tacks ( staples ) and/or trans-fascial sutures. Previous studies have shown trans-fascial suture fixation to be up to 2.5 times stronger than tacks. A correlation between fixation without sutures and hernia recurrence […]
Purpose The most difficult steps of Intersphincteric resection (ISR) are circular dissection and separation of the internal sphincter muscle from the external sphincter and puborectalis by the perineal approach. Further dissection of the intersphincteric space by the abdominal approach may reduce the problems associated with the perineal approach. We present our techniques of Laparoscopic ISR […]
Objective: Laparoscopic repair of large, complicated hiatal hernias is associated with a high risk of recurrence. Biologic mesh decreases recurrence and prevents complications associated with synthetic mesh; but its safety profile has not yet been fully determined. To answer this question we analyzed the outcomes of biologic mesh used to repair these “high risk” hiatal […]