Intro: Surgery in developing countries can be hindered by the limited monetary funds, especially in the era with significant utilization of disposable surgical instruments.
Objectives: To review the infectious complications of the practice of utilization of decontamination instead of full sterilization in a hospital located in a developing country.
Methods: Unable to afford developed country sterilization standards, Peltier General Hospital in Djibouti resorted to decontamination of instrum
Objective: To determine factors that influence conversion to open surgery and occurrence of intra and postoperative complications following elective laparoscopic cholecystectomy.
Method: All patients undergoing elective laparoscopic cholecystectomy at the Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria from January 2009 through September 2013 were prospectively evaluated. Socio-demographic and anthropometric data were obtained and occurrence of conversions, intraoperativ
Objective: The aim of this study was to evaluate the safety and efficacy of laparoscopic ally treated hydatid cysts of the liver in our institutional experience.
METHODS: from 2006 to 2009, 28 patients underwent laparoscopic treatment of the hydatid cysts of the liver in National Liver Institute, Menophyia University. All patients had chest –X- ray, abdominal ultrasound, CT abdomen, chest, brain and hydatid serology. The different stages of procedure were the same as in open surgery, puncture,
Background and Objective: Laparoscopic deroofing has become a standard approach for symptomatic hepatic and splenic cysts because of the low recurrence rate and minimal postoperative pain. Recent interest in better cosmetic outcomes promoted single incision laparoscopic surgery (SILS) in a variety of target organs including deroofing of hepatic and splenic cysts. The aim of this study was to assess the feasibility and safety of single-incision laparoscopic (SIL) deroofing of hepatic and splenic
Laparoscopic cholecystectomy (LC) has been the gold standard for symptomatic gallstones for the past 15 years, however the incidence of complications from lost gallstones has not changed significantly despite the advanced experience of general surgeons. During laparoscopic cholecystectomy, the gallbladder can perforate upon detachment from the liver or during its retrieval through the trocar site in up to 40% of cases. Gallstones can be dropped into the peritoneal cavity around the liver, within