Pub Date : 2017-02-25DOI: 10.5812/MINSURGERY.44931
P. Garneau, F. Garofalo, V. Deslauriers, S. Bacon, R. Denis, R. Pescarus, H. Atlas, M. Delisle, I. Tremblay
Background: To date, little is known about neuromuscular blockade (NMB) and its impact in bariatric surgery and patient recovery. The goal of this study was to better assess the relationship between depth of NMB, bariatric surgeon’s satisfaction, and the quality of patient recovery. Methods: Between January and September 2015, we did a prospective observational study of 50 morbidly obese patients undergoing elective laparoscopic sleeve gastrectomy (LSG) under general anesthesia at our ambulatory surgical center. Rocuronium was used for tracheal intubation with bolus doses to maintain NMB. NMB was monitored at 5 minute intervals during the surgery, and at 30 second intervals following the reversal agent. The surgeon was blind to all anesthesia procedures and scored the surgical working conditions at 15 min intervals. Demographic data, operative data, and conditions were analyzed. Results: 42 females and 8 males, with a mean age of 38.8 years (range: 19 to 60, standard deviation (SD):±9.2), and mean BMI of 43.9 (range: 36 to 58, SD:± 5.1), underwent a LSG. Mean total surgical time was 63 minutes (range: 35 to 128). During the laparoscopic part of the surgery, 22% of the patients were in deep block and 78% were in moderate block. Six patients presented “poor” or “extremely poor” surgical conditions, and 6 patients had a sudden increase in intra-abdominal pressure. None of these patients were in deep block at that time. Patients in deep NMB had a shorter laparoscopic time (37 minutes, SD ± 7.1 vs 53 minutes, SD ± 18.3; P = 0.006). Conclusions: This study found that deep NMB prevents inappropriate abdominal cavity movement, consequently improving the operating area and the surgeon satisfaction.
{"title":"Neuromuscular Blockade, Bariatric Surgeon Satisfaction, and Quality of Patient Recovery","authors":"P. Garneau, F. Garofalo, V. Deslauriers, S. Bacon, R. Denis, R. Pescarus, H. Atlas, M. Delisle, I. Tremblay","doi":"10.5812/MINSURGERY.44931","DOIUrl":"https://doi.org/10.5812/MINSURGERY.44931","url":null,"abstract":"Background: To date, little is known about neuromuscular blockade (NMB) and its impact in bariatric surgery and patient recovery. The goal of this study was to better assess the relationship between depth of NMB, bariatric surgeon’s satisfaction, and the quality of patient recovery. Methods: Between January and September 2015, we did a prospective observational study of 50 morbidly obese patients undergoing elective laparoscopic sleeve gastrectomy (LSG) under general anesthesia at our ambulatory surgical center. Rocuronium was used for tracheal intubation with bolus doses to maintain NMB. NMB was monitored at 5 minute intervals during the surgery, and at 30 second intervals following the reversal agent. The surgeon was blind to all anesthesia procedures and scored the surgical working conditions at 15 min intervals. Demographic data, operative data, and conditions were analyzed. Results: 42 females and 8 males, with a mean age of 38.8 years (range: 19 to 60, standard deviation (SD):±9.2), and mean BMI of 43.9 (range: 36 to 58, SD:± 5.1), underwent a LSG. Mean total surgical time was 63 minutes (range: 35 to 128). During the laparoscopic part of the surgery, 22% of the patients were in deep block and 78% were in moderate block. Six patients presented “poor” or “extremely poor” surgical conditions, and 6 patients had a sudden increase in intra-abdominal pressure. None of these patients were in deep block at that time. Patients in deep NMB had a shorter laparoscopic time (37 minutes, SD ± 7.1 vs 53 minutes, SD ± 18.3; P = 0.006). Conclusions: This study found that deep NMB prevents inappropriate abdominal cavity movement, consequently improving the operating area and the surgeon satisfaction.","PeriodicalId":158928,"journal":{"name":"Journal of Minimally Invasive Surgical Sciences","volume":"538 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121417049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-02-11DOI: 10.5812/MINSURGERY.44086
M. Kermansaravi, S. Darabi, F. Eghbali, Samaneh Rokhgireh, A. Pazouki
Background: Laparoscopicappendectomy(LA)hasbecomethestandardchoiceforacuteappendicitis. Severaltechniquestoclose the appendiceal stump were investigated, and use of polymeric clips, are shown safe and cost effective. Objectives: Evaluation of the efficacy and safety of appendiceal stump closure with polymeric clips in LA. Methods: Thisisaretrospectivecohortstudyincluded35patientswhounderwentLA,betweenApril2013andAugust2016inRasool-e-Akram university hospital. appendiceal stumps ligation were performed by polymeric clips. One month follow up after surgery was performed for all patients. Demographic information of patinets, surgery, complications, readmission and pathological re-ports, were collected from medical records and data base. Results: Thirty-five patients were included in this retrospective study. Nineteen patients were male and 16 patients were female (54.3% vs 45.7%). The mean age was 28.49 ± 9.56 years, mean operative time was 59.6 ± 11.8 minutes and mean hospitalization was 2.54 ± 0.7 days. There was no intraoperative complication and intraabdominal abscess formation. Also no readmission and no perioperative death were recorded in documents. In pathologic reports, there were 15 (42.8%) suppurative and one gangrenous (2.8%) appendicitis. Conclusions: Applicationof polymericclipsforstumpligationissafe,costeffectiveandtimesaving,andcouldbeusedasfavorable technique in LA.
背景:Laparoscopicappendectomy hasbecomethestandardchoiceforacuteappendicitis (LA)。研究了几种关闭阑尾残端的技术，使用聚合物夹显示安全且经济有效。目的:评价聚合物夹在LA阑尾残端闭合术中的有效性和安全性。方法:对2013年4月至2016年8月在拉萨大学附属医院就诊的35例患者进行回顾性研究。用聚合物夹子结扎阑尾残端。术后随访1个月。从病历和数据库中收集患者的人口学信息、手术、并发症、再入院和病理报告。结果:35例患者纳入回顾性研究。男性19例，女性16例(54.3% vs 45.7%)。平均年龄28.49±9.56岁，平均手术时间59.6±11.8分钟，平均住院时间2.54±0.7天。无术中并发症及腹内脓肿形成。无再入院和围手术期死亡记录。病理报告化脓性阑尾炎15例(42.8%)，坏疽性阑尾炎1例(2.8%)。结论:应用聚合物夹钳缝合具有安全、经济、省时的优点，可作为一种良好的技术应用于LA。
{"title":"Use of Polymeric Clip (Hem-O-Lock) for Appendiceal Stump Ligation as a Favorable Technique in Laparoscopic Appendectomy","authors":"M. Kermansaravi, S. Darabi, F. Eghbali, Samaneh Rokhgireh, A. Pazouki","doi":"10.5812/MINSURGERY.44086","DOIUrl":"https://doi.org/10.5812/MINSURGERY.44086","url":null,"abstract":"Background: Laparoscopicappendectomy(LA)hasbecomethestandardchoiceforacuteappendicitis. Severaltechniquestoclose the appendiceal stump were investigated, and use of polymeric clips, are shown safe and cost effective. Objectives: Evaluation of the efficacy and safety of appendiceal stump closure with polymeric clips in LA. Methods: Thisisaretrospectivecohortstudyincluded35patientswhounderwentLA,betweenApril2013andAugust2016inRasool-e-Akram university hospital. appendiceal stumps ligation were performed by polymeric clips. One month follow up after surgery was performed for all patients. Demographic information of patinets, surgery, complications, readmission and pathological re-ports, were collected from medical records and data base. Results: Thirty-five patients were included in this retrospective study. Nineteen patients were male and 16 patients were female (54.3% vs 45.7%). The mean age was 28.49 ± 9.56 years, mean operative time was 59.6 ± 11.8 minutes and mean hospitalization was 2.54 ± 0.7 days. There was no intraoperative complication and intraabdominal abscess formation. Also no readmission and no perioperative death were recorded in documents. In pathologic reports, there were 15 (42.8%) suppurative and one gangrenous (2.8%) appendicitis. Conclusions: Applicationof polymericclipsforstumpligationissafe,costeffectiveandtimesaving,andcouldbeusedasfavorable technique in LA.","PeriodicalId":158928,"journal":{"name":"Journal of Minimally Invasive Surgical Sciences","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131108420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-11-02DOI: 10.17795/MINSURGERY.40979
A. Faghihi, S. Mokhber, Arezou Hashemzadeh, P. Mansouri, A. Pazouki
{"title":"Liver Function Tests and Ultrasonography Findings in Iranian Morbid Obese Patients Undergoing Bariatric Surgery","authors":"A. Faghihi, S. Mokhber, Arezou Hashemzadeh, P. Mansouri, A. Pazouki","doi":"10.17795/MINSURGERY.40979","DOIUrl":"https://doi.org/10.17795/MINSURGERY.40979","url":null,"abstract":"","PeriodicalId":158928,"journal":{"name":"Journal of Minimally Invasive Surgical Sciences","volume":"12 8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131296067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-11-01DOI: 10.17795/MINSURGERY-42295
Mansoureh Vahdat, Samaneh Rokhgireh, A. Mousavi, Kobra Tahermanmanesh, S. Khodaverdi, L. Nazari, S. Tehrani
{"title":"Retained Suture Material Post Cesarean Section: A Case Report","authors":"Mansoureh Vahdat, Samaneh Rokhgireh, A. Mousavi, Kobra Tahermanmanesh, S. Khodaverdi, L. Nazari, S. Tehrani","doi":"10.17795/MINSURGERY-42295","DOIUrl":"https://doi.org/10.17795/MINSURGERY-42295","url":null,"abstract":"","PeriodicalId":158928,"journal":{"name":"Journal of Minimally Invasive Surgical Sciences","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128033450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-10-29DOI: 10.17795/MINSURGERY-40950
M. Mehrafza
Hysterectomy is one of the most commonly performed surgical procedures. Laparoscopic hysterectomies have been shown to be associated with lower blood loss, shorter hospital stay and recovery time, early return to normal activity and work, fewer wound infections, less pain, and shorter operation time in experienced hand (1-4). In spite of advantages of these minimally invasive procedures, abdominal hysterectomy remains the most common procedure. The slow adaption of laparoscopic hysterectomy can be due to insufficient exposure and training during residency, lack of hospital equipment, and deficiency in support from colleagues (5, 6). Steps toward a successful laparoscopic hysterectomy are as below: 1) The operating table should be kept low so that the surgeon monitors the process directly in an ergonomic working environment. We keep arms tucked at the sides and keep patient into steep trendelenburg position during of the operation. 2) Placement of a uterine manipulator: preferably the HOHL (STORZ Company). 3) Correct abdominal entry and trocar placement: We inserted the first trocar (12 mm) through the umbilicus. The lower right and left quadrant trocar (usually 5 mm) were placed under direct vision. These trocars were placed laterally to the rectus abdominis approximately 2 cm above and 2 cm medial to the anterior superior iliac spine. As well, 8 cm above and paralleling lower left trocar site, an additional 5 mm trocar was placed. 4) At first, we ligated and cut round ligament of both side by using of 5 mm ligaSure (Covidien (Medtronic)). Then, we dissected the anterior and posterior peritoneum by using harmonic scalpel or monopolar cautery and mobilized and push down the bladder in anterior and ureter at both sides in posterior. Indeed, we describe a new approach by saving uterosacral ligament by transverse incision one centimeter above it and extending peritoneal incision at both posterolateral of uterus adjacent to utero ovarian ligament and then we push down the peritoneum at both sides. So we can prevent most uretral injury during clumping and ligating of uterine artery. In women with one or more previous cesarean delivery, this area may be scarred and it is important to stay relatively high on the uterus during the dissection. If fat is encountered, a reassessment of the route of dissection is recommended because the fat belongs to the bladder, this may indicate that the dissection is moving too close to the bladder. 5) Then we ligated and cut the utero ovarian ligament (if we plan to save ovaries) or infundibulopelvic ligament (if we plan to remove ovaries) by using 5 mm ligaSure instrument. 6) We used a 5 mm ligaSure for ligating and cutting uterine vessels at the level of internal cervical os. 7) We save uterosacral ligament by cutting and separating the vaginal cuff about one centimeter above these ligaments by palpating the HOHL uterine elevator edges by harmonic scalped or monopolar electrocautery surgical instrument. HOHL is a uteri
{"title":"Total Laparoscopic Hysterectomy: How to Do Safe and Successful Procedure?","authors":"M. Mehrafza","doi":"10.17795/MINSURGERY-40950","DOIUrl":"https://doi.org/10.17795/MINSURGERY-40950","url":null,"abstract":"Hysterectomy is one of the most commonly performed surgical procedures. Laparoscopic hysterectomies have been shown to be associated with lower blood loss, shorter hospital stay and recovery time, early return to normal activity and work, fewer wound infections, less pain, and shorter operation time in experienced hand (1-4). In spite of advantages of these minimally invasive procedures, abdominal hysterectomy remains the most common procedure. The slow adaption of laparoscopic hysterectomy can be due to insufficient exposure and training during residency, lack of hospital equipment, and deficiency in support from colleagues (5, 6). Steps toward a successful laparoscopic hysterectomy are as below: 1) The operating table should be kept low so that the surgeon monitors the process directly in an ergonomic working environment. We keep arms tucked at the sides and keep patient into steep trendelenburg position during of the operation. 2) Placement of a uterine manipulator: preferably the HOHL (STORZ Company). 3) Correct abdominal entry and trocar placement: We inserted the first trocar (12 mm) through the umbilicus. The lower right and left quadrant trocar (usually 5 mm) were placed under direct vision. These trocars were placed laterally to the rectus abdominis approximately 2 cm above and 2 cm medial to the anterior superior iliac spine. As well, 8 cm above and paralleling lower left trocar site, an additional 5 mm trocar was placed. 4) At first, we ligated and cut round ligament of both side by using of 5 mm ligaSure (Covidien (Medtronic)). Then, we dissected the anterior and posterior peritoneum by using harmonic scalpel or monopolar cautery and mobilized and push down the bladder in anterior and ureter at both sides in posterior. Indeed, we describe a new approach by saving uterosacral ligament by transverse incision one centimeter above it and extending peritoneal incision at both posterolateral of uterus adjacent to utero ovarian ligament and then we push down the peritoneum at both sides. So we can prevent most uretral injury during clumping and ligating of uterine artery. In women with one or more previous cesarean delivery, this area may be scarred and it is important to stay relatively high on the uterus during the dissection. If fat is encountered, a reassessment of the route of dissection is recommended because the fat belongs to the bladder, this may indicate that the dissection is moving too close to the bladder. 5) Then we ligated and cut the utero ovarian ligament (if we plan to save ovaries) or infundibulopelvic ligament (if we plan to remove ovaries) by using 5 mm ligaSure instrument. 6) We used a 5 mm ligaSure for ligating and cutting uterine vessels at the level of internal cervical os. 7) We save uterosacral ligament by cutting and separating the vaginal cuff about one centimeter above these ligaments by palpating the HOHL uterine elevator edges by harmonic scalped or monopolar electrocautery surgical instrument. HOHL is a uteri","PeriodicalId":158928,"journal":{"name":"Journal of Minimally Invasive Surgical Sciences","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123985914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-10-26DOI: 10.17795/MINSURGERY-34947
N. Mokhber, Hossein Shaghayegh, M. Talebi, A. Tavassoli
{"title":"Comparison of Levels of Depression in Patients with Excessive Obesity Before and After Gastric Bypass Surgery","authors":"N. Mokhber, Hossein Shaghayegh, M. Talebi, A. Tavassoli","doi":"10.17795/MINSURGERY-34947","DOIUrl":"https://doi.org/10.17795/MINSURGERY-34947","url":null,"abstract":"","PeriodicalId":158928,"journal":{"name":"Journal of Minimally Invasive Surgical Sciences","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121512145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-10-22DOI: 10.17795/MINSURGERY-41637
S. Yazdani, M. Akbarilakeh
{"title":"Iranian National Self-Care Support System Pattern","authors":"S. Yazdani, M. Akbarilakeh","doi":"10.17795/MINSURGERY-41637","DOIUrl":"https://doi.org/10.17795/MINSURGERY-41637","url":null,"abstract":"","PeriodicalId":158928,"journal":{"name":"Journal of Minimally Invasive Surgical Sciences","volume":"26 4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131348536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-10-19DOI: 10.17795/MINSURGERY-42362
S. Bakkar, G. Materazzi
Background: Since the early 1990s, endoscopic adrenalectomy has become the gold standard surgical approach for the adrenal gland. Also, lateral transperitoneal adrenalectomy (LTA) which is the most widely used approach accompanies that.. Posterior retroperitonoscopic adrenalectomy (PRA) is another safe and effective approach for the adrenal gland. However, it has not gained global popularity. This is largely attributed to the unfamiliarity of surgeons with the ergonomics and executional steps of the procedure, and the relevant retroperitoneal anatomy. Misconceptions held by both surgeons and anesthesiologists regarding the consequences of the high-pressure retroperitoneal insufflation required may also be a contributing factor. The aim of this article is to provide a detailed description of PRA in a manner which allows the proper acquisition of the knowledge required to perform the procedure safely and effectively. Methods: To achieve the objective of this article, it has been broadly divided into three sections including background, operative technique, and comments. The background provides an introduction to the procedure and its advantages. The section about operative technique provides a detailed description of the preoperative preparatory phase, the proper access, and the executional steps of the procedures supplemented with illustrative figures. It also provides insight into potential hazards related to the anatomy of the adrenal veins, and the means of dealing with variant anatomy. The comments’ section deals with the procedure’s learning curve, and the factors affecting it. It also describes the ideal case for the commencement of the learning curve. A clarification of the misconceptions surrounding PRA is also provided in this section. Conclusion: With thorough technical knowledge and an adequate learning curve, PRA could serve as the surgeon’s preferred surgical approach to the adrenal gland within the confines of its selection criteria.
{"title":"Posterior Retroperitonoscopic Adrenalectomy; How to Do it – Pearls and Secrets","authors":"S. Bakkar, G. Materazzi","doi":"10.17795/MINSURGERY-42362","DOIUrl":"https://doi.org/10.17795/MINSURGERY-42362","url":null,"abstract":"Background: Since the early 1990s, endoscopic adrenalectomy has become the gold standard surgical approach for the adrenal gland. Also, lateral transperitoneal adrenalectomy (LTA) which is the most widely used approach accompanies that.. Posterior retroperitonoscopic adrenalectomy (PRA) is another safe and effective approach for the adrenal gland. However, it has not gained global popularity. This is largely attributed to the unfamiliarity of surgeons with the ergonomics and executional steps of the procedure, and the relevant retroperitoneal anatomy. Misconceptions held by both surgeons and anesthesiologists regarding the consequences of the high-pressure retroperitoneal insufflation required may also be a contributing factor. The aim of this article is to provide a detailed description of PRA in a manner which allows the proper acquisition of the knowledge required to perform the procedure safely and effectively. Methods: To achieve the objective of this article, it has been broadly divided into three sections including background, operative technique, and comments. The background provides an introduction to the procedure and its advantages. The section about operative technique provides a detailed description of the preoperative preparatory phase, the proper access, and the executional steps of the procedures supplemented with illustrative figures. It also provides insight into potential hazards related to the anatomy of the adrenal veins, and the means of dealing with variant anatomy. The comments’ section deals with the procedure’s learning curve, and the factors affecting it. It also describes the ideal case for the commencement of the learning curve. A clarification of the misconceptions surrounding PRA is also provided in this section. Conclusion: With thorough technical knowledge and an adequate learning curve, PRA could serve as the surgeon’s preferred surgical approach to the adrenal gland within the confines of its selection criteria.","PeriodicalId":158928,"journal":{"name":"Journal of Minimally Invasive Surgical Sciences","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121055338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-10-09DOI: 10.17795/MINSURGERY-34138
F. J. P. Lara, A. F. Berges, Herman Oehling, A. D. R. Moreno, H. O. Muñoz
Background: The number of laparoscopic procedures done each year continues to rise substantially. Clinically significant hemorrhage from secondary port sites at laparoscopy is an uncommon but serious complication and can become unrecognized intraoperatively. Abdominal wall hemorrhage and bruising may complicate laparoscopic operative procedures. Methods: We propose an easy technical gesture to stop the bleeding at the port site in laparoscopic surgery. A simple technique is described to treat this complication. Conclusions: Our proposal is a simple gesture, easy to reproduce and, with no surgical time waste which we can obtain very good results in major bleeding difficult to control with traditional methods by that.
{"title":"Haemostatic Patch Envolving Laparoscopic Trocar to Stop Hemorrhage in the Port Site at the Beginning of the Operation","authors":"F. J. P. Lara, A. F. Berges, Herman Oehling, A. D. R. Moreno, H. O. Muñoz","doi":"10.17795/MINSURGERY-34138","DOIUrl":"https://doi.org/10.17795/MINSURGERY-34138","url":null,"abstract":"Background: The number of laparoscopic procedures done each year continues to rise substantially. Clinically significant hemorrhage from secondary port sites at laparoscopy is an uncommon but serious complication and can become unrecognized intraoperatively. Abdominal wall hemorrhage and bruising may complicate laparoscopic operative procedures. Methods: We propose an easy technical gesture to stop the bleeding at the port site in laparoscopic surgery. A simple technique is described to treat this complication. Conclusions: Our proposal is a simple gesture, easy to reproduce and, with no surgical time waste which we can obtain very good results in major bleeding difficult to control with traditional methods by that.","PeriodicalId":158928,"journal":{"name":"Journal of Minimally Invasive Surgical Sciences","volume":"134 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122646346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-10-05DOI: 10.17795/MINSURGERY-41196
M. Nasir, S. Panteleimonitis, J. Ahmed, H. Abbas, A. Parvaiz
Background: Laparoscopic rectal cancer surgery offers several advantages over open surgery, including quicker recovery, shorter hospital stay and improved cosmesis. However, laparoscopic rectal surgery is technically difficult and is associated with a long learning curve. The last decade has seen the emergence of robotic rectal cancer surgery. In contrast to laparoscopy, robotic surgery offers stable 3D views with advanced dexterity and ergonomics in narrow spaces such as the pelvis. Whether this translates into a shorter learning curve is still debated. The aim of this literature search is to ascertain the learning curve of robotic rectal cancer
{"title":"Learning Curves in Robotic Rectal Cancer Surgery: A literature Review","authors":"M. Nasir, S. Panteleimonitis, J. Ahmed, H. Abbas, A. Parvaiz","doi":"10.17795/MINSURGERY-41196","DOIUrl":"https://doi.org/10.17795/MINSURGERY-41196","url":null,"abstract":"Background: Laparoscopic rectal cancer surgery offers several advantages over open surgery, including quicker recovery, shorter hospital stay and improved cosmesis. However, laparoscopic rectal surgery is technically difficult and is associated with a long learning curve. The last decade has seen the emergence of robotic rectal cancer surgery. In contrast to laparoscopy, robotic surgery offers stable 3D views with advanced dexterity and ergonomics in narrow spaces such as the pelvis. Whether this translates into a shorter learning curve is still debated. The aim of this literature search is to ascertain the learning curve of robotic rectal cancer","PeriodicalId":158928,"journal":{"name":"Journal of Minimally Invasive Surgical Sciences","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126929222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：