BACKGROUND AND AIM Umbilical hernia frequently accompanies cholelithiasis. It is possible to repair these hernias after completing cholecystectomy. We herein describe a simple modified technique for the repair. PATIENTS AND METHOD The technique was applied to 10 patients undergone laparoscopic cholecystectomy. After cholecystectomy has been performed, periumbilical trocar incision is extended...

The valveless trocar system is a novel insufflator that circulates carbon dioxide in the abdominal cavity. Herein, we report an infant with severe hypothermia due to use of this insufflator. An 83-day-old infant (body weight 3862 g) with gastroesophageal reflux underwent laparoscopic Nissen fundoplication. After insufflation was initiated, his body temperature acutely dropped to 34.4 °C. Standa...

Laparoscopic surgery is the modality of choice in the surgical treatment of colorectal malignancies. The reported incidence of trocar site hernias is 0.65-2.80% with conventional cutting-tip trocars, and this risk increases with the diameter of the trocar. Newer bladeless, blunt-tipped trocars effectively mitigate this risk, and routine fascial closure has been generally deemed unnecessary. We ...

A standard 23-gauge or 25-gauge valved trocar is positioned externally next to the sclera at an area corresponding to the most elevated retina. During internal visualization, the trocar is advanced at an angle of 15°, penetrating the sclera and the choroid, and entering the subretinal space (Figure 2). Once it has been visually confirmed that the cannula entered the subretinal space, the trocar...

PURPOSE To compare the results obtained from three routine laparoscopic entry techniques, including Direct Trocar (DT), Veress Needle (VN), and Open Approach (OA). MATERIALS AND METHODS Safety and efficacy of three main laparoscopic entry techniques were evaluated prospectively in 453 consecutive patients who had undergone laparoscopy either with DT, VN, or modified OA technique in recent six...

Objective: To describe the safety of the modified open technique for accessing the abdominal cavity and creation of pneumoperitoneum in gynecologic laparoscopy. Methods: A descriptive retrospective chart review of 100 patients who underwent gynecologic laparoscopy at the Jordanian Royal Medical Services Hospitals during the period from January 2008 to December 2009 was conducted. We used the mo...

purpose : the aim of this study was to compare the rate and location of intraoperatively induced retinal breaks between two techniques of standard 20-gauge vitrectomy and transconjunctival 23-gauge using trocar/cannula methods : in this prospective comparative case series patients having attached retina before surgery who were operated for different vitreoretinal or macular conditions by standa...