BACKGROUND AND OBJECTIVES This is a case report of a 5-mm trocar-site large bowel herniation following laparoscopic tubal sterilization. During laparoscopic sterilization, the 5-mm port site was closed initially. Large bowel herniation was recognized at the end of the case and managed immediately by laparoscopically reducing the hernia and closing the port site without any short- or long-term c...

angiopancreatography (ERCP) via a gastrostomy by stomal balloon dilation through a surgical or radiological gastrostomy site has been described in a few cases [1–3]. We report here a novel technique for dilating a rigid percutaneous endoscopic gastrostomy (PEG) stoma for therapeutic ERCP. A 69-year-old man with bile duct stones was hospitalized for acute cholangitis. A gastrostomy feeding tube ...

nal is determined by puncturing the caudal pouch of the shoulder joint with a 5 cm long, 0.6-mm cannula. This cannula is inserted in the direction of the arthroscope tip.The working cannula with trocar is then inserted along the puncture canal into the shoulder joint. This triangulation technique has successfully been used for arthroscopic surgery in the shoulder joint, in particular for the tr...

INTRODUCTION For the treatment of renal tumors, minimally invasive nephron-sparing surgery has become increasingly performed due to proven efficiency and excellent functional and oncological outcomes. The introduction of robotics into urologic laparoscopic surgery has allowed surgeons to perform challenging procedures in a reliable and reproducible manner. We present our surgical technique for ...

BACKGROUND AND OBJECTIVES Development in surgical technology must demand not only improved efficacy and risk reduction but also a reduction in costs and efficient use of human resources. For 25 years we have discussed the development of optical access trocars and their probable benefits. They are now available in the form of the OPTIVIEW by Ethicon and the SURGIVIEW by US Surgical. METHODS Be...

Intramedullary nailing is treatment of choice for diaphyseal fractures tibia in adults. Infrapatellar medullary usually done tibial but metaphyseal reduction become a challenge due to anterior deformity pull patellar tendon. Suprapatellar becoming popular and route because it semiextended position which helps good fixation. But the major disadvantage this approach specific instrument sets impla...