Since introduction of laparoscopy in the 1980s, field surgery has rapidly transitioned toward minimal access techniques and procedures. Along with this shift, many new surgical devices instruments have been developed. The design implementation these is complex expensive

BACKGROUND AND OBJECTIVES Specially designed surgical instruments have been developed for single-incision laparoscopic surgery, but high instrument costs may impede the implementation of these procedures. The aim of this study was to compare the cost of operative implements used for elective cholecystectomy performed as conventional laparoscopic 4-port cholecystectomy or as single-incision lapa...

BACKGROUND Abnormal uterine anatomy, especially leiomyomas, can significantly impact the difficulty and potential morbidity of surgical uterine evacuation. To avoid hysterotomy and/or hysterectomy, limited evidence exists to guide surgical uterine evacuation when pregnancy tissue is inaccessible with routine instruments. CASE PRESENTATION A 41-year-old G4P1021 African American woman at 14 4/7...

Bracco Diagnostics, Inc. announced in June that Kinevac (sincalide) production had been halted and that the product will not be available for at least 2 months. Kinevac is the only intravenous cholecystogogue drug approved by the U.S. Food and Drug Administration (FDA) to stimulate gallbladder contraction. It is thus useful for calculation of gallbladder ejection fraction (GBEF) to diagnose chr...

Intraoperative assistance systems aim to improve the quality of the surgery and enhance the surgeon’s capabilities. Preferable would be a system which provides support depending on the surgery context and surgical skills accomplished. Therefore, the automated analysis and recognition of surgical skills during an intervention is necessary. In this paper a robust tracking of instruments in minima...

1 BackGROund Surgical instruments are essential helpers on the way to better results. As in the surgical procedure itself, also with the equipment, even small changes in details may make a big difference concerning handling, potentially affecting the outcome. Over many years of practicing rhinoplasty, the author has repeatedly asked the manufacturer to optimize the design of instruments, leadin...

BACKGROUND AND OBJECTIVES Fascial closure of port sites represents a challenging issue in laparoscopic surgery. The aim of this article is to introduce a procedure that allows the safe suturing of the abdominal fascia in these wounds. METHODS We herein describe a simple technique for fascial closure after laparoscopy using a transcutaneous approach and standard surgical instruments for suture...