A single-incision laparoscopic surgery (SILS) port may be used to reduce the number of surgical incisions. Here, we describe our technique, equivalent in technical difficulty to conventional laparoscopy, of using a SILS port at a planned diverting-stoma site in colorectal cancer patients. This technique is indicated for patients for whom the intent is to perform tumor resection with diverting i...

Although laparoscopy is one of the most common surgical procedures done today, bowel perforations can and do occur during the initial insertion of the Veress needle and/or trocar. Recent advances in microlaparoscopy have reduced the morbidity of this complication when encountered. We report a case of small bowel perforation following insertion of a Veress needle with its 2 mm trocar and our min...

We describe an innovative technique for performing standardized low cost glaucoma filtration surgery using a polytetrafluoroethylene (PTFE) intravenous cannula. The trocar of a 24 gauge (24G) PTFE intravenous cannula was used to create a trabeculectomy ostium and its tube was inserted under a partial thickness scleral flap in 2 patients with advanced glaucomatous optic neuropathy, in whom intra...

Objective. Despite the advantages of laparoscopic cholecystectomy (LC), postoperative pain remains a major complaint for many patients. In this study, in patients undergoing LC, the application of LC via incisional bupivacaine and low inflation pressure, alone or combined, and a comparison of the effects on postoperative pain has been purposed. Methods. Patients were randomly assigned into the ...

BACKGROUND Large cystic ovarian masses pose technical challenges to the laparoscopic surgeon. Removing large, potentially malignant specimens must be done with care to avoid the leakage of cyst fluid into the abdominal cavity. CASE We present the case of a large ovarian cystic mass treated laparoscopically with intentional trocar puncture of the mass to drain and remove the mass. DISCUSSIO...

AbSTRACT The laparoscopic cholecystectomy is the standard procedure for symptomatic gallstones disease. NOTES (Natural Orifice Transluminal Endoscopic Surgery) is the logical next step in the development towards minimal invasive surgery. During a NOTES procedure, a natural orifice, like the vagina, is used to gain access to the peritoneal cavity instead of incisions through the abdomen. In this...

The success of continuous ambulatory peritoneal dialysis (CAPD) is to a great extent determined by the survival of the peritoneal catheter. The aim of this study was to identify technical factors which influence CAPD catheter survival. A total of 453 CAPD catheters inserted into 310 patients over an 8-year period were analysed. Access to the peritoneum was gained either by an open surgical tech...