Laparoscopic surgery for complicated ulcer disease has to be tailored to the specific needs imposed by the pathology and clinical state of the patient. In the elective situation, patients with concomitant reflux esophagitis and duodenal ulcer disease are best treated by partial crurally-fixed posterior fundoplication and highly selective vagotomy. Patients with resistant prepyloric ulcers and t...

described. These may be categorized broadly into fascial repair, stoma relocation and fascial repair with prosthetic material. There is no consensus regarding the optimal method of repair and there has been virtually no critical examination of the efficacy of these types of hernia repair. Thorlakson [25] recommends a direct repair via the ostomy site with closure of the defect with non absorbab...

Introduction. Appropriate prevention of infection is a key area of research in natural orifice translumenal endoscopic surgery (NOTES), as identified by the Natural Orifice Surgery Consortium for Assessment and Research (NOSCAR). Methods. A review of the literature was conducted evaluating the evidence base for access orifice preparation/treatment in NOTES procedures in the context of infectiou...

Internal hernias of the abdomen are uncommon. They represent less than 1% of bowel obstruction cases. The left Paraduodenal hernia (PH) is the most frequent type of internal hernias. We report a case of 77 year- old woman consulting for bowel obstruction evolving since two days. The abdominal computed tomography revealed a retroperitoneal small bowel contained in a peritoneal sac. The surgical ...

The techniques of minimal access surgery for pediatric inguinal hernia are numerous and they continue to evolve, with a trend toward increasing use of extracorporeal knotting and decreasing use of working ports and endoscopic instruments. Single-port endoscopic-assisted percutaneous extraperitoneal closure seems to be the ultimate attainment, and numerous techniques have mushroomed in the past ...

background:  few clinical trials have studied the functional and cosmetic outcomes of different closure tech- niques of surgical incisions. skin wound and incision closure methods may influence the healing process and cos- metic outcome. the present study aims at comparing three different suture techniques of skin closure. methods: in a clinical trial, sixty patients with anterior cruciate liga...

INTRODUCTION Incisional hernias are abnormal peritoneal outward pouch-like protrusions that develop due to defects that arise as a result of the disruption of the fascia's continuity after abdominal surgery. PRESENTATION OF CASE A 77-year-old female patient presented to the emergency department of our hospital with complaints of abdominal swelling, abdominal pain, nausea and vomiting. The pat...

Results 44 patients (91.67%) underwent pancreaticoduodenectomy (37 standard, 7 extended, with Wirsung gastric anastomosis in 19 cases, Wirsung-jejunal anastomosis in 34, and Wirsung closure in 1); 3 patients (6.25%) underwent total pancreaticoduodenectomy, 1 patient distal pancreatectomy. 2 patients were also treated with IORT. Perioperative mortality was 4.16%, morbidity was 10.42% (2 cases of...

Objective - The aims of this study were to determine the approximate radiographic closure time of the growth plates of the fore and hind limbs of Marghoz goat as a small breed of goat is distributed over the western and North-West of Iran near to the Turkey and Iraqi borders and to compare these closure times with those previously published.Design- Experimental studyAnimals- 20 heal...