Laparoscopic cholecystectomy has become a routine surgical procedure. Complications related to use of the laparoscope frequently result from insertion of a Veress needle or blind introduction of the primary cannula on its trocar. This risk is clearly higher in patients who have undergone previous surgical operations. Open insertion with visualisation of abdominal cavity before the introduction ...

Most of the reported vascular injuries in laparoscopic appendectomies occur during trocar or Veress needle insertions. As laparoscopy continues to evolve, it is essential that surgeons report unusual complications in an effort to raise awareness and guide management of any iatrogenic injury incurred during minimally-invasive procedures. We report the case of a patient who sustained a major non-...

During the early 1980s, news of Semm's laparoscopic appendectomy was rippling through German medical circles. Erich Mühe, fascinated by Semm's technique and spurred by successes of the Erlangen endoscopists, came up with the idea of laparoscopic removal of gallstones. In 1984, Mühe had already worked out the details of an operative laparoscope, the "Galloscope," and on September 12, 1985, he ca...

The objective of this study was to develop a technique for carrying out repeated biopsies of the mammary gland of lactating dairy cows that provides enough material to monitor enzyme activities and gene expression in mammary secretory tissue. A total of 16 Holstein cows were subjected to 4 mammary biopsies each at 3-week intervals for a total of 64 biopsies. A 0.75-cm incision was made through ...

Suday, O cber 8, 2017 were performed under general anesthesia using a double-lumen endotracheal tube to ensure selective deflation of the ipsilateral lung, trocar insertion, and creation of an artificial apical pneumothorax. Then, a specifically designed thoracoscope was inserted, and the second, third, and/or fourth thoracic sympathetic ganglia were severed by means of electrocautery. To asses...

Occult bladder injury may sometimes go unrecognized during tension-free vaginal tape (TVT) procedures. We report a case of occult intraperitoneal bladder injury that occurred during a TVT procedure. There was no sign of bladder perforation on the initial cystoscopy, which was performed just after the insertion of the trocar. Signs of general peritonitis appeared after the patient started to voi...