AIM The intestinal intussusception in the adult represent 1% of all occlusions. Organic causes are detectable in 90% of cases. Aim of this study is to discuss the diagnostic and therapeutic iter of adult intestinal intussusception with particular emphasis on role of laparoscopy. MATERIALS AND METHODS We retrospectively considered 10 cases of intussusception between January 2000 and January 20...

Objective. To reevaluate the long-term effectiveness and safety of laparoscopy in benign ovarian pathology. Materials and Methods. 1522 women with benign adnexal cysts, laparoscopically treated in the 3rd Department of Ob/Gyn, General University hospital "Attikon" and "Lito" Maternity Hospital between July 1998 and December 2006, were included. Results. The diagnosis in 1222 (80,6%) cases was e...

OBJECTIVE To describe a technique for contained power morcellation within an insufflated isolation bag at the time of uterine specimen removal during minimally invasive gynecologic procedures. METHODS Over the study period of January 2013 to April 2014, 73 patients underwent morcellation of the uterus or myomas within an insufflated isolation bag at the time of minimally invasive hysterectomy...

OBJECTIVE To compare the safety and efficacy of laparoscopy and laparotomy on clinical outcomes among patients with endometrial cancer. METHODS Eligible randomized controlled trials (RCTs) conducted between 1966 and June 2010 were analyzed by meta-analysis. RESULTS Eight RCTs were included, with 3599 patients in total. No significant difference was observed between laparoscopy and laparotom...

Objective To evaluate if improvement of laparoscopic skills can reduce postoperative peritoneal adhesion formation in a clinical setting. Study Design We retrospectively evaluated 25 women who underwent laparoscopic myomectomy from January 1993 to June 1994 and 22 women who underwent laparoscopic myomectomy from March 2002 to November 2004. Women had one to four subserous/intramural myomas an...

Gastric pneumatosis is a radiographic finding that represents a spectrum of conditions ranging from benign disease to abdominal sepsis and death. Along with portal venous gas, it is generally considered an ominous sign prompting emergent operative intervention. We report a rare case showing that diagnostic laparoscopy can be used to confirm or refute full thickness ischemic necrosis and that co...

Laparoscopy has a valuable roles in diagnosis, preoperative assessment, and therapy of ascites.It was used in diagnosis and to confirm the diagnosis in ascites of unknown origin which could be cirrhotic or non cirrhotic as carcinoma peritoneie, tuberculous peritonitis or nephrogenic origin. It is also used in preoperative assessment and staging of gastric, pancreatic and liver tumour.Thrapeutic...

Introduction Ovarian pregnancy is an uncommon variant of ectopic pregnancy and diagnosis is a clinical challenge. Its frequency has been reported as 1 in 2100 to 1 in 7000 pregnancies(1). Among women who use IntraUterine Device (IUD), 4.3% of all pregnancies are ectopic pregnancies and of these, one tenth is ovarian pregnancies(2,3). Here we report three cases of spontaneous ovarian pregnancy s...

In preparing for today’s address, I have been spending quite some time reflecting on the unusual trials and triumphs that have characterized the history of laparoscopic surgery. Through these ruminations, it was with special gratitude that I reflected upon SLS, recalling how, even when the role of operative laparoscopy had yet to be clearly defined, let alone fully accepted, SLS stood as anunwa...

Operative laparoscopy has changed the concept of surgery from prolonged painful recuperative periods with long scars of open surgery to short stay, painless, and cosmetically satisfying surgery. This has been achieved at the expense of surgeons’ discomfort and fatigue, thus putting both the surgeon and patient at risk. Inadequate knowledge about ergonomics together with ergonomically deficient ...