Surgery has been considered the main treatment for submucosal tumors (SMTs). However, endoscopic resection is currently accepted gastric SMTs smaller than 3 cm. Endoscopic dissection (ESD) technique of choice, and tunneling successful results with low complication rates according to recent meta-analysis by Cao et al. The major limitation these methods technical difficulty associated certain ana...

BACKGROUND AND OBJECTIVES Currently, endoscopic medicine is being increasingly used, albeit not without risks. Therefore, this study evaluated the factors associated with perioperative complications in endoscopic surgery with intraoperative irrigation. METHOD A cohort study of six months duration. Patients aged ≥ 18 years undergoing endoscopic surgery with the use of irrigation fluids during ...

OBJECTIVE In the following study, we observe the progress of various invasive calculi treatments that have taken place in our hospital in the last 15 years. MATERIAL AND METHOD We extracted data from our hospital database on patients who underwent extracorporeal shock wave lithotripsy (ESWL), endoscopic surgery and open surgery. We analyzed how the incidence of these treatments has evolved ov...

Over the last decade, surgeons have experienced dramatic changes in operative procedures as a result of the development of remarkable new technological tools that have enabled significant advances in minimally invasive surgical techniques and instruments. These advances have led to the increased application of minimally invasive techniques for “nonconventional” procedures. The potential benefit...

Endoscopic ear surgery (EES) is gaining more popularity and applications since late 90’s. Little was published about the complications and their endoscopic management including major intra-operative bleeding. We are reporting a case of management of bleeding from a high jugular bulb during an endoscopic transcanaltympanoplastywithout the need to a microscopic conversion to the best of our knowl...

The lateral limit of endoscopic endonasal surgery has yet to be defined. The aim of this study was to investigate the lateral limit of endoscopic endonasal surgery at the level of the sphenoid sinus. Access from the sphenoid sinus to the middle cranial fossa through the cavernous sinus triangles was evaluated by cadaver dissection. Anatomical analysis demonstrated that the medial temporal dura ...

Objective: Pre-operative endoscopic clipping for determining the resection line in patients with early gastric cancer (EGC) has been used safely, and its efficacy has been demonstrated. However, the optimal timing of endoscopic clipping for determining the resection line in EGC patients undergoing laparoscopy-assisted distal gastrectomy (LADG) has not been investigated. Methods: A retrospective...

This study evaluates the safety and effectiveness of computed tomography- (CT-) assisted endoscopic surgery in the treatment of infectious spondylodiscitis of the thoracic and upper lumbar spine in immunocompromised patients. From October 2006 to March 2014, a total of 41 patients with infectious spondylodiscitis underwent percutaneous endoscopic surgery under local anesthesia, and 13 lesions f...

Endoscopic ear surgery is one of the most commonly performed surgeries in Dhulikhel hospital. In past eleven years, there have been different endoscopic with a very good outcome. The main benefit is; to let surgeon see better, proceed through trans-canal, teaching and training students. There are some drawbacks like one-handed technique learning curve. With repeated practice help motion paralla...