A modified approach to endoscopic carpal tunnel release has been developed and tested in 60 cadaveric specimens by three surgeons using the Agee endoscopic carpal tunnel release system. The modified approach, which includes specific localization of the hook of the hamate, flexor retinaculum, and the superficial palmar arch utilizing topographical landmarks, avoids entry into Guyon's canal and i...

Bile duct iatrogenies are adverse events that occur in patients undergoing surgical, endoscopic or radiological procedures the bile region. serious complications can have a significant impact on patient's quality of life. The prevention these is essential and depends experience professional who performs procedure, knowledge anatomy proper use available technology. Proper repair biliary lesions ...

Objective: To report a case of pituitary apoplexy presenting with unilateral ptosis and third nerve palsy in diabetic hypertensive patient. Clinical Presentation Intervention: A 50 years old man developed palsy. macro adenoma hemorrhagic necrotic changes on MRI scan was resected by endoscopic transsphenoidal procedure. Third improved promptly completely few hours postoperatively. Conclusion: Th...

Endoscopic full-thickness resection (EFTR) is a procedure that makes it possible to access the lesions that are on the wall of the digestive tract via the shortest distance through the mouth. Because of the ultra-minimal invasive nature of the treatment, pure EFTR is a highly promising surgical procedure that allows the radical excision of full-thickness layers of digestive tract tumors using o...

Walled-off pancreatic necrosis (WOPN) is one of the most life-threatening complications of acute severe pancreatitis. Regarding its high mortality and morbidity without appropriate treatment, the drainage procedure is still the mainstay of the treatment for this condition. There are multiple drainage options for this event. To date, endoscopic drainage alone has not been adequate for this condi...

Per-oral Endoscopic Myotomy (POEM) is a transmural endoscopic surgical technique that is gaining widespread adoption in the management of adult achalasia. The endoscopic approach offers excellent access to the muscular wall of the esophagus enabling division of the abnormal circular fibers. The procedure offers the benefits of being incisionless, preserving the outer longitudinal esophageal mus...

Indications for endoscopic resection of fronto-ethmoidal osteomas have been progressively expanded thanks to optimization of surgical exposure and the development of dedicated instruments. Curved cutting drills are still suboptimal to treat hard osseous neoplasms of the frontal sinus. We present two patients affected by frontal osteoma treated with an endoscopic procedure using an ultrasonic bo...

Pancreatic pseudocysts in children are not uncommon. Non-resolving pseudocysts often require surgical intervention. Endoscopic cystogastrostomy is a minimally invasive procedure which is recommended for this condition. We report a large pancreatic pseudocyst in a 4-year old child, which developed following therapy with PEG-Asparaginase for acute lymphoblastic leukemia. It was managed with minim...

A one-step surgical procedure is presented, including maxillary sinus floor elevation in association with functional endoscopic sinus surgery to remove rhino-sinusal malformations or pathoses that might contraindicate sinus floor elevation. Over a 2-year period, 10 patients requiring a sinus floor augmentation procedure to restore the missing dentition with endosseous implants, but presenting w...

S40 ENDOSCOPIC ULTRASOUND / VOLUME 6 / SUPPLEMENT 1 / AUGUST 2017 failed endoscopic retrograde cholangiopancreatography. Common approaches for transmural drainage include choledochoduodenostomy and hepaticogastrostomy (HGS). In this video, we describe three patients with difficult EUS-biliogastric anastomosis and advanced interventions through the established anastomosis. Case Report: Case 1 de...