Aim: To describe a new technique in which laparoscopic cholecystectomy can be performed through trocar cannulas inserted directly through the same incision used for the cesarean section, without the need for additional incisions elsewhere. Presentation of Case: A 30-year-old pregnant woman presented with symptomatic cholelithiasis. Laboratory and radiological investigations revealed no signs of...

To cite: Patel RV, Milliken I, Dick A, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2013201459 DESCRIPTION A 23-month-old girl presented with 5 days of lower abdominal pain, lethargy, anorexia, reduced wet nappies and high fever not responding to a 5-day course of amoxicillin. On examination, she had a pulse rate of 179, respiratory rate 32, temperature ...

Congenital orthopaedic anomalies and acquired pediatric wounds of the extremities frequently require reconstruction soft tissue envelope. In many these circumstances, full-thickness skin grafting (FTSG) is a reliable appropriate reconstructive option. However, FTSG harvest rarely discussed in literature. We present reproducible method that easily performed. this technique, we graft from lower a...

We report a rare complication caused by a displaced tack after laparoscopic incisional hernia repair. A 41-year-old woman treated 11 months earlier for a suprapubic incisional hernia (Pfannenstiel laparotomy) received a laparoscopic repair with a bilaminar mesh fixed with tacks. Seven months later, she presented miccional irritative symptoms and chronic lower abdominal pain. Leucocyturia and mi...

Dextromethorphan is an N-methyl-D-aspartate (NMDA) receptor antagonist which has been shown to inhibit the development of cutaneous secondary hyperalgesia after tissue trauma. We studied 60 ASA I-II patients undergoing total abdominal hysterectomy in a randomized, double-blind, placebo-controlled study. Patients received either dextromethorphan 27 mg capsules, two doses before operation and thr...

OBJECTIVE Efforts are continuously being made for surgery to be less invasive with a minimal access approach. This article reports our experience with minilaparotomy hysterectomy in patients with benign gynecological disease or preinvasive pathology. MATERIAL AND METHODS A prospective study to analyse the outcome and per-operative and post-operative complications was conducted in 69 patients ...