Trocar insertion is an essential and initial part in any laparoscopic procedure. Inadvertent abdominal wall vascular injury, leading to intra-abdominal bleeding or abdominal wall haematoma due to trocar insertion, may occur at this first step. We report here a case of uneventful laparoscopic cholecystectomy in a 44-year-old woman, which was followed later by large abdominal wall haematoma throu...

Abstract Aim Spigelian hernias are rare. Surgical treatment is often recommended. Different minimally invasive techniques available by means of intraperitoneal or extraperitoneal mesh placement, either IPOM, transabdominal preperitoneal (TAPP) total (TEP) approach. TEP approach seldom reported in the literature. We present a short series repair hernias. Materials and Methods Between February Oc...

Figure 1: The trocar was left in place after two attempts at bone marrow biopsy. Median sternotomy was performed without removing the trocar. The aorta was repaired off-pump, by placing a purse-string suture around the biopsy needle. Figure 2: CT shows injury of the anterior wall of the ascending aorta by the biopsy trocar. The patient was immediately transferred to a regional centre with cardi...

Background. Tube thoracostomy is widely used throughout the medical, surgical, and critical care specialities. It is generally used to drain pleural collections either as elective or emergency. Complications resulting from tube thoracostomy can occasionally be life threatening. Aim. To present an update on the complications and management of complications of tube thoracostomy. Methods. A review...

The purpose of this study was to evaluate the technique and value of fluoroscopy-guided percutaneous transpedicular trocar biopsy in obtaining diagnostic tissue from vertebral body lesions and to review the current literature. The bone cores from 32 patients who underwent 34 transpedicular Jamshidi trocar biopsies for lesions in the thoracic, lumbar and sacral spine were examined. All samples w...

TECHNIQUE An open Hasson entry in the left hypochondrium, at least 5cm lateral to the defect edge, and two 5mm trocars in the subxiphoid area and left iliac fossa serve to take down hernia sac adhesions and completely expose the abdominal wall defect. Another 10mm trocar is inserted in the midline just cephalad (or caudal) to the defect to receive the camera, together with a 5mm access in the r...

TECHNIQUE An open Hasson entry in the left hypochondrium, at least 5cm lateral to the defect edge, and two 5mm trocars in the subxiphoid area and left iliac fossa serve to take down hernia sac adhesions and completely expose the abdominal wall defect. Another 10mm trocar is inserted in the midline just cephalad (or caudal) to the defect to receive the camera, together with a 5mm access in the r...

OBJECTIVE The aim of this study is to evalute risk factors which trigger the development of trocar site hernia after elective laparoscopic cholecystectomy operation and to discuss what needs to be done to prevent it. METHODS Patients operated with laparoscopic cholecystectomy between 2011 and 2013 were evaluated. Patients were called back for follow-up visit at 12 month after operation. Physi...

Pectus excavatum is a deformity of the thoracic wall present in less than 1% of the population. Treatment is essentially surgical because of the size of the deformity. The most employed surgical options are the technique proposed by Ravitch and its variations and the technique proposed by Nuss. The first one is considered the conventional technique, while the Nuss procedure is minimally invasiv...