A procedure in which a laparoscope (LAPAROSCOPES) is inserted through a small incision near the navel to examine the abdominal and pelvic organs in the PERITONEAL CAVITY. If appropriate, biopsy or surgery can be performed during laparoscopy.
Deliberate introduction of air into the peritoneal cavity.
Incision into the side of the abdomen between the ribs and pelvis.
Radiography of the uterus and fallopian tubes after the injection of a contrast medium.
ENDOSCOPES for examining the abdominal and pelvic organs in the peritoneal cavity.
A condition in which functional endometrial tissue is present outside the UTERUS. It is often confined to the PELVIS involving the OVARY, the ligaments, cul-de-sac, and the uterovesical peritoneum.
Surgery performed on the female genitalia.
Diseases involving the FALLOPIAN TUBES including neoplasms (FALLOPIAN TUBE NEOPLASMS); SALPINGITIS; tubo-ovarian abscess; and blockage.
Pathological processes consisting of the union of the opposing surfaces of a wound.
A sac or recess formed by a fold of the peritoneum.
Diminished or absent ability of a female to achieve conception.
Pain in the pelvic region of genital and non-genital origin and of organic or psychogenic etiology. Frequent causes of pain are distension or contraction of hollow viscera, rapid stretching of the capsule of a solid organ, chemical irritation, tissue ischemia, and neuritis secondary to inflammatory, neoplastic, or fibrotic processes in adjacent organs. (Kase, Weingold & Gershenson: Principles and Practice of Clinical Gynecology, 2d ed, pp479-508)
General term for CYSTS and cystic diseases of the OVARY.
Procedures that render the female sterile by interrupting the flow in the FALLOPIAN TUBE. These procedures generally are surgical, and may also use chemicals or physical means.
Surgical removal of the vermiform appendix. (Dorland, 28th ed)
Acute inflammation of the APPENDIX. Acute appendicitis is classified as simple, gangrenous, or perforated.
A potentially life-threatening condition in which EMBRYO IMPLANTATION occurs outside the cavity of the UTERUS. Most ectopic pregnancies (>96%) occur in the FALLOPIAN TUBES, known as TUBAL PREGNANCY. They can be in other locations, such as UTERINE CERVIX; OVARY; and abdominal cavity (PREGNANCY, ABDOMINAL).
General or unspecified injuries involving organs in the abdominal cavity.
Diseases of the uterine appendages (ADNEXA UTERI) including diseases involving the OVARY, the FALLOPIAN TUBES, and ligaments of the uterus (BROAD LIGAMENT; ROUND LIGAMENT).
Methods for assessing the patency of the fallopian tubes.
Endoscopic examination, therapy or surgery of the female pelvic viscera by means of an endoscope introduced into the pelvic cavity through the posterior vaginal fornix.
Pathological processes of the OVARY.
Placement of one of the surgeon's gloved hands into the ABDOMINAL CAVITY to perform manual manipulations that facilitate the laparoscopic procedures.
Excision of the gallbladder through an abdominal incision using a laparoscope.
An abnormal twisting or rotation of a bodily part or member on its axis.
Methods and procedures for the diagnosis of conditions related to pregnancy, labor, and the puerperium and of diseases of the female genitalia. It includes also demonstration of genital and pregnancy physiology.
Excision of the uterus.
Pathological processes involving any part of the UTERUS.
A form of PERITONITIS seen in patients with TUBERCULOSIS, characterized by lesion either as a miliary form or as a pelvic mass on the peritoneal surfaces. Most patients have ASCITES, abdominal swelling, ABDOMINAL PAIN, and other systemic symptoms such as FEVER; WEIGHT LOSS; and ANEMIA.
The act of blowing a powder, vapor, or gas into any body cavity for experimental, diagnostic, or therapeutic purposes.
Pathological processes involving the female reproductive tract (GENITALIA, FEMALE).
A clinical syndrome with acute abdominal pain that is severe, localized, and rapid in onset. Acute abdomen may be caused by a variety of disorders, injuries, or diseases.
A pair of highly specialized muscular canals extending from the UTERUS to its corresponding OVARY. They provide the means for OVUM collection, and the site for the final maturation of gametes and FERTILIZATION. The fallopian tube consists of an interstitium, an isthmus, an ampulla, an infundibulum, and fimbriae. Its wall consists of three histologic layers: serous, muscular, and an internal mucosal layer lined with both ciliated and secretory cells.
Washing out of the peritoneal cavity. The procedure is a diagnostic as well as a therapeutic technique following abdominal trauma or inflammation.
A spectrum of inflammation involving the female upper genital tract and the supporting tissues. It is usually caused by an ascending infection of organisms from the endocervix. Infection may be confined to the uterus (ENDOMETRITIS), the FALLOPIAN TUBES; (SALPINGITIS); the ovaries (OOPHORITIS), the supporting ligaments (PARAMETRITIS), or may involve several of the above uterine appendages. Such inflammation can lead to functional impairment and infertility.
The region in the abdomen extending from the thoracic DIAPHRAGM to the plane of the superior pelvic aperture (pelvic inlet). The abdominal cavity contains the PERITONEUM and abdominal VISCERA, as well as the extraperitoneal space which includes the RETROPERITONEAL SPACE.
Hand-held tools or implements used by health professionals for the performance of surgical tasks.
A condition with trapped gas or air in the PERITONEAL CAVITY, usually secondary to perforation of the internal organs such as the LUNG and the GASTROINTESTINAL TRACT, or to recent surgery. Pneumoperitoneum may be purposely introduced to aid radiological examination.
Endoscopic examination, therapy or surgery of the interior of the uterus.
Pathological processes involving the PERITONEUM.
Inflammation of the uterine salpinx, the trumpet-shaped FALLOPIAN TUBES, usually caused by ascending infections of organisms from the lower reproductive tract. Salpingitis can lead to tubal scarring, hydrosalpinx, tubal occlusion, INFERTILITY, and ectopic pregnancy (PREGNANCY, ECTOPIC)
The local implantation of tumor cells by contamination of instruments and surgical equipment during and after surgical resection, resulting in local growth of the cells and tumor formation.
The most common (>96%) type of ectopic pregnancy in which the extrauterine EMBRYO IMPLANTATION occurs in the FALLOPIAN TUBE, usually in the ampullary region where FERTILIZATION takes place.
That portion of the body that lies between the THORAX and the PELVIS.
Complications that affect patients during surgery. They may or may not be associated with the disease for which the surgery is done, or within the same surgical procedure.
The space or compartment surrounded by the pelvic girdle (bony pelvis). It is subdivided into the greater pelvis and LESSER PELVIS. The pelvic girdle is formed by the PELVIC BONES and SACRUM.
Sensation of discomfort, distress, or agony in the abdominal region.
The course of learning of an individual or a group. It is a measure of performance plotted over time.
The duration of a surgical procedure in hours and minutes.
Inflammation of the GALLBLADDER; generally caused by impairment of BILE flow, GALLSTONES in the BILIARY TRACT, infections, or other diseases.
The application of electronic, computerized control systems to mechanical devices designed to perform human functions. Formerly restricted to industry, but nowadays applied to artificial organs controlled by bionic (bioelectronic) devices, like automated insulin pumps and other prostheses.
Surgery performed on the urinary tract or its parts in the male or female. For surgery of the male genitalia, UROLOGIC SURGICAL PROCEDURES, MALE is available.
A benign neoplasm of muscular tissue. (Stedman, 25th ed)
Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.
A followup operation to examine the outcome of the previous surgery and other treatments, such as chemotherapy or radiation therapy.
Procedures that avoid use of open, invasive surgery in favor of closed or local surgery. These generally involve use of laparoscopic devices and remote-control manipulation of instruments with indirect observation of the surgical field through an endoscope or similar device.
Endoscopic surgical procedures performed with visualization via video transmission. When real-time video is combined interactively with prior CT scans or MRI images, this is called image-guided surgery (see SURGERY, COMPUTER-ASSISTED).
Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.
Surgical procedures performed through a natural opening in the body such as the mouth, nose, urethra, or anus, and along the natural body cavities with which they are continuous.
An abdominal hernia with an external bulge in the GROIN region. It can be classified by the location of herniation. Indirect inguinal hernias occur through the internal inguinal ring. Direct inguinal hernias occur through defects in the ABDOMINAL WALL (transversalis fascia) in Hesselbach's triangle. The former type is commonly seen in children and young adults; the latter in adults.
Penetrating wounds caused by a pointed object.
A developmental defect in which a TESTIS or both TESTES failed to descend from high in the ABDOMEN to the bottom of the SCROTUM. Testicular descent is essential to normal SPERMATOGENESIS which requires temperature lower than the BODY TEMPERATURE. Cryptorchidism can be subclassified by the location of the maldescended testis.
Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.
Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.
Diagnostic, therapeutic, and investigative procedures prescribed and performed by health professionals, the results of which do not justify the benefits or hazards and costs to the patient.
Surgery performed on an outpatient basis. It may be hospital-based or performed in an office or surgicenter.
The genital canal in the female, extending from the UTERUS to the VULVA. (Stedman, 25th ed)
Accumulations of blood in the PERITONEAL CAVITY due to internal HEMORRHAGE.
Tumors or cancer of the UTERUS.
A pair of ducts near the WOLFFIAN DUCTS in a developing embryo. In the male embryo, they degenerate with the appearance of testicular ANTI-MULLERIAN HORMONE. In the absence of anti-mullerian hormone, mullerian ducts give rise to the female reproductive tract, including the OVIDUCTS; UTERUS; CERVIX; and VAGINA.
Surgery performed on the male genitalia.
Any impairment, arrest, or reversal of the normal flow of INTESTINAL CONTENTS toward the ANAL CANAL.
Tumors or cancer of the PERITONEUM.
A congenital abnormality characterized by the outpouching or sac formation in the ILEUM. It is a remnant of the embryonic YOLK SAC in which the VITELLINE DUCT failed to close.
Excision of a portion of the colon or of the whole colon. (Dorland, 28th ed)
The period of confinement of a patient to a hospital or other health facility.
A surgical procedure in which an undescended testicle is sutured inside the SCROTUM in male infants or children to correct CRYPTORCHIDISM. Orchiopexy is also performed to treat TESTICULAR TORSION in adults and adolescents.
The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH.
A medical-surgical specialty concerned with the physiology and disorders primarily of the female genital tract, as well as female endocrinology and reproductive physiology.
Loss of blood during a surgical procedure.
Surgery performed on the digestive system or its parts.
A benign tumor derived from smooth muscle tissue, also known as a fibroid tumor. They rarely occur outside of the UTERUS and the GASTROINTESTINAL TRACT but can occur in the SKIN and SUBCUTANEOUS TISSUE, probably arising from the smooth muscle of small blood vessels in these tissues.
A surgical specialty concerned with the study, diagnosis, and treatment of diseases of the urinary tract in both sexes, and the genital tract in the male. Common urological problems include urinary obstruction, URINARY INCONTINENCE, infections, and UROGENITAL NEOPLASMS.
Techniques for securing together the edges of a wound, with loops of thread or similar materials (SUTURES).
Protrusion of tissue, structure, or part of an organ through the bone, muscular tissue, or the membrane by which it is normally contained. Hernia may involve tissues such as the ABDOMINAL WALL or the respiratory DIAPHRAGM. Hernias may be internal, external, congenital, or acquired.
The serous fluid of ASCITES, the accumulation of fluids in the PERITONEAL CAVITY.
Removal of the uterus through the vagina.
Ultrasonography of internal organs using an ultrasound transducer sometimes mounted on a fiberoptic endoscope. In endosonography the transducer converts electronic signals into acoustic pulses or continuous waves and acts also as a receiver to detect reflected pulses from within the organ. An audiovisual-electronic interface converts the detected or processed echo signals, which pass through the electronics of the instrument, into a form that the technologist can evaluate. The procedure should not be confused with ENDOSCOPY which employs a special instrument called an endoscope. The "endo-" of endosonography refers to the examination of tissue within hollow organs, with reference to the usual ultrasonography procedure which is performed externally or transcutaneously.
Pathological developments in the CECUM.
Procedures of applying ENDOSCOPES for disease diagnosis and treatment. Endoscopy involves passing an optical instrument through a small incision in the skin i.e., percutaneous; or through a natural orifice and along natural body pathways such as the digestive tract; and/or through an incision in the wall of a tubular structure or organ, i.e. transluminal, to examine or perform surgery on the interior parts of the body.
Changing an operative procedure from an endoscopic surgical procedure to an open approach during the INTRAOPERATIVE PERIOD.
Diseases in any part of the GASTROINTESTINAL TRACT or the accessory organs (LIVER; BILIARY TRACT; PANCREAS).
Any woven or knit material of open texture used in surgery for the repair, reconstruction, or substitution of tissue. The mesh is usually a synthetic fabric made of various polymers. It is occasionally made of metal.
A diphenylpropylamine with intense narcotic analgesic activity of long duration. It is a derivative of MEPERIDINE with similar activity and usage.
Pathological processes in the SIGMOID COLON region of the large intestine (INTESTINE, LARGE).
Studies to determine the advantages or disadvantages, practicability, or capability of accomplishing a projected plan, study, or project.
Methods which attempt to express in replicable terms the extent of the neoplasm in the patient.
A blocking of nerve conduction to a specific area by an injection of an anesthetic agent.
Pathological processes involving the URETERS.
Artificial introduction of SEMEN or SPERMATOZOA into the VAGINA to facilitate FERTILIZATION.
A species of baboon in the family CERCOPITHECIDAE with a somewhat different social structure than PAPIO HAMADRYAS. They inhabit several areas in Africa south of the Sahara.
The discharge of an OVUM from a rupturing follicle in the OVARY.
Procedures to reverse the effect of REPRODUCTIVE STERILIZATION and to regain fertility. Reversal procedures include those used to restore the flow in the FALLOPIAN TUBE or the VAS DEFERENS.
The reproductive organ (GONADS) in female animals. In vertebrates, the ovary contains two functional parts: the OVARIAN FOLLICLE for the production of female germ cells (OOGENESIS); and the endocrine cells (GRANULOSA CELLS; THECA CELLS; and LUTEAL CELLS) for the production of ESTROGENS and PROGESTERONE.
Inability to reproduce after a specified period of unprotected intercourse. Reproductive sterility is permanent infertility.
Wounds caused by objects penetrating the skin.
Opening or penetration through the wall of the INTESTINES.
Inflammation of a DIVERTICULUM or diverticula.
Pathological development in the ILEUM including the ILEOCECAL VALVE.
A protrusion of abdominal structures through the retaining ABDOMINAL WALL. It involves two parts: an opening in the abdominal wall, and a hernia sac consisting of PERITONEUM and abdominal contents. Abdominal hernias include groin hernia (HERNIA, FEMORAL; HERNIA, INGUINAL) and VENTRAL HERNIA.
The performance of surgical procedures with the aid of a microscope.
Endoscopic examination, therapy or surgery of the pleural cavity.
Binary classification measures to assess test results. Sensitivity or recall rate is the proportion of true positives. Specificity is the probability of correctly determining the absence of a condition. (From Last, Dictionary of Epidemiology, 2d ed)
A colorless, odorless gas that can be formed by the body and is necessary for the respiration cycle of plants and animals.
Application of fingers with light pressure to the surface of the body to determine consistence of parts beneath in physical diagnosis; includes palpation for determining the outlines of organs.
Inferior and external epigastric arteries arise from external iliac; superficial from femoral; superior from internal thoracic. They supply the abdominal muscles, diaphragm, iliac region, and groin. The inferior epigastric artery is used in coronary artery bypass grafting and myocardial revascularization.
Pain during the period after surgery.
Concretions of swallowed hair, fruit or vegetable fibers, or similar substances found in the alimentary canal.
MYCOBACTERIUM infections of the female reproductive tract (GENITALIA, FEMALE).
Tomography using x-ray transmission and a computer algorithm to reconstruct the image.
The pit in the center of the ABDOMINAL WALL marking the point where the UMBILICAL CORD entered in the FETUS.
Painful menstruation.
A hole or break through the wall of the UTERUS, usually made by the placement of an instrument or INTRAUTERINE DEVICES.
The visualization of deep structures of the body by recording the reflections or echoes of ultrasonic pulses directed into the tissues. Use of ultrasound for imaging or diagnostic purposes employs frequencies ranging from 1.6 to 10 megahertz.
A condition caused by the lack of intestinal PERISTALSIS or INTESTINAL MOTILITY without any mechanical obstruction. This interference of the flow of INTESTINAL CONTENTS often leads to INTESTINAL OBSTRUCTION. Ileus may be classified into postoperative, inflammatory, metabolic, neurogenic, and drug-induced.
Carbohydrate antigen most commonly seen in tumors of the ovary and occasionally seen in breast, kidney, and gastrointestinal tract tumors and normal tissue. CA 125 is clearly tumor-associated but not tumor-specific.
Procedures using an electrically heated wire or scalpel to treat hemorrhage (e.g., bleeding ulcers) and to ablate tumors, mucosal lesions, and refractory arrhythmias. It is different from ELECTROSURGERY which is used more for cutting tissue than destroying and in which the patient is part of the electric circuit.
The capacity to conceive or to induce conception. It may refer to either the male or female.
Penetration of a PEPTIC ULCER through the wall of DUODENUM or STOMACH allowing the leakage of luminal contents into the PERITONEAL CAVITY.
A double-layered fold of peritoneum that attaches the STOMACH to other organs in the ABDOMINAL CAVITY.
The hollow thick-walled muscular organ in the female PELVIS. It consists of the fundus (the body) which is the site of EMBRYO IMPLANTATION and FETAL DEVELOPMENT. Beyond the isthmus at the perineal end of fundus, is CERVIX UTERI (the neck) opening into VAGINA. Beyond the isthmi at the upper abdominal end of fundus, are the FALLOPIAN TUBES.
Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.
Care given during the period prior to undergoing surgery when psychological and physical preparations are made according to the special needs of the individual patient. This period spans the time between admission to the hospital to the time the surgery begins. (From Dictionary of Health Services Management, 2d ed)
Pathological processes in any segment of the INTESTINE from DUODENUM to RECTUM.
Tumors or cancer of the gallbladder.
A specialty in which manual or operative procedures are used in the treatment of disease, injuries, or deformities.
An area occupying the most posterior aspect of the ABDOMINAL CAVITY. It is bounded laterally by the borders of the quadratus lumborum muscles and extends from the DIAPHRAGM to the brim of the true PELVIS, where it continues as the pelvic extraperitoneal space.
Removal and pathologic examination of specimens in the form of small pieces of tissue from the living body.
Elements of limited time intervals, contributing to particular results or situations.
Excision of kidney.

Paracrine changes in the peritoneal environment of women with endometriosis. (1/4176)

During the past decade, macrophage-derived substances such as prostanoids, cytokines, growth factors and angiogenic factors have been detected in the peritoneal fluid of women with endometriosis. In particular, growth-promoting and angiogenic factors are considered to be substantially involved in the pathogenesis of endometriosis. In this study, vascular endothelial growth factor (VEGF), transforming growth factor beta (TGF-beta) and intercellular adhesion molecule 1 (ICAM-1), substances recently detected in the peritoneal fluid of women with endometriosis, were assessed with regard to their concentrations in different stages of endometriosis and changes of the peritoneal paracrine activity after medical treatment with a gonadotrophin releasing hormone agonist (GnRHa). Peritoneal fluid was obtained from patients with endometriosis during laparoscopy before and after a 4-month treatment with a GnRHa. VEGF, TGF-beta and ICAM-1 could be detected in all women presenting with various stages of active endometriosis. After GnRHa therapy, all patients showed significant decreases in mean concentrations of VEGF (194+/-77 pg/ml), TGF-beta (902+/-273 pg/ml) and ICAM-1 (157+/-52 ng/ml). Patients with stage III and IV endometriosis (according to the rAFS score) had much higher concentrations of VEGF and TGF-beta before treatment compared with those patients with mild endometriosis (rAFS stages I and II). The most striking decrease in concentration was for TGF-beta, from 902 pg/ml before to 273 pg/ml after therapy. These results indicate an important role for paracrine activity in the establishment and maintenance of endometriosis. Indeed, treatment with a GnRHa may reduce paracrine activity in the peritoneal cavity via hypo-oestrogenism and provide proof of successful therapy.  (+info)

Reduction of laparoscopic-induced hypothermia, postoperative pain and recovery room length of stay by pre-conditioning gas with the Insuflow device: a prospective randomized controlled multi-center study. (2/4176)

OBJECTIVE: To assess the efficacy and safety of Insuflow (Georgia BioMedical, Inc.) filter heater hydrator device in reducing the incidence, severity and extent of hypothermia, length of recovery room stay and postoperative pain at the time of laparoscopy. DESIGN: Prospective, randomized, blinded, controlled multi-center study. Patients underwent gynecologic procedures via laparoscopy; surgeons, anesthesiologists and recovery room personnel assessed the results. SETTING: Seven North American institutions. PATIENTS: Seventy-two women for safety evaluation and efficacy studies. INTERVENTIONS: Intraoperative pre-conditioning of laparoscopic gas with the Insuflow device (treatment) or standard raw gas (control) during laparoscopic surgery and postoperatively. MAIN OUTCOME MEASURES: Incidence, severity and extent of hypothermia, postoperative pain perception and length of recovery room stay. RESULTS: The Insuflow group had significantly less intraoperative hypothermia, reduced length of recovery room stay and reduced postoperative pain. Pre-conditioning of laparoscopic gas by filtering heating and hydrating was well tolerated with no adverse effects. The safety profile of the Insuflow pre-conditioned gas showed significant benefits compared to currently used raw gas. CONCLUSIONS: Pre-conditioning laparoscopic gas by filtering heating and hydrating with the Insuflow device was significantly more effective than the currently used standard raw gas and was safe in reducing or eliminating laparoscopic-induced hypothermia, shortening recovery room length of stay and reducing postoperative pain.  (+info)

Double gallbladder originating from left hepatic duct: a case report and review of literature. (3/4176)

BACKGROUND: Double gallbladder is a rare anomaly of the biliary tract. Double gallbladder arising from the left hepatic duct was previously reported only once in the literature. CASE REPORT: A case of symptomatic cholelithiasis in a double gallbladder, diagnosed on preoperative ultrasound, computed tomography (CT) and endoscopic retrograde cholangiopancreatogram (ERCP) is reported. At laparoscopic cholangiography via the accessory gallbladder no accessory cystic duct was visualized. After conversion to open cholecystectomy, the duplicated gallbladder was found to arise directly from the left hepatic duct; it was resected and the duct repaired. CONCLUSIONS: We emphasize that a careful intraoperative cholangiographic evaluation of the accessory gallbladder is mandatory in order to prevent inadvertent injury to bile ducts, since a large variety of ductal abnormality may exist.  (+info)

Primary aldosteronism with aldosterone-producing adrenal adenoma in a pregnant woman. (4/4176)

A 30-year-old pregnant woman complained of muscle weakness at 29 weeks' gestation. She was hypertensive with severe hypokalemia. Lower plasma renin activity and higher aldosterone level than the normal values in pregnancy suggested primary aldosteronism. A cesarean delivery was performed at 31 weeks' gestation because of pulmonary congestion. The neonatal course was uncomplicated. The laparoscopic adrenalectomy for a 2.0-cm right adrenal adenoma resulted in normalizing of her blood pressure and serum potassium level. Although primary aldosteronism is rare, especially during pregnancy, it should be always considered as one of etiologies of hypertension in pregnancy.  (+info)

Surgical options in the management of groin hernias. (5/4176)

Inguinal and femoral hernias are the most common conditions for which primary care physicians refer patients for surgical management. Hernias usually present as swelling accompanied by pain or a dragging sensation in the groin. Most hernias can be diagnosed based on the history and clinical examination, but ultrasonography may be useful in differentiating a hernia from other causes of groin swelling. Surgical repair is usually advised because of the danger of incarceration and strangulation, particularly with femoral hernias. Three major types of open repair are currently used, and laparoscopic techniques are also employed. The choice of technique depends on several factors, including the type of hernia, anesthetic considerations, cost, period of postoperative disability and the surgeon's expertise. Following initial herniorrhaphy, complication and recurrence rates are generally low. Laparoscopic techniques make it possible for patients to return to normal activities more quickly, but they are more costly than open procedures. In addition, they require general anesthesia, and the long-term hernia recurrence rate with these procedures is unknown.  (+info)

How can videolaparoscopy be used in a peritoneal dialysis programme? (6/4176)

BACKGROUND: Recently videolaparoscopy is considered to have a vaster use in surgery due to the undeniable benefits such as low operatory traumatism, quick recovery of canalization, a short stay in the hospital and minor scarring. METHODS: Forty patients were treated with peritoneal dialysis (PD); 15 videolaparoscopic procedures were performed on 13 patients before starting PD and two during the course of PD. The videolaparoscopy procedure was started by inducing pneumoperitoneum after initiation of general anaesthesia through endotracheal intubation. RESULTS: Peritoneal catheter placement was carried out in 11 ESRD patients showing abdominal scars due to previous laparotomies; their abdominal condition precluded safe PC placement using conventional non-laparoscopic procedures with local anaesthesia. Release of adhesions was performed only in two patients. Videolaparoscopy was also used in three patients for elective cholecystectomy; 2/3 underwent concomitant PC insertion. One patient was submitted to cholecystectomy during the course of CAPD; following the procedure we left the peritoneum dry overnight and then we started temporary IPD, using small volumes, avoiding haemodialysis (HD). Regular CAPD was resumed 6 days later. Finally, videolaparoscopy was also used for diagnostic purpose i.e. in one 59-year-old man patient who had a peritoneal catheter obstruction. Repeated rescue attempts using urokinase solution to irrigate the peritoneal catheter had been used in vain attempts prior to the procedure. CONCLUSIONS: Videolaparoscopy proves to be a useful tool in a PD programme. Firstly, it may be used as a technique for catheter implantation, not as a routine procedure but in patients with extensive abdominal scars due to previous laparotomy, i.e. at risk for accidental viscera perforation due to the possibility of adhesions between intestinal loops and parietal peritoneum. Secondly, videolaparoscopy used for abdominal surgery allows the resumption of PD immediately after surgical procedure and thus avoiding HD. Videolaparoscopy is fundamental for diagnosis and rescue of catheter dysfunction and has an integral role in the successful management of these patients in extending catheter function and permitting safe replacement of peritoneal catheter if it becomes necessary. Along with the undeniable advantages, remains the disadvantages that it must be carried out by an expert surgeon in an operating theatre while the patient is under general anaesthesia.  (+info)

Improvement in quality of life measures after laparoscopic antireflux surgery. (7/4176)

OBJECTIVE: To determine if patients with gastroesophageal reflux "well controlled medically" had a different quality of life from those with residual symptoms receiving aggressive medical therapy, and to determine whether laparoscopic antireflux surgery significantly altered quality of life in patients with gastroesophageal reflux. SUMMARY BACKGROUND DATA: Clinical determinants of outcome may not adequately reflect the full impact of therapy. The medical outcomes study short form (SF-36) is a well-validated questionnaire that assays eight specific health concepts in three general fields. It may provide a more sensitive tool for judging the success of antireflux therapy. METHODS: A total of 345 patients undergoing laparoscopic antireflux surgery completed at least one questionnaire during the study period. Preoperative questionnaires were completed by 290 patients, 223 completed a questionnaire 6 weeks after surgery, and 50 completed the same questionnaire 1 year after surgery. A subgroup of 70 patients was divided before surgery into two groups on the basis of their response to standard medical therapy. RESULTS: Preoperative scores were extremely low. All eight SF-36 health categories improved significantly 6 weeks and 1 year after surgery. In the 70-patient subgroup, 53 patients (76%) underwent laparoscopic antireflux surgery because of symptoms refractory to medical therapy and 17 patients (24%) reported that their symptoms were well controlled but elected to have surgery because they wished to be medication-free. The preoperative quality of life scores of these two patient groups were equivalent in all but one category. Postoperative scores were significantly improved in all categories and indistinguishable between the two groups. CONCLUSIONS: Laparoscopic antireflux surgery is an effective therapy for patients with gastroesophageal reflux and may be more effective than medical therapy at improving quality of life.  (+info)

Controversies in the modern management of hydrosalpinx. (8/4176)

The management of hydrosalpinx is a difficult clinical problem. Surgical treatment includes fimbrioplasty for patients with fimbrial obstruction and salpingostomy to fashion a stoma in the distal Fallopian tube in patients with a damaged fimbrial end. Surgery is only suitable for a small thin-walled hydrosalpinx with healthy mucosa. These operations can be performed via laparoscopy or open microsurgery. The proper selection of patients for surgical treatment and of the type of surgical technique are essential to achieve good results. The results of open microsurgery and laparoscopic surgery are summarized. In general, the prognosis of surgery is poor; however, in well selected cases, good results can be achieved by an experienced surgeon. In-vitro fertilization (IVF) is the main line of treatment for infertility caused by hydrosalpinx. In 1991, our group was the first to report on fluid accumulation in the uterine cavity before embryo transfer as a possible hindrance for implantation. Later, several publications reported an association between patients with hydrosalpinx and a reduced pregnancy rate when treated by IVF. The cause of a low pregnancy rate could be due to mechanical, chemical or toxic effects of the tubal fluid on the endometrium preventing implantation. All these mechanisms are reviewed in detail. The literature is controversial concerning the effect of transvaginal aspiration of hydrosalpinx on the outcome of IVF. Several reports suggest that surgical correction of the hydrosalpinx may improve the outcome of IVF. Further studies are required to verify this assumption and to find out the most suitable surgical procedure and if there is a subgroup of patients who could benefit most from salpingectomy.  (+info)

Definition of Single incision laparoscopic surgery with photos and pictures, translations, sample usage, and additional links for more information.
Nicole T Townsend, MD, MS, Edward L Jones, MD, MS, Douglas M Overbey, MD, Thomas N Robinson. University of Colorado. INTRODUCTION: Single incision laparoscopic surgery (SILS) places multiple instruments in close, parallel proximity; an orientation that has been shown to increase stray energy transfer from the monopolar Bovie instrument to nearby instruments during traditional laparoscopy. The purpose of this study was to compare the energy transferred during simulated cholecystectomy via SILS to traditional four port laparoscopy (TRD). Our hypothesis is that close proximity and parallel orientation of the SILS instruments will result in increased energy transfer.. METHODS AND PROCEDURES: In a laparoscopic simulator, instruments were inserted via SILS or TRD set-up. The monopolar generator delivered energy to a laparoscopic L-hook instrument for 5-second activations on 30Watts coag mode. The primary outcome (stray current) was quantified by measuring the heat of liver tissue held adjacent to ...
Introduction : The aim of contemporary medicine is not only a successful course of the operation, leading to improvement of the patients health status, but also its satisfactory cosmetic effect. Single incision laparoscopic surgery (SILS) is a new advance wherein laparoscopy is carried out...
Scarless Single Incision Laparoscopic Surgery Singapore is a specialist surgery practice offering the highest and best standards in surgery
Background: Continuous Ambulatory Peritoneal Dialysis (CAPD) catheters provide an alternative to hemodialysis in an increasing population of patients with chronic kidney disease. However, CAPD catheters have traditionally been associated with high rates of non-function using both the open and laparoscopic approaches. New advanced laparoscopic techniques utilizing rectus sheath tunneling and selective omentopexy have been reported to improve catheter function.. Methods: This study retrospectively reports the Cleveland Clinic experience during the transition from basic to advanced laparoscopic techniques between June 2002 and July 2008. A total of 201 patients were identified, of which 68 patients underwent insertion with basic techniques and 133 patients received catheters utilizing advanced techniques. Primary non-function, procedural complications, and overall non-function rates were analyzed using the most recent follow-up through June 2008.. Results: Primary catheter non-function occurred in ...
TY - JOUR. T1 - Initial experience with laparoendoscopic single-site nephrectomy and nephroureterectomy in children. AU - Ham, Won Sik. AU - Im, Young Jae. AU - Jung, Hyun Jin. AU - Hong, Chang Hee. AU - Han, Woong Kyu. AU - Han, Sang Won. PY - 2011/5/1. Y1 - 2011/5/1. N2 - Objectives: To assess the clinical utility and safety of laparoendoscopic single-site surgery (LESS) nephrectomy and nephroureterectomy in children by analyzing 6 consecutive cases performed by a single surgeon. Methods: Since March 2009, we have been performing LESS nephrectomy and nephroureterectomy in children. The indications have been recurrent pyelonephritis related to vesicoureteral reflux with an atrophic kidney and continuous urinary incontinence related to an ectopic ureter. A homemade port was placed through an umbilical incision, and the laparoscopic transperitoneal nephrectomy procedures were performed using various combinations of standard and articulating laparoscopic instruments. The patients undergoing a LESS ...
http://www.njbariatricsurgeons.com/wp-content/uploads/alsnj-logo-color-300x128.png 0 0 Advanced Laparoscopic http://www.njbariatricsurgeons.com/wp-content/uploads/alsnj-logo-color-300x128.png Advanced Laparoscopic2011-12-22 05:44:392017-01-06 21:02:22Revisionary bariatric surgery: indications and outcome of 100 consecutive operations at a single center ...
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Center for advanced laparoscopic surgery headed by first master laparoscopic surgeon of India. Institute Par Excellence to get operated for any disease curable by laparoscopic surgery
TY - JOUR. T1 - Laparoscopic ultrasound manipulator with a spring-based elastic mechanism. AU - Arata, Jumpei. AU - Fukami, Kazunari. AU - Oguri, Susumu. AU - Onogi, Shinya. AU - Ikeda, Tetsuo. AU - Nakadate, Ryu. AU - Sakaguchi, Masamichi. AU - Akahoshi, Tomohiko. AU - Harada, Kanako. AU - Mitsuishi, Mamoru. AU - Hashizume, Makoto. PY - 2018/7/1. Y1 - 2018/7/1. N2 - Purpose: Image guidance is a key technology that can improve the outcome of laparoscopic surgery. However, due to the large deformation caused by digestive organs, a computer-aided navigation system based on preoperative imaging data cannot indicate the correct target position of the lesion (e.g., liver tumors and vessels invisible from the organ surface). To overcome this issue, we developed a laparoscopic ultrasound manipulator with two motorized degrees of freedom at the tip, allowing for the performance of a dexterous ultrasound scan in a confined laparoscopic surgical area. Method: The developed manipulator consists of a ...
Introduction: Laparoendoscopic single-site donor nephrectomy (LESS-DN) emerged as an advancement to standard laparoscopic surgery with its advantage of using a single small incision concealed in the umbilical scar as the operative as well as extraction port. LESS-DN can reduce donor morbidity and improve donor satisfaction with better cosmetic results. Aim: To present our experience with trans-umbilical LESS DN. Methods: retrospective study of data from 110 consecutive LESS DN donors and their recipients. Standard laparoscopic instruments were used in all patients. All cases had left sided nephrectomy and no exclusion criteria were used.Results: From 05/2015 to 11/2016, 110 LESS DN were performed by a single surgeon. The mean operative time was 175.9 ± 24.9 minutes and the mean warm ischemia time was 5.2± 1.02 mins. Mean body mass index was 24.8 ± 4.5 kg/m2. Complex vascular anatomy (multiple arteries/veins or retro-aortic vein) was found in 40 patients (36.3%). Pure LESS-DN was successfully ...
TY - JOUR. T1 - Relaparoscopy for salvage surgery in anastomotic recurrence of rectal cancer. T2 - Feasible and safe. AU - Kim, Seon Hahn. AU - Neve, Rakesh S.. AU - Joh, Yong Geul. PY - 2008/11. Y1 - 2008/11. N2 - Laparoscopic approach to rectal cancer is technically challenging even for experienced laparoscopic surgeons. Therefore, in a locally recurrent rectal cancer not many surgeons would be keen to adopt the relaparoscopy approach. In this video article, we present a case of salvage laparoscopic abdominoperineal resection performed for an isolated anastomotic recurrence developed 13 months after a laparoscopic ultralow anterior resection.. AB - Laparoscopic approach to rectal cancer is technically challenging even for experienced laparoscopic surgeons. Therefore, in a locally recurrent rectal cancer not many surgeons would be keen to adopt the relaparoscopy approach. In this video article, we present a case of salvage laparoscopic abdominoperineal resection performed for an isolated ...
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Glove-Assisted Laparoscopic Radical Nephrectomy: A Novel Technique. Nozaki, Tetsuo; Asao, Yoshihiro; Ichimatsu, Keisuke; Ito, Takatoshi; Yasuda, Kenji; Watanabe, Akihiko; Komiya, Akira; Fuse, Hideki // Journal of Laparoendoscopic & Advanced Surgical Techniques;Dec2010, Vol. 20 Issue 10, p843 Background: Laparoscopic surgery has not yet met with widespread acceptance due to its degree of technical difficulty. The laparoscopic radical nephrectomy procedure was improved with the aid of an abdominal wall sealing device, a wound retractor, and a surgical glove. Methods: A 5 cm skin... ...
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Single-port laparoscopy (SPL) was developed approximately 30 years ago in minimally invasive surgery. Literature comparing SPL with conventional laparoscopy (CL) for adnexal surgery (i.e., cystectomy and adnexectomy) is inconsistent. The objective of this systematic review and meta-analysis was to evaluate the advantage of SPL over CL for adnexal surgery. PubMed, Embase, and MEDLINE were searched for publications in English and in French published between 1975 and November 2015 using the following key words: (((single port) or (single site) or (one port) or (single-port access laparoscopy) or (single-site laparoscopy) or (laparoscopic single-site surgery)) and ((adnexal disease) or (ovarian cystectomy) or (ovariectomy) or (adnexectomy))) not (pregnancy ...
The Laparoscopic courses at World Laparoscopy Hospital meet the guidelines established in the SAGES Framework for Post-Residency Surgical Education and Training. The Fellowship in Minimal Access Surgery and Combined University Diploma and Fellowship in Minimal Access Surgery (Combined D.MAS + F.MAS) course designed and offered by World Laparoscopy Hospital is endorsed by the Society of American Gastrointestinal Endoscopic Surgeons (SAGES). The Hands On training which is accepted globally by the Government of more than hundred countries is scientifically designed by academic council of World Association of Laparoscopic Surgeons and it ensures that the participants are able to do all the taught surgery themselves after training. Many thousand of surgeons and gynecologists from every corner of the globe have been trained for advanced laparoscopic skill at World Laparoscopy Hospital within last eight years. There is hardly any country left in the world from where surgeons and gynecologist has not ...
TY - JOUR. T1 - Complications of laparoscopic procedures after concentrated training in urological laparoscopy. AU - Cadeddu, Jeffrey A. AU - Wolfe, J. Stuart. AU - Nakada, Stephen. AU - Chen, Roland. AU - Shalhav, Arieh. AU - Bishoff, Jay T.. AU - Hamilton, Blake. AU - Schulam, Peter G.. AU - Dunn, Matthew. AU - Hoenig, David. AU - Fabrizio, Micheal. AU - Hedican, Sean. AU - Averch, Timothy D.. PY - 2001. Y1 - 2001. N2 - Purpose: To increase the safety and efficiency of laparoscopic surgery clinical training programs have been developed to increase the skill and efficiency of urological trainees. We evaluated the impact of dedicated laparoscopy training on the rate and type of complications after trainees entered clinical practice. Materials and Methods: Data were obtained from 13 centers where laparoscopy was performed by a single surgeon with at least 12 months of training in urological laparoscopy before clinical practice. Data included training experience, laparoscopic procedures performed ...
Despite the prevalence of chronic pelvic pain (CPP)- affecting one in seven women in the U.S.- its cause is often unknown. As such, an evaluation of our current approaches to the work-up of CPP is warranted. Laparoscopy is considered a gold standard tool in the evaluation of CPP with 40% of all laparoscopies in the U.S. performed for this condition [1]. However, limited data exists portraying the clinical importance and outcomes for repeat diagnostic laparoscopies. This is a retrospective case-control study to determine the incidence of multiple laparoscopies for CPP over the past 10 years, and to compare outcomes between patients who underwent single (SL) vs multiple (ML) laparoscopies. We propose that patients who undergo multiple laparoscopies warrant discussion of hysterectomy as our results indicate that resolution of pain in patients who undergo multiple laparoscopies for the indication of CPP is similar to patients undergoing hysterectomy after single laparoscopy.
STEVENS, P. S.; DE VILLIERS, M. e VAN NIEKERK, M.. A survey on the current status of laparoscopic training in paediatric surgery in South Africa. S. Afr. j. surg. [online]. 2011, vol.49, n.1, pp.36-38. ISSN 2078-5151.. OBJECTIVES: To document the current status of laparoscopic training of paediatric surgical registrars in South Africa. METHODS: An anonymous questionnaire was distributed. Participants were asked to document their involvement in a number of index laparoscopic procedures during the preceding year, as well as additional non-operative training they received and their satisfaction with their training thus far. RESULTS: All registrars (N=16) completed the questionnaire. Registrars were from the Universities of KwaZulu-Natal, Cape Town, Stellenbosch, Pretoria, the Witwatersrand, and Walter Sisulu University. The ratio of consultants proficient in paediatric laparoscopy to registrars was between 0.6 and 1. Junior registrars were more likely to assist with, and senior registrars more ...
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In the nineties we experienced a massive development of laparoscopic surgery. Gynecologists were the first who paved the way. The method was simultaneously developed in three countries - the United States, France and Germany. From the United States the vaginal laparoscopically assisted procedures have came to Europe. The French and German schools were based on the historical knowledge of the Schauta radical hysterectomy. In 1989 Reich was the first who operated the LAVH, followed by Querleu in 1992 with lymphadenectomy and Dargeant who combined the Schauta procedure with the laparoscopic lymph node dissection. It was the laparoscopy that taught us the proper functional anatomy. A new nomenclature of the parametries was defined. Careful attention is given to the preservation of the autonomous inervation. In the beginning all laparoscopic surgeons were self-taught. Nowadays a standardized laparoscopic techniques are implemented for a radical laparoscopic operations ...
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TY - JOUR. T1 - Analysis of laparoscopic port site complications. T2 - A descriptive study. AU - Karthik, Somu. AU - Augustine, Alfred Joseph. AU - Shibumon, Mundunadackal Madhavan. AU - Pai, Manohar Varadaraya. PY - 2013/4/1. Y1 - 2013/4/1. N2 - Context: The rate of port site complications following conventional laparoscopic surgery is about 21 per 100,000 cases. It has shown a proportional rise with increase in the size of the port site incision and trocar. Although rare, complications that occur at the port site include infection, bleeding, and port site hernia. Aims: To determine the morbidity associated with ports at the site of their insertion in laparoscopic surgery and to identify risk factors for complications. Settings and Design: Prospective descriptive study. Materials and Methods: In the present descriptive study, a total of 570 patients who underwent laparoscopic surgeries for various ailments between August 2009 and July 2011 at our institute were observed for port site ...
References Rané A. Laparoscopic management of symptomatic simple renal cysts. Int Urol Nephrol. 2004;36:5-9. Bas O, Nalbant I, Can Sener N, et al. Management of renal cysts. JSLS. 2015;19 :e2014.00097. Carus T. Current advances in single-port laparoscopic surgery. Langenbecks Arch Surg 2013; 398: 925-929 Goel R, Lomanto D. Controversies in single-port laparoscopic surgery. Surg Laparosc Endosc Percutan Tech 2012; 22: 380-382 Kim SJ, Ryu GO, Choi BJ, et al. The short-term outcomes of conventional and single-port laparoscopic surgery for colorectal cancer. Ann Surg 2011; 254: 933-940 Weiss HG1, Brunner W, Biebl MO, et al. Wound complications in 1145 consecutive transumbilical single-incision laparoscopic procedures. Ann Surg 2014; 259: 89-95 Ahmed K, Wang TT, Patel VM, et al. The role of single-incision laparoscopic surgery in abdominal and pelvic surgery: a systematic review. Surg Endosc 2011; 25: 378-396 Asakuma M, Hayashi M, Komeda K, et al. Impact of single-port cholecystectomy on ...
Some of the important Laparoscopic General Surgeries are colorectal surgery, bariatric surgery and hernia surgery. This course deals with the various procedures involved in these surgeries and any general surgery. Cholycystectomy and appendicectomy oriented Comprehensive Laparoscopic Surgery Course is an essential course included in the list of Laparoscopic General Surgery Courses. Laparoscopic knot tying and suturing, Laparoscopic Hernia Surgery Course, Laparoscopic Bariatric Surgery Course and Laparoscopic Colorectal Surgery Course are all included under the head Laparoscopic General Surgery Courses ...
At the forefront of surgery for management of sub-fertility and gynaecological conditions, Dr Ng Ying Woo is one of the pioneers in Singapore to develop the application of single incision laparoscopic surgery (SILS) in gynaecology since 2009. He has since then performed more than 400 SILS surgeries successfully for gynaecological conditions such as fibroids, endometriosis and fertility regulation for family planning. In addition, Dr Ng also performed Da Vinci robotic-assisted laparoscopic surgery and mini-laparoscopy. He is also a member of the Endoscopic and Laparoscopic Surgeons of Asia Pacific ...
With core expertise in laparoscopic operations Dr. Ajay Sharma is the best laparoscopic surgeon in Delhi. He provides treatment for Laparoscopic Urologic Surgery Delhi.
Laparoscopy, laparoscopic treatment of disease, site dedicated to laparoscopic surgery and laparoscopic applications in diseases such as obesity, hernias wall, hiatus, hernias, colo rectal diseases, acute appendicitis, everything about laparoscopy
Friedersdorff, F., Werthemann, P., Cash, H., Kempkensteffen, C., Magheli, A., Hinz, S., Waiser, J., Liefeldt, L., Miller, K., Deger, S. and Fuller, T. F. (2013), Outcomes after laparoscopic living donor nephrectomy: comparison of two laparoscopic surgeons with different levels of expertise. BJU International, 111: 95-100. doi: 10.1111/j.1464-410X.2012.11348.x ...
Colorectal cancer, laparoscopic colorectal surgery, laparoscopic gallbladder surgery - single incision laparoscopic surgery, laparoscopic hernia surgery, colonoscopy, gastroscopy, ulcerative colitis, Crohns disease, diverticular disease, haemorrhoids, rectal prolapse, anal fissure and fistula, pilonidal sinus - Limberg flap, constipation and faecal incontinence, pelvic floor disorders, varicose veins - endovenous laser ablation, thread veins - microsclerotherapy and day case surgery ...
Colorectal cancer, laparoscopic colorectal surgery, laparoscopic gallbladder surgery - single incision laparoscopic surgery, laparoscopic hernia surgery, colonoscopy, gastroscopy, ulcerative colitis, Crohns disease, diverticular disease, haemorrhoids, rectal prolapse, anal fissure and fistula, pilonidal sinus - Limberg flap, constipation and faecal incontinence, pelvic floor disorders, varicose veins - endovenous laser ablation, thread veins - microsclerotherapy and day case surgery ...
If youve opted for bariatric surgery in the form of a gastric sleeve, you may be wondering what all that entails. We give you the skinny on what to expect af
Laparoscopic Surgery is a minimally invasive surgey using Laparoscope. Dr. Chirag Thakkar is a best Laparoscopic Surgeon in Ahmedabad who offers Laparoscopic Surgery and Bariatric Surgery in Ahmedabad, Gujarat.
Many studies have compared open surgery and laparoscopic surgery in gynecology. Furthermore, several studies have compared conventional laparoscopy using multiple ports and laparotomy in ovarian cancer [9,18,19-21]. However, no previous study has compared single-port laparoscopic surgery and laparotomy in ovarian cancer, although several studies have compared single-port and multiport laparoscopic surgery for benign gynecologic diseases [13,22]. Therefore, this study is the first to investigate the feasibility of single-port laparoscopic surgery by comparing SPLS and staging laparotomy in early ovarian cancer.. According to our results, SPLS has several advantages in terms of surgical outcomes, such as lower estimated blood loss, lower transfusion rate, less postoperative pain, and shorter postoperative hospital stay, while showing no significant differences in survival outcomes. Less blood loss is well known as one of the main advantages of minimally invasive surgery. In this study, there was ...
Single incision laparoscopic bariatric surgery has developed over the last few years, with single incision laparoscopic adjustable gastric banding (SILS-AGB) being performed most commonly. However, th
Are you looking for Laparoscopic Treatment for Infertility? Dr. Vaishali Sharma Clinic is the best laparoscopic treatment for infertility, treatment of fibroids, tubal blockage correction by laparoscopy, ovarian drilling for pcos and ovarian cysts treatment by laparoscopy.
Several recent studies report the detrimental effect of endometrioma excision on the ovarian reserve. Surgical technique and the excessive use of bipolar coagulation could be the key factors. Single-port access laparoscopy (SPAL) ovarian cystectomy has been reported as a comparable procedure to conventional laparoscopy in terms of operative outcomes. The aim of this study was to evaluate whether the single-port surgery affects the ovarian reserve whilst performing laparoscopic ovarian cystectomy for unilateral endometrioma. This was a prospective, case-control study of 99 women with unilateral endometrioma. Forty-nine women underwent single-port cystectomy and 50 women underwent multiport laparoscopic (MPL) conventional cystectomy. The primary outcome was the assessment of the ovarian reserve. We evaluated the serum anti-Mullerian hormone (AMH) levels before, 4-6 weeks and 3 months after surgery. At T2 we performed an ultrasound assessment of the antral follicular count (AFC). We have drawn ...
TY - JOUR. T1 - Single-Site Laparoscopic Colorectal Surgery Provides Similar Clinical Outcomes Compared with Standard Laparoscopic Surgery. T2 - An Analysis of 626 Patients. AU - Sangster, William. AU - Messaris, Evangelos. AU - Berg, Arthur S.. AU - Stewart, David B.. PY - 2015/9/26. Y1 - 2015/9/26. N2 - BACKGROUND: Compared with standard laparoscopy, single-site laparoscopic colorectal surgery may potentially offer advantages by creating fewer surgical incisions and providing a multifunctional trocar. Previous comparisons, however, have been limited by small sample sizes and selection bias. OBJECTIVE: The purpose of this study was to compare 60-day outcomes between standard laparoscopic and single-site laparoscopic colorectal surgery patients undergoing elective and urgent surgeries. DESIGN: This was an unselected, retrospective cohort study comparing patients who underwent elective and unplanned standard laparoscopic or single-site laparoscopic colorectal resections for benign and malignant ...
OBJECTIVE: To compare the efficiency and safety of the transperitoneal approaches with retroperitoneal approaches in laparoscopic partial nephrectomy for renal cell carcinoma and provide evidence-based medicine support for clinical treatment. METHODS: A systematic computer search of PUBMED, EMBASE, and the Cochrane Library was executed to identify retrospective observational and prospective randomized controlled trials studies that compared the outcomes of the two approaches in laparoscopic partial nephrectomy. Two reviewers independently screened, extracted, and evaluated the included studies and executed statistical analysis by using software STATA 12.0. Outcomes of interest included perioperative and postoperative variables, surgical complications and oncological variables. RESULTS: There were 8 studies assessed transperitoneal laparoscopic partial nephrectomy (TLPN) versus retroperitoneal laparoscopic partial nephrectomy (RLPN) were included. RLPN had a shorter operating time (SMD = ...
This is the first report to describe the laparoscopic removal of an FB-induced granuloma from the abdomen of a cheetah. Granuloma formation in this species has not been well described. Similarly, reports on laparoscopic surgery in this species are sparse, particularly those describing the laparoscopic excision of abdominal masses.. The cheetah is known for its strong cellular immune system and probably limited requirement for a humoral response to bacterial infection (Wachter 2014). In this cheetah, a well-encapsulated and omentalised FB was detected by ultrasound before surgery and confirmed by intraoperative cytology. The small amount of free peritoneal fluid was indicative of the marked extent to which this patient could encapsulate FB.. Standard straight laparoscopic instruments have been reported to create instrument cluttering when applied through a single access port (Manassero and others 2012, Runge and others 2012, Wilson and Monnet 2012, Runge and Mayhew 2013) and curved or articulated ...
Medtronic continues to further drive adoption of minimally invasive procedures through our advanced laparoscopic inguinal hernia repair training program.
Laparoscopic inguinal hernia repair originated in the early 1990s as laparoscopy gained a foothold in general surgery. Inguinal hernias account for 75% of all abdominal wall hernias, and with a lifetime risk of 27% in men and 3% in women.
TY - JOUR. T1 - Learning curve of single port laparoscopic cholecystectomy determined using the non-linear ordinary least squares method based on a non-linear regression model. T2 - An analysis of 150 consecutive patients. AU - Han, Hyung Joon. AU - Choi, Sae Byeol. AU - Park, Man Sik. AU - Lee, Jin Suk. AU - Kim, Wan Bae. AU - Song, Tae Jin. AU - Choi, Sang Yong. PY - 2011/7. Y1 - 2011/7. N2 - Introduction Single port laparoscopic surgery has come to the forefront of minimally invasive surgery. For those familiar with conventional techniques, however, this type of operation demands a different type of eye/hand coordination and involves unfamiliar working instruments. Herein, the authors describe the learning curve and the clinical outcomes of single port laparoscopic cholecystectomy for 150 consecutive patients with benign gallbladder disease. Method All patients underwent single port laparoscopic cholecystectomy using a homemade glove port by one of five operators with different levels of ...
Laparoscopic inguinal hernia repair originated in the early 1990s as laparoscopy gained a foothold in general surgery. Inguinal hernias account for 75% of all abdominal wall hernias, and with a lifetime risk of 27% in men and 3% in women.
Laparoscopic inguinal hernia repair uses an instrument called a laparoscope. Hernia repair refers to a surgical operation for the correction of a hernia.
TY - JOUR. T1 - Androgen deprivation therapy improves pneumoperitoneum time during laparoscopic radical prostatectomy in Japanese patients with enlarged prostates. AU - Takeda, Toshikazu. AU - Miyajima, Akira. AU - Kaneko, Gou. AU - Kikuchi, Eiji. AU - Nakagawa, Ken. AU - Oya, Mototsugu. PY - 2014/5/1. Y1 - 2014/5/1. N2 - INTRODUCTION: The aim of this study was to investigate if neoadjuvant hormone therapy (NHT) is associated with surgical outcomes of laparoscopic radical prostatectomy.METHODS: A total of 286 patients with organ-confined prostate cancer and a preoperative prostate volume that could be estimated by transrectal ultrasound underwent laparoscopic radical prostatectomy between 2006 and 2011 at our institution. We examined whether NHT was associated with pneumoperitoneum time (PT) or estimated blood loss during laparoscopic radical prostatectomy.RESULTS: NHT was performed in 80 patients; the mean duration of NHT was 5.2 ± 0.2 months. Multivariate analysis demonstrated that history of ...
Clinical trial for Postoperative pain , Effects of Local Anesthesia on Post-operative Pain During Laparoscopic Inguinal Hernia Repair
Take a 1-day course on advanced surgical techniques to increase your knowledge of laparoscopic inguinal hernia repair as a primary procedure.
From November 1994 to March 1996, 150 patients treated by laparoscopic cholecystectomy were included in a prospective study, in order to compare intraoperative cholangiography and laparoscopic ultrasound. The biliary tree was successively explored by the two methods in the systematic detection of common bile duct stones. The feasibility of laparoscopic ultrasound was 100 per cent. Cholangiography was performed in only 125 cases (83 per cent). The duration of the laparoscopic ultrasound exam was significantly shorter (11.6 vs 17.6 minutes, p = 0.0001). In this study, common bile duct stones were found in 14 cases (9 per cent). The detection rates with laparoscopic ultrasound and intraoperative cholangiography were similar. For laparoscopic ultrasound, sensitivity was 80 per cent and specificity was 99 per cent, versus 78 per cent and 97 per cent for cholangiography, respectively. The combination of the 2 examinations had a 100 per cent sensitivity and specificity. Laparoscopic ultrasound failed to
The appropriateness of laparoscopic surgery for the resection of colorectal cancer has been the focus of controversy. The pros insist that besides the smaller wound size, laparoscopic colectomy should induce lesser perioperative stress, which was evidenced by the less pain, quicker flatus passage, early feeding, and more rapid to resume daily activity and work. Moreover, since the laparoscopic colectomy induces lesser immunosuppression, this may be potentially positive for the treatment of colorectal cancer patients. However, the cons insist that first of all, when the summation of 4 or 5 ports, and incisional wound to retrieve specimen in laparoscopic colectomy were considered, the total wound size in laparoscopic colectomy is basically similar to that of the open colectomy. Secondly, since the laparoscopic surgeons advocated that the extent of intra-abdominal dissection was the same between laparoscopic and open colectomy, it seems illogical to speculate that laparoscopic procedure is less ...
Single Incision Laparoscopic Colorectal Surgery. Dan Geisler, MD, FACS, FASCRS. Disclosures. Covidien Consultant. M.I.C.R.S. Strategy to Combat Time Constraints of Laparoscopic Colorectal Surgery. break operation into directly productive vs. nonproductive actions Slideshow 4234233 by juro
TY - JOUR. T1 - Laparoscopic partial nephrectomy with a diode laser. T2 - Porcine results. AU - Ogan, Kenneth. AU - Wilhelm, David. AU - Lindberg, Guy. AU - Lotan, Yair. AU - Napper, Cheryl. AU - Hoopman, John. AU - Pearle, Margaret S. AU - Cadeddu, Jeffrey A. PY - 2002/12. Y1 - 2002/12. N2 - Purpose: To develop a safe and effective technique for laparoscopic partial nephrectomy without need for hilar occlusion. Materials and Methods: Laparoscopic transperitoneal lower-pole partial nephrectomy was performed in five 45- to 50-kg female farm pigs using a 980-nm diode laser. Standard transperitoneal access was obtained, and a four-port approach was used to perform a laparoscopic right partial nephrectomy using a diode laser (23 W) without hilar occlusion. The pigs were allowed to recover and 2 weeks later underwent a left laparoscopic partial nephrectomy. Postoperatively, renal function was monitored by serial serum creatinine measurements. Both kidneys and ureters were removed for ex-vivo ...
LAPAROSCOPIC TOTAL EXTRAPERITONEAL INGUINAL HERNIA REPAIR: A STUDY AT RAWALPINDI MEDICAL COLLEGE AND ALLIED TEACHING HOSPITALS. Hanif, Muhammad; Ahmed, Anis; Khan, Muhammad Mussadiq // JPMI: Journal of Postgraduate Medical Institute;Jul-Sep2014, Vol. 28 Issue 3, p303 Objective: To describe local experience of laparoscopic total extraperitoneal hernia repair in Rawalpindi Medical College (RMC) allied teaching hospitals. Methodology: A descriptive case series was conducted between 2007 and 2012 at Rawalpindi Medical College and Allied Teaching Hospitals... ...
With the recent accelerated development of laparoscopic surgery, it has been applied in all fields of surgery. The main issue today is not the technical ability of performing laparoscopic procedures but rather their justification while considering the disease and cost-benefit aspects. The present study surveys the experience accumulated in recent years concerning the economical aspects of laparoscopic inguinal hernia repair. Issues like length of the surgical procedure, cost, typical complications and recuperation time are being addressed. We reviewed controlled clinical trials that compare laparoscopic and open repair of inguinal hernia. Trials that included at least 100 patients and were published in peer-reviewed journals since 1996 were included. Various operative techniques were compared using clinical and economical parameters. Most studies examined the issues from an institutional or health care system viewpoint and not from a comprehensive societal perspective. Therefore, indirect costs ...
Minimally invasive surgery has become the standard treatment for many gynecologic disease processes. In the last decade, numerous studies have demonstrated that laparoscopic approaches to various gynecologic oncology conditions-particularly for early-stage endometrial and cervical cancers as well as select pelvic masses-is feasible and results in shorter hospital stays, improved quality of life and comparable surgical and oncologic outcomes to abdominal staging [1-5].For instance, the typical gynecologic robotic surgical procedure will require Two to three 5-mm ports and one 12-mm laparoscopic ports. Recently, an even less invasive alternative to conventional laparoscopy surgery has been developed: laparoendoscopic single-site surgery (LESS), also known as single-port surgery. Single port laparoscopy is an attempt to further enhance the cosmetic benefits of minimally invasive surgery while minimizing the potential morbidity associated with multiple incisions. However, to our knowledge, there are ...
Port-site metastasis of hepatocellular carcinoma (HCC) is extremely rare, and only one case has been reported in the English-language literature. Contamination with malignant cells along the needle tract during percutaneous biopsy or radiofrequency ablation is a well-recognized cause of HCC recurrence. Here, we describe a case of port-site metastasis after laparoscopic liver resection of HCC. The patient, who had undergone laparoscopic partial resection of the left lateral segment of the liver 18 months earlier, was diagnosed with HCC. CT showed a nodule in the abdominal wall where the laparoscopic port had been inserted during resection. Local excision was performed, and histological examination revealed HCC consistent with recurrence after laparoscopic resection. The experience described in this report highlights the risk of port-site metastasis of HCC. Imaging for oncologic surveillance after laparoscopic resection must include all port sites.
Since Navarra performed the first single incision laparoscopic cholecystectomy (SILC) in 1997 [1], the rapid advances in minimally invasive surgery have led to the development of several single-port laparoscopic techniques and instruments. The variety of devices and trademarks have spawned a true battle of acronyms (SILS, SSLS, SPA, SSL, OPUS, TUES, E-NOTES, NOTUS, etc.), without a definitive consensus name for this new technique of minimally invasive surgery [2].. In 2008 the NOTES Working Group of the Endourological Society and the Laparoendoscopic Single-Site Surgery Consortium for Assessment and Research tried to standardize the terminology to LESS (Laparoendoscopic single site surgery). LESS was defined as any minimally invasive surgical procedure, performed through a single incision/location, using conventional laparoscopic or newly emerging instrumentations. Although the feasibility of LESS has been demonstrated in general, gynecologic, urologic and bariatric surgery, several ...
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Discusses laparoscopic surgery to repair hernias in the groin. Covers why its done and how well it works. Covers risks. Includes conditions that may not work with laparoscopic surgery. Covers things to think about when choosing laparoscopic hernia repair.
TY - JOUR. T1 - Outcomes of laparoscopic radical nephrectomy in the setting of vena caval and renal vein thrombus. T2 - Seven-year experience. AU - Martin, George Lee. AU - Castle, Erik P.. AU - Martin, Aaron D.. AU - Desai, Premal J.. AU - Lallas, Costas D.. AU - Ferrigni, Robert G.. AU - Andrews, Paul E.. PY - 2008/8/1. Y1 - 2008/8/1. N2 - Purpose: We present our experience with laparoscopic radical nephrectomy for T3b disease focusing on thrombus within the vena cava. Patients and Methods: A total of 14 patients with T3b disease were identified from a retrospective laparoscopic renal cancer database from 2000 to 2007. Patient demographics, clinical stage, preoperative imaging, intraoperative parameters, final pathology, and postoperative course were analyzed. In patients with a large tumor thrombus, the infraumbilical extraction excision was performed early and a gel port was placed. This was used when laparoscopic milking or determination of the distal extent of the tumor thrombus was ...
Laparoscopic inguinal hernia surgery recovery time - Laparoscopic Inguinal hernia surgery with mesh - recovery time? When to start with cycling and exercise for abdominals? Ask your surgeon. He knows the details of your individual case and can give you the most accurate answer.
TY - JOUR. T1 - A collective review of biological versus synthetic mesh-reinforced cruroplasty during laparoscopic Nissen fundoplication. AU - Castelijns, P. S. S.. AU - Ponten, J. E. H.. AU - van de Poll, M. C. G.. AU - Nienhuijs, S. W.. AU - Smulders, J. F.. PY - 2018/4/1. Y1 - 2018/4/1. KW - Biologic. KW - cruroplasty. KW - hiatal hernia. KW - laparoscopy. KW - mesh. KW - Nissen fundoplication. KW - synthetic. KW - HIATAL-HERNIA REPAIR. KW - GASTROESOPHAGEAL-REFLUX DISEASE. KW - PARAESOPHAGEAL HERNIA. KW - RANDOMIZED-TRIAL. KW - PROSTHETIC REINFORCEMENT. KW - POLYPROPYLENE MESH. KW - REDUCES RECURRENCE. KW - ANTIREFLUX SURGERY. KW - FOLLOW-UP. KW - CLOSURE. U2 - 10.4103/jmas.JMAS_91_17. DO - 10.4103/jmas.JMAS_91_17. M3 - Review article. VL - 14. SP - 87. EP - 94. JO - Journal of minimal access surgery. JF - Journal of minimal access surgery. SN - 0972-9941. IS - 2. ER - ...
Dr Ian Martin is a consultant hepatobiliary and upper gastro-intestinal surgeon in Brisbane and Sydney. He offers laparoscopic surgery, laparoscopic hernia repairs and obesity surgery
The laparoscopic approach (key hole) is now the approach that is preferred by the majority of surgeons and patients, as opposed to the more traditional open hernia repair. Strictly speaking it is not laparoscopic i.e. there is no requirement to go into the abdominal cavity proper. A potential space is established between the muscles of the anterior abdominal wall and the peritoneum (lining of the abdominal cavity). This allows identification of both a direct defect and an indirect sac and more importantly the mesh which is an essential part of the repair is placed within this potential space, thereby obviating any contact of the mesh with the bowel and therefore the attendant risk potentially of adhesions which might otherwise lead to a bowel obstruction. The distinction between a direct inguinal hernia which is a protrusion through the muscle of the groin and an indirect hernia which is a persistence of a congenital (i.e. you are born with it) peritoneal sac that extends into the inguinal canal ...
RESULTS. A total of 174 laparoscopic explorations of the common bile duct were performed. Indications for surgery (some overlapping) included: concomitant gallstones and common bile duct stones (n=68, 39%) in young persons (2 cm) or multiple common bile duct stones (n=40, 23%), and need for laparoscopic bypass to improve bile drainage (n=34, 20%). Mean patient age was 63 (standard deviation, 16) years and 103 were female. Altogether 156 choledochotomies and 18 transcystic duct explorations were performed, with 12 (7%) open conversions. The mean operating time was 129 (standard deviation, 57) minutes. Additional procedures included: 54 laparoscopic operative cholangiographies, 34 laparoscopic biliary bypasses, and 31 instances of adhesiolysis in patients with a history of open upper gastro-intestinal surgery. Complete stone clearance was achieved in 160 (92%) patients. Non-lethal complications occurred in 34 (20%) patients and one died of sepsis after a major bile leak. The mean postoperative ...
TY - JOUR. T1 - Transfer of laparoscopic radical prostatectomy skills from bench model to animal model. T2 - A prospective, single-blind, randomized, controlled study. AU - Sabbagh, Robert. AU - Chatterjee, Suman. AU - Chawla, Arun. AU - Hoogenes, Jen. AU - Kapoor, Anil. AU - Matsumoto, Edward D.. PY - 2012/5/1. Y1 - 2012/5/1. N2 - Purpose: Learning laparoscopic urethrovesical anastomosis is a crucial step in laparoscopic radical prostatectomy. Previously we noted that practice on a low fidelity urethrovesical model was more effective for trainees than basic suturing drills on a foam pad when learning laparoscopic urethrovesical anastomosis skills. We evaluated learner transfer of skills, specifically whether skills learned on the urethrovesical model would transfer to a high fidelity, live animal model. Materials and Methods: A total of 28 senior residents, fellows and staff surgeons in urology, general surgery and gynecology were randomized to 2 hours of laparoscopic urethrovesical anastomosis ...
Litwin, D.E.M.; Novitsky, Y.; Kercher, K.W.; Sandor, A.; Yood, S.M.; Kelly, J.J.; Beane, R.M.; Ek, S.; Meyers, W.C.; Gallagher, K.A., 2002: New Device for Hand-Assisted Laparoscopic Surgery
Laparoscopic management of Gall Bladder Disorders. Laparoscopic Cholecystectomy is the gold standard of treatment nowadays for removing the diseased gall bladder. Laparoscopic Cholecystectomy is performed under general anaesthesia by giving several small incisions in the abdomen. A laparoscope is inserted through one of the incisions that is attached to the camera through which internal images can be seen on the monitor. After thorough inspection of gall bladder and other internal organs, various other instruments are inserted through other incisions. The diseases gall bladder is retracted and dissected from its place. Usually laparoscopic Cholecystectomy requires four incisions but the new technology has enabled this surgery by single incision. It is called Single Port Laparoscopy (SPL) or SILS (Single Incision Laparoscopic Surgery). Unlike a traditional multi-port laparoscopic approach, SILS is a minimally invasive laparoscopic procedure that is performed almost exclusively through a single ...
TY - JOUR. T1 - Preservation of the celiac branch of the vagus nerve during laparoscopy-assisted distal gastrectomy. T2 - Impact on postprandial changes in ghrelin secretion. AU - Takiguchi, Shuji. AU - Hiura, Yuichiro. AU - Takahashi, Tsuyoshi. AU - Kurokawa, Yukinori. AU - Yamasaki, Makoto. AU - Nakajima, Kiyokazu. AU - Miyata, Hiroshi. AU - Mori, Masaki. AU - Doki, Yuichiro. PY - 2013/9. Y1 - 2013/9. N2 - Background: Ghrelin is a brain-gut peptide with GH-releasing and appetite-inducing properties. Because ghrelin is secreted mainly by the stomach, fasting levels fall after distal gastrectomy. The vagal nerve is responsible for periprandial changes. The presents study investigated the impact of preserving the celiac branch of the vagus nerve during laparoscopy-assisted distal gastrectomy on postoperative ghrelin secretion. Method: Between May 2009 and July 2010, 42 consecutive patients who underwent LADG were divided into two groups, the first in which the celiac branch of the vagus was ...
TY - JOUR. T1 - Technique of Right Laparoscopic Donor Nephrectomy. T2 - A Single Center Experience. AU - Johnson, Mark W.. AU - Andreoni, Kenneth. AU - McCoy, Lynn. AU - Scott, Lisa. AU - Rodegast, Beverly. AU - Friedman, Elizabeth. AU - Thomas, Suzanne. AU - Salm, Jane. AU - Gerber, David A.. AU - Fair, Jeffrey. PY - 2001/9. Y1 - 2001/9. N2 - The majority of laparoscopic donor nephrectomies (LDNs) are limited to the left side due to technical and allograft concerns in using the right. We review our experience with right LDNs. Since June 1997, 15 right LDNs were performed and the records retrospectively reviewed for demographics, operative time, transfusions, complications, and length of stay. Recipient records were also reviewed for delayed graft function, complications, and serum creatinine levels. Overall donor, recipient and graft survivals at 6 months are 100%. Mean operative time was 317±11.0 min, length of stay was 4.2±0.2 d, and mean serum creatinine levels at discharge, 1, 3, and 6 ...
TY - JOUR. T1 - Endourologist at work. T2 - Laparoscopic placement of drains after nephrectomy. AU - Moran, M. E.. AU - Low, Roger. AU - Kim, C. A.. PY - 1993. Y1 - 1993. N2 - The exact indications and ideal candidates for laparoscopic nephrectomy are yet to be identified. Occasionally, urologists might drain the renal fossa, depending on the pathogenesis of the renal disease prompting the nephrectomy, as with chronic infection. The authors describe a technique of placing a closed drainage system under full view with insufflation after laparoscopic nephrectomy. No additional stab wounds are necessary.. AB - The exact indications and ideal candidates for laparoscopic nephrectomy are yet to be identified. Occasionally, urologists might drain the renal fossa, depending on the pathogenesis of the renal disease prompting the nephrectomy, as with chronic infection. The authors describe a technique of placing a closed drainage system under full view with insufflation after laparoscopic nephrectomy. No ...
Although criticized for technical difficulty and cost , the 3 ports in technique has been widely practiced and remains the gold standard, among techniques of laparoscopic appendectomy, due to its significant advantages [3]. However, it needs a complete surgical laparoscopy set in addition to a trained surgeon. Its clear that advantages of laparoscopic appendectomy over open approach include decreased pain, fewer postoperative complications, and decreased length of hospitalization, improved intra-abdominal visualization, and better cosmetic results. Studies support that laparoscopic procedures reduce the inflammatory cascade by reducing expression of pro inflammatory cytokines. Those cytokines can be responsible of an increase of systemic inflammatory response and perioperative morbidity and mortality. Three laparoscopic ports are traditionally required to complete a laparoscopic appendectomy. In the minimally invasive surgery area, pediatric surgeons continue to be concerned with alternative ...
Aim: This study aims to determine the advantages and the disadvantages of single-incision laparoscopic surgery (SILS) and standard laparoscopic cholecystectomy by comparing the cases of these two techniques. Material and Method: Between September 2010 and June 2013, the datas of 80 patients with laparoscopic cholecystectomy were studied retrospectively. Operations were seperated into 2 groups that were SILS and standard laparoscopic surgery. Each group consisted of 40 randomly chosen patients. The age, sex, weight, height, body mass index, American Society of Anesthesiologists score (ASA), duration of operation, postoperative duration of hospital stay, need for surgical drain, infection injury, and postoperative need for analgesic of the patients were recorded. SPSS 21 was used analyzing these datas. Results: Operation period was signaficiantly short in SLK technic (p=0,001). Duration of staying hospital was statisticaly short in SLK technic (p=0,001). There was no complication except for wound ...
TY - JOUR. T1 - The Influence of Instrument Length Calibration on Laparoscopic Depth Perception. T2 - A Randomised Controlled Trial. AU - Riaz, Mohammad K.. AU - Tang, Manhon. AU - Tang, Benjie. AU - Alijani, Afshin. PY - 2018. Y1 - 2018. N2 - Aim: Laparoscopic task performance relies on the interpretation of 2-D visual image with deteriorating depth perception. This study aims to investigate the impact of laparoscopic instrument length calibration on the depth perception through a randomised controlled trial.Methods: Twenty medical students were randomised into two groups (scale and control). Studied instrument was calibrated with scale markings, 10 mm apart from instrument tip. Predesigned sheet (10 cm diameter) inside an endotrainer box was marked at 8 peripheral clockwise points. Total distance from the centre of sheet to any of these clockwise points was 10 cm. This distance was concealed from candidates. Instructions were provided to mark the sheet eight times at target distance (TD) from ...
DESIGN AND SUBJECTS: An unselected cohort of 507 patients who underwent laparoscopic totally extraperitoneal (TEP) inguinal hernia repair before September 2005 were included in this study, thus ensuring a minimum 5-year follow-up. Patient demographic data, clinical notes, operating notes and outpatient follow-up notes were studied. Patients were interviewed telephonically regarding hernia recurrence, chronic pain and technique preference if they had previously undergone an open repair. All data collected were recorded on an electronic spreadsheet. The primary outcome parameter was recurrence. The secondary outcome parameters were postoperative and long-term complications ...
Gynecologic laparoscopy has evolved into a major surgical tool used to treat a multitude of gynecologic indications. Laparoscopy is the most common surgical procedure performed by gynecologists today. This book catalogs the full spectrum of laparoscopic procedures in gynecology, oncology, and infertility treatment. The authors describe different techniques in minimally invasive surgery and review the evidence-based medical literature supporting these techniques. Included are sections on the management of complications during laparoscopy, ranging from vascular injury to bladder or bowel injury. It contains expanded chapters on laparoscopic anatomy, operative hysteroscopy and pelvic floor repair. The editors have pioneered some of the most important laparoscopic procedures used today. Their work has opened up the video laparoscopy field for surgeons worldwide. The contributors have extensive experience in laparoscopy and hysteroscopy, and many of them have established some of the surgical techniques
In this video we present 9 years old boy that presented with recurrent right flank pain. His ultrasound showed multiple right renal cysts. His computed tomography of the abdomen and pelvis confirmed the diagnosis of right multicystic dysplastic kidney. LESS right nephrectomy was done using Covedien port that was inserted through 2.5 cm skin incision through the umbilicus. Both straight and articulating instruments were used. Because of the huge size of the right kidney, initially a large lower polar cyst was drained. The atrophic right renal pedicle was identified, dissected and clipped en-bloc using hem-O-clips. One 5-mm port was added through the same skin incision, but through a different fascial plane to allow retraction of the liver at the time of clipping of renal pedicle. The specimen was retrieved through 3-cm skin incision ...
Laparoscopy is a type of surgical procedure that allows a surgeon to access the inside of the abdomen (tummy) and pelvis ... Read more about when laparoscopy is used.. How laparoscopy is carried out. Laparoscopy is carried out under general anaesthetic ... When laparoscopy is used. Laparoscopy can be used to help diagnose a wide range of conditions that develop inside the abdomen ... Read more about how laparoscopy is performed.. Safety. Laparoscopy is a commonly performed procedure and serious complications ...
Single-port laparoscopy (SPL), also known as single-port access surgery (SPA), single-port incisionless conventional equipment- ... Standard hand instruments are rigid in design and were developed over the last 30 years for use in laparoscopy. Articulation is ...
A laparoscopy enables the surgeon or gynaecologist to directly view the organs of the abdomen and pelvis. Find out how a ... What can a laparoscopy be used for? Laparoscopy is most commonly used in Gynaecology to examine female reproductive system, ... Laparoscopy. A laparoscopy enables the surgeon or gynaecologist to directly view the organs of the abdomen and pelvis. Find out ... How is a laparoscopy performed?. Laparoscopy is performed under a general anaesthetic. ...
Find out what happens when you have a Laparoscopy, which enables the surgeon or gynaecologist to directly view the organs of ... Laparoscopy. Find out what happens when you have a Laparoscopy, which enables the surgeon or gynaecologist to directly view the ... Usually a laparoscopy tells the surgeon if there is anything wrong. Treatment with tablets may be all you need. Sometimes the ... For simple laparoscopies when the surgeon is just having a look in the abdomen, complications occur in 1-2 per cent of cases. ...
A laparoscopy is a minimally invasive surgery that checks for problems in the abdomen or a womans reproductive organs. ... What is a laparoscopy?. A laparoscopy is a type of surgery that checks for problems in the abdomen or a womans reproductive ... A laparoscopy can be used to check for blockages in the fallopian tubes and other conditions that can affect fertility. ... Most laparoscopies are done while you are under general anesthesia. General anesthesia is a medicine that makes you unconscious ...
Pelvic laparoscopy is surgery to examine pelvic organs. It uses a viewing tool called a laparoscope. The surgery is also used ... Laparoscopy uses a smaller surgical cut than open surgery. Most people who have this procedure are able to return home the same ... Pelvic laparoscopy is used both for diagnosis and treatment. It may be recommended for:. *An abnormal pelvic mass or ovarian ... Pelvic laparoscopy is surgery to examine pelvic organs. It uses a viewing tool called a laparoscope. The surgery is also used ...
Hazards of laparoscopy.. Br Med J 1973; 3 doi: https://doi.org/10.1136/bmj.3.5875.347-b (Published 11 August 1973) Cite this as ...
Comparison of the Invasiveness Between Reduced-Port Laparoscopy-Assisted Distal Gastrectomy and Conventional Laparoscopy- ... "laparoscopy"[MeSH Terms] OR "laparoscopy"[All Fields]). Search. ... Effect of laparoscopy by single-port endoscopic access in ... Staging laparoscopy improves treatment decision-making for advanced gastric cancer. Yan-Feng Hu, Zhen-Wei Deng, Hao Liu, Ting- ... Advances in laparoscopy for acute care surgery and trauma. Matteo Mandrioli, Kenji Inaba, Alice Piccinini, Andrea Biscardi, ...
Hazards of laparoscopy.. Br Med J 1973; 3 doi: https://doi.org/10.1136/bmj.3.5874.294-b (Published 04 August 1973) Cite this as ...
Diagnostic laparoscopy. During the procedure, your doctor will inflate your abdomen with gas and make a small cut to insert the ... The advantage of laparoscopy is a faster recovery thats less painful. You will probably have to stay in the hospital for ... Laparoscopy is just as effective as laparotomy at saving your fertility and relieving pain. In both types of surgery, about 20 ... Operative laparoscopy. If your doctor finds endometriosis, she can remove some of the tissue growths during the procedure. She ...
Learn about the laparoscopy (laparoscopic surgery) procedure used to treat digestive diseases of the gastrointestinal tract on ... home/digestion health center/digestion a-z list/laparoscopy center /laparoscopy article ... Laparoscopy can be used to treat the following conditions. *Crohns disease unresponsive to medical therapy or causing a ... Top Laparoscopy Related Articles. *. Abdominal Pain (Causes, Remedies, Treatment). Abdominal pain can have many causes that ...
Laparoscopy sounds a little scary at first, but its actually pretty cool. ... Laparoscopy. Say: la-puh-ros-kuh-pee. Laparoscopy sounds a little scary at first, but its actually pretty cool. Its a special ... kind of surgery that uses a camera to look inside your body! What happens during laparoscopy? First, doctors make a tiny cut on ...
A laparoscopy is a procedure used to examine the abdomen or pelvis using a laparoscope, which is a thin, tube-like instrument ... Why a laparoscopy is done. A laparoscopy may be done to diagnose cancer. It may be used to:* examine the abdominal and pelvic ... Laparoscopy. A laparoscopy is a procedure used to examine the abdomen or pelvis using a laparoscope, which is a thin, tube-like ... How a laparoscopy is done. A laparoscopy is done in a hospital operating room while you are under general anesthetic (you will ...
Laparoscopy uses a thin lighted tube that has a video camera. The tube is called a laparoscope. It is put into a tiny cut or ... What is a laparoscopy?. Laparoscopy is a procedure used to check the organs in the belly (abdomen). It can also check a womans ... One benefit of laparoscopy is that it is minimally invasive. That means it uses a very small cut in the belly. Laparoscopy ... Why might I need a laparoscopy?. An abdominal laparoscopy can be done to check the abdomen and its organs for:. * Tumors and ...
I have had a laparoscopy to diagnose endo in 2011. Back then, i didnt really know what kind of questions to ask, having ...
Laparoscopy. Scopes. Stryker laparoscopes combine high quality sapphires and rod lens technology for superior transmission and ...
Im having my laparoscopy in a few weeks, so im nervous too! I had my appendix out by laparoscopic surgery so I guess im ... I just had a laparoscopy last week. My belly button hurts the most. The doc found state 4 endo, so atleast I had validation for ... I am going to have a laparoscopy next week. Any words of wisdom on what to expect? I am kinda nervous...Thanks! ...
Laparoscopy and Other Abdominal Conditions. In case of rectal injuries, laparoscopy helps defining the degree of a tear, the ... Laparoscopy. Schedule an Appointment. Using minimally invasive approaches to joints has been established for decades. Better ... Generally speaking, laparoscopy is not the "one shoe fits all" to the equine abdomen. However, it has allowed us to approach ... Laparoscopy, or examining the abdomen using a minimally invasive camera technology, can be used to view the intestinal tract, ...
Equine laparoscopy, was first reported in the 1970s, and similarly has undergone much transformation in the last 40 years. It ... D. M. Witherspoon, D. C. Kraemer, and S. W. J. Seager, "Laparoscopy in the horse," in Animal Laparoscopy, R. M. Harrison and D ... Veterinary laparoscopy began much like the use of laparoscopy and people, in the field of gynecology. In 1970, Witherspoon and ... A. T. Fischer Jr., "Electrosurgery in laparoscopy," in Equine Diagnostic and Surgical Laparoscopy, A. T. Fischer Jr., Ed., pp. ...
Vidal O, Garza-Leal JG (1996) Laparoscopy versus laparotomy for radical hysterectomy. J Am Assoc Gynecol Laparosc 3:S53PubMed ... Krivak TC, Elkas JC, Rose GS et al (2005) The utility of hand-assisted laparoscopy in ovarian cancer. Gynecol Oncol 96:72-76 ... Kornblith A, Walker J, Huang H, Cella D (2006) Quality of life of patients in a randomized clincal trial of laparoscopy versus ... Eltabbakh GH (2002) Analysis of survival after laparoscopy in women with endometrial carcinoma. Cancer 95:1894-1901PubMed ...
Benefits of laparoscopy appears to recede with younger age. Efficacy of laparoscopy is inferior to open surgery in certain ... Revision weight loss surgery Single port laparoscopy MedlinePlus > Laparoscopy Archived 26 July 2011 at the Wayback Machine ... In gynecology, diagnostic laparoscopy may be used to inspect the outside of the uterus, ovaries, and fallopian tubes, as, for ... Laparoscopy (from Ancient Greek λαπάρα (lapara) flank, side, and σκοπέω (skopeo) to see) is an operation performed in the ...
this means that if youre getting laparoscopy and your doctor finds endometriosis, she can remove some of the tissue growths ... How can operative laparoscopy help with treating endometriosis?. ANSWER This means that if youre getting laparoscopy and your ... What is a diagnostic laparoscopy for endometriosis?. NEXT QUESTION: What should you expect after laparoscopy for endometriosis? ...
Hernias do not heal on their own, whether it is direct or indirect. You need surgery where laparoscopic is the most preferred way to treat an inguinal hernia. The surgery is performed under general anesthesia. It is the minimally invasive process a thin telescope-like instrument called a laparoscope is used. It is inserted through one of the small incisions made to perform the surgery.. There is no pain during the surgery. The abdomen is inflated with carbon dioxide, which is a harmless gas. It creates space in the abdomen to allow the doctor to view the internal organs. Even the laparoscope is connected to a camera on top that projects the view inside the abdomen on the screen.. The surgeon cuts the inner lining of the abdomen to see the weakness in the abdominal wall. A mesh is placed inside to cover the defects in the abdomen and strengthen the tissue. Once the structures are placed in its place, The surgeon closes the incisions with adhesive glue, which is not harmful at all.. ...
Laparoscopy surgery for endometriosis. Laparoscopy is a type of minimally-invasive surgery. It uses a small, slender camera ... During laparoscopy, the following things will happen:. *Your belly will be filled with gas to help the surgeon see inside your ... As with laparoscopy, laparotomy is done under general anesthesia, meaning that youll be asleep and wont feel pain during your ... Laparoscopy is performed under general anesthesia. That means that youll be asleep while the procedure is being performed and ...
Laparoscopy Navel Pain weresthebeef Hi everyone I just had laparoscopic surgery on Nov 1st, and since I was feeling so good ... Laparoscopy Navel Pain. Hi everyone I just had laparoscopic surgery on Nov 1st, and since I was feeling so good today I decided ... I remember having similar pulling and pain when I had my 2 laparoscopies. You have to remember there was not only whatever work ... I remember having similar pulling and pain when I had my 2 laparoscopies. You have to remember there was not only whatever work ...
Published primarily for junior residents and interns, it is an essential primer on the performance of laparoscopy, clearly ... fully illustrated manual of laparoscopy by an internationally known and respected surgeon. ... A Manual of Clinical Laparoscopy. M.P. Diamond. No preview available - 1998. ... Published primarily for junior residents and interns, it is an essential primer on the performance of laparoscopy, clearly ...
Prior to doing a diagnostic laparoscopy (49320) the doctor dilated the patients cervix and did an endometrial biopsy. 58120 ... Prior to doing a diagnostic laparoscopy (49320) the doctor dilated the patients cervix and did an endometrial biopsy. 58120 ...
A laparoscopy is a surgical procedure that allows viewing of the internal pelvic organs. During the procedure, a long narrow ... Laparoscopy. A laparoscopy is a surgical procedure that allows viewing of the internal pelvic organs. During the procedure, a ... Laparoscopy and hysteroscopy 腹腔镜和宫腔镜检查 From: Chinese Fact Sheets & Info Booklets ...
Laparoscopy (from Ancient Greek λαπάρα (lapara), meaning flank, side, and σκοπέω (skopeo), meaning to see) is an operation ... Benefits of laparoscopy appears to recede with younger age. Efficacy of laparoscopy is inferior to open surgery in certain ... Wikimedia Commons has media related to Laparoscopy.. *Feder, Barnaby J., "Surgical Device Poses a Rare but Serious Peril" The ... a b MedlinePlus , Laparoscopy Archived 2011-07-26 at the Wayback Machine Update Date: August 21, 2009. Updated by: James Lee, ...
Benefits of laparoscopy appears to recede with younger age. Efficacy of laparoscopy is inferior to open surgery in certain ... Laparoscopy (from Ancient Greek λαπάρα (lapara), meaning flank, side, and σκοπέω (skopeo), meaning to see) is an operation ... a b c MedlinePlus , Laparoscopy Archived 2011-07-26 at the Wayback Machine. Update Date: 8/21/2009. Updated by: James Lee, MD ... "Training in diagnostic laparoscopy". Gfmer.ch. Archived from the original on July 14, 2014. Retrieved October 10, 2013.. ...
  • Laparoscopy is a type of surgical procedure that allows a surgeon to access the inside of the abdomen (tummy) and pelvis without having to make large incisions in the skin. (www.nhs.uk)
  • Laparoscopy is carried out under general anaesthetic , so you won't feel any pain during the procedure. (www.nhs.uk)
  • Laparoscopy is a commonly performed procedure and serious complications are rare. (www.nhs.uk)
  • For example in Gynaecology, as well as being a diagnostic procedure, laparoscopy can also be used to remove cysts on the ovaries and also free adhesions caused by ovarian diseases or other disease of the pelvic organs. (netdoctor.co.uk)
  • Laparoscopy is safer than an open procedure for correcting the problem. (medlineplus.gov)
  • How is the laparoscopy procedure performed? (medicinenet.com)
  • A laparoscopy is a procedure used to examine the abdomen or pelvis using a laparoscope, which is a thin, tube-like instrument with a light and lens. (cancer.ca)
  • Depending on what is done during a laparoscopy, the procedure will take 30 to 90 minutes. (cancer.ca)
  • Laparoscopy is a procedure used to check the organs in the belly (abdomen). (hopkinsmedicine.org)
  • A laparoscopy is a surgical procedure that allows viewing of the internal pelvic organs. (asrm.org)
  • Laparoscopy is a minimally invasive procedure used as a diagnostic tool and surgical procedure that is performed to examine the abdominal and pelvic organs, or the thorax, head, or neck. (encyclopedia.com)
  • During the laparoscopic surgical procedure, certain conditions can be treated using instruments and devices specifically designed for laparoscopy. (encyclopedia.com)
  • A laparoscopy is a surgical procedure that may be used to diagnose and treat various conditions, including endometriosis. (healthline.com)
  • A laparoscopy for endometriosis is a low-risk and minimally invasive procedure. (healthline.com)
  • Typically, laparoscopy is a minimally invasive surgical procedure which involves insertion of a laparoscope through a small incision typically between (3-15) mm in the abdominal cavity and enables visualization of abdominal contents. (prnewswire.com)
  • While you likely have many questions about the procedure, it is important to know that laparoscopy often proves invaluable in helping to pinpoint the cause of infertility. (sharedjourney.com)
  • Laparoscopy is a procedure used to help a reproductive surgeon examine the pelvic organs. (sharedjourney.com)
  • Laparoscopy can be used as a diagnostic procedure or it can be used to perform various surgical operations. (sharedjourney.com)
  • Laparoscopy can be performed in hospital, as an outpatient procedure, or at a local clinic. (sharedjourney.com)
  • Depending upon what is found during the laparoscopy, the procedure could last anywhere from 20 minutes to 2 hours. (sharedjourney.com)
  • If your health care provider discovered any problems during your laparoscopy, it is likely that he will have corrected them during the procedure. (sharedjourney.com)
  • Laparoscopy is a minimally-invasive procedure used to examine organs within the abdomen. (providence.org)
  • The laparoscopic technique also allows doctors to perform gynecologic laparoscopy, an innovative and minimally invasive procedure used to image the pelvic organs and evaluate pelvic pain. (providence.org)
  • As a minimally invasive procedure used to diagnose and treat a related condition, pelvic laparoscopy surgeons may prefer this procedure to reduce pain and improve accuracy. (floridahospital.com)
  • Diagnostic laparoscopy is a procedure that allows a doctor to look directly at the contents of the abdomen or pelvis. (floridahealthfinder.gov)
  • For example, after laparoscopy for endometriosis you'll usually follow a liquid diet the first day after the procedure and return to your normal diet by the second day. (livestrong.com)
  • Mini-laparoscopy instruments are designed to facilitate insertion that is straightforward and efficient, and they also reduce time needed for closure at the end of the procedure, virtually eliminating concerns about scarring. (contemporaryobgyn.net)
  • Diagnostic laparoscopy is a relatively simple procedure that can be used to diagnose and correct a number of fertility issues. (womens-health.co.uk)
  • Diagnostic laparoscopy is a surgical procedure that allows your fertility specialist to examine the organs inside of your abdomen and pelvis. (womens-health.co.uk)
  • This enables your physician to make a fertility diagnosis and possibly even correct the problem during the laparoscopy procedure. (womens-health.co.uk)
  • If your physician detects a problem during the laparoscopy procedure, he may be able to correct the problem right then and there. (womens-health.co.uk)
  • Japan has become one of the fastest growing markets for Senhance in terms of both placements and clinical cases given our attractive per procedure economics, comprehensive reimbursement coverage and ability to add digital capabilities to the strong foundation of laparoscopy. (businesswire.com)
  • The Senhance Surgical System is the first and only digital laparoscopic platform designed to maintain laparoscopic minimally invasive surgical standards while providing digital benefits such as haptic feedback, robotic precision, eye-sensing camera control, comfortable ergonomics, advanced instrumentation including, 3 mm microlaparoscopic instruments, and reusable standard instruments to help maintaining per-procedure costs similar to traditional laparoscopy. (businesswire.com)
  • The central government has implemented cost containment initiatives in recent years and has approached recent procedure approvals for robotics by establishing reimbursement at the same rate as traditional laparoscopy, which places a high emphasis on procedure cost to influence adoption. (businesswire.com)
  • A recent review by Spaner and Warnock describes the history of human endoscopy, laparoscopy, and laparoscopic surgery in detail [ 1 ]. (hindawi.com)
  • The 'Global Laparoscopy and Endoscopy Devices Market: Focus on Surgical Procedures (Cholecystectomy and Hysterectomy) and Product Types (Arthroscopes, Neuroendoscopes, Cystoscope, and Bronchoscopes) - Analysis and Forecast, 2018-2025' report has been added to ResearchAndMarkets.com's offering. (prnewswire.com)
  • The global laparoscopy and endoscopy devices market is a combination of two different minimally invasive approaches wherein laparoscopy devices are used in surgical interventions and possess therapeutic applications while endoscopy devices aid in the visualization of anatomical structures and diagnosis of various diseases. (prnewswire.com)
  • The market report is well designed to provide an all-inclusive field of vision about the global laparoscopy and endoscopy devices market in terms of various factors, such as recent trends, technological advancements, competitive landscape, and regulatory environment of the market. (prnewswire.com)
  • The scope of this report is centered upon conducting a detailed study of the solutions allied with the global laparoscopy and endoscopy devices market. (prnewswire.com)
  • This research report aims at answering various aspects of the global laparoscopy and endoscopy devices market with the help of the key factors driving the market, threats that can inhibit the overall growth of the market, and the current investment opportunities that are going to shape the future trajectory of the market expansion. (prnewswire.com)
  • The study considers the growth-share matrix model for a comprehensive study of the global laparoscopy and endoscopy devices market and assesses the factors governing the same. (prnewswire.com)
  • What are the major market drivers, challenges, and opportunities in the global laparoscopy and endoscopy devices market? (prnewswire.com)
  • What was the market value of the leading segments and sub-segments of the global laparoscopy and endoscopy devices market in 2017? (prnewswire.com)
  • How will each segment of the global laparoscopy and endoscopy devices market grow during the forecast period, and what will be the revenue generated by each of the segments by the end of 2025? (prnewswire.com)
  • What are the key application areas of the global laparoscopy and endoscopy devices market? (prnewswire.com)
  • How are laparoscopy and endoscopy devices employed in different areas of application? (prnewswire.com)
  • Who are the key players in the global laparoscopy and endoscopy devices market, and what are their contributions? (prnewswire.com)
  • Similar to an endoscopy, laparoscopy uses a viewing tube with a lens or camera and a light on the end. (providence.org)
  • Single-port laparoscopy (SPL), also known as single-port access surgery (SPA), single-port incisionless conventional equipment-utilizing surgery (SPICES), single-incision laparoscopic surgery (SILS), Single-access endoscopic surgery (SAES), laparo-endoscopic single-site surgery (LESS), natural-orifice transumbilical surgery (NOTUS), and one-port umbilical surgery (OPUS), is a recently developed technique in laparoscopic surgery. (wikipedia.org)
  • Single-port laparoscopy (SPL), is a recently developed technique in laparoscopic surgery. (wikipedia.org)
  • BARRIER ® laparoscopy drapes are carefully designed to ensure safety and efficiency when you're faced with the stringent demands of laparoscopic surgery. (molnlycke.com)
  • World Laparoscopy Hospital located in Gurgaon, India, is the oldest in Asia and is an award-winning, minimal access surgical institute, providing active surgical care for the patient and best-in-class education through the international laparoscopic surgery training center since 2000. (prweb.com)
  • Laparoscopy can be used to diagnose conditions such as endometriosis and pelvic inflammatory disease . (netdoctor.co.uk)
  • Doctors usually only use it when you have severe endometriosis that they can't treat with laparoscopy. (webmd.com)
  • Endometriosis.org: "Surgery," "Laparoscopy: Before and after tips," "Hysterectomy. (webmd.com)
  • A laparoscopy may also be used in situations other than diagnosing cancer, such as looking for cysts, pelvic inflammatory disease or endometriosis. (cancer.ca)
  • Laparoscopy can also be used to treat endometriosis. (hopkinsmedicine.org)
  • How can operative laparoscopy help with treating endometriosis? (webmd.com)
  • This means that if you're getting laparoscopy and your doctor finds endometriosis, she can remove some of the tissue growths right then and there. (webmd.com)
  • What is a diagnostic laparoscopy for endometriosis? (webmd.com)
  • What should you expect after laparoscopy for endometriosis? (webmd.com)
  • However, it's possible that it may be used when endometriosis is extensive or your doctor needs to remove patches of endometriosis that can't be seen well using laparoscopy. (healthline.com)
  • Contacted my RE yesterday and she is concerned it is endometriosis and recommends doing a laparoscopy. (whattoexpect.com)
  • Endometriosis Surgical Treatment: Laparoscopy or Hysterectomy? (womens-health.co.uk)
  • The added advantage of laparoscopy in endometriosis is that your diagnosis can be confirmed and treatment can be carried out at the same time. (thewomens.org.au)
  • If endometriosis can be seen during the laparoscopy, a sample will usually be taken for biopsy. (thewomens.org.au)
  • Not all endometriosis can be treated with laparoscopy, however. (thewomens.org.au)
  • Your doctor suspects that you may have endometriosis and has offered you the option of having a laparoscopy. (thewomens.org.au)
  • Treating endometriosis with laparoscopy means your diagnosis can be confirmed and the treatment can be carried out at the same time. (thewomens.org.au)
  • Large incisions can be avoided during laparoscopy because the surgeon uses an instrument called a laparoscope. (www.nhs.uk)
  • Wilson, in 1983 published on the use of laparoscopy to evaluate the reproductive tract of mares using a single trocar technique and a laparoscope alone for diagnostics, or an operating laparoscope for biopsies or manipulations [ 8 ]. (hindawi.com)
  • Laparoscopy is a form of surgery that allows doctors to examine and possibly treat internal organs by viewing images sent from a small, thin tube (a laparoscope) inserted through small cuts into your body. (spirehealthcare.com)
  • In a laparoscopy, a thin flexible tube containing a video camera (the laparoscope) is inserted into the abdomen through a small incision. (providence.org)
  • Here I discuss mini-laparoscopy, defined as use of a 5-mm laparoscope or smaller with ports smaller than 5 mm. (contemporaryobgyn.net)
  • Possible complications of laparoscopy include, but are not limited to, bleeding from the site of insertion and misplacement of the gas used to help visualize the organs. (providence.org)
  • Another term for laparoscopy can be 'keyhole' or 'minimally invasive' surgery. (netdoctor.co.uk)
  • A laparoscopy is a type of surgery that checks for problems in the abdomen or a woman's reproductive system. (medlineplus.gov)
  • Laparoscopy is known as minimally invasive surgery. (medlineplus.gov)
  • Pelvic laparoscopy is surgery to examine pelvic organs. (medlineplus.gov)
  • Laparoscopy uses a smaller surgical cut than open surgery. (medlineplus.gov)
  • You'll probably be able to go home the day of the laparoscopy, but you might need to stay overnight if your surgery is complicated or takes a long time. (webmd.com)
  • Laparoscopy usually takes less time and has a faster recovery than open surgery. (hopkinsmedicine.org)
  • In the mid-1980s the video computer chip allowed laparoscopy to become integrated into general surgery. (hindawi.com)
  • Laparoscopy is a type of minimally-invasive surgery. (healthline.com)
  • This is considered a major abdominal surgery and uses larger incisions than laparoscopy. (healthline.com)
  • As with laparoscopy, laparotomy is done under general anesthesia , meaning that you'll be asleep and won't feel pain during your surgery. (healthline.com)
  • Laparoscopy is performed to examine the abdominal and pelvic organs to diagnose certain conditions and - depending on the condition - can be used to perform surgery. (encyclopedia.com)
  • Laparoscopy is used in general surgery to examine the abdominal organs, including the gallbladder, bile ducts, the liver, the appendix, and the intestines. (encyclopedia.com)
  • Laparoscopy (say "lap-uh-ROSS-kuh-pee") is a type of surgery that uses very small cuts. (healthwise.net)
  • Gynaecological laparoscopy is a less invasive way than traditional surgery for doctors to see your reproductive organs. (spirehealthcare.com)
  • Laparoscopy surgery is also known as keyhole surgery. (spirehealthcare.com)
  • How hard is it to use cryoablation on liver lesions during a pelvic laparoscopy surgery? (medhelp.org)
  • With new approaches to screening and surgery such as laparoscopy, our doctors are able to efficiently diagnose and treat abdominal conditions and get you back to living your life. (providence.org)
  • Laparoscopy has many advantages because it allows a clear view of the abdominal organs and structures without the need for major surgery. (providence.org)
  • Laparoscopy is performed when less-invasive surgery is desired. (umm.edu)
  • Laparoscopy is a surgery that uses a thin, lighted tube put through a cut (incision) in the belly to look at the abdominal organs or the female pelvic organs . (uwhealth.org)
  • In many cases laparoscopy can be done instead of laparotomy surgery that uses a larger incision in the belly. (uwhealth.org)
  • The hospital or surgery center may send you instructions on how to get ready for your laparoscopy or a nurse may call you with instructions before your surgery. (uwhealth.org)
  • Diagnostic laparoscopy may not be possible if you have a swollen bowel, fluid in the abdomen (ascites), or you have had a past surgery. (floridahealthfinder.gov)
  • A laparoscopy (keyhole surgery) can be used in the diagnosis or treatment of a number of conditions of the abdomen and pelvic area. (thewomens.org.au)
  • The smaller incisions required for traditional laparoscopy are less likely to become infected than those from open surgery and are less vulnerable to herniation, particularly in overweight and obese patients. (contemporaryobgyn.net)
  • The same advantages apply to surgery performed with the even smaller-diameter instruments used for mini-laparoscopy. (contemporaryobgyn.net)
  • Studies of mini-laparoscopy have shown that, compared with single-incision surgery, it can be performed safely and is correlated with significantly lower operative time and less postoperative pain. (contemporaryobgyn.net)
  • Diagnostic laparoscopy is typically performed in hospital or in a surgery centre that specializes in laparoscopic procedures. (womens-health.co.uk)
  • As with any surgery, there are complications associated with diagnostic laparoscopy. (womens-health.co.uk)
  • Laparoscopy can also be used to do bariatric surgery, such as gastric bypass or gastric sleeve. (ahealthyme.com)
  • Laparoscopy is a type of minimally invasive surgery that uses a thin, lighted tube. (parkview.com)
  • The Senhance Surgical System was approved for use by the Japanese Ministry of Health, Labor and Welfare (MHLW) in 2019, and has the broadest procedural reimbursement of any abdominal robotic surgery platform in Japan, which applies to 98 benign and malignant laparoscopic procedures across general, colorectal, gynecologic, pediatric and urologic surgeries at reimbursement rates equivalent to traditional laparoscopy in Category A1. (businesswire.com)
  • At TransEnterix, Inc., we are digitizing the interface between the surgeon and the patient to improve minimally invasive surgery (MIS) through a new category of care called Digital Laparoscopy. (businesswire.com)
  • Digitizing the interface enables the use of advanced capabilities like augmented intelligence, connectivity and robotics in laparoscopy, and allows us to address the current clinical, cognitive and economic shortcomings in surgery. (businesswire.com)
  • The Advanced Laparoscopic and Robotic Surgery Training Program from World Laparoscopy Hospital brings a new, scientifically designed high-definition operation theater to improve laparoscopic and robotic surgical skill. (prweb.com)
  • Unlike conventional open surgery, laparoscopy and robotic surgery limit a surgeon's visual field, which compromises hand-eye coordination. (prweb.com)
  • damage to bowel, bladder, uterus or major blood vessels which would require immediate repair by laparoscopy or laparotomy (uncommon). (netdoctor.co.uk)
  • Laparoscopy is just as effective as laparotomy at saving your fertility and relieving pain. (webmd.com)
  • By combining the procedures of push enteroscopy and laparoscopy, jejunal resection can be performed expeditiously without laparotomy. (springer.com)
  • Laparoscopy can be less stressful and may have less problems and lower costs than laparotomy for minor surgeries. (uwhealth.org)
  • Operative laparoscopy. (webmd.com)
  • Wang PH, Lee WL, Yuan CC et al (2001) Major complications of operative and diagnostic laparoscopy for gynecologic disease [see comment]. (springer.com)
  • As operative laparoscopy becomes more widely accepted, new techniques are being developed and more surgeons are adopting this form of management, the complication rate can be expected to rise. (gfmer.ch)
  • Until more data accumulate, operative laparoscopy will remain a promising, but unproven, tool in the management of patients with gynecologic malignancies. (cancernetwork.com)
  • As the end of the 20th century approaches, the surgical world will remember the 1990s as the decade during which the use of operative laparoscopy grew astronomically. (cancernetwork.com)
  • With the development of special operative laparoscopic instruments and devices, operative gynecologic laparoscopy has evolved from simple tubal ligations to complex oncologic procedures. (cancernetwork.com)
  • Therefore, although operative laparoscopy promises to be an effective tool, its exact role in the management of gynecologic malignancies has yet to be completely defined. (cancernetwork.com)
  • A laparoscopy enables the surgeon or gynaecologist to directly view the organs of the abdomen and pelvis. (netdoctor.co.uk)
  • A laparoscopy can also help diagnose other cancer that has spread to the abdominal and pelvic organs. (cancer.ca)
  • Laparoscopy can be used to determine the stage of cancer of the abdominal organs. (providence.org)
  • The laparoscopy is normal if there is no blood in the abdomen, no hernias, no intestinal obstruction, and no cancer in any visible organs. (floridahealthfinder.gov)
  • The Global Laparoscopy Devices Market size is expected to reach $16.0 billion by 2024, rising at a market growth of 6.4% CAGR during the forecast period. (mynewsdesk.com)
  • Gathering and collating accurate data about the global Laparoscopy Devices market Research 2015 can be a hard task for companies operating in the market, due to the large volume of data about the market. (mynewsdesk.com)
  • The recent research report examining the global Laparoscopy Devices market provides a detailed blueprint for the benefit of leading and new players in the Laparoscopy Devices market alike. (mynewsdesk.com)
  • The report examines the main aspects of the global Laparoscopy Devices market in great detail, equipping market players with reliable insights upon which to base expansion or entry strategies, depending upon the player's position. (mynewsdesk.com)
  • This helps present to the readers a granular snapshot of the global Laparoscopy Devices market. (mynewsdesk.com)
  • Data about the global Laparoscopy Devices market is examined and analyzed with the help of reputed analytical tools such as SWOT analysis and market attractiveness analysis, allied to a section detailing the effect of Porter's five forces on the global Laparoscopy Devices market in the coming years. (mynewsdesk.com)
  • Tissue samples can also be collected for biopsy using laparoscopy and malignancies treated when it is combined with other therapies. (encyclopedia.com)
  • However, it must be emphasized that the use of laparoscopy for gynecologic malignancies is still in its infancy. (cancernetwork.com)
  • Over the past few years, there has been a steady increase in the number of reports describing the use of laparoscopy in patients with gynecologic malignancies. (cancernetwork.com)
  • You might be instructed not to shower or take a bath for up to 48 hours following a laparoscopy to allow the incision to heal. (healthline.com)
  • During the laparoscopy, your surgeon will make an incision in your abdomen, typically under your bellybutton. (healthline.com)
  • Through a small incision in the abdomen, laparoscopy allows your health care professional to visualize your uterus, fallopian tubes, and ovaries in closeup. (sharedjourney.com)
  • During laparoscopy, a small incision is made in the belly. (healthwise.net)
  • The advantage of laparoscopy is that only a small cut (incision) is required. (thewomens.org.au)
  • After the laparoscopy, the gas is released and the incision is stitched. (floridahealthfinder.gov)
  • Laparoscopy may be used to take a small tissue sample for testing (a biopsy). (hopkinsmedicine.org)
  • Prior to doing a diagnostic laparoscopy (49320) the doctor dilated the patient's cervix and did an endometrial biopsy. (aapc.com)
  • Depending upon your fertility diagnosis, diagnostic laparoscopy can last anywhere from 20 minutes to two hours. (womens-health.co.uk)
  • You can often go home on the same day of your laparoscopy, although you may need to stay in hospital overnight. (www.nhs.uk)
  • Many patients go home from hospital the same day the laparoscopy is performed. (netdoctor.co.uk)
  • A laparoscopy is done in a hospital operating room while you are under general anesthetic (you will be unconscious). (cancer.ca)
  • A laparoscopy may be done on an outpatient basis or as part of your stay in a hospital. (hopkinsmedicine.org)
  • Laparoscopy is typically performed in the hospital under general anesthesia, although some laparoscopic procedures can be performed using local anesthetic agents. (encyclopedia.com)
  • Florida Hospital Altamonte is a trusted resource for a full range of medical treatments, including Laparoscopy. (floridahospital.com)
  • Learn more about Laparoscopy at Florida Hospital Altamonte by contacting us below. (floridahospital.com)
  • We are excited to partner with Toshima Hospital to build its Senhance Digital Laparoscopy Program," said Anthony Fernando, President and Chief Executive Officer at TransEnterix. (businesswire.com)
  • A new high-definition, three-dimensional laparoscopic and DA Vinci robotic operation theater has been introduced at the World Laparoscopy Hospital (WLH), which is the first of its kind in India. (prweb.com)
  • Courses of World Laparoscopy Hospital are approved internationally by World Association of Laparoscopic Surgeons. (prweb.com)
  • The services offered by our World Laparoscopy Hospital have given it a status of center of excellence, and this laparoscopic training institute was established to help surgeons and gynecologists in learning and practicing laparoscopic and robotic surgical procedures. (prweb.com)
  • The laparoscopic course is directed at World Laparoscopy Hospital by Dr. R. K. Mishra. (prweb.com)
  • A laparoscopy can be used to check for blockages in the fallopian tubes and other conditions that can affect fertility. (medlineplus.gov)
  • Laparoscopy may be done to treat an ectopic pregnancy or to do a tubal ligation (tie the fallopian tubes) to permanently prevent pregnancy. (hopkinsmedicine.org)
  • Laparoscopy is commonly used in gynecology to examine the outside of the uterus, the fallopian tubes, and the ovaries - particularly in pelvic pain cases where the underlying cause cannot be determined using diagnostic imaging (ultrasound and computed tomography). (encyclopedia.com)
  • If you are having gynecologic laparoscopy, dye may be injected into your cervix area so the surgeon can view the fallopian tubes. (floridahealthfinder.gov)
  • Most patients undergo diagnostic laparoscopy with subsequent surgical management. (hindawi.com)
  • As a result, your fertility specialist may suggest that you undergo diagnostic laparoscopy in order to find out more about what is causing your infertily. (womens-health.co.uk)
  • Occasionally, laparoscopy can uncover severe uterine abnormalities that may interfere with pregnancy, despite fertility treatments. (sharedjourney.com)
  • Minor complications are estimated to occur in 1 or 2 out of every 100 cases following laparoscopy. (www.nhs.uk)
  • Pelvic laparoscopy is used both for diagnosis and treatment. (medlineplus.gov)
  • Laparoscopy has a role in the diagnosis of both acute and chronic abdominal pain. (sages.org)
  • Laparoscopy is one of the techniques available to your physician to look directly at the mass and obtain tissue to discover the diagnosis. (sages.org)
  • Diagnostic laparoscopy is one of the safest and most accurate ways to obtain tissue for diagnosis. (sages.org)
  • Although laparoscopy remains the gold standard of diagnosis and treatment, in this case report we discuss benefits of early diagnosis for fertility conserving management, including nonsurgical options. (hindawi.com)
  • These related conditions to pelvic laparoscopy may cause similar symptoms, so diagnosis is an important part of determining the best treatment. (floridahospital.com)
  • Many laparoscopies are performed as part of the investigation of abdominal or pelvic pain . (netdoctor.co.uk)
  • I will be having a diagnostic pelvic laparoscopy this upcoming week for pelvic pain and I'm. (medhelp.org)
  • During laparoscopy, the surgeon makes one or more small incisions in the abdomen. (www.nhs.uk)
  • Usually a laparoscopy tells the surgeon if there is anything wrong. (netdoctor.co.uk)
  • This is a detailed, authoritative, fully illustrated manual of laparoscopy by an internationally known and respected surgeon. (google.com)
  • Laparoscopy is done by a surgeon or a doctor of women's health ( gynecologist ). (healthwise.net)
  • This depends on the type of laparoscopy being done. (hopkinsmedicine.org)
  • Depending on the type of laparoscopy you have, you may go through only one or all of these dietary phases. (livestrong.com)
  • Your doctor might recommend a laparoscopy examination to diagnose the cause of gynaecological symptoms or to perform small operations. (spirehealthcare.com)
  • The advantage of laparoscopy is a faster recovery that's less painful. (webmd.com)
  • Laparoscopy can be used for advanced abdominal surgeries in younger horses and foals such as working on infected umbilical structures or finding and visualizing abscesses. (purdue.edu)
  • Laparoscopy may be done after early infertility tests do not show the cause for the infertility. (healthwise.net)
  • What are the risks associated with laparoscopy? (netdoctor.co.uk)
  • The risks of laparoscopy include accidental damage to the bowel or blood vessels within the abdomen or pelvis. (netdoctor.co.uk)
  • What are the risks of a laparoscopy? (hopkinsmedicine.org)
  • There may be other risks to undergoing a laparoscopy depending on your specific medical condition. (providence.org)
  • What are the benefits and risks of the diagnostic laparoscopy for organ examination? (clevelandclinic.org)
  • Laparoscopy is used to find problems such as cysts , adhesions , fibroids , and infection. (uwhealth.org)
  • The most common complication of diagnostic laparoscopy is infection. (womens-health.co.uk)
  • Laparoscopy can also be used for some cardiac and vascular procedures. (encyclopedia.com)
  • Most laparoscopies are outpatient procedures. (healthline.com)
  • At that time laparoscopy was virtually confined to diagnostic procedures and sterilisation. (gfmer.ch)
  • Formal USS described unruptured right tubal ectopic with ovarian pregnancy being diagnosed at laparoscopy. (hindawi.com)
  • This has led to the investigation of laparoscopy in the surgical staging and treatment of patients with ovarian, cervical, and endometrial cancers. (cancernetwork.com)
  • Laparoscopy (from Ancient Greek λαπάρα (lapara) 'flank, side', and σκοπέω (skopeo) 'to see') is an operation performed in the abdomen or pelvis using small incisions (usually 0.5-1.5 cm) with the aid of a camera. (wikipedia.org)
  • The term "mini-laparoscopy" is broad and encompasses all techniques for which smaller incisions are used, alone or in combination with smaller instruments. (contemporaryobgyn.net)
  • The size of instruments and incisions for laparoscopy is continuing to decrease, with instruments smaller than 2 mm being used for what is termed "microlaparoscopy. (contemporaryobgyn.net)
  • For pediatric patients, mini-laparoscopy affords access without the need for large incisions and with equivalent visibility and dexterity. (contemporaryobgyn.net)
  • Most of the literature on mini-laparoscopy, albeit limited, focuses on the fact that with smaller incisions, both local postoperative pain and incidence of incisional hernias (and potentially small-bowel incarceration) are reduced. (contemporaryobgyn.net)
  • Laparoscopy is most commonly used in Gynaecology to examine female reproductive system, Gastroenterology to look at the digestive system and Urology to look at the urinary system. (netdoctor.co.uk)
  • Laparoscopy is commonly used by gynecologists, urologists, and general surgeons for abdominal and pelvic applications. (encyclopedia.com)
  • Pelvic laparoscopy may be done by gynecologists, obstetricians, urologists or colon and rectal surgeons. (oncologynurseadvisor.com)
  • Surgeons skilled in laparoscopy are now even performing diagnostic laparoscopy for surgical situations associated with acute hemorrhage. (oncologynurseadvisor.com)
  • After the laparoscopy, the carbon dioxide gas is released, and the cuts are closed. (medlineplus.gov)
  • Some people feel neck and shoulder pain for several days after a laparoscopy because the carbon dioxide gas irritates the diaphragm. (medlineplus.gov)
  • Laparoscopy can be used to help diagnose a wide range of conditions that develop inside the abdomen or pelvis. (www.nhs.uk)
  • Quite often a laparoscopy will reveal that the womb, ovaries, and tubes are in good order. (netdoctor.co.uk)
  • Hello ladies, I had my laparoscopy on Friday 7/10/09 and had my ovaries and tubes remove. (medhelp.org)
  • Currently training in urological laparoscopy is limited due to several factors: a shortage of designated training centres and recognised trainers, the lack of appropriate facilities as well as limitations of equipment, expertise or support. (uroweb.org)
  • Diagnostic laparoscopy is performed either under local anesthesia with sedation or with general anesthesia. (sages.org)
  • Open laparoscopy involves incising the anterior rectus fascia and bluntly entering the peritoneal cavity with a Kelly or Crile clamp. (medscape.com)