摘要:

SummaryThere have been multiple different approaches to laparoscopic herniorrhaphy with a tendency toward exposure of the preperitoneal space with placement of a prosthesis into this area. The transabdominal preperitoneal (TAPP) approach is a reasonably simple, safe repair, resulting in a less than 1% recurrence rate with minimal complications. This relatively pain-free herniorrhaphy allows rapid return to normal activity.

ISSN:1051-7200    

出版商:OVID    

年代:1993

数据来源: OVID

摘要:

SummaryA 1-year-old boy with high jejunal membranous stenosis was successfully treated “a minima” by antimesenteric longitudinal enterotomy over the diaphragm, excision of the latter, and transverse closure of the bowel. This was made possible by use of simultaneous peroperative endoscopy, which allowed exact localization of the diaphragm. Peroperative endoscopy is a useful and accurate method for this purpose and should be considered in similar cases.

ISSN:1051-7200    

出版商:OVID    

年代:1993

数据来源: OVID

摘要:

SummaryCongenital absence of the gallbladder is an extremely rare anomaly. Although ideally gallbladder agenesis should be diagnosed before surgery, this has not been documented in the literature. Laparoscopy offers patients with nonvisualizing or shrunken gallbladders on imaging studies the opportunity for diagnosis in a minimally invasive manner. A thorough laparoscopic exploration and cholangiogram are necessary to confirm the diagnosis.

ISSN:1051-7200    

出版商:OVID    

年代:1993

数据来源: OVID

摘要:

SummaryThis report presents a case of injury to the lateral cutaneous nerve of the thigh during laparoscopic inguinal hernia repair. Both this nerve and the femoral branch of the genitofemoral nerve are at risk during laparoscopic inguinal hernia repair. Pertinent anatomy is reviewed and suggestions made to prevent this injury. This case does not appear to be an isolated event, and hopefully this report will bring attention to this potential complication.

ISSN:1051-7200    

出版商:OVID    

年代:1993

数据来源: OVID

摘要:

SummaryTwo cases are presented that illustrate unusual hemorrhagic complications during laparoscopic cholecystectomy. Both areas of bleeding were at a significant distance from the operative site. One was a subcapsular hematoma over the dome of the right lobe of the liver, the other a liver capsule tear on the inferior right lobe. No bleeding was evident at the time of surgery. These complications appear to be an inherent part the laparoscopic method, as they would undoubtedly be recognized and treated during an open cholecystectomy. Etiology, prevention, recognition, and treatment are discussed.

ISSN:1051-7200    

出版商:OVID    

年代:1993

数据来源: OVID

摘要:

SummaryA patient with previous appendectomy and diagnostic laparoscopy underwent elective laparoscopic cholecystectomy. At the conclusion of the procedure, a small bowel trocar injury was identified. Resection and anastomosis were performed extracorporally via the umbilical incision. The patient was discharged on the third postoperative day.

ISSN:1051-7200    

出版商:OVID    

年代:1993

数据来源: OVID

摘要:

SummaryCongenital solitary liver cysts are a common finding, but they are usually asymptomatic; however, symptoms occur in about 16% and then require treatment. Ideally, complete or partial resection of the cyst is the treatment of choice but always implies invasive surgery. We report the case of a 50-year-old woman suffering from a massively enlarged cyst in the left liver lobe. We decided to resect the extraphepatic part of the cyst by laparoscopic surgery. The patient was discharged absolutely asymptomatic 3 days following surgery. We conclude that open resection of symptomatic congenital liver cysts should be replaced by laparoscopic removal when cysts are mostly extrahepatically located. The laparoscopic procedure combines the advantages of minimal invasive surgery with the demand for a radical effective treatment.

ISSN:1051-7200    

出版商:OVID    

年代:1993

数据来源: OVID

ISSN:1051-7200    

出版商:OVID    

年代:1993

数据来源: OVID