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Reproductive Outcome following Hysteroscopic Adhesiolysis in Patients with Asherman’s Syndrome
Fadare Oluwaseun O
[Year:2011] [Month:January-April] [Volume:4 ] [Number:1] [Pages:72] [Pages No:31-39]
Full Text HTML | Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10007-1113 | FREE

Asherman’s syndrome is a clinical condition characterized by a spectrum of disorders ranging from amenorrhea to hypomenorrhea to normal menses. It is frequently associated with infertility or recurrent pregnancy loss. Hysteroscopic adhesiolysis with adjuvant measures is considered the gold standard of treatment. A number of studies have reported on the reproductive outcomes after treatment of Asherman’s syndrome with varied results as these are difficult to assess because there is no universally agreed system of classification. Such outcome measures include resumption of normal menses, conception rate and pregnancy outcome. We review the current best evidence about treatment modalities as well as subsequent reproductive outcome for Asherman’s syndrome.
Conclusion: Large prospective controlled studies are needed to determine the best diagnostic and treatment modalities for intrauterine adhesions.
Keywords: Asherman’s syndrome (AS), Intrauterine adhesions (IUA), Uterine synechiae (US), Intrauterine synechiae (IUS), Hysteroscopic adhesiolysis, Amenorrhea, Infertility, Reproductive outcome.
How to Cite
Fadare OO. Reproductive Outcome following Hysteroscopic Adhesiolysis in Patients with Asherman’s Syndrome. World J Laparoscopic Surg. 2011;4(1):31-39

Cholecystoduodenal Fistula is not the Contraindication for Laparoscopic Surgery
Sanjeev Kumar Sareen
[Year:2011] [Month:January-April] [Volume:4 ] [Number:1] [Pages:72] [Pages No:41-46]
Full Text HTML | Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10007-1114 | FREE

Cholecystoduodenal fistula is the complication of gallstone and it is difficult to diagnose this condition preoperatively, which is the reason for conversion of laparoscopic to open cholecystectomy. Earlier laparoscopic cholecystectomy was considered unsuitable for such difficult bilioenteric procedures. The laparoscope is fast becoming an important tool for the general surgeon, it make us capable of handling the unforeseen events. This review article is to demonstrate the cholecystoduodenal fistula is not the contraindication for the laparoscopy, now it can be performed without higher rate of risk with the innovation of better modalities available.5 The goal of study is to introduce the proper awareness in laparoscopic surgeons regarding the feasibility and safety of the procedure.
Keywords: Cholecystoduodenal fistula (CCDF), Cholelithiasis, Gallstone ileus, Safe laparoscopic repair.
How to Cite
Sareen SK. Cholecystoduodenal Fistula is not the Contraindication for Laparoscopic Surgery. World J Laparoscopic Surg. 2011;4(1):41-46

Different Types of Single Incision Laparoscopy Surgery (SILS) Ports
Chigurupathi Venkata Pavan Kumar
[Year:2011] [Month:January-April] [Volume:4 ] [Number:1] [Pages:72] [Pages No:47-51]
Full Text HTML | Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10007-1115 | FREE

Introduction: Single incision laparoscopic surgery (SILS) has become an advancement in minimal acess surgery because it offers benefits like less postoperative pain, less invasive and has best cosmetic results. Even though the amount of time taken for SILS surgery is more, this can be brought down by experience and more advances on the type of instruments used. We are going to review different types of SILS ports available in the world today.
Material and methods: Articles of relevant studies are searched from the internet using Google, PubMed, Yahoo, HighWire press, SpringerLink, etc. available at world laparoscopic hospital.
Aims: The main aim of this review is to evaluate different types of SILS ports and their effectiveness in safe laparoscopic surgeries. To know if they offer any less postoperative pain and best cosmetic results than the multiple trocar surgeries, and to know the best SILS port.
Conclusion: Whatever might be the choice of single incision laparoscopic surgery or procedure, the best choice of port depends on many factors like choice of the surgeon, skill of the surgeon, availability of ports, operative time of the procedure and cost effectiveness. To know this, we need more controlled randomized studies on different types of SILS ports in single procedure. We cannot pinpoint which might be the best port for SILS at this point of time.
Keywords: Single incision laparoscopic surgery (SILS), LESS, Minimal access surgery, Single port acess (SPA), SILS ports, NOTES.
How to Cite
Kumar CVP. Different Types of Single Incision Laparoscopy Surgery (SILS) Ports. World J Laparoscopic Surg. 2011;4(1):47-51

Comparison of Advantages and Disadvantages between SILS and NOTES
Sarat Chandra Jayasingh
[Year:2011] [Month:January-April] [Volume:4 ] [Number:1] [Pages:72] [Pages No:67-72]
Full Text HTML | Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10007-1118 | FREE

Minimal access surgery is the gold standard for several abdominopelvic procedures in the present era. The prime advantage with minimal access surgery is the minimal surgical trauma in comparison to the conventional surgery. The other advantages of laparoscopy like less operative time, less pain, early recovery and return to work and above all better cosmetics have been well proven."Change is constant in life,"SILS and NOTES are the two newly emerging novel techniques in laparoscopy. SILS is a new advancement in laparoscopy, where the whole surgery is conducted through a single umbilical incision whereas NOTES is totally incisionless. In real sense, the incision in NOTES is not externally visible because of the natural orifices like oral cavity, vagina, urethra and anus that are used as entry sites. SILS have the advantages of better cosmetics, less blood loss, faster recovery, less complications, early return to work, versatility, better patient acceptance and easy tissue retrieval, etc. The critics are high cost, need of high expertise and more chances of port site hernia and infection. Similarly, NOTES has its edges over traditional laparoscopy surgery with the advantages of highest cosmetic value (no visible scar), less pain, requirement of less immunosuppressant and less anesthesia, faster recovery, and no external wound complications (hernia, hematoma and abscess). But it has also its own critics like questionable safety, unproven data about complications, requirement of high expertise, low patient acceptance, requirement of advanced endoscopic instruments, difficulty in closing internal wounds, intraperitoneal infection, gastrointestinal fistula and high cost. Poor acceptance is a major concern for NOTES.
Aims: To explore the positive and negative aspects of above two procedures in order to find out the better option.
Keywords: SILS-single incision laparoscopic surgery, Natural orifice transluminal endoscopic surgery (NOTES).
How to Cite
Jayasingh SC. Comparison of Advantages and Disadvantages between SILS and NOTES. World J Laparoscopic Surg. 2011;4(1):67-72

Technical Modifications in Laparoscopic Appendectomy
Ali Aminian, Faramarz Karimian, Karamollah Toolabi, Rasoul Mirsharifi
[Year:2011] [Month:January-April] [Volume:4 ] [Number:1] [Pages:72] [Pages No:1-4]
Full Text HTML | Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10007-1106 | FREE

The technique of laparoscopic appendectomy has been modified several times in the past 20 years. In this report, we have described our modifications regarding the position of ports placement and closure of the base of appendix. Three surgeons successfully performed laparoscopic appendectomy in 108 cases with these modifications during the 3-year period. The first 10 mm port is placed in the periumbilical region. The second 10 mm and third 5 mm ports are inserted in the left and right side of abdomen below the pubic hairline respectively. Then the telescope is transferred from the periumbilical to the left suprapubic port. This mode of access leads to optimal ergonomics and cosmesis. For securing the base of appendix, only one Hem-o-lok clip (nonabsorbable polymer clip) is applied on each side. The use of Hem-o-lok clip is simple, safe and decreases the time and cost of laparoscopic appendectomy.
Keywords: Appendicitis, Laparoscopic appendectomy, Hem-o-lok clip, Polymer clip.
How to Cite
Aminian A, Karimian F, Toolabi K, Mirsharifi R. Technical Modifications in Laparoscopic Appendectomy. World J Laparoscopic Surg. 2011;4(1):1-4

Laparoscopic versus Open Management of Hydatid Cyst of Liver
Falih Mohssen Ali
[Year:2011] [Month:January-April] [Volume:4 ] [Number:1] [Pages:72] [Pages No:7-11]
Full Text HTML | Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10007-1108 | FREE

Background: To compare laparoscopic versus open management of the hydatid cyst of liver regarding recurrence rate, the surgical approach to liver echinococcosis is still a controversial issue. This study shows our results of surgical treatment of liver hydatid cysts during a 5 years period.
Methods: A prospective study of 32 patients operated on in a 5-year period (1999-2003) in Dubrava University Hospital, Zagreb, Croatia, with hepatic hydatid cyst. All patients were preoperatively treated with albendazole. In 32 patients, total pericystectomy without opening the cyst cavity was performed laparoscopically, other procedures were used as surgical approach.
Results: There was no mortality after 5 to 6 months follow-up, but in one patient, in the open partial pericystectomy group, recurrence of the disease occurred after 2 to 3 years. When a laparoscopic procedure was done, there were no complications or recurrence. The median operative duration for open surgery was 100.0 minutes (range 60.0-210.0) and for laparoscopic surgery 67.5 minutes (range 60.0-120.0). The median length of hospitalization for open surgery was 8.0 days (range 7.0-14.0) and for laparoscopic surgery 5.0 days (range 4.0-7.0).
Conclusion: Total pericystectomy without opening the cyst cavity, preceded by preoperative albendazole therapy is the method of choice for hepatic hydatid cyst treatment. Despite the small group of patients, our first results show laparoscopic total pericystectomy, without opening the cyst cavity, in the treatment of hepatic hydatid cyst.
Keywords: Laparoscopical treatment, Liver, Hydatid cyst, Abdominal approach.
How to Cite
Ali FM. Laparoscopic versus Open Management of Hydatid Cyst of Liver. World J Laparoscopic Surg. 2011;4(1):7-11

A Review on the Role of Laparoscopy in Abdominal Trauma
Aryan Ahmed
[Year:2011] [Month:January-April] [Volume:4 ] [Number:1] [Pages:72] [Pages No:13-17]
Full Text HTML | Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10007-1109 | FREE

Background: The trauma victims are considered the top critical patients and require a rapid decision in the management. As the main fear is bleeding, so most of them ended having laparotomy, although almost 40% ended having a less invasive management like using laparoscopy.
Materials and methods: The use of laparoscopy as a diagnostic (with the facility to be used as a therapeutic) option at the same setting can be considered a very good tool provided the patient is hemodynamically stable. Classically, standard three ports (extraport can be added according to therapeutic technique) are used. Most of the intestinal, mesenteric and diaphragmatic injuries can be detected and repaired successfully as well as some parenchymal injuries, provided not bleeding actively and, if necessary, using some tissue adhesives.
Results: The laparoscopic technique as a diagnostic as well as therapeutic tool (in some cases) can be used safely and with fewer complications as it reduces the significant number of negative laparotomies.
Conclusion: An access to the abdominal cavity laparoscopically can achieve good results in hemodynamically stable patients and avoids the morbidities related to laparotomy, decreases hospital stay and considered as a cost-effective tool.
Keywords: Abdominal trauma, Laparoscopy.
How to Cite
Ahmed A. A Review on the Role of Laparoscopy in Abdominal Trauma. World J Laparoscopic Surg. 2011;4(1):13-17

Minimally Invasive Esophagectomy (MIE): Techniques and Outcomes
Sajesh Gopinath
[Year:2011] [Month:January-April] [Volume:4 ] [Number:1] [Pages:72] [Pages No:53-58]
Full Text HTML | Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10007-1116 | FREE

Background: Esophageal cancer is one of the major public health problems worldwide. Different methods of minimally invasive esophagectomy (MIE) have been described, and they represent a safe alternative for the surgical management of esophageal cancer in selected centres with high volume and expertise in them. The procedural goal is to decrease the high overall morbidity of a traditional open esophageal resection.
Aims: This article reviews the most recent and largest series evaluation of MIE techniques.
Methods: A literature search performed using search engines Google, HighWire press, SpringerLink, and Yahoo. Selected papers are screened for other related reports.
Results: Though MIE requires greater expertise and a long learning curve, once technique has been mastered it greatly reduces the postoperative morbidity and mortality to a significant extent. There was not much difference in average operating time compared to open surgery but bleeding was less in MIE. Mean hospital stay was similar to open surgery. There was no significant difference in number and location of lymph nodes harvested.
Conclusion: The current review shows that MIE with its decreased blood loss, minimal cardiopulmonary complications and decreased morbidity and oncological adequacy, represents a safe and effective alternative for the treatment of esophageal carcinoma.
Keywords: Esophagectomy, Minimally invasive, Laparoscopy, Thoracoscopy, Esophageal neoplasm.
How to Cite
Gopinath S. Minimally Invasive Esophagectomy (MIE): Techniques and Outcome. World J Laparoscopic Surg. 2011;4(1):53-58

Laparoscopic Cholecystectomy: Fundus First or Fundus Last-Which and Why?
Moatassim Barham
[Year:2011] [Month:January-April] [Volume:4 ] [Number:1] [Pages:72] [Pages No:25-29]
Full Text HTML | Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10007-1112 | FREE

Biliary tract injury represents the most serious and potentially life-threatening cholecystectomy complication. It is important to identify the structure of Calot’s triangle during isolation of cystic duct to decrease this injury. Cystic duct isolation is the first dangerous technique in laparoscopic cholecystectomy. Retrograde (fundus first) dissection is frequently used in open cholecystectomy and although feasible in laparoscopic cholecystectomy, it has not been widely practiced as the antegrade conventional one. This article is presented to show that retrograde method appears to be a safe procedure and does not compromise the conventional one. It should be tried if obscure anatomy should occur without proceeding to irreparable hemorrhage or biliary injury. If these do occur, conversion is always a viable choice and should not be deemed a failure. However, retrograde dissection remains to have its error trap that is mostly leading to vasculobiliary injuries as well as the drawback of retained GB stones tendency.
Abbreviations: OC: Open cholecystectomy, LC: Laparoscopic cholecystectomy, RLC: Retrograde laparoscopic cholecystectomy, CLC: Conventional laparoscopic cholecystectomy, GB: Gallbladder, CBD: Common bile duct, CHD: Common hepatic duct, IOC: Intraoperative cholangiography, ERCP: Endoscopic retrograde cholangiopancreaticography.
Keywords: Fundus-first, Fundus-down, Retrograde, Antegrade, Conventional, Laparoscopic cholecystectomy.
How to Cite
Barham M. Laparoscopic Cholecystectomy: Fundus First or Fundus Last-Which and Why?. World J Laparoscopic Surg. 2011;4(1):25-29

Stump Appendicitis: A Bane or Boon of Laparoscopic Appendectomy
Sreeramulu PN, Nikhil S Shetty, Mahesh Babu B, Asadulla Baig, Supreeth CS
[Year:2011] [Month:January-April] [Volume:4 ] [Number:1] [Pages:72] [Pages No:5-6]
Full Text HTML | Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10007-1107 | FREE

Appendiceal stump appendicitis is a very rare surgical event, though acute appendicitis is still the most common cause of abdominal surgeries worldwide. The incidence of appendiceal stump appendicitis is on a gradual rise possibly due to laparoscopic surgeries. In this study, we report a 54-year-old woman with preoperatively diagnosed stump appendicitis by ultrasound who underwent a laparoscopic appendectomy 8 years ago.
Keywords: Appendiceal stump appendicitis, Laparoscopic appendectomy.
How to Cite
Sreeramulu PN, Shetty NS, Mahesh BB, Baig A, Supreeth CS. Stump Appendicitis: A Bane or Boon of Laparoscopic Appendectomy. World J Laparoscopic Surg. 2011;4(1):5-6

Single-Port Laparoscopic Placement of Peritoneal Dialysis Catheter
Tag Alsir Alamin Logman, RK Mishra
[Year:2011] [Month:January-April] [Volume:4 ] [Number:1] [Pages:72] [Pages No:19-20]
Full Text HTML | Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10007-1110 | FREE

Recent advances in laparoscopic surgery have led to development of various laparoscopic techniques, both for treatment of malfunctioning catheter and insertion of a dialysis catheter. Most of the techniques use two to four ports. Each port entry can cause weakness of the abdominal wall, and hence possibility of leak or hernia. The technique of single port has been introduced for the management of obstructed catheter and insertion of another catheter. In this article, we report and evaluate the results of single port technique in the placement of tenckhoff catheter in chronic renal failure patients (in both adult patients and children).
Aim: To know the efficacy and safety of laparoscopic single port insertion of peritoneal dialysis catheter (tenckhoff) and its value in catheter efficiency time, postoperative complications, hospital stay, operation time.
Materials and methods: A review of literature by searching in Google, Springer library facility available at the world laparoscopy hospital.
Characteristics of variables: Male : Female ratio, mean age, catheter survival rate, hospitalization period, early and late postoperative complications, rate of hernia and leak, catheter migration, exit site infection.
Keywords: Laparoscopy, Tenckhoff, PD catheter.
How to Cite
Logman TAA, Mishra RK. Single-Port Laparoscopic Placement of Peritoneal Dialysis Catheter. World J Laparoscopic Surg. 2011;4(1):19-20

Laparoscopic Resection for Rectal Cancer: A Review and Update on Perioperative and Long-term Oncologic Outcome
Shehab CW Phung
[Year:2011] [Month:January-April] [Volume:4 ] [Number:1] [Pages:72] [Pages No:21-23]
Full Text HTML | Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10007-1111 | FREE

Backgrounds: With the advancement of science and technology in the field of minimal access surgery and refinement of techniques in laparoscopic resection of rectal cancer, it has been widely accepted that the procedure is technically feasible. The safety and oncologic efficacy of laparoscopic colonic cancer resection have been demonstrated. However, the availability of review and data are scarce in evaluating the perioperative safety and long-term oncologic outcome between laparoscopic surgery in the setting of rectal cancer and open approach.
Aim: The aim of this review is to provide an update on most recent review regarding perioperative safety and oncologic feasibility of laparoscopic resection for rectal cancer.
Methods: A review of up-to-date literature and the more recent retrospective and prospective data on laparoscopic resection for rectal cancer were undertaken for utilizing Pubmed/Google/Springer Link, specifically focussing on the long-term and perioperative outcomes.
Keywords: Rectal cancer, Laparoscopic rectal resection, Anterior resection.
How to Cite
Phung SCW. Laparoscopic Resection for Rectal Cancer: A Review and Update on Perioperative and Long-term Oncologic Outcome. World J Laparoscopic Surg. 2011;4(1):21-23

[Year:2011] [Month:January-April] [Volume:4 ] [Number:1] [Pages:72] [Pages No:59-66]
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