Trocar Site Fascia Closure Device
The trend of less invasive solutions for surgical procedures brought about a broad and expanding adoption of endoscopic and laparoscopic surgery. Today, over 4,000,000 (4 million) laparoscopic procedures are performed annually. This trend will continue as improved and novel instrumentation and techniques are developed. Access cannula ports are placed by creating a puncture through the… Continue Reading
The Patch Esophagoplasty: Esophageal Reconstruction Using Biological Scaffolds.
Objective. Current standard techniques for surgical reconstruction of the esophagus remain suboptimal. Primary closure of unhealthy esophagus has been associated with a high morbidity rate, primarily due to leak and stricture, and synthetic materials are contraindicated due to the high risk of erosion and infection. Degradable extracellular matrix (ECM) scaffolds have recently shown promising results… Continue Reading
Port-less Laparoscopic Distal Gastrectomy.
Introduction: The single port laparoscopic surgery has becoming attractive technique prior to NOTES from points of view such as cosmetic figure and reduction of wound pain. In Japan this technique has been increasing recently. Aim and Methods: The aim of this paper was to assess the feasibility of single port laparoscopic distal gastrectomy. The indication… Continue Reading
Role of Ksarasutra Management in High Anal Fistula With a Histo-pathological Study
Introduction:High anal fistula, an ano rectal disorder usually results to a sequel to some variety of ano rectal abscesses. This problem is challenging task to surgeons and available surgical procedures like fistulotomy and fistulectomy not only results with incontinence and even recurrences (26.5%) are established. The surgical procedures not only makes the patients to undergo… Continue Reading
Multi-center Study of Ksharasutra in the Management of High Anal Fistula-A Clinical Study
iNTRODUCTION:The disease, high anal fistula is a common ano-rectal disorder as old as mankind and usually results as a sequel to some varieties of ano-rectal abscesses and is a challenge to surgeons still today. Fistula-in-ano has been recognized as special distinct entity for thousands of years. In the fifth century B.C. Hippocrates advocated the laying… Continue Reading
A Novel Procedure for Introducing a Large Gauze Into the Corporeal Cavity With a Slim Trocar (tornado Procedure)
1. Objective of the technology: An intracorporeal gauze is used during laparoscopic procedures for hemostasis, blunt dissection, suction filtering, and organ retraction. The current laparoscopic technique involves an advanced, single-incision surgery or reduced port surgery that can be performed for certain organs. Small trocars are used during such surgeries. In such procedures, the gauze is… Continue Reading
Notes Transanal Endoscopic Rectosigmoid and Left Colon Resection Using an Innovative Sterile Sigmoid Access Platform With Integrated Endoscopic Overtube
Introduction: NOTES transanal endoscopic rectosigmoid resection was previously demonstrated using the TEM platform (Transanal Endoscopic Microsurgery). However, the length of left colonic mobilization has been limited due to difficulties with instrument reach and tissue manipulation using standard TEM and endoscopic instrumentation. Recently, a novel innovative sterile sigmoid access platform (ISSA, Storz, Tuttlingen, Germany) was developed… Continue Reading
Augmented Reality Telementoring (ART) Platform: An Intuitive Method for Teaching Laparoscopic Skills
Objective: Mentorship in laparoscopic surgery continues to evolve. Skills training outside of the operating room supplements, but does not supplant, hands-on training. Telementoring technology provides ways of training from a remote location that may augment self-directed learning with guided yet unobtrusive mentorship. Digital annotation with 2-way audio has been described as an effective telementoring method.… Continue Reading
Fluorescent Augmentation of Bile Ducts’ Visualization at Laparoscopic Cholecystectomy By Using Fluorescein and Ultraviolet Generating and Conducting Device
Objective and backgroundThe purpose of this new technique is to improve visualization of the extrahepatic bile ducts at laparoscopic cholecystectomy. The idea depends on the fact that intravenously-administered fluorescein is excreted by the liver and its concentration in bile reaches 500 times that of plasma. Ultraviolet A (UVA) excites fluorescein and causes it to emit… Continue Reading
Functional Results of Lower Esophageal Sphincter Mechanism Following Different Techniques Used for Cruroraphy for Laparoscopic Hiatal Hernia Repair ; Early Results of Randomized Controlled Trial
Aim:The prospective randomized trial was designed to evaluate the impact of different cruroraphy techniques used for laparoscopic repair of hiatal hernias. Material and Methods:Between January 2010-december 2011 , patients were randomly assigned for 3 groups having hiatal hernia> 2 cm. 24 h pH monitoring was performed using pHday2 Menfis,Italy and esophageal manometry was performed using… Continue Reading
Arm Support Device for Surgeons
arm support device for operating surgeons by mohamed youssef Cairo universityMillions of laparoscopic operations are performed yearly .Studies show that 10- 20% of laparoscopic surgeons suffer repetitive strain injury (musculoskeletal trauma effect following laparoscopic surgeries also it stated that resting operating arm during the procedure will increase both comfort and performance The overall objectives are:--… Continue Reading
Real-time 2d-3d Image Converting Software With a Monocular Small Camera Toward the Lesser Invasive Laparoscopic Surgery
<Introduction and Objectives> 3D images for laparoscopic surgery had been rapidly accepted as useful tool especially in suturing maneuvering. Since recent trials such as single port surgery or NOTES require smaller devices, thinner camera will be effective to retain space inside the port. To provide depth cue using smaller endoscope, combination of small monocular endoscope… Continue Reading
New Technology for Minimally-invasive Treatment of Symptomatic Grade I and II Hemorrhoids: Prospective Pilot Study With 1-year Follow-up.
Objective. To describe initial clinical experience with new minimally-invasive device for the treatment of symptomatic Grade I and II hemorrhoids. Background. The symptomatic Grade I and II hemorrhoids are currently treated using rubber band ligation or other modalities such as infrared coagulation, RF bipolar energy or direct current. While these methods are relatively simple,… Continue Reading
Feasibility of Endoscopic Transumbilical Thoracic Surgical Lung Biopsy and Pericardial Window Creation
BACKGROUND To date there are no practical platforms for performing natural orifice transluminal endoscopic surgery (NOTES) in the thoracic cavity. Using the canine model, this study evaluates the feasibility of single incision transumbilical endoscopic surgery for thoracic exploration, lung biopsy, and pericardial window creation.METHODS Eight dogs were used for this study. A homemade metallic tube… Continue Reading
Evaluation of New Operation for Morbid Obesity
Abstract Background: Bariatric surgery in particular malabsorptive procedures with the rapid weight loss, and anatomical changes in the gastrointestinal tract of patients leads to sever nutritional and metabolic complications .This work is aiming to avoid the nutritional and trace elements deficiency post bariatric malabsorptive procedures.Aim of the work is to avoid vitamins and trace elements… Continue Reading