Tension gastrothorax with intrathoracic gastric volvulus is a fatal life threatening condition.
Early diagnosis and emergency endoscopic definitive surgery is plausible for successful outcome in a young haemodynamically stabilized patient.
Literature search revealed this to be the first case treated by combined laparoscopy and thoracoscopy approach in Bochdalek hernia presenting in adulthood.
Background: Transversus Abdominis Release (TAR) is previously described technique used in abdominal wall reconstruction (AWR) to repair complex abdominal wall hernias with contour abnormalities. We present a novel minimally invasive TAR approach to address these types of defects, completed entirely laparoscopically.
Methods: A 61 year-old male with history of three failed hernia repairs after suffering a perforated appendicitis and abdominal sepsis in the 1990s, presented to our clinic with a
Our group has developed a technology based on self-assembling magnets that are delivered through conventional endoscopes and can create large-caliber anastomoses. These magnets are delivered into adjacent lumens and self-assemble into reciprocal octagons. Upon coupling, these magnets form a large compression anastomosis over several days. The fused magnets are naturally expelled.
We previously performed a proof of concept animal survival study in which jejuno-colonic bypasses were created endos
Traditionally, surgical intervention for trauma patients consisted of a standard midline laparotomy and exploration. Trauma laparoscopy has emerged as an attractive alternative due to decreased abdominal wall complications, decreased length of stay in hospital, and decreased overall cost. Appropriate case selection is paramount and includes relative hemodynamic stability, adequate surgeon experience, and a low threshold for conversion to an open procedure.
In this video, we present a case of a
Gallbladder carcinoma can be incidentally identified after laparoscopic cholecystectomy. Our patient is a 61 year old, otherwise healthy female, who was diagnosed with a T1b adenocarcinoma incidentally after cholecystectomy for symptomatic cholelithiasis.
We perform a robotic-assisted portal lymphadenectomy and a hepatectomy involving a 2 cm resection of segments IVb and V. We outline the relevant anatomy of the porta hepatis while performing a portal lymphadenectomy.
We found the combination