Introduction:Since the introduction of hybrid NOTES transvaginal (TV) cholecystectomy, retraction of the gallbladder has been described with magnets, percutaneos sutures and flexible long grasper. The need for adequate instrumentation gives room for improvement and development of new instrumentation. Here in we describe a novel technique for internal retraction of the gallbladder. Methods:Non-survival Hybrid Transvaginal NOTES […]
Background: Modern medical informatics is changing the way physicians practice and how clinical research is conducted. The appropriate utilization of a clinical database, electronic medical records (EMR), and other health related software can improve patient care and offer the opportunity for practice analysis and HIPAA compliant research. With IRB approval, clinician researchers can use this […]
Objective: Laparoscopic sleeve gastrectomy [LSG] has been increasingly accepted as a definitive weight loss surgery. LSG is less complex than Roux En Y Gastric bypass with lesser complication profile but comparable outcome. Complications arising out of LSG are results of technical failures: misidentification of vital surgical landmarks, use of improper staple heights, inadvertent traction, unguided […]
The success of colonoscopy in colorectal cancer (CRC) prevention is dependent on operator competence in the detection and removal of adenomatous polyps. However, studies have shown substantial variability in polyp detection rates. Changes in clinical practice have led to a reduction in training opportunities; thus alternative methods of teaching have been developed. The advert of […]
Objective: The most frequent site of spread of melanoma is to the regional lymph nodes. Operative intervention remains the mainstay of treatment and necessary for cure. Unfortunately, lymph node dissection is associated with significant morbidity. Three prospective trials report complications in over 50% of patients undergoing inguinal lymph node dissection; these include wound infections, wound […]