INTRUDUCTION:Compared to the open technique, laparoscopic ventral hernia repair (LVHR) has lower rates of complications, recurrence, greater patient acceptance, and shorter hospital stay. Although the choice of mesh material is still evolving, concern about the formation of intraperitoneal adhesions to the viscera has limited the use of polypropylene (PP) for laparoscopic ventral hernia repair. The […]
Objective: the advent of the NOTES approach_ either transvaginal or transgastric_ has raised issues regarding the informed consent process_ required from an ethical and legal point of view_ as well as doubts from the patients regarding the indication and justification of the operation. Methods and procedures: starting August 2007, we attempted to perform 9 NOTES […]
Introduction: While Natural Orifice Translumenal Endoscopic Surgery (NOTES) is very appealing from the patient’s perspective, it is surgically challenging by its very nature because access is limited to the size of the natural orifice. It is difficult to have multiple instruments simultaneously passing through an orifice, and the instruments must be flexible throughout their entirety […]
Aim: To investigate the efficacy of laparoscopic rectal surgery for middle and lower rectal cancer in our institution.Patients and methods: Eighty-four patients (40 with middle and 44 with lower rectal cancer) have undergone laparoscopic low anterior resection since first use of this procedure in our institution in 1998. Total mesorectal excision was performed for all […]
OBJECTIVE: To demonstrate the feasibility of longitudinal mentoring and telementoring of community surgeons in laparoscopic colon surgery.METHODS: A formal mentoring protocol was established between a university centre and surgeons at a local 134 bed community hospital 60km away. The community surgeons (CS) attended a didactic course on laparoscopic colon surgery before attending surgery at the […]