World Journal of Laparoscopic Surgery

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2012 | May-August | Volume 5 | Issue 2

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EDITORIAL

Editorial

[Year:2012] [Month:May-August] [Volume:5] [Number:2] [Pages:1] [Pages No:0 - 0]

   DOI: 10.5005/wjols-5-2-v  |  Open Access |  How to cite  | 

1,161

RESEARCH ARTICLE

Nitin Rao, Bharati V Hiremath, Bharathi Raja

Laparoscopic Ventral Hernia Repair in Patients with Child C Cirrhosis: Our Experience

[Year:2012] [Month:May-August] [Volume:5] [Number:2] [Pages:4] [Pages No:59 - 62]

   DOI: 10.5005/jp-journals-10007-1150  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Hiremath BV, Rao N, Raja B. Laparoscopic Ventral Hernia Repair in Patients with Child C Cirrhosis: Our Experience. World J Lap Surg 2012;5(2):59-62.

3,775

RESEARCH ARTICLE

Aman Nagpal, Subhash Goyal, Latika Abbey

Drainage in Cholecystectomy: Required or Not? A Comparative Randomized Study in Northern Indian Subjects

[Year:2012] [Month:May-August] [Volume:5] [Number:2] [Pages:4] [Pages No:63 - 66]

   DOI: 10.5005/jp-journals-10007-1151  |  Open Access |  How to cite  | 

Abstract

Background

Routine abdominal drainage after laparoscopic cholecystectomy is an issue of considerable debate in surgical fraternity. So a comparative study was planned as an effort to solve the controversy regarding the need of drainage in cholecystectomy.

Aim

The aim of the study was to evaluate merits and demerits of drainage vs nondrainage in patients undergone cholecystectomy.

Materials and methods

Study was carried out in the Department of General Surgery, MM Institute of Medical Sciences and Research between June 2009 and October 2011 on 40 cases of symptomatic gall stone disease. Cases were divided randomly into two equal groups. Group A containing 20 cases with drain placed and group B containing 20 cases without drainage. Subjects were observed for postoperative morbidity in the form of pain–incidence and severity, duration of postoperative hospital stay, analgesia requirement, postoperative nausea, vomiting and antiemetics required.

Results

Mean operative time in groups A and B was 93 and 86 minutes respectively. Gallbladder rupture was most common complication encountered in both the groups. At 12th postoperative hour, 90% of patients of group A and 95% of patients of group B had pain in abdomen.

Conclusion

We found no significant advantage of using drainage after laparoscopic cholecystectomy, as there was higher incidence of postoperative pain and longer duration of hospital stay with its use. Therefore, its routine use cannot be recommended as a means to reducing postoperative morbidity.

How to cite this article

Nagpal A, Goyal S, Abbey L, Singh A. Drainage in Cholecystectomy: Required or Not? A Comparative Randomized Study in Northern Indian Subjects. World J Lap Surg 2012;5(2):63-66.

2,786

RESEARCH ARTICLE

Meenakshi Jain

Making Robotic Surgery Easier and Safer: A Clinical Review

[Year:2012] [Month:May-August] [Volume:5] [Number:2] [Pages:5] [Pages No:67 - 71]

   DOI: 10.5005/jp-journals-10007-1152  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Jain M. Making Robotic Surgery Easier and Safer: A Clinical Review. World J Lap Surg 2012;5(2): 67-71.

2,357

RESEARCH ARTICLE

Galal MM Abou El-Nagah

Combined TAPP and TEP: A New Modified Technique for Laparoscopic Inguinal Hernia Repair

[Year:2012] [Month:May-August] [Volume:5] [Number:2] [Pages:4] [Pages No:72 - 75]

   DOI: 10.5005/jp-journals-10007-1153  |  Open Access |  How to cite  | 

Abstract

Background

No other laparoscopic procedure has been the source of controversy as much as the laparoscopic approach to inguinal hernias. The two common laparoscopic techniques include the transabdominal preperitoneal repair (TAPP) and the total extraperitoneal repair (TEP). We present our experience with a novel technique by combining the two ideas of TAPP and TEP to get benefit of both techniques. We compared the operative time and the need for mesh fixation of the new technique with that of the standard TAPP technique.

Methods

From May 2009 to July 2011, a total of 335 patients complaining of indirect inguinal hernia were included in this study. We have operated on 137 patients with new technique of combined TAPP and TEP (first group). The other 198 patients were operated with the standard TAPP technique (second group). All patients who had the new modified technique were operated by a single surgeon in a university-affiliated hospital.

Results

All procedures have been finished laparoscopically with no conversion. The average operative time was 39.8 minutes for the first group and 44.3 minutes for the second group. Mesh was fixed in 30 patients (21.9%) of the first group and 81 patients (40.9%) of the second group. Postoperative port site infection in the first group occurred in 3 patients (2.19%). No perioperative morbidity or mortality occurred.

Conclusion

Combined TAPP and TEP is safe and feasible. It simplifies the procedure; makes operative time significantly less with lower rate of recurrence as well as decreases the need for mesh fixation.

How to cite this article

Abou EL-Nagah GMM. Combined TAPP and TEP: A New Modified Technique for Laparoscopic Inguinal Hernia Repair. World J Lap Surg 2012;5(2):72-75.

4,406

REVIEW ARTICLE

Ruiz C Hierro

Laparoscopic Repair for Choledochal Cyst in Children: Current Status

[Year:2012] [Month:May-August] [Volume:5] [Number:2] [Pages:4] [Pages No:76 - 79]

   DOI: 10.5005/jp-journals-10007-1154  |  Open Access |  How to cite  | 

Abstract

Objectives

To determine feasibility and outcome of laparoscopic repair of choledochal cyst in pediatric age.

Materials and methods

A literature search was performed on choledochal cyst and laparoscopic repair in children using PubMed database to extract data related to age, gender, technical details, operative time, conversion rate, intraoperative complications, hospital stay, early and mid-term complications and outcome.

Results

There were 710 patients with a median follow-up of 29.1 months; the median age was 4.3 years and 73.4% were women. The choledochal cysts were classified as type I of Todani's classification in 74% of cases and in all of them a laparoscopic excision and hepaticoenterostomy was carried out. The mean operative time was 265 minutes and the conversion rate to open surgery was 2.4%. The mean postoperative hospital stay was 6.5 days and the early and late complications were 6.9 and 4% respectively.

Conclusion

The laparoscopic repair of choledochal cyst is safe and feasible in children with early- and mid-term complication rates similar to open surgery.

How to cite this article

Hierro RC. Laparoscopic Repair for Choledochal Cyst in Children: Current Status. World J Lap Surg 2012;5(2):76-79.

4,398

REVIEW ARTICLE

George Chilaka Obonna

Role of Robotic Surgery in the Treatment of Mirizzi Syndrome

[Year:2012] [Month:May-August] [Volume:5] [Number:2] [Pages:5] [Pages No:80 - 84]

   DOI: 10.5005/jp-journals-10007-1155  |  Open Access |  How to cite  | 

Abstract

Aim

To study the role of robotic surgery in the treatment of MS having in mind the various types of the syndrome.

Methods

Literature review from HighWire press, PubMed, Medline, goggle, SpringerLink, Wikipedia relevant documents, templates, forms, E-books and Cochrane database was conducted. Analysis of other publications and journals from robotic surgical institute was done, including live robotic surgery and robotic clinical videos.

Results

When a preoperative diagnosis is made through endoscopic stent insertion via endoscopic retrograde cholangiopancreatography (ERCP) with computed tomographic (CT) scan or intraoperative exploration and assessment with ultrasonography establishes Mirizzi types 1 or 2, the current robotic surgical system offers an effective treatment of the syndrome. With the ultra high magnification of the surgical field and the endowristed 7 degrees of refined movement together with an enhanced clinical capability and integration of electrosurgical device, detailed and careful cholecystectomy and even primary closure of common hepatic duct fistula can be perfected.

Conclusion

Combined endoscopic and robotic surgery is effective and safe in the treatment of MS types 1 and 2. Definitely robotics has a role to play in the treatment of MS. During cholecystectomy, partial resection is possible in order to extract the stones, visualize the bile duct and define the type and location of the fistula. T-tube could be placed distal to the fistula in the absence of a preoperative stent. However, complete removal of the gallbladder is now advocated because of the increased risk of malignancy in stone disease.

How to cite this article

Obonna GC, Mishra RK. Role of Robotic Surgery in the Treatment of Mirizzi Syndrome. World J Lap Surg 2012;5(2):80-84.

686

REVIEW ARTICLE

Bijan Kumar Mukhopadhyay

Strategic Rest Break in Laparoscopic Surgery: A Need

[Year:2012] [Month:May-August] [Volume:5] [Number:2] [Pages:4] [Pages No:85 - 88]

   DOI: 10.5005/jp-journals-10007-1156  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Mukhopadhyay BK. Strategic Rest Break in Laparoscopic Surgery: A Need. World J Lap Surg 2012;5(2):85-88.

786

REVIEW ARTICLE

Habeeb Mohamed

Laparoscopic Sleeve Gastrectomy: An Ideal Procedure for Control of Morbid Obesity

[Year:2012] [Month:May-August] [Volume:5] [Number:2] [Pages:13] [Pages No:89 - 101]

   DOI: 10.5005/jp-journals-10007-1157  |  Open Access |  How to cite  | 

Abstract

Background

Sleeve gastrectomy is becoming increasingly popular within bariatric surgery. Initially introduced as a component of complex interventions and later as part of a twostage operation in high-risk patients, the procedure is now more common as one-stage operation and subject of avid scientific discussion. However, the concept of longitudinal gastric resection is not new. The procedure was already established in ulcer surgery but soon faded into insignificance. This article aims to trace the historical development of resection of the greater curvature and review the current value of sleeve gastrectomy within the spectrum of bariatric surgical procedures.

Materials and methods

Extensive review of literature of articles published in english language was conducted using the following search engines: Google, Yahoo, Medline, PubMed, Medscape, HighWire press and the SpringerLink library available at the World Laparoscopy Hospital, Gurgaon, India. Articles that matched the criteria were selected for review.

Results

Six reviews and 90 articles were selected and reviewed and analyzed to reach the conclusions.

Conclusion

Laparoscopic sleeve gastrectomy is a safe and effective weight loss procedure. Resolution of comorbidity, healthrelated quality of life and food tolerance were comparable with that of Roux-en-Y gastric bypass with lower incidence of complications comparable to gastric banding. However, there is need for standardization of the procedure and long-term results are yet to be analyzed.

How to cite this article

Mohamed H. Laparoscopic Sleeve Gastrectomy: An Ideal Procedure for Control of Morbid Obesity. World J Lap Surg 2012;5(2):89-101.

4,295

CASE REPORT

Nitin Pant, Nitinkumar Bhajandas Borkar, Satish Kumar Aggarwal

Chronic Mesenteroaxial Gastric Volvulus and Congenital Diaphragmatic Hernia: Successful Laparoscopic Repair

[Year:2012] [Month:May-August] [Volume:5] [Number:2] [Pages:3] [Pages No:102 - 104]

   DOI: 10.5005/jp-journals-10007-1158  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Borkar NB, Pant N, Aggarwal SK. Chronic Mesenteroaxial Gastric Volvulus and Congenital Diaphragmatic Hernia: Successful Laparoscopic Repair. World J Lap Surg 2012;5(2):102-104.

3,872

CASE REPORT

Bharati Vishwanath Hiremath, Bharathi Rajasridhar, Gotam Pipara

Tack Sinus: A New Complication of Laparoscopic Ventral Hernia Repair

[Year:2012] [Month:May-August] [Volume:5] [Number:2] [Pages:3] [Pages No:105 - 107]

   DOI: 10.5005/jp-journals-10007-1159  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Hiremath BV, Rajasridhar B, Pipara G. Tack Sinus: A New Complication of Laparoscopic Ventral Hernia Repair. World J Lap Surg 2012;5(2):105-107.

6,818

CASE REPORT

Medhat M Ibrahim

Laparoscopic Diagnosis and Management of Splenogonadal Fusion: Case Report and Review of Literature

[Year:2012] [Month:May-August] [Volume:5] [Number:2] [Pages:4] [Pages No:108 - 111]

   DOI: 10.5005/jp-journals-10007-1160  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Ibrahim MM. Laparoscopic Diagnosis and Management of Splenogonadal Fusion: Case Report and Review of Literature. World J Lap Surg 2012;5(2):108-111.

82,713

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