Maiti SK, Dutta A, Varshney J, Kumar N. Effect of Different Carbon Dioxide Pressure Gradients in Capnoperitoneum for Laparoscopic Examination in Dogs. World J Laparosc Surg 2013;6(2):53-62.

Amer N, Amer M, Mishra RK. Different Techniques of Tissue Retrieval from Abdominal Cavity during Minimal Access Surgery. World J Laparosc Surg 2013;6(2):63-68.

Maharajh S. A Review of the Robotic Radical Prostatectomy Outcomes. World J Laparosc Surg 2013;6(2):69-73.

Energy sources have been an important part of surgery in achieving hemostasis and bloodless field to operate. Nowadays the most recent and commonly used are the bipolar vessel sealing system (LigaSure) and the harmonic scalpel (HS).

To do a comparative review between the LigaSure vessel sealing system and harmonic scalpel to make surgery faster, safer and better.

The literature regarding this review article was searched online on various websites like Google, PubMed, World Journal of Gastrointestinal Surgeons, YouTube. Search words used were LigaSure vs harmonic scalpel, LigaSure vessel sealing system, role of vessel sealer and HS in laparoscopic surgery.

LigaSure vessel sealing system (LVSS) proves to have a hand above the HS as it depends of the surgeon's convenience to use which of the energy sources when it comes to handling and maneuverability during surgery resulting in an overall faster, safer and a bloodless experience.

Mishra V. Comparative Study between Harmonic Scalpel and LigaSure Vessel Sealing System: In Open and Laparoscopic Surgery. World J Laparosc Surg 2013;6(2): 74-76.

Freitas TO, Barbosa RM. Prevention of Port-Site Metastasis in Gynecologic Malignancies. World J Laparosc Surg 2013;6(2):77-80.

Maciel R, Freitas T. Vaginal Cuff Dehiscence after Minimal Invasive Hysterectomy: Laparoscopic Surgical Techniques. World J Laparosc Surg 2013;6(2):81-85.

SILS is a newer laparoscopic technique emerging in this era. So this article aims to provide an overview on safer surgical skills by understanding basic principles and proper application of energy source and endosuturing techniques.

Articles of relevant studies are explored from Google, HighWire Press, PubMed, SpringerLink using keywords—single incision laparoscopy surgery (SILS), energy source in SILS, suturing in SILS.

The main aim is to evaluate the best energy source which can be used in SILS with better ergonomics and to define the good suturing technique in single port laparoscopic surgery.

Most of the studies show that newer energy devices, such as LigaSure, harmonic and EnSeal, are being used with advantage of less smoke, less operative time, very minimal blood loss, less drop in hemoglobin value postoperatively, and reduced duration of hospital stay. Endosuturing using roticulators, Endostitch is easier, though intracorporeal and extracorporeal knotting can also be perfomed same like conventional laparoscopy.

LigaSure, harmonic and EnSeal can be safely used as multifunctional devices in the available space in SILS without changing the instruments frequently as in conventional laparoscopy. Both intracorporeal and extracorporeal knot can be put by practice and with aid of newer suturing devices.

Kumari BB. Energy System and Endosuturing in Single Incision Laparoscopy Surgery. World J Laparosc Surg 2013;6(2):86-92.

To determine the safety and benefits of single port laparoscopic cholecystectomy.

A search for randomized controlled trials comparing single port laparoscopic cholecystectomy with conventional laparoscopic cholecystectomy was conducted using Google scholar, HighPress and SCOPUS.

Single port laparoscopic cholecystectomy has a longer operating time, with equivocal postoperative pain, and offers better cosmetic result with low morbidity.

Single port laparoscopic cholecystectomy is at least as safe as conventional laparoscopic cholecystectomy in carefully selected patients.

Osuagwu CC. A Review of Randomized Controlled Trials comparing Single Port Laparoscopic Cholecystectomy with Conventional Laparoscopic Cholecystectomy. World J Laparosc Surg 2013;6(2):93-97.

The objectives of this study were to investigate the characteristics and outcome of patients with hydatid disease of the liver who were laparoscopically managed at our clinic and to define technical details of the method.

Between January 2011 and June 2012, 11 patients with hydatid disease of the liver were considered for laparoscopic surgery in our department. All the patients underwent to laparoscopic surgical interventions.

In all patients, laparoscopic cystotomy, unroofing with laparoscopic cutting and sealing instruments for surgical dissection and omentoplasty were performed. No conversion to laparotomy was necessary. No radiological recurrens was observed in a mean follow-up of 11 months (range: 3-18 months).

Laparoscopy is quite feasible to perform in hydatid disease of the liver and, the use of laparoscopic cutting and sealing instruments allows effective dissection and partial cystectomy. Cyst size and grade is not restrict laparoscopic surgery for liver hydatic disease. Obliteration of the residual cystic cavity decreases postoperative complication rates, so an effective omentoplasty is essential especially for laparoscopic procedures. The use of helical fasteners allows effective omental flap fixation.

Yavuz R, Demircan F. Laparoscopic Management for Hydatid Disease of Liver: Experience of Single Center. World J Laparosc Surg 2013;6(2):98-101.

Chittawar PB, Sapre S, Bhandari S. Hysteroscopic Findings in an Unusual Case of Adenomyosis. World J Laparosc Surg 2013;6(2):102-104.

Alhomoud H. Unusual Presentation of Endometriosis. World J Laparosc Surg 2013;6(2):105-106.

To determine the feasibility and efficacy of the laparoscopic myomectomy for large fibroids (>10 cm) with use of synchronous uterine artery embolization.

A prospective observational case series of laparoscopic myomectomy performed for single and multiple uterine fibroids.

A tertiary referral center for gynecological oncology and minimal access surgery.

A 15 premenopausal women with large fibroids who wished to conserve their uterus from March 2005 to August 2011.

Laparoscopic myomectomy was performed using harmonic scalpel with synchronized preoperative uterine artery embolization (UAE) following multidisciplinary team discussion. Tissue retrieval was performed by morcellation.

Early discharge and reduced intraoperative blood loss.

Of all 15 cases, mean number of fibroids removed was 2 (range: 1-4) and mean mass of tissue excised was 450 gm (range: 320-1540). The mean diameter of the fibroids removed was 13 cm (range: 10-20 cm). Mean estimated blood loss was 156 ml (range: 25-1,000 ml) and the mean operating time was 113 minutes (17-200 minutes). All cases were successfully completed laparoscopically with no conversions to open surgery. One patient who had a 13 cm broad ligament fibroid required a 2 unit blood transfusion intraoperatively and another patient developed a single port-site infection 2 weeks following the procedure. Histology confirmed benign leiomyomas in all cases.

Laparoscopic myomectomy with use of synchronized UAE using harmonic scalpel is feasible and efficient procedure for single or multiple large fibroids within an experienced multidisciplinary setting.

Kamran MW, Madhuri TK, Walker WJ, Butler-Manuel SA. Laparoscopic Myomectomy for Large Fibroids with Synchronized use of Uterine Artery Embolization. World J Laparosc Surg 2013;6(2):107-110.