To clarify whether gastric cancer patients can benefit from laparoscopy-assisted surgery completed by junior surgeons under supervision of expert surgeons, data of 232 patients with gastric cancer underwent operation performed by inexperienced junior surgeons were reviewed. Of the 232 patients, 137 underwent laparoscopy- assisted resection and in 118 cases this approach was successful. All of t...

Background More than 3 decades after the introduction of in vitro fertilization (IVF) and despite the improved success rates of assisted reproductive technologies, the argument for performing laparoscopy as a part of the infertility workup still stands. Objective To evaluate the role of laparoscopy±hysteroscopy in diagnosis and management of infertility in our setting in view of modern fertil...

P re-operative diagnosis of pouch of Douglas (POD) obliteration is important for several reasons. We know that pre-operative identification of POD obliteration allows for the identification of women who may be at a higher risk of having underlying bowel endometriosis. In women noted to have POD obliteration at laparoscopy, there is a three times higher risk of concurrent bowel deep infiltrating...

Background: Unexplained infertility is usually a diagnosis of exclusion. Thus, there must be an absence identifiable cause despite thorough testing and medical investigation demonstrating tubal patency, normal semen parameters, regular ovulation, ovarian reserve, endometrial cavity.
 Aim: This study aims to assess the prevalence abnormal tubo-ovarian relationship in women with unexplained ...

Hemangiomas of the small bowel are rare tumors that often present with gastrointestinal bleeding. Diagnosis can be difficult and exploratory laparotomy has often proved to be the only method with which to determine the presence and location of these tumors. We report two cases of small bowel hemangioma in children aged 10 and 7 years, in which the diagnosis was made by laparoscopy. Laparoscopy ...

Unilateral ovarian hypoplasia is a rare event with unknown true incidence. Our knowledge about this developmental anomaly is limited and based primarily on case reports. Ovarian hypoplasia is usually asymptomatic; it is most commonly diagnosed from laparoscopy for other indications. Here we report two cases of unilateral ovarian hypoplasia in patients who presented to the Continuum Reproductive...

Appendicectomy is the commonest non obstetric indication for surgical intervention during gestation. Laparoscopic approach is proven to be superior to open surgery in gravid patients with suspected appendicitis. It excludes other pathologies that can mimic appendicitis and entail pregnancy risks and remove the inflamed appendix at the same setting which is therapeutic. We report a case of acute...

Introduction: Rectus sheath hematomas can result from shearing of rectus muscle fibers or injury to the inferior epigastric vessels, which is the most common vascular injury to occur at the time of laparoscopic surgery. Case Description: We describe a case of a rectus sheath hematoma that was diagnosed 5 days after operative laparoscopy. We review the clinical presentation, diagnostic criteria,...

Camran Nezhat has influenced almost every aspect of our laparoscopic lives. His vision, perseverance, and humanistic focus have propelled our field away from the established yet awkward “single eye” and mostly diagnostic laparoscopy to his method of operative laparoscopy, which has revolutionized modern day surgery. Also, his prediction and claim that almost all open surgeries could be and shou...

Throughout history, surgeons have been on a quest to refine the surgical treatment options for their patients and to minimize operative trauma. During the last three decades, there have been tremendous advances in the field of minimally invasive colorectal surgery, with an explosion of different technologies and approaches offered to treat well-known diseases. Laparoscopic surgery has been show...