BACKGROUND Laparoscopy is widely used as a tool in many clinical situations allowing for diagnosis and/or surgical management in a minimally invasive fashion. Most laparoscopic cases are ambulatory and allow patients to recover quickly. Nonetheless, attention to surgical technique is paramount to avoid both short and long term complications. CASE A 32-year-old woman had a laparoscopy and a re...

• Vol 10 • April 2008 314 Abdominal impalement injuries are seen routinely in trauma centers all over the world. Although the primary evaluation of these injuries at the scene and the emergency room is well established, the issue of whether these patients should undergo a formal laparotomy or less invasive diagnostic laparoscopy is still a matter of debate. In this report we describe the use of...

The resurging interest in diagnostic laparoscopy has witnessed its increasing application in trauma surgery. Such unbridled enthusiasm has at times overlooked its shortcoming in the diagnosis and management of certain in abdominal injuries. We report and discuss one such conspicuous limitation and advocate that the use laparoscopy in abdominal trauma should be tempered with caution.

STUDY OBJECTIVE To evaluate the role of laparoscopy in the diagnosis and therapy of infertility. DESIGN Retrospective study. SETTING Academically affiliated reproductive endocrinology practice. PATIENTS One hundred seventy patients. INTERVENTION Diagnostic/therapeutic laparoscopy. MEASUREMENTS AND MAIN RESULTS One hundred seventy infertile patients underwent diagnostic laparoscopy bet...

OBJECTIVE To estimate the feasibility and safety of single-incision multiport laparoscopy (SIMPL) used in patients who underwent laparoendoscopic single-site surgery (LESS) for gynecologic disease, and the cosmetic outcome and economic benefit compared with multichannel-tipped single port laparoscopy (MSPL). INTERVENTION We underwent LESS via a single 2.5- to 3.0-cm umbilical incision with th...

The necessity of urgent explorative laparotomy as a standard procedure in the treatment of abdominal penetrating wounds is controversial. Mandatory surgical intervention for penetrating abdominal trauma yields a high rate of negative laparotomies in the absence of visceral injuries. Laparoscopy is an alternative diagnostic procedure inspecting the peritoneum for signs of perforation and excludi...

Video legend: Laparoscopic appearance of adhesions in posterior uterine cul de sac due to previous pelvic inflammatory disease (PID). In the first screen, ovary (white in appearance) is located in the middle, fallopian tube (reddish-tan) is to the left and the metallic tip of the manipulating probe is to the right. In the subsequent frames, the adhesions in the posterior cul de sac. (Quicktime ...