BACKGROUND The role of minimally invasive surgery in Graves' disease is still controversial. The aim of this study was to compare the clinical outcomes of patients undergoing minimal-incision thyroidectomy with those undergoing conventional thyroidectomy for Graves' disease. METHODS A prospective study was performed on 148 patients undergoing total thyroidectomy. Seventy-one patients underwen...

Describe the most common techniques used for minimally invasive hip surgery. Certainly the most commonly described approaches in the literature are the posterior and direct anterior. The posterior approach is essentially the same as what surgeons have done traditionally but with a shorter incision and less dissection of the deep musculature. The 2-incision approach, which I prefer, has fallen o...

OBJECTIVES We sought to evaluate the advantages of an inguinal incision in extracting the kidney during retroperitoneal laparoscopic live-donor nephrectomy. MATERIALS AND METHODS From May 2008 to June 2011, fifty-eight cases of retroperitoneal live-donor nephrectomy were performed at our hospital; all data were analyzed retrospectively. All donors were grouped in a test group (n=32, inguinal ...

BACKGROUND The descriptions of the optimal method for placing a cervical collar incision for thyroidectomy or parathyroidectomy are varied. It has been our impression that a collar incision marked in the neutral upright neck, migrates superiorly relative to the sternal notch when the patient is placed in the supine position. The aim of this study was to investigate the validity of this impressi...

When a wide polygonal dural window is created, a short dural incision length is preferred by surgeons because suturing a wastefully long incision line during closure is troublesome. A locator to facilitate making the shortest dural incision when creating a polygonal dural window would be helpful. We geometrically analyzed the shortest incision design for a pentagonal dural window and produced a...

We describe our experience with a two-incision anterolateral acromial approach in locking plate fixation of proximal humeral fractures in older adults. Mean time between injury and surgery was 3.08 +/- 1.24 days. A proximal anterolateral transverse incision and a more distal longitudinal incision were used. A locking plate was inserted along the lateral side of the humerus from the proximal inc...

Objective: To show utility of small incision (4 cm or less) in parotidectomy where incision is purely cervical. Study design: Prospective study. Setting: Tertiary care centre. Materials and Methods: In the study period of 7 years, from July 2008 to June 2015, 40 patients were included in this study, and were considered pre-operatively for possible attempt to perform minimally invasive small inc...

Fig. 1. Computed tomography clearly demonstrated lung hernia of the right lower lobe through a chest wall defect at the site of a previous thoracoscopic surgery. At the previous thoracoscopic surgery, intercostal incision was closed with two interrupted sutures passing over the rib above the incision and through the rib below the incision, and three horizontal mattress interrupted sutures trave...

A novel J-shaped incision for liver transplantation was introduced in attempt to reduce the wound-related complication rate while maintaining comparable access. Some 58 consecutive patients with the classic Mercedes incision were compared with the following 60 consecutive patients with a J-shaped incision. Nine of 60 patients (15%) with a J-shaped incision were converted to an extensive incisio...

PURPOSE The intraumbilical incision is being used more frequently, with increasing cases of single incision laparoscopic surgery. Since the umbilicus is deeper than the surrounding wall, it has abundant bacteria. No study has compared the adverse outcomes of periumbilical and intraumbilical incisions. We analyzed the wound complication rates of perforated appendicitis patients according to the ...