Submental intubation is an effective alternative technique for airway management in patients with maxillofacial trauma. Compared tracheostomy, it less invasive, but has risks associated potential compromise such as hypoxia due to tube obstruction, collapse, and kinking. To shorten procedure time ensure a reinforced lumen, we used laparoscopic trocar new device submental intubation. A 54-year-ol...

BACKGROUND Laparoscopic surgery has gained popularity over open conventional surgery as it offers benefits to both patients and health care practitioners. Although the overall risk of complications during laparoscopic surgery is recognized to be lower than during laparotomy, inadvertent serious complications still occur. Creation of the pneumoperitoneum and placement of laparoscopic ports remai...

OBJECTIVES The direct trocar insertion technique (DTI) for the creation of pneumoperitoneum has been described as an alternative to open and Veress needle (VN) techniques. This study assesses the safety and feasibility of direct trocar insertion without a pre-existing pneumoperitoneum in patients undergoing elective laparoscopic procedures. METHODS From November 2001 to February 2006, we retr...

The purpose of this study was to evaluate the technique and value of fluoroscopy-guided percutaneous transpedicular trocar biopsy in obtaining diagnostic tissue from vertebral body lesions and to review the current literature. The bone cores from 32 patients who underwent 34 transpedicular Jamshidi trocar biopsies for lesions in the thoracic, lumbar and sacral spine were examined. All samples w...

Department of Diagnostic Radiology, Seoul Medical Center, Received January 7, 2006 ; Accepted April 14, 2006 Address reprint requests to : Heon Lee, M.D., Department of Diagnostic Radiology, Seoul Medical Center, 171-1 Samsung-dong, Kangnam-gu, Seoul 135740 Korea. Tel. 82-2-3430-0384 Fax. 82-2-564-2960 E-mail: [email protected] Purpose: The author wanted to evaluate the usefulness and safety ...

OBJECTIVE To measure the impact of a model-based teaching program on resident comfort and skill with retropubic midurethral sling (MUS). STUDY DESIGN Residents were assessed before and after a retropubic MUS teaching session, which included a brief lecture and three interactive teaching stations (cadaver pelvis, retropubic MUS pelvic model, cystoscopy model). Self-assessment measures included...

OBJECTIVE Trocar-site incisional hernias and their complications are reported in 1% to 6% of patients. Such hernias are attributed to the difficulty of applying standard suturing techniques to wound closure. We report our experience with a simple device, the Deschamps ligature needle. METHODS The Deschamps needle has a handle and a tip (sharp or blunt), with an opening to pass suture. The blu...

Infection of the ascitic fluid is a treatable complication which can easily escape diagnosis. The clinical features are recorded in this paper. The use of a special trocar and cannula may reduce the risk of infection after paracentesis.

► We describe a new technique for robotic infrarenal para-aortic lymphadenectomy. ► This technique includes the new robotic trocar insertion sites. ► We perform the complete lymphadenectomy with a single docking procedure. ► This technique is feasible for complete lymphadenectomy in endometrial staging.