Shock and coma developed suddenly in a 54-year-old male undergoing irrigation of an infected and fistulous herniorrhaphy wound with 3% hydrogen peroxide (H202). Marked ST elevation was seen in almost all electrocardiogram (ECG) leads. Within one hour the patient recovered completely, and the ECG returned to normal. The mechanism of this occurrence was most likely widespread embolization of oxyg...

BACKGROUND AND OBJECTIVE Animal studies using open surgical models indicate that collagen solder is capable of fixation of surgical meshes without interfering with tissue integration, increasing adhesions, or increasing inflammation intraperitoneally. This study describes development of instrumentation and techniques for laparoscopic herniorrhaphy using laser-assisted soldering technology. ST...

W hile the laparoscopic approach to surgery is not new, its application has expanded tremendously within the past decade. Initially used as early as 1937 for gynecological procedures, it now is also a preferred method of approach in many general, urologic, and thoracic procedures. Examples of these procedures include tubal ligation, chromopertubation study, cholecystectomy, esophageal fundoplic...

Purpose: To determine factors associated with patient disposition status other than discharge to their customary residence (DCR) after elective, ambulatory inguinal hernia repair (IHR). Materials and methods: N= 7953 patients who underwent IHR were identified in the National Survey of Ambulatory Surgery (NSAS). Disposition status was examined by age, sex, race, type of anesthetic, anesthesia pr...

BACKGROUND Laparoendoscopic single-site surgery (LESS) offers cosmetic benefits and may represent further progress towards reducing the invasiveness of surgical interventions. We report our initial experience with LESS totally extraperitoneal (TEP) inguinal herniorrhaphy. MATERIALS AND METHODS Beginning March 2009, we transitioned from a multiport laparoscopic TEP (MLH) technique to a single-...