A new procedure is described for the correction of stress urinary incontinence caused by hypermobility of the urethrovesical junction using an extraperitoneal laparoscopic approach with the use of a new needle. There has been no previous publication of this approach. The initial study shows that this procedure offers technical advantages over the existing procedures and requires short hospitali...

We experienced an extremely rare complication during performance of laparoscopic totally extraperitoneal (TEP) inguinal hernia repair for a 57-year-old healthy man. About 50 minutes after CO(2) insufflation, the patient developed tachycardia, hypoxemia, hypercapnia and an increased airway pressure. Right pneumothorax with subcutaneous emphysema was recognized on the emergency chest X-ray and th...

Spontaneous extraperitoneal “rupture” of the rectum is an extremely rare event not previously documented in the literature. We report the case of a 70 year-old lady who presented with intense lower abdominal pain. No predisposing or provoking factors were found in our patient despite detailed questioning apart from chronic constipation. A sudden increase of intraabdominal pressure was presumed ...

INTRODUCTION Urinary bladder rupture following blunt abdominal trauma is frequently encountered in multiple trauma patients with pelvic-ring fractures.(1-3) Rupture of the bladder can be extraperitoneal (50%-71%), intraperitoneal (25%-43%) or combined (7%-14%). (4,5) Conventionally, this injury has been managed with explorative laparotomy and repair. We report a case of a 30 years old woman dia...

Endometriosis is defined as the presence of endometrial glands and stroma in another places of the female body than the uterine cavity. Despite of being a relatively common disease it still remains a diagnostic and therapeutic enigma, mainly thanks to its variable presentations. When endometriosis is localized intraperitoneally, the major problem in young women is involuntary sterility, whereas...

Lumbar hernias, rarely seen in clinical practice, can be acquired after open or laparoscopic flank surgery. We describe a successful laparoscopic preperitoneal mesh repair of multiple trocar-site hernias after extraperitoneal nephrectomy. All the key steps including creating a peritoneal flap, reducing the hernia contents, and fixation of the mesh are described. A review of the literature on th...