Intra-abdominal adhesions are a common complication of abdominal surgery and can lead to further complications including bowel obstruction, infertility, and pain. We describe a novel technique of performing transvaginal laparoscopic lysis of adhesions following a total vaginal hysterectomy in a 41-year-old woman with periumbilical pain and menorrhagia. This natural orifice transluminal endoscop...

This paper deals with the development of a special 3+1 Degrees of Freedom (DOFs) end effector used to control the standard laparoscopic instrumentation’s positioning and actuation during laparoscopic surgery. Nowadays, the robotic system da Vinci is the most used robot in the laparoscopic surgery field. The cost of this Robot is very high, which limits its spread in hospitals. Moreover, this ro...

BACKGROUND AND OBJECTIVES Specially designed surgical instruments have been developed for single-incision laparoscopic surgery, but high instrument costs may impede the implementation of these procedures. The aim of this study was to compare the cost of operative implements used for elective cholecystectomy performed as conventional laparoscopic 4-port cholecystectomy or as single-incision lapa...

INTRODUCTION As attending surgeons' comfort with single-incision laparoscopic surgery (SILS) grows, and with continued improvement in surgical instruments, advanced laparoscopic techniques are increasingly being incorporated into surgical training. The aim of our study was to evaluate resident performance and patient outcomes in patients undergoing resident-performed SILS versus a resident-perf...

Background: Single incision laparoscopic surgery (SILS) is an evolving field. Specially designed ports required for SILS are expensive, making this technique unaffordable to many. To overcome this drawback, the use of conventional affordable instruments for SILS was encouraged. We present our case series of SILS with conventional instruments in a tertiary care centre. Methods: This is a single ...

In order to enable the standard set-up used in the training and the practice of minimally invasive surgery procedures to be more immersive, it is necessary to design and develop an interactive surgeon computer interface. In this paradigm, visual tracking of the surgical instrument takes the center stage in design of such an interface. In this paper, we present a novel 3D visual tracking system ...

A 63-year-old woman presented with acute right-flank pain and left-flank pain. Computed tomography identified a right ureter stone and a left renal cyst. The patient underwent concomitant laparoendoscopic single-site surgery (LESS) for ureterolithotomy and renal cyst marsupialization with the use of an Alexis® wound retractor, which was inserted through the umbilical incision. Flexible laparosc...

Breakage of instruments during laparoscopic surgery is rare. However, when it does occur, locating and retrieving the broken part of the instrument can be cumbersome. Moreover, inability to do so may carry serious medicolegal implications. We report a patient in whom the tip of a fascial closure device broke during laparoscopic surgery. This was located by intraoperative fluoroscopy and retriev...

BACKGROUND One of the most common problems faced in laparoscopic treatment of hydatid cysts is the difficulty in evacuating the particulate contents (daughter cysts and laminated membrane). Although various instruments and laparoscopic techniques have been described to evacuate the contents of hydatid cysts, most are not available at many surgical centers. METHODS By assembling disposable, ch...