In order to understand the term complete mesocolic excision, the knowledge of anatomy is crucial. In the classical literature, mesenteric organ is described as fragmented and discontinuous. Total mesorectal excision (TME) has become the “gold standard” for the surgical management of rectal cancer. In describing it, Heald provided an anatomical basis for surgery. Similar description was needed f...

RATIONALE The incidence of malrotation has been estimated at 1 in 600 live births. An increased incidence of 0,2% has been found in barium swallow studies, whereas autopsy studies estimate that the true incidence may be high as 1% of the total population. The clinical manifestations are elusive; therefore, the diagnosis must be based on the presence or absence of the acute obstruction. Radiolog...

PURPOSE Recent evidence has demonstrated the importance of dissection in the correct tissue plane for the resection of colon cancer. We have previously shown that meticulous mesocolic plane surgery yields better outcomes and that the addition of central vascular ligation produces an oncologically superior specimen compared with standard techniques. We aimed to assess the effect of surgical educ...

AIM To compare the effectiveness of laparoscopic complete mesocolic excision (CME) with central vascular ligation (L-CME) with its open (O-CME) counterpart. METHODS We conducted an electronic search of the PubMed/MEDLINE, Excerpta Medica Database, Web of Science Core Collection, Cochrane Center Register of Controlled Trails, Cochrane Database of Systematic Reviews, SciELO, and Korean Journal ...

Introduction. The aim of this survey was to assess the use spinal anesthesia for abdominal surgery among practitioners in sub-Saharan Africa. Methods. A questionnaire distributed participants at 37th Congress Society Anesthesia-intensive Care Medicine French-Speaking Africa held Cotonou, Benin from November 23 25, 2022. Participants working were selected randomly. most relevant variables evalua...

There has been little enthusiasm for performing robotic colectomy for colon cancer in recent years due to multiple factors, one being that the previous robotic systems such as the da Vinci Si® (dVSi) were poorly designed for multi-quadrant surgery. The new da Vinci Xi® (dVXi) system enables colectomy with central mesocolic excision to be performed easily in a single docking procedure. We develo...

this case is a rare aspect of inguinal hernia. the patient was admitted with a 10-day pain of right groin and a past history of an inguinal hernia which was irreducible at the time of admission. in the operating room, the hernia sac was opened which included a perforated and gangrenous appendix that is called amyand‘s hernia. the patient underwent appendectomy and herniorrhaphy at the same oper...