The 5 mm trocar-site hernia are very rare complication of laparoscopic surgery and surgeons usually avoid fascial closure at trocar-site. We show a case anterior rectomeshplasty with early omental herniation through surgical repair, as well an advice on whether or not to undertake the

background the number of laparoscopic procedures done each year continues to rise substantially. clinically significant hemorrhage from secondary port sites at laparoscopy is an uncommon but serious complication and can become unrecognized intraoperatively. abdominal wall hemorrhage and bruising may complicate laparoscopic operative procedures. methods we propose an easy technical gesture to st...

Laparoscopic surgery is a minimally invasive surgery that accelerates postoperative recovery, but it can only be performed by surgeons with advanced surgical skills. One of the main difficulties in laparoscopic surgery is restriction of free motion of the forceps because of limited degrees of freedom by the trocar. Recently, many master–slave manipulators with a remote center-of-motion mechanis...

The valveless trocar system is a novel insufflator that circulates carbon dioxide in the abdominal cavity. Herein, we report an infant with severe hypothermia due to use of this insufflator. An 83-day-old infant (body weight 3862 g) with gastroesophageal reflux underwent laparoscopic Nissen fundoplication. After insufflation was initiated, his body temperature acutely dropped to 34.4 °C. Standa...

Laparoscopic surgery is the modality of choice in the surgical treatment of colorectal malignancies. The reported incidence of trocar site hernias is 0.65-2.80% with conventional cutting-tip trocars, and this risk increases with the diameter of the trocar. Newer bladeless, blunt-tipped trocars effectively mitigate this risk, and routine fascial closure has been generally deemed unnecessary. We ...

A standard 23-gauge or 25-gauge valved trocar is positioned externally next to the sclera at an area corresponding to the most elevated retina. During internal visualization, the trocar is advanced at an angle of 15°, penetrating the sclera and the choroid, and entering the subretinal space (Figure 2). Once it has been visually confirmed that the cannula entered the subretinal space, the trocar...