Numerous studies have reported various laparoscopic techniques since the idea of “minimal invasive access surgery” was introduced in the early 1990s (1). One of them is the transumbilical endoscopic surgery (TUES). TUES is a single-port access (SPA) surgery approach to the umbilicus, an embryologic natural orifice (2). Other names of this technique include SPA surgery, scarless surgery, single-...

PURPOSE We analyzed the smoke plume produced by various energy-based laparoscopic instruments and determined its effect on laparoscopic visibility. MATERIALS AND METHODS The Bipolar Macroforceps, Harmonic Scalpel, Floating Ball, and Monopolar Shears were applied in vitro to porcine psoas muscle. An Aerodynamic Particle Sizer and Electrostatic Classifier provided a size distribution of the plu...

Single incision laparoscopic surgery is used in many centres for routine cases such as appendectomy, splenectomy and cholecystectomy. Morgagni hernias are uncommon and account for 1-2% of all congenital diaphragmatic hernia. We report our first laparoscopic repair of two Morgagni hernias, using a single umbilical incision and full-thickness abdominal wall repair with standard straight laparosco...

Laparoscopy and minimally invasive operative techniques revolutionized abdominal surgery, beginning with the first laparoscopic cholecystectomy in 1987 (Mouret, 1996). Patients, surgeons, and industry alike have promoted the application of these techniques to a wide range of procedures. Smaller incisions and less abdominal wall trauma contribute to improved cosmesis, shorter hospitalizations, l...

As technology advances, the techniques of laparoscopic surgery are being refined and their application is expanding to include many disease processes and organs. The new-generation laparoscopic instruments are becoming smaller (less than 5 mm). Expected advantages include improvements in cosmesis and patient satisfaction, and decreased postoperative analgesic requirements. Non-neoplastic cysts ...

INTRODUCTION The objective of this study is to assess the usefulness of an evaluation system of surgical skills based on motion analysis of laparoscopic instruments. METHOD This system consists of a physical laparoscopic simulator and a tracking and assessment system of technical skills in laparoscopy. Six surgeons with intermediate experience (between 1 and 50 laparoscopic surgeries) and 5 e...

OBJECTIVE To find out safety and feasibility of single incision laparoscopic cholecystectomy (SLIC) using conventional instruments. METHODS This study was conducted at surgical department of LUMHS Jamshoro Pakistan from Jan: 2014 to Dec: 2015. All cases of symptomatic cholelithiasis that consented for laparoscopic surgery were included. The exclusion criteria were acute cholecystitis, acute g...

The aim of this research was to develop a replicated colorectal region for use in laparoscopic instrument innovation. Testing of both surgical skills and laparoscopic surgical instruments takes place in a controlled lab setting. Cadaverous tissue or laparoscopic simulators are the tools of choice for skill testing. However, in the instance of colorectal surgery, porcine intestines remain the go...

Laparoscopic liver resection is gaining popularity because of the availability of new laparoscopic instruments and advanced techniques. Laparoscopic liver mobilization is not only necessary for pure laparoscopic liver resection but also for laparoscopy-assisted hepatectomy. Laparoscopy-assisted hepatectomy significantly reduces the length of the laparotomy incision, and it is a good educational...