BACKGROUND Advancements in technology have allowed laparoscopic surgery to expand into advanced procedures such as liver resection; however, the value and safety of laparoscopic liver surgery is still a topic for debate. This study was designed to evaluate the feasibility and outcome of laparoscopic nonanatomic hepatectomy using the LigaSure device in a swine model. METHODS Nonanatomic hepati...

Surgical treatment is considered to be the best therapeutic modality for third and fourth degree hemorrhoidal disease. Many different methods of hemorrhoidectomy aim to decrease pain and complications. Harmonic scalpel is a device that simultaneously cuts and coagulates soft tissues through ultrasonic vibrations. The aim of this study was to compare the results of Harmonic scalpel hemorrhoidect...

OBJECTIVE To evaluate the pain level, analgesic consumption, operation time, bleeding and early complications after open and closed hemorrhoidectomy using a harmonic scalpel (HS) and classical methods. METHODS Between January 2005 and January 2006, 87 patients with grade III-IV hemorrhoids, admitted in General Surgery Clinic, Gulhane Military Medical Academy, Ankara, Turkey were enrolled in t...

PURPOSE Passive fecal incontinence after hemorrhoidectomy may occur and is socially incapacitating. There has been no effective treatment for passive fecal incontinence caused by internal anal sphincter dysfunction. This case series reviewed the outcome of therapy with injectable silicone biomaterial (PTQ) in patients who had passive fecal incontinence after hemorrhoidectomy. METHODS From 200...

BACKGROUND Cystic duct leakage after cholecystectomy is not uncommon and is a potentially serious complication. The aim of this study was to assess a bipolar sealing system (LigaSure) for closure of the cystic duct. METHODS The records from consecutive laparoscopic cholecystectomies performed in 2 hospitals with closure of the cystic duct with LigaSure after informed consent were recorded and...

We describe the effective use of the bipolar vessel-sealing device: LigaSure for the division of the internal spermatic vessels in a laparoscopic varicocelectomy. A total of 52 males with varicocele (left-side n = 49, and bilateral n = 3) were included in this study. Blunt dissection was used to isolate the packet of spermatic vessels. The packet of spermatic vessels was divided using a bipolar...

BACKGROUND Haemorrhoids are cushions of submucosal vascular tissue located in the anal canal starting just distal to the dentate line. Haemorrhoidal disease is a common anorectal disorder which has symptoms of bleeding, prolapse, pain, thrombosis, mucus discharge, and pruritus. Haemorrhoidectomy is one of most frequently performed anorectal operation worldwide. OBJECTIVES The aim of this stud...

Objective: To compare the outcome of clamp-and-tie with Ligasure technique in total thyroidectomy patients. Material and Methods: A 60 (30 each group) patients undergoing near for benign goiter were included this study. After taking informed consent, demographic data (age, gender, duration goitre, place living BMI) noted. All selected cases be divided into group & B by lottery method. In wa...

BACKGROUND Hemorrhoid surgery is mostly being performed as an inpatient procedure under general or regional anesthesia. However, there was a trend toward performing anorectal surgery in an ambulatory setting utilizing local anesthesia. OBJECTIVE To propose an easy technique of perianal block for ambulatory hemorrhoidectomy. MATERIAL AND METHOD Between January 2004 and June 2007, 61 patients...