UNLABELLED Minimally invasive approach for groin hernia treatment is still controversial, but in the last decade, it tends to become the standard procedure for one day surgery. We present herein the technique of laparoscopic Trans Abdominal Pre Peritoneal approach (TAPP). The surgical technique is presented step-by step;the different procedures key points (e.g. anatomic landmarks recognition, d...

Wound dehiscence is a serious postoperative complication, with an incidence of 0.5-3% after primary closure of a laparotomy incision, and represents an acute mechanical failure of wound healing. Relatively recently the concept of "intentional open abdomen" was described and both clinical entities share common pathophysiological and clinical pathways ("postoperative open abdominal wall"). Althou...

PURPOSE The development of digestice fistulas is a complication of gastrointestinal operations during cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC). In this article we present the incidence, management and outcome of enterocutaneous digestive fistulas after CRS and HIPEC. METHODS Over the past 10 years (2005-2014), 184 patients with peritoneal carcinomatosi...

ported to cause perforation in a small number of cases [1,2]. Of these, only one case, in which the perforation occurred below the peritoneal reflection, was repaired endoscopically [2]. We report a case of perforation above the peritoneal reflection upon colonoscope retroflexion with endoscopic closure in a healthy colon. A 73-year-old man with a history of hypertension and coronary artery dis...

Animal models for adhesion induction are heterogeneous and often poorly described. We compare and discuss different models to induce peritoneal adhesions in a randomized, experimental in vivo animal study with 72 female Wistar rats. Six different standardized techniques for peritoneal trauma were used: brushing of peritoneal sidewall and uterine horns (group 1), brushing of parietal peritoneum ...

fice Transluminal Endoscopic Surgery (NOTES) in 2004 research interest has grown steadily [1 ±2]. It seems feasible that endoscopic surgery might be per− formed via a transgastric, transvaginal, or transcolonic route of access to the peri− toneal cavity [2± 4]. There is consensus on the criticality of a secure closure fol− lowing NOTES procedures [2 ±4]. By means of endoscopic full−thickness pl...

We present the case of a 33-year-old female who presented intestinal obstruction at the 7th month of pregnancy. She was complaining of abdominal pain with paroxysms, nausea and vomiting. When the symptoms worsened, we performed a CT-scan, which revealed suspected intestinal obstruction in a context of intestinal malrotation (IM). Conservative therapy failed and she required emergency laparotomy...

Our personal experience in the management of the pelviperineal space, after proctectomy for cancer, with three different approaches is, retrospectively analyzed, attempting to define the most effective one (Jan. 1973 to Oct. 1982). Until June 1978 twenty five patients (Group A) underwent what we designate as Technique I (suturing the pelvic peritoneal layer and packing the pelviperineal wound o...

Background: Hernia surgeries are among the most frequently carried out surgical procedures. Minimal recurrence rates, great patient comfort, rapid return to work, and low cost should all be characteristics of optimal hernia treatment method. Objective this study was investigate whether tacker suture materials used for peritoneal closure after mesh placement in laparoscopic TAPP inguinal repair ...