Background: Conventional multiport laparoscopic colectomy has proven to be an effective and safe procedure in expert hands. Aiming at further decrease in surgical trauma and to improve the overall outcomes, Single Incision Laparoscopic Surgery (SILS) has emerged in the field of colorectal surgery. Patients and Methods: This prospective randomized controlled trial was conducted on 34 patients in...

The treatment of bilateral inguinal hernias using totally extraperitoneal laparoscopy is usually done with general anaesthesia. The objective of this article is to evaluate the regional anaesthesia technique in extraperitoneal laparoscopic surgery for treating bilateral inguinal hernias in an outpatient surgery unit. Prospective clinical study of 30 patients with uncomplicated bilateral inguina...

A 74-year-old manwas admitted with abdominal discomfort, fever and chills in the previous 2 weeks. Physical examination revealed a vague Murphys’ sign on abdominal palpation. Abdominal ultrasonography demonstrated a distended gallbladder and acute cholecystitis was initially diagnosed. He underwent a laparoscopy and multiple caseous nodules over the peritoneal cavity were found. Histopathologic...

Erythropoietic protoporphyria (EPP) is an inherited defect in haem synthesis causing dangerous phototoxic reactions following exposure to wavelengths of light around 400nm. It can cause catastrophic post-operative complications following open surgery, in which environment various safety measures are now routinely employed. The dangers at laparoscopy have never been discussed in the literature, ...

We present a case of a 63-year-old male who had travelled from South India to United Kingdom (UK) visiting relatives. He had developed episodes of diarrhea, vomiting and fevers while travelling and on assessment in hospital, mild abdominal distension was noted with rapid deterioration to hypovolemic shock. Initial blood test showed a low platelet count with deranged liver function tests (LFTs)....

OBJECTIVE To analyse factors associated with a ureteric injury. DESIGN Retrospective accident analysis. SETTING Deep endometriosis surgery in a tertiary referral centre. SAMPLE Video recording of a surgical accident was analysed by six gynaecologists. METHODS A 26-year-old woman underwent laparoscopy for deep endometriosis that involves the rectosigmoid and left ureter. Post operatively...

introduction: in a prospective blind study, we evaluated sonohysterography (shg) as a diagnostic tool for uterine cavity and tubal patency and compare shg with laparoscopy in tubal patency and hysterosalpyngography for uterine anomaly as gold standard methods. material and methods: 76 infertile patients undergone shg and hsg and laparoscopy and comparison between the different diagnostic techni...

OBJECTIVE To describe clinical and epidemiological aspects of patients with pelvic endometriosis who underwent laparoscopy at our service. METHODS Retrospective study of 892 post-laparoscopy patients with histologically confirmed diagnosis of endometriosis. RESULTS Mean age was 33.2 ± 6.3 years, and 78.7% of patients were Caucasian. We found that 76.9% of women in the sample had a higher ed...