Renal artery aneurysms involving segmental branches pose a technical challenge in repair. Both endovascular and open repair techniques have been described. This case illustrates the clinical presentation of patient with symptomatic renal aneurysm thromboembolic infarction managed laparoscopic nephrectomy, ex-vivo resection, reconstruction, autotransplantation.

Laparoscopic repair of perforated duodenal ulcers is safe and effective in centers with experience and increasingly performed by laparoscopic surgeons. However, the role of laparoscopy for the management of large duodenal perforations (>1 cm) is unclear. To date, no experience has been reported with emergency laparoscopic repair of large perforations for gastroduodenal ulcers. The commonest rea...

iatrogenic perforation of the colon during elective colonoscopy is a serious complication. surgical treatment remains the standard of care. we report a patient with a large colonic perforation that occurred during a screening colonoscopy, successfully repaired with laparoscopic methods. although the safety and efficacy of this approach is not entirely established, laparoscopy can be used to tre...

The safest and most effective inguinal hernia repair (laparoscopic versus open mesh) is being debated. As the authors point out, the former accounts for the minority of hernia repairs performed in the United States and around the world. The reasons for this are a demonstration in the literature of increased operative times, increased costs, and a longer learning curve. But the laparoscopic appr...

A parastomal hernia is the most common surgical complication following stoma formation. As the field of laparoscopic surgery advances, different laparoscopic approaches to repair of parastomal hernias have been developed. Recently, the Sugarbaker technique has been reported to have lower recurrence rates compared to keyhole techniques. As far as we know, the Sugarbaker technique has not yet bee...

BACKGROUND As new approaches to herniorrhaphy are popularized, new complications are being encountered. Pneumomediastinum is one such complication. METHODS We present a patient who developed pneumomediastinum after an elective bilateral preperitoneal laparoscopic hernia repair. RESULTS The patient was observed and discharged 24 hours later with no permanent sequelae. CONCLUSION Pneumomedi...

Paraesophageal hiatus hernia (PEHH) is an uncommon type of diaphragmatic hernia in the pediatric age group. Two patients aged 5-months and 8-months presented with respiratory symptoms and underwent a laparoscopic repair. Preoperative assessment included chest x-ray and CT scan. We suggest that laparoscopic repair of PEHH in infants is safe and preferred mode of the treatment.

associated with elective and emergent laparoscopic totally extraperitoneal (TEP) and transabdominal preperitoneal (TAPP) procedures. Laparoscopic repair of large primary or recurrent Spigelian hernias may require mesh or fascia lata graft repair; however, patients with small Spigelian hernias (≤ 2 cm) can benefit from a simple, laparoscopy-assisted transfacial suturing technique that avoids mes...

Repair of inguinal hernia is one of the commonest surgical procedures worldwide. Since the era of tension free repair using synthetic mesh, the basic tenets of hernia repair has changed little. Currently there are two methods of mesh placement: open method or laparoscopic method. Although a number of clinical studies have explored the potential benefits and drawbacks of open and laparoscopic re...