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Many surgical procedures have been described for the management of full-thickness rectal prolapse. Currently, the three procedures most frequently used are anterior resection with or without suture rectopexy, transabdominal mesh fixation without resection, and perineal proctosigmoidectomy. Only...
One-hundred-thirty-five laparoscopic inguinal hernia repairs were performed in 110 patients over an 18 month period. In all, 75 indirect, 24 direct, 23 bilateral, 5 scrotal, and 7 recurrent hernias were repaired. Types of repairs included plug only (4%), plug and patch (19%), and large stapled...
A case is presented in which a curved needle became lost during extracorporeal suturing in laparoscopic surgery. Maneuvers to find the needle were fruitless until an intraoperative x-ray showed it was stuck in the flapper mechanism of a laparoscopic cannula. Caution is given against the use of...
Laparoscopic-assisted excision of a solitary cecal ulcer that presented with right lower quadrant pain in a 61-year-old male is described. The patient benefited from complete surgical excision of his disease and he experienced a rapid postoperative recovery similar to that of other laparoscopic...
Cavernous hemangiomas are the most common benign tumor of the liver. A patient presented several hours after sustaining blunt trauma to the abdomen. A CT scan of the abdomen demonstrated blood in the peritoneal space and several cavernous hemangiomas of the liver. Laparoscopy confirmed the liver...
Paraesophageal hernias represent a distinct group of hiatal hernias characterized by their potential for devastating complications. Between 1976 and 1992, a total of 270 surgeries were performed for hiatal hernias at Scripps Clinic, La Jolla, California, of which 33 were pure paraesophageal,...
This study was a post-hoc evaluation of laparoscopic versus open wedge biopsy of the liver performed as part of prospective phase I antibiotic trial. Consenting patients undergoing elective cholecystectomy were enrolled in a protocol which required samples of bile, blood, the gallbladder, and 1...
Subtotal cholecystectomy is a definitive and safe operation to treat diseases of the gallbladder, whenever there are major difficulties in dissection from the liver. Described herein is successful experience with 6 patients using this technique, through the laparoscopic approach. In cases with...
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