Laparoscopic English Blog | लैप्रोस्कोपिक हिंदी ब्लॉग | المنظار العربية المدونة

June 16th, 2016

Endometriosis surgery is usually recommended for women who do not respond to other forms of treatment. The most common form of treatment for endometriosis drugs are used to control the level of hormones and estrogen in a woman's body. Regulate the number of estrogen has a controlling effect on the growth of endometrial tissue.

The use of hormonal drugs is not always desirable to stop the growth of endometriosis affect. In some women, these drugs can cause unwanted or are contraindicated in young lady that are trying to comprehend side effects. Many women manage their symptoms by using the counter medications for pain, and some have found to change your diet and lifestyle (healthy living and exercise) may also be useful.
  When drug treatments and lifestyle changes do not work more women turning to surgery to relieve the symptoms ...   Read more...
June 15th, 2016


Indications for laparoscopic surgery during Pregnancy

The field of laparoscopic general surgery has exploded since the first laparoscopic cholecystectomy was found performed in the late 1980s.Initially, pregnancy was considered an absolute contraindication to laparoscopic surgery. Recent clinical reports have demonstrated the feasibility, advantages, and potential safety of laparoscopic cholecystectomy in the pregnant patient. However, concerns about the effects of a carbon dioxide (co2) pneumoperitoneum on mother and fetus persist, resulting in controversy and concern.
  Nongynecologic surgery is required in 0.2% of all pregnancies.
  1. The safest time to operate on the pregnant patient is during the second trimester ...   Read more...
June 14th, 2016

Stump appendicitis is a rare complication reported both after laparoscopic and open appendectomy Diagnosis of the condition is usually delayed because of previous history of appendectomy and adequate clinical vigilance on part of treating surgeon is required. It results from  incomplete appendectomy .

Stump appendicitis is inflammation of residual appendix after appendectomy and has reported incidence of 1 in 50,000  . We report a case of 20 yr old male who underwent open appendectomy 7 yr back now presented with features of abdominal wall abscess . Patient was diagnosed with stump appendicitis and  laparoscopic completion appendectomy was done.   Keywords – stump appendicitis , incomplete appendectomy, completion appendectomy   Stump appendicitis is inflammation of residual ...   Read more...
June 14th, 2016

Female genitourinary prolapse is a common gynecological disorder with varying severity. Women often have vaginal result with a combination of other symptoms (for example, urine, feces and sex). Surgery is the main treatment, but the pathogenesis is not understood. Prolapse is defined as a protrusion of organs or structures above normal anatomical boundaries. The term agreed the most suitable international female urogenital prolapse is female pelvic organ prolapse sex (POP). Recent demographic studies have shown that the prevalence of any degree of POP in women varies around the age of 20 years and 54 years is 31 percent, two percent were considered serious enough to warrant surgical treatment of prolapse, In addition, it is estimated that every woman has a lifetime risk 11 percent suffer an operation prolapse and incontinence.

Treatment of ...   Read more...
June 14th, 2016

Asherman Syndrome or syndrome Fritsch, is a disorder characterized by adhesion and / or fibrosis of the endometrium, but in precise can also touch the myometrium. It is often related together dilation and curettage of intrauterine cavity. Many other terms used to describe the condition and related conditions, including: Intrauterine adhesions, uterine / cervical atresia, traumatic atrophy of the uterus, endometrial sclera, multiple adhesions and endometrial aspiration. The condition was first defined in 1894 by Heinrich Fritsch and is also characterized by an Israeli gynecologist Joseph Asherman in 1948. It is also identified as Fritsch syndrome, or Asherman's syndrome-Fritsch.

Causes and characteristics
The uterine cavity is lined by the endometrium. This coating comprises two layers, the functional layer (adjacent ...   Read more...
June 12th, 2016


It was considered a major breakthrough in the field of bariatric surgery and could soon become one of the best decisions for nominally invasive operation for patients who are obese. Single Incision laparoscopic Surgery is an innovative procedure whereby the doctor uses a single incision to insert the camera and the tools to carry out bariatric surgery procedure. Single-Port Laparoscopic (SPL) is also known as Single Port Access Surgery (SPA), the Single-Port Incisionless Convensional Equipment-utilizing Surgery (SPICES), Single-Incision Laparoscopic Surgery (SILS) Single-Access Endoscopic Surgery (SAES) Laparo-Endoscopic Single-site Surgery (LESS), One-Port Umbilical Surgery (OPUS) and Natural-Orifice Transumbilical Surgery (NOTUS), is a recently developed laparoscopic technique. It is a minor invasive surgical process in which the surgeon operates nearly all through a ...   Read more...
June 11th, 2016

 A Natural Orifice Transluminal Endoscopic Surgery is an experimental surgical technique in which abdominal operations "scarless" may be performed with an endoscope passes through a natural orifice (mouth, urethra, anus, etc.), then through an internal incision in the stomach, vagina, bladder or colon, thus avoiding external incisions or scars. This technique was used for diagnostic and therapeutic procedures in animal models, including Transgastric (through the stomach), the removal of organs. More recently, the transvesical and transcolonic approaches have been advocated by some researchers as more suitable for access to the upper abdominal structures that are often more difficult to work with using a Transgastric approach. In this sequence, a group of Portugal used Transgastric with Transvesical combined approach to ...   Read more...
June 11th, 2016

Laparoscopic hernia repair may be performed for the same indications as conventional (anterior) repair. The role of laparoscopic inguinal hernia repair in treatment of an uncomplicated, unilateral hernia is unresolved. Large, randomized, prospective trials will be needed to definitively settle the question of whether the added risks and cost are worth the benefits. Recurrent hernia. Laparoscopic repair is a logical choice for patients with recurrent inguinal hernias. Conventional repair for recurrent hernia is Technically difficult because of scar tissue and distorted anatomy.it carries a failure rate as high as 30% in some series. The laparoscopic approach allows the repair to be performed through healthy tissue and may achieve a lower failure rate.   Bilateral hernias. Bilateral hernias can be repaired ...   Read more...
June 10th, 2016


The main challenge facing the laparoscopic surgery is the primary abdominal access, as it is usually a blind procedure associated with vascular and visceral injuries.  Complications associated with laparoscopy are often related to entry. The life-threatening complications include injury to the bowel, bladder, major abdominal vessels, and anterior abdominal-wall vessel. Other less serious complications can also occur, such as post-operative infection, subcutaneous emphysema and extraperitoneal insufflation. There is no clear consensus as to the optimal method of entry into the peritoneal cavity. It has been proved from studies that 50% of laparoscopic major complications occur prior to the commencement of the surgery. The surgeon must have adequate training and experience in laparoscopic robotic  surgery before intending to perform any procedure independently. ...   Read more...
June 10th, 2016


Patient preparation, position, and room setup:   Preoperative evaluation should include verification of gallstones and assessment of common duct size by ultrasound, as, well as liver function tests. An electrocardiogram (or even specialized cardiac tests) may be prudent to exclude the rare patient in whom cardiac ischemia masquerades as biliary colic. Serum   amylase and lipase to exclude acute pancreatitis are ordered selectively. The operating table should be compatible with any radiographic equipment used for cholangiography, even if the routine use of this modality is not planned. Position the patient supine on the operating table. the arms may be extended, or may be tucked at the side. tucking the right arm facilitates intraoperative   cholangiography, since there is less impediment to positioning the c-arm. The ...   Read more...
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