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Topic: Laparoscopically


In the News (Sat 25 May 13)

  
  Chapter 3 - Laparoscopic approach of inflammatory bowel disease
Laparoscopic mobilization of the colon with division of the mesentery may have important advantages with better recovery and cosmetic outcome in a commonly young group of patients for whom surgery signifies an important obstacle.
Laparoscopic mobilization of the whole colon with division of its mesentery is feasible and may have important advantages such as a smoother recovery but especially a better cosmetic result, an important consideration for a young group of patients in whom conventional surgery signifies an important obstacle [2-4].
Laparoscopic mobilization of the flexures, and rest of the colon and rectum is possible along with division of its mesentery [3].
www.utn.nl /boeken/eijsbouts/Chapter3.htm   (6243 words)

  
 Laparoscopic assisted gastrectomy.
In their report of 49 laparoscopically assisted gastrectomies, the depth of invasion was underestimated in five patients, three of whom had positive perigastric nodes.
A surgical technique for laparoscopic gastrectomy with lymph node dissection and reconstruction using a conventional circular stapler is reported (13).
In performing a laparoscopic local resection, concomitant intraoperative endoscopic confirmation is necessary to help identify the location of the lesion and to confirm adequate surgical margins to prevent incomplete resections (14, 28, 29).
www.geocities.com /surgoncnet/LAG.htm   (2742 words)

  
 Laparoscopic Surgery - Patients - American College of Gastroenterology
Laparoscopic surgery refers to a special technique by which the surgeon performs the surgery through several small holes in the abdomen with the aid of a camera.
For conditions of the small intestine, laparoscopic surgery may be performed to repair hernias, perforations (ruptures of the wall), and remove short segments of the intestine that contain tumors or focal areas of active inflammatory bowel disease.
Laparoscopic surgery of hernias provides the surgeon the opportunity to repair the weak muscle wall so the tissue cannot be trapped and allows earlier return to normal activities.
www.acg.gi.org /patients/gihealth/ls.asp   (1314 words)

  
 BioMed Central | Full text | Totally laparoscopic versus conventional ileoanal pouch procedure - design of a ...
After having shown the technical feasibility of the totally laparoscopic procedure and having overcome the learning curve in 50 patients, a randomised controlled study with the current laparoscopic technique in comparison to the traditional method is now crucial in order to define the future role of the new approach.
In a recent published meta-analysis [21] on "short-term outcomes of laparoscopic versus open approaches to ileal pouch surgery" blood loss was estimated to be 84 ml less in the minimal invasive group supporting the results from our own series and the use of blood loss as a surrogate end point.
In the case of laparoscopic restorative proctocolectomy, the number of surgeons performing this procedure is limited and obviously these surgeons know the potential advantages and disadvantages of the different surgical techniques and cannot be blinded to the procedure they are performing.
www.biomedcentral.com /1471-2482/6/13   (4744 words)

  
 Laparoscopically assisted vaginal hysterectomy   (Site not responding. Last check: 2007-10-10)
A laparoscope (a tiny telescope) connected to a camera is inserted through the trocar, allowing the surgeon to view a magnified image of the patient's internal organs on a video monitor.
Laparoscopy was pioneered by gynecologists in the early 1960s, and has been widely used in a range of procedures, including tubal ligation, the removal of ovaries and fibroids (benign fibrous tumors of the uterus), and the treatment of tubal pregnancies.
If you're concerned that laparoscopic hysterectomy is relatively new, remember that gynecologic surgeons have been using laparoscopy for the past three decades.
www.upmc.edu /minsurg/LAVH.htm   (535 words)

  
 Removing Uterine Fibroids Laparoscopically
Laparoscopic coagulation uses the Nd:YAG laser or bipolar needles (Reznik Instrument Co., Skokie, Ill., and J.E.M. Davis, Hicksville, N.Y.) to degrade myometrial stroma, denature protein, destroy vascularity, and substantially shrink fibroids.
Laparoscopic myomectomy is a relatively new technique that treats symptomatic fibroids and avoids the complications associated with laparotomy and hysterectomy.
When fertility is an issue, we restrict laparoscopic myomectomy to pedunculated and superficial serosal fibroids, and those in which the uterine cavity is not compressed.
www.obgyn.net /ah/articles/removing_fibroids_Goldfarb.htm   (2434 words)

  
 Chapter 7 - Laparoscopic rectosigmoid colpopoiesis
Laparoscopically assisted surgery is gaining widespread acceptance as scarring and invasiveness can be minimized and, hence, laparoscopic appendectomies, cholecystectomies and groin hernia repairs have become commonplace [5-7].
Laparoscopic cholecystectomies and hernia repairs have taught us that much of the morbidity following an abdominal operation is related to the incision and [16] hence, we should strive for minimal scarring.
For a laparoscopic rectosigmoid colpopoiesis, the perineal reconstructive team is dependent on a well-experienced abdominal team of nurses and surgeons performing the laparoscopic part.
www.utn.nl /boeken/eijsbouts/Chapter7.htm   (3219 words)

  
 Laparoscopically Assisted Vaginal Hysterectomy: A Gimmick or An Advance?
Objective: To evaluate the laparoscopically assisted vaginal hysterectomy (LAVH) in terms of indications, uterine size that can be operated upon, surgical procedures and their safety, intraoperative complications and blood loss, operative time, concomitant surgical procedures, postoperative period and complications, and average total cost.
Two cases had to be switched from laparoscopic to laparotomy procedure due to bleeding from the uterine artery in one case and from the infundibulopelvic ligament in the other.
Two cases had to be switched from laparoscopic to laparotomy procedure due to bleeding from the uterine artery, in one case, and from the infundibulopelvic ligament in the other case.
www.gfmer.ch /International_activities_En/El_Mowafi/LAVH.htm   (2444 words)

  
 LAPAROSCOPIC COLECTOMY: AN UPDATE
Detailed reports of surgeons' experiences with laparoscopic colectomy have only recently been published and continue to be disseminated by a handful of experts, many of whom have themselves only been using the techniques for the past five years or so.
Perhaps the greatest controversy in the debate over laparoscopic colon procedures is the fear that, with the techniques still in their infancy, it is impossible to assert their safety for curative cancer operations.
LAPAROSCOPIC COLECTOMY - Laparoscopic removal of a part of the colon for diverticulitis, colon cancer, rectal cancer, colorectal cancer, Crohn's Disease, Chronic Ulcerative Colitis, rectal prolapse, volvulus, sigmoid volvulus, cecal volvulus or constipation.
www.lapsurgery.com /Lif_cole.htm   (4042 words)

  
 UT Medical Group, Inc. - Web Chat on Laparoscopic - Minimally Invasive Surgery
Laparoscopic surgery differs from normal surgery by the small incisions.
Madan: A gastric bypass is for morbid obesity.
Q: In your interview you indicated that laparoscopic surgery was used for abdominal surgery.
www.utmedicalgroup.com /pages/webchat_laparoscopy.html   (1407 words)

  
 Laparoscopic surgery - Wikipedia, the free encyclopedia
Laparoscopic surgery, also called minimally invasive surgery (MIS), bandaid surgery, or keyhole surgery, is a modern surgical technique in which operations in the abdomen (Abdomen is Latin for belly) are performed through small incisions (usually 0.5 - 1.5 cm) as compared to larger incisions needed in traditional surgical procedures.
The key element in laparoscopic surgery is the use of a laparoscope: a telescopic rod lens system, that is usually connected to a videocamera (single chip or three chip).
Eight studies of laparoscopic surgery and open surgery showed that the rate of not removing all of the cancer was similar.
en.wikipedia.org /wiki/Laparoscopic_surgery   (1070 words)

  
 gynlaparoscopy.com
This may be secondary to unexpected complications or because the surgery cannot be safely performed with a laparoscopic approach.
A laparoscopic biopsy is required to diagnose endometriosis.
This usually can be performed using special laparoscopic instruments but infrequently a small ("mini") pfannensteil ("bikini") incision is made to repair the uterus.
www.gynlaparoscopy.com /faq.htm   (1742 words)

  
 DoctorFarmer.com - Obstetrics - Gynecology - Infertility - Laparoscopic Supracervical Hysterectomy!   (Site not responding. Last check: 2007-10-10)
Depending on a number of factors, such as the age and medical history of the woman, total abdominal hysterectomy may involve the removal of the uterus and cervix -- with or without the removal of the ovaries or fallopian tubes -- through a large abdominal incision.
Another new surgical option is laparoscopic supra hysterectomy (LSH), a method using the laparoscopic procedure alone to remove a woman's uterus while preserving her cervix.
In a study of 20 women who experienced laparoscopic supracervical hysterectomy, the average postoperative hospital stay was less than 24 hours.
www.doctorfarmer.com /hysterectomy   (1415 words)

  
 Laparoscopic colectomy for cancer - Mark Fusco MD
Concern that this approach would compromise survival by failing to achieve a proper oncologic resection or adequate staging or by altering patterns of recurrence (based on frequent reports of tumor recurrences within surgical wounds) prompted a controlled trial evaluation.
Results At three years, the rates of recurrence were similar in the two groups — 16 percent among patients in the group that underwent laparoscopically assisted surgery and 18 percent among patients in the open-colectomy group (two-sided P=0.32; hazard ratio for recurrence, 0.86; 95 percent confidence interval, 0.63 to 1.17).
Conclusions In this multi-institutional study, the rates of recurrent cancer were similar after laparoscopically assisted colectomy and open colectomy, suggesting that the laparoscopic approach is an acceptable alternative to open surgery for colon cancer.
www.markfuscomd.com /lap_colon_ca.htm   (326 words)

  
 Elective laparoscopically assisted sigmoidectomy for the sigmoid volvulus.
Briefly, the redundant sigmoid colon is totally mobilized by a laparoscopic medial-to-lateral dissection sequence, after which it is exteriorized, transected, and reconstructed by end-to-end anastomosis.
In this context, the laparoscopic approach competed with the minilaparotomy method in terms of adequate sigmoid resection, lysis of mesosigmoid adhesion, and tension-free colorectal anastomosis.
CONCLUSION: Considering that patients with sigmoid volvulus often are elderly and chronically ill, laparoscopic elective surgery after a successful colonoscopic decompression may be a good choice for a selected group of patients in terms of minimized surgical complications and quick convalescence.
www.heartzine.com /pmdisplay.php?pmid=17024540   (723 words)

  
 Laparoscopic Anti-reflux Surgery - New Treatments, January 2, 2007
In fact, those indications have all been approached laparoscopically but the patient who has massive obesity might not even be a candidate for surgery.
They have a PCA pump for pain control for 12 to 24 hours and their pain is not in the incision usually, but is in the chest.
They complain of crushing pain in the chest because of the dissection and they complain of pain in their shoulder because of laparoscopic over-distention of the diaphragm by gas.
www.ccspublishing.com /journals5a/laparoscopic_antireflux_surgery.htm   (661 words)

  
 General Surgery FAQ
A general anesthetic is required for almost all cases of elective laparoscopic surgery.
For many diseases in the abdomen requiring surgery, a high percentage of cases can be done laparoscopically.
For some types of surgery the incidence of complications, such as infection in the incision, is reduced with laparoscopic surgery.
www.nyp.org /masc/faq_general.htm   (246 words)

  
 Endometriosis Abstracts
Recent advances in laparoscopic surgery have enabled the gynecologic surgeon to treat an increased number of diseases of the reproductive organs by using the laser through the laparoscope.
Vaporization and excision of endometriotic implants and nodules, ureterolysis, ureteric stents, laparoscopic anterior rectal wall resection and reanastomosis, presacral neurectomy, laparoscopic hysterectomy, salpingo-oophorectomy and appendicectomy using the CO2 laser.
A laparoscopic hysterectomy and bilateral salpingo-oophorectomy was performed on a 42-year-old patient with pelvic pain and long-standing endometriosis.
www.nezhat.com /endo_abst.htm   (4159 words)

  
 Minimally Invasive Surgery   (Site not responding. Last check: 2007-10-10)
This involves the sampling of pelvic lymph nodes laparoscopically through 3-4 small 0.25-0.5 inch incisions for the diagnosis and staging of prostate and bladder cancer.
This laparoscopic technique is used to reposition the vagina in women with pelvic floor weakness and prolapse.
This minimally invasive laparoscopic technique is used to correct obstruction or scarring at the ureteral pelvic junction with excellent results and rapid recovery.
www.medschool.northwestern.edu /depts/urology/patient/medserv/mis.html   (531 words)

  
 SAGES Publication: Patient Information for Laparoscopic Gall Bladder Removal (Cholecystectomy) from SAGES
A laparoscope (a tiny telescope) connected to a special camera is inserted through the cannula, giving the surgeon a magnified view of the patient's internal organs on a television screen.
When the surgeon feels that it is safest to convert the laparoscopic procedure to an open one, this is not a complication, but rather sound surgical judgment.
Numerous medical studies show that the complication rate for laparoscopic gallbladder surgery is comparable to the complication rate for open gallbladder surgery when performed by a properly trained surgeon.
www.sages.org /sagespublication.php?doc=PI11   (1513 words)

  
 Baylor Health Care System: Laparoscopically assisted colon surgery
We reviewed the charts of all 17 patients who had laparoscopic colon operations since 1995--the year we began recommending the laparoscopic approach to all patients who were having colon operations unless they had contraindications to laparoscopy, such as dense adhesions.
The use of the laparoscopic approach for colectomy is ideally suited for benign disease.
While we believe that laparoscopic colectomy is appropriate for many cancers, currently we reserve the procedure for small cancers in polyps or cancers that have metastasized.
www.baylorhealth.edu /proceedings/13_3/13_3_vanderpool.html   (1509 words)

  
 Laparoscopic Myomectomy for Removal of Uterine Fibroids   (Site not responding. Last check: 2007-10-10)
Although there have been successful pregnancies after laparoscopic removal of deep or multiple myomas, the real question is whether or not the uterus can be repaired as well through the laparoscope as can be done through an abdominal myomectomy.
The advantage of a laparoscopic myomectomy over an abdominal myomectomy is that several small incisions are used rather than one larger incision.
It is important to understand that even a laparoscopic myomectomy is real surgery, and often requires several weeks of recovery.
www.myomectomy.net /laparoscopic_myomectomy.htm   (431 words)

  
 AI/Semen
Laparoscopic AI uses a laparoscopic-surgical approach to injecting the semen through punctures made in the abdomen directly into the uterus.
However, for laparoscopic AI, on farm insemination greatly increases costs and does not seem to affect results seriously.
For laparoscopic AI, have ewes in short fleece, have animals off all food and water for 18 hours in advance.
www.srgenetics.com /client.htm   (2530 words)

  
 Gynecologic Surgery: Not Your Mother's Hysterectomy, UPMC Health Journal, UPMC | University of Pittsburgh Medical ...
Lee not only performs laparoscopic surgery, he trains future generations of gynecologic surgeons on the art and science of the technique.
Lee is fellowship trained in laparoscopic gynecological surgery and was one of the first in the area to perform a total laparoscopic hysterectomy.
Lee and his colleagues excel in laparoscopic hysterectomies that are often challenging even when traditional surgical methods are used.
healthjournal.upmc.com /0305/MISgyne.htm   (915 words)

  
 Women's Surgery Group
Laparoscopy ("belly-button surgery") is commonly used to assist in the vaginal completion of the operation in those cases that would otherwise require an abdominal incision.
Patients undergoing hysterectomy for pelvic pain (for which no cause has been found) benefit from laparoscopic evaluation of the pelvis as part of their procedure.
Many patients who have had previous abdominal surgery (cesarean section, ovarian cysts, fibroids, adhesions, endometriosis, tubal pregnancy) are told they will require an abdominal incision to complete their hysterectomy.
www.womenssurgerygroup.com /treatments/hysterectomy.asp   (455 words)

  
 About Laparoscopic Surgery, Surgical Procedures, Gallbladder Surgery, Dr. E. Cody Gunn, Northeast Georgia Surgical ...
However, in some cases there are other factors that might make it impossible to do the surgery laparoscopically.
A patient should make their final decision only after they discuss with a surgeon the laparoscopic possibilities.
Laparoscopic surgery also reduces the incidence of complications, such as infection in the incision.
www.realpagessites.com /ecodygunn/page4.html   (300 words)

  
 BandAidSurgery.Com - Dr. Blumberg
Laparoscopic colon surgery, also known as band-aid colon surgery, is a revolutionary colorectal surgical technique that was pioneered and perfected by Dr. David Blumberg, a Board Certified General and Colorectal Surgeon while in the Department of Surgery at the University of Pittsburgh Medical Center.
While most colon operations are performed partiallly laparoscopically ("laparoscopic-assisted colectomy"), Dr. Blumberg has the experience, expertise, technical instrumentation and track record of performing an entire operation laparoscopically (total laparoscopic colectomy).
Because of these beneficial quality-of-life effects, laparoscopic colectomy and colon surgery is becoming a new standard for most colon diseases including polyps, colon cancer, rectal cancer, ulcerative colitis, Crohns disease, rectal prolapse and diverticulitis.
www.bandaidcolonsurgery.com   (249 words)

  
 Bluegrass Bariatric Surgical Associates - Procedures
The laparoscope, which is connected to the video camera, provides the surgeon with a magnified, more precise view of the patient’s abdominal area.
Previous open or laparoscopic surgeries such as gallbladder surgery, C-section, hysterectomy, appendectomy, splenectomy, and pelvic surgery (such as on the ovaries, fallopian tubes, or for endometriosis) are generally NOT contraindications to laparoscopic bariatric surgery in our hands.
In 1989, the first laparoscopic gallbladder surgery was performed in the United States by a private practice general surgeon in Georgia.
www.bluegrassbariatric.com /html/procedures.html   (2368 words)

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