Post thyroidectomy neck pain after endoscopic thyroidectomy
Shalini Mishra, Suvrat GuptaJournal of Minimal Access Surgery 2022 18(4):641-642 (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - September 26, 2022 Category: Surgery Authors: Shalini Mishra Suvrat Gupta Source Type: research

Thoracoscopic pericardial patch repair of iatrogenic major bronchial injury during oesophagectomy
Srikanth Gadiyaram, Murugappan NachiappanJournal of Minimal Access Surgery 2022 18(4):638-640Tracheobronchial injuries are rare but dreaded and potentially lethal complications of oesophagectomy. The reported literature on tracheobronchial injuries in thoraco-laparoscopic oesophagectomy is sparse. They may be detected either intraoperatively or in the post-operative period. Those tracheobronchial injuries detected intraoperatively usually need conversion to an open procedure for appropriate management. The surgical approaches and the methods employed for closure depend on the size and location of the rent. The methods of s...
Source: Journal of Minimal Access Surgery - September 26, 2022 Category: Surgery Authors: Srikanth Gadiyaram Murugappan Nachiappan Source Type: research

10 reasons why surgeons should continue performing flexible endoscopy
Easwaramoorthy Sundaram, Krishna Rau BhimanakunteJournal of Minimal Access Surgery 2022 18(4):635-637Diagnostic and therapeutic potentials of flexible endoscopy have been increasing. Several surgical procedures are now performed in flexible endoscopic platform. However, it is disturbing to find that only few surgeons are keen to acquire this expertise. Endoscopic skills are not optional but essential for every general surgeon. Sooner the surgical fraternity realise this, it is better for the prospects of future surgeons. Surgical societies should implement measures to highlight the importance of endoscopy training and stri...
Source: Journal of Minimal Access Surgery - September 26, 2022 Category: Surgery Authors: Easwaramoorthy Sundaram Krishna Rau Bhimanakunte Source Type: research

Indocyanine green real-time-guided laparoscopic duodenum-preserving pancreatic head resection
Yuanbiao Zhang, Jungang Zhang, Kai Jiang, Weiding WuJournal of Minimal Access Surgery 2022 18(4):632-634Duodenum-preserving pancreatic head resection (DPPHR) is very complicated due to its difficulty to find the lower common bile duct (CBD), and to preserve the blood supply of the duodenum and CBD. Recently, indocyanine green (ICG) has been widely applied for navigation during biliary system and liver surgery. However, the application of ICG-guided laparoscopic DPPHR has not been established. Herein, we report an intraoperative angiography technique using ICG fluorescence imaging to visualise blood flow, tissue perfusion, ...
Source: Journal of Minimal Access Surgery - September 26, 2022 Category: Surgery Authors: Yuanbiao Zhang Jungang Zhang Kai Jiang Weiding Wu Source Type: research

Transabdominal preperitoneal repair for a recurrent inguinal hernia after Kugel procedure using the medial umbilical ligament: A case report
Congfei Wang, Ronggui Lin, Xianchao Lin, Fengchun Lu, Yanchang Chen, Heguang HuangJournal of Minimal Access Surgery 2022 18(4):629-631The Kugel procedure resulted in extensive adhesion in the preperitoneal space. Performing a transabdominal preperitoneal repair (TAPP) for recurrent hernia after Kugel procedure is extremely difficult. In this case report, we present the case of a 81-year-old male who presented with recurrent inguinal hernia after Kugel procedure 8 years ago. Transabdominal laparoscopy was performed first. Indirect hernia formed inferior to the lateral edge of the previous mesh was diagnosed under laparoscop...
Source: Journal of Minimal Access Surgery - September 26, 2022 Category: Surgery Authors: Congfei Wang Ronggui Lin Xianchao Lin Fengchun Lu Yanchang Chen Heguang Huang Source Type: research

Modification of book-binding technique during totally laparoscopic distal gastrectomy with Billroth I reconstruction
Yuhei Waki, Obatake Masayoshi, Koichi Sato, Shigehiko YagiJournal of Minimal Access Surgery 2022 18(4):625-628The book-binding technique (BBT) has been developed to minimise extra detachment and mobilisation of the duodenum for totally laparoscopic distal gastrectomy (TLDG) with Billroth I reconstruction. Because of the cost-effectiveness and maximisation of the anastomotic lumen, we have modified the BBT in collaboration with the laparoscopic hand-sewing technique. Herein, we introduce a modified BBT (MBBT) and discuss its outcomes. The MBBT was performed using laparoscopic hand-sewing techniques with an absorbable barbed...
Source: Journal of Minimal Access Surgery - September 26, 2022 Category: Surgery Authors: Yuhei Waki Obatake Masayoshi Koichi Sato Shigehiko Yagi Source Type: research

Suturing the lax pseudosac to the Cooper & #39;s ligament to prevent seroma in endoscopic hernia repair: A new technique
Jobi AbrahamJournal of Minimal Access Surgery 2022 18(4):622-624Seroma formation after laparoscopic or robotic inguinal hernia repair is a known complication, causing nuisance to the patient and embarrassment to the surgeon. A method of fixing the lax pseudosac of direct inguinal hernia to Cooper's ligament by suturing, to prevent post-operative seroma formation, is discussed in this study. Seventy-two pseudosac fixations were done in a 'figure of eight technique' using non-absorbable suture in 56 patients. These patients were followed up 2 weeks and 6 weeks post surgery. None developed a s...
Source: Journal of Minimal Access Surgery - September 26, 2022 Category: Surgery Authors: Jobi Abraham Source Type: research

Robotic real-time vessel navigation using indocyanine green fluorescence for lymph node dissection along the left gastroepiploic vessels during robotic distal gastrectomy - First experience
Yuma Ebihara, Yo Kurashima, Soichi Murakami, Toshiaki Shichinohe, Satoshi HiranoJournal of Minimal Access Surgery 2022 18(4):619-621Splenic infarction (SI) following gastrectomy is common; severe complications related to SI, such as splenic haemorrhage, abscess formation or rupture, can be fatal. To overcome these problems, we performed real-time vessel navigation using indocyanine green (ICG) fluorescence during robotic distal gastrectomy (RDG). The aim of study is to report the efficacy of robotic real-time vessel navigation for lymph node dissection (LND) along left gastroepiploic vessels (LGEVs). We treated seven patie...
Source: Journal of Minimal Access Surgery - September 26, 2022 Category: Surgery Authors: Yuma Ebihara Yo Kurashima Soichi Murakami Toshiaki Shichinohe Satoshi Hirano Source Type: research

Laparoscopic transhiatal oesophageal diverticulectomy: An experience of large epiphrenic oesophageal diverticulum and review literature
Mahaveer Singh Rodha, Satya Prakash Meena, Subhash Chandra Soni, Naveen SharmaJournal of Minimal Access Surgery 2022 18(4):616-618Epiphrenic diverticulum is a rare abnormality of the distal oesophagus. Both thoracic and abdominal approaches are suitable for this diverticulum. A 46-year-old male presented with complaints of regurgitation and chest pain for 2 years. Contrast-enhanced computed tomography of the neck, thorax, abdomen and oesophageal endoscopy revealed 12 cm × 10 cm size large intrathoracic oesophageal diverticulum. He underwent an elective laparoscopic transabdominal oesophageal diverticulectomy. G...
Source: Journal of Minimal Access Surgery - September 26, 2022 Category: Surgery Authors: Mahaveer Singh Rodha Satya Prakash Meena Subhash Chandra Soni Naveen Sharma Source Type: research

A rendezvous technique using laparoscopy and cystoscopy to remove transmigrated intrauterine contraceptive device from abdomen and urinary bladder
We present the case of a 36-year-old woman with a 3-year history of IUCD placement presenting with symptoms of lower urinary tract infection. X-ray of the pelvis and hysteroscopy revealed an inverted T-shaped metallic shadow resembling an IUCD in the pelvis and an empty uterine cavity, respectively. Using a cystoscope, the IUCD was visualized embedded in the urinary bladder and its retrieval was attempted unsuccessfully with the cystoscope. Hence a rendezvous technique, in which laparoscopy, assisted with cystoscopy was performed. The vertical limb and half of the horizontal limb of the copper-T were retrieved from the out...
Source: Journal of Minimal Access Surgery - September 26, 2022 Category: Surgery Authors: Elbert Khiangte Iheule Newme Khiangte Nitya non Naiding Kunal Deka Ronald Bathari Jimmy Henkhomang Doungel Source Type: research

Laparoscopic surgery for right colon cancer with intestinal malrotation: A case report and review of the literature
We present the case of a 72-year-old female diagnosed with carcinoma of the ascending colon, with IM incidentally detected on pre-operative cross-sectional imaging. She underwent laparoscopic right hemicolectomy. We also reviewed the documented cases of successful laparoscopic surgery for right colon cancers with IM. Aided by accurate delineation of vascular anatomy on pre-operative cross-sectional imaging, laparoscopic colectomy in the setting of IM is safe and feasible, and should be favourably considered. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - September 26, 2022 Category: Surgery Authors: Gayatri Balachandran Kishore G.S. Bharathy Sadiq S Sikora Source Type: research

Giant lumbar incisional hernia with loss of domain
Umang Bharat Mamaniya, Pinak Dasgupta, Palanisamy Senthilnathan, Palanivelu ChinnusamyJournal of Minimal Access Surgery 2022 18(4):606-608Giant lumbar hernia, with loss of domain, is a complex scenario to treat. Abdominal compartment syndrome is a dreaded post-operative complication. This can gravely impair the patient's respiratory function and also cause insufficient perfusion of the viscera. Pre-operative progressive pneumoperitoneum can facilitate bowel repositioning and can reduce impairment of the post-surgery lung function, essential for a favourable post-operative outcome. Here, we describe the treatment...
Source: Journal of Minimal Access Surgery - September 26, 2022 Category: Surgery Authors: Umang Bharat Mamaniya Pinak Dasgupta Palanisamy Senthilnathan Palanivelu Chinnusamy Source Type: research

Intraperitoneal bladder rupture in a 1 year old: A very unusual accident
We report an interesting case of a 1-year-old girl who had a laparoscopic repair of intraperitoneal bladder tear following a non-RTA injury. This is the smallest child where intraperitoneal bladder rupture was repaired laparoscopically. This mechanism of injury-causing bladder rupture has also not been reported across world literature. The child was sleeping on the floor near the bed with her mother. The father who was sleeping on the bed accidentally fell onto this child. Imaging showed large amount of clear intraperitoneal fluid with no organ injury. Laparoscopy showed a 3.5 cm long tear on the posterior wall of the blad...
Source: Journal of Minimal Access Surgery - September 26, 2022 Category: Surgery Authors: Amar Shah Anirudh Shah Source Type: research

The second & #39;gallbladder operation & #39;
Conclusion: Gallstones in the residual GB are associated with more complications than conventional gallstones. The diagnosis requires a high level of suspicion. MRCP is more accurate in establishing the diagnosis and identifying the associated complications, even if the diagnosis is made on USG in most patients. A pre-operative roadmap is provided by the MRCP. For patients with residual GB, laparoscopic completion cholecystectomy is a feasible and safe option. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - September 26, 2022 Category: Surgery Authors: Srikanth Gadiyaram Murugappan Nachiappan Source Type: research

Standardized single-stage laparoscopic Fowler-Stephens orchiopexy regardless of testis position: Modification of technique eliminates the need for intra-operative decision-making
Conclusions: M-LFSO is a standardized approach for all cases of IAT regardless of testicular position. Preservation of a wide peritoneal flap and proximal dissection of the vessels may contribute to the adequate testicular blood supply. The proposed approach eliminates the need for intra-operative decision-making and for ancillary procedures. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - September 26, 2022 Category: Surgery Authors: Amos Neheman Andrew Shumaker Jack Grazi Eyal Kord Sergey Bondarenko Kobi Stav Amnon Zisman Paul Noh Source Type: research