Posterior wedge resection: a more aesthetic labiaplasty.

Background: Hypertrophy of the labia minora is of concern to a subset of adolescents and adult women. The posterior wedge resection is a new labiaplasty technique with an anatomic approach to yield the optimal aesthetic outcome and yet continue the functional achievement of prior techniques.

Objective: The authors describe the results of their posterior wedge resection technique in a retrospective series of patients.

Caudal resection of the upper lateral cartilages and its measured effect on tip rotation.

Background: Commonly used maneuvers for upward tip rotation include cephalic trim of the lateral alar cartilages, caudal resection of the septum, and shortening of the upper lateral cartilages (ULCs). Few techniques for surgical manipulation of the ULCs are found in the literature, and none accurately describe the measured effect of the caudal resection on tip rotation. The purpose of this study is to predict the change in upward rotation of the nasal tip for a measured incremental resection of the ULCs.

Early experience with lidocaine patch for postoperative pain control after laparoscopic ventral hernia repair.

Introduction: Reduced postoperative pain is one of the many factors that have driven the growing emphasis on the role of laparoscopic surgery for surgical management. Several studies have documented the advantages of the laparoscopic repair of ventral hernias compared to the open ventral herniorraphy. However, the laparoscopic approach may be associated with more postoperative pain initially.

Single incision laparoscopic sleeve gastrectomy (SILS): a novel technique.

Background: Laparoscopic sleeve gastrectomy is an emerging bariatric procedure that typically necessitates five to seven small skin incisions to place five to seven trocars. The senior author (Saber) has developed a single umbilical incision approach to laparoscopic sleeve gastrectomy.

Methods: Seven patients underwent single access transumbilical laparoscopic sleeve gastrectomy between March 2008 and July 2008.

Simplified laparoscopic parastomal hernia repair: the scroll technique.

Background: Laparoscopic parastomal hernia repair can be technically challenging. We herein present a simplified technique of laparoscopic parastomal hernia repair.

Methods: This technique entails fixation of the rolled mesh to the anterior abdominal wall before unfolding it, each side of the mesh is unfolded and fixed individually using transfascial sutures and tacks.

Laparoscopic spigelian hernia repair: the scroll technique.

Spigelian hernia is a rare clinical entity. It has a subtle clinical presentation with vague abdominal pain that may warrant laparoscopy. Even though laparoscopic ventral hernia repair is increasingly popular, laparoscopic repair of spigelian hernia has not been adequately studied.

Occult ventral hernia defects: a common finding during laparoscopic ventral hernia repair.

Background: In many incidences, laparoscopic exploration reveals occult ventral hernia defects that were not detected on physical examination. The objective of this study was to describe the frequency of occult ventral hernia defects detected during laparoscopy.

Methods: Prospectively collected data on 146 consecutive patients who underwent laparoscopic ventral hernia repair were reviewed.