Comparison of FreeHand robot-assisted with human-assisted laparoscopic fundoplication.

Objective: To compare the safety, operative time and feasibilty of FreeHand robot (FreeHand Ltd, Guildford, United Kingdom) with manual camera control approach for Laparoscopic Fundoplication.

Material And Methods: A case control study was performed for patients undergoing laparoscopic fundoplication. Primary outcome was operative time; secondary outcomes included length of stay, post-operative morbidity, symptoms at first follow-up and total post-operative out-patient visits.

Laparoscopic management of heterotopic pregnancy--a rare cause of acute abdomen in women.

Heterotopic pregnancy is a rare condition of coexisting intrauterine and extrauterine pregnancy and can present as an acute abdomen. The management can be challenging as the diagnosis is difficult to establish preoperatively. We report a case of a 31-year-old female presenting with acute abdominal pain and a mass in the right iliac fossa at 22 weeks of gestation.

An audit of post-splenectomy prophylaxis--are we following the guidelines?

Introduction: Asplenic individuals have major difficulties coping with specific infections (e.g. Streptococcus pneumoniae).