Use of the Ambu aScope 2 in laparoscopic common bile duct exploration.

Background: We have recently begun to use a sterile disposable endoscope to perform laparoscopic common bile duct exploration. We evaluated our practice in a large district general hospital and reported the early feasibility of this equipment in performing bile duct exploration.

Methods: We began to use the Ambu aScope 2 from June 2015 in our institution.

Emergency repair of Morgagni hernia with partial gastric volvulus: our approach.

Morgagni hernias are a rare form of congenital diaphragmatic hernias, thus there is paucity in literature about the diagnosis and management of the condition. We report an 83-year-old woman who presented with vomiting and a metabolic acidosis with a previous computed tomography diagnosis of Bochdalek's hernia. Diagnostic laparoscopy revealed a Morgagni hernia containing transverse colon, greater curvature of the stomach and a partial gastric volvulus.

Computed tomography in the investigation and management of obturator hernia.

Introduction: Obturator hernias are a rare groin hernia. They are most commonly found incidentally during laparoscopic inguinal hernia repair. We investigated our experience with obturator hernias in the elective and emergency setting.

Trans-fascial closure in laparoscopic ventral hernia repair.

Background: Laparoscopic incisional hernia repair has become widely accepted in the management of incisional hernias. There has been recent interest in combining fascial closure along with mesh placement to improve outcomes. We report our experience with this technique.

Laparoscopic common bile duct exploration: 15-year experience in a district general hospital.

Introduction: The treatment of common bile duct (CBD) stones remains controversial with debate between endoscopic cholangiopancreatography (ERCP) and CBD exploration. A recent meta-analysis has shown no significant difference between these approaches; however, there is a trend in the literature to favour a single-stage procedure in the form of laparoscopic CBD exploration. We report our experience over a 15-year period.

Safe removal of long-term venous catheters in the neck.

Aims: Tunnelled venous catheters are a well-established method of long-term venous access for total parental nutrition, chemotherapy and antimicrobial treatment. Removal of these catheters is a simple procedure; however, there are some significant risks.

Methods: We report a case in which a serious complication occurred.

Meta-analysis of sonography in the diagnosis of inguinal hernias.

Groin hernias are common conditions, and there is a need for accurate imaging when the clinical diagnosis is not clear. A meta-analysis was undertaken to investigate the diagnostic accuracy of sonography in the diagnosis of inguinal hernias. After review of literature searches, 9 original articles were included.

A systematic review and meta-analysis of the role of radiology in the diagnosis of occult inguinal hernia.

Background: Inguinal hernias are a common cause of groin pain. Most hernias are detectable by clinical examination and many patients proceed to hernia repair on the basis of history and examination findings alone. However, a significant proportion of patients with symptoms suggestive of groin hernia are found to have a normal clinical examination.

Pneumatosis Intestinalis of the Small Bowel; Radiological and Intra-operative findings.

Pneumatosis Intestinalis is defined as the infiltration of gas into the bowel wall. It is a radiological and intra-operative finding of varying aetiology which varies from benign to life threatening conditions. We describe here a case of a 67 year old woman who presented with diffuse abdominal pain and was found to have Pneumatosis Intestinalis.