Laparoscopic deroofing in large hepatic cyst with alcohol sclerotherapy. Analysis of three cases.

Hepatic cysts have become increasingly frequent findings thanks to the improvement in diagnostic investigations. Distinction has to be made between congenital hepatic cysts (like liver cyst, PLCD) and acquired forms (such as a parasitic cyst and a cyst occurring as part of a neoplastic process) (1). When a simple hepatic cyst becomes symptomatic, when its size is > 4 cm or when there is some radiological suspicion of malignancy (thick wall, peripheral enhancement on CT/MRI) surgical management is indicated and relies on a variety of techniques (2).

Cystic intestinal pneumatosis of the small gut: Etiopathogenesis and review of literature.

Unlabelled: Cystic intestinal pneumatosis (CIP) is the presence of gas bubbles inside the wall of the intestine. In literature it has been reported to be associated with a variety of clinical conditions such as: superior mesenteric ischemia, intestinal perforation, bowel necrosis, infections which can cause mucosal alterations and therefore increasing its permeability, necrotizing enterocolitis in babies, trauma, intestinal obstruction, autoimmune and pulmonary pathologies. Its presence is usually documented by radiological techniques such as abdominal X-ray, CT scan and endoscopy and are usually characterized by the typical pattern of gas bubbles in the wall of the intestine.

Diaphragmatic hernia Report of two cases, classification, and review of literature.

Unlabelled: Morgagni-Larrey hernia is uncommon congenital disease in the adults and presents with mild to severe clinical symptoms. In literature, about 80% of Morgagni -Larrey hernia are found on the right side of the chest cavity and have usually a peritoneal sack. Only 2-3% of patients at birth are symptomatic and therefore eligible for urgent surgery.

Suggestion for an alternative transabdominal laparoscopic technique (rivet technique TART) for quick inguinal hernia repair: our initial experience.

Background: Although associated with certain advantages, laparoscopic repair of inguinal hernias implies longer operative times, increased intra-abdominal injuries, and a higher rate of urinary retention. To address these issues, we developed the transabdominal rivet technique (TART) for laparoscopic inguinal hernia repair.

Methods: Three patients underwent bilateral inguinal hernia repair: two underwent TART only, and one underwent a standard transabdominal preperitoneal technique on one side and TART on the other for comparison.