Laparoscopic treatment of simultaneously occurring Morgagni and paraesophageal hernias.

A paraesophageal hernia was diagnosed in a 67-year-old female patient suffering from epigastric pain and gastroesophageal reflux disease. The patient underwent laparoscopy. Beside the paraesophageal hernia, a Morgagni hernia was also observed, with a significant part of the omentum herniated in the sac.

[Early results after minimal lobectomy for benign nodular goiter].

Following traditional operations (enucleation and subtotal resection) for benign nodular goiters recurrences may develop. Reoperations for this condition can cause complications, such as hypoparathyroidism and damage of the recurrent laryngeal nerve. That is why total thyroidectomy is recommended by many specialists in benign thyroid disease.

[Surgical treatment of duodenal perforation].

Duodenal ulcer can be cured successfully by the eradication of Helicobacter pylori (H. p.) and administration of anti-acid secretory drugs, however, from among the complications of duodenal ulcer, perforation with unchanged incidence continues to need an urgent operation.

[Early results of various reconstructions of abdominal incisional hernias with Prolene mesh].

Authors report on the early results of 127 operations performed for incisional hernias without selection in the last two years. Prolene mesh (in 8 patients with sublay, in 5 with inlay and in 27 with onlay technique) was implanted into the abdominal wall. They examined the wound healing influenced by the various methods of mesh placement.

Video-choledochoscopy in bile duct surgery.

The authors report on common bile duct explorations performed in 92 patients and in one patient laparoscopically. In their practice usually ERCP and EST were attempted first when bile duct stones were suspected. Open choledochotomy was performed when the endoscopic approach was unsuccessful, or a stone was detected during selective intraoperative cholangiography.