A single center experience in minimally invasive treatment of postcholecystectomy bile leak, complicated with biloma formation.

Background: Bilomas are localized collections of bile occurring usually post-operatively from an injured cystic or bile duct. Our study aims to evaluate the efficacy of minimal access endoscopic and percutaneous modalities in treating symptomatic bile leak and biloma formation.

Patients And Methods: Sixteen patients with biloma after open or laparoscopic cholecystectomy underwent assessment of the site and extent of the bile leak via endoscopic retrograde cholangiography (ERC).

Endoscopic management strategies in relation to the severity of acute cholangitis.

Background And Study Aims: Acute cholangitis (AC) and especially suppurative cholangitis due to biliary lithiasis is an emergency situation that requires urgent biliary decompression. The aim of the study is to present our policy for the treatment of AC due to choledocholithiasis, endoscopically.

Methods: In a 4-year period, 71 patients presenting AC, due to lithiasis, underwent endoscopic retrograde cholangio-pancreatography and endoscopic sphincterotomy (ES).

Endoscopic management of retained bile stones with an indwelling T-tube.

Background: Endoscopic sphincterotomy (ES) is widely used for the treatment of residual bile duct stones in patients who had common bile duct (CBD) exploration and T-tube insertion.

Methods: In a 4-year period 45 patients were referred for endoscopic removal of residual bile duct stones. All patients had been operated 7-15 days earlier for choledocholithiasis and had a T-tube in the common bile duct (CBD).

Laparoscopic repair of groin pain in athletes.

Background: There has been increasing interest regarding the cause and treatment of groin pain in athletes. The most common finding is a deficiency of the posterior wall of the inguinal canal, often repaired with bilateral inguinal myorrhaphy.

Hypothesis: Laparoscopic repair will offer a shorter convalescent period and better results as compared with open myorrhaphy.

Effects of the use of fibrin glue around the colonic anastomosis of the rat.

Background: This study was aimed at examining whether the addition of fibrin glue to a sutured colonic anastomosis improves its healing or not.

Methods: We studied the effect of adding fibrin glue on a sutured colonic anastomosis. Thirty-six Wistar rats were randomized into two groups of 18 rats each.