'Critical circle of fundoplication' - A key concept towards creating identical, replicable and consistent fundoplication wraps.

Background: There is a significant learning curve associated with laparoscopic Nissen's fundoplication, during which, complications due to surgical errors are more likely to occur. Moreover, length of the wrap, its situation on the lower esophagus and the points of the fundus brought together to create the wrap are arbitrary and as per the surgeon's judgement and estimation. This leads to a lot of variation in the wraps created, not only from surgeon to surgeon, but also from case to case for each individual surgeon.

Surgical practice recommendations for minimal access surgeons during COVID 19 pandemic - Indian inter-society directives.

These are inter-society guidelines for performance of laparoscopic surgery during COVID-19 pandemic that has affected the way of surgical practice. The safety of healthcare workers and patients is being challenged. It is prudent that our surgical practice should adapt to this rapidly changing health environment.

Retrorectus sublay mesh repair using polypropylene mesh: Cost-effective approach for laparoscopic treatment of ventral abdominal wall hernias.

Introduction: Laparoscopic repair of ventral abdominal hernias has become a standard of care. The surgery involves placement of a composite mesh with 3-5 cm overlap at the edges of the defect. The disadvantage of this repair is one, the composite mesh used for intraperitoneal placement is quite costly and two, it leaves a foreign body inside the peritoneal cavity, with the potential to cause problems in the future.

Randomised controlled trial of n-butyl cyanoacrylate glue fixation versus suture fixation of mesh in laparoscopic totally extraperitoneal hernia repair.

Background: We present a randomised control trial to compare suture fixation of the mesh with non-mechanical fixation using n-butyl cyanoacrylate (NBCA) glue for laparoscopic totally extraperitoneal (TEP) hernioplasty.

Patients And Methods: After a standard dissection for laparoscopic TEP hernioplasty, the mesh was fixed using sutures or NBCA glue to the Cooper's ligament as per the randomised allocation. The primary endpoints were recurrence at 24 months and chronic groin pain.

Laparoscopic total proctocolectomy with ileal pouch-anal anastomosis for ulcerative colitis.

Aim: The aim was to study the feasibility of the laparoscopic approach in the management of ulcerative colitis, to assess the functional results at 1-year and to review of literature on the topic.

Materials And Methods: All patients presenting for surgical management of histopathologically proven ulcerative colitis during the study period were included in the study. All patients presenting in a non-emergency setting were offered a two-stage procedure (Group A).

Spillage-free laparoscopic management of hepatic hydatid disease using the hydatid trocar canula.

Introduction: This study was undertaken to demonstrate the efficacy of the Hydatid Trocar Canula system for safe and effective treatment of hepatic hydatid cysts.

Materials And Methods: All cases presenting to our centre for treatment of hydatid cyst of the liver with certain exceptions were considered for laparoscopic management using the specifically designed Hydatid Trocar Canula system. The technique of surgery and the step wise sequence of deployment of the device are described.

Laparoscopic truncal vagotomy with gastrojejunostomy.

Surgery still remains the treatment of choice for patients of peptic ulceration with gastric outlet obstruction. With the advent of minimal access surgery, laparoscopic truncal vagotomy with gastrojejunostomy is an attractive option. Between September 2006 and May 2010, 18 patients underwent laparoscopic truncal vagotomy with gastrojejunostomy for gastric outlet obstruction with peptic ulcer.

Laparoscopic paracolostomy hernia repair: a retrospective case series at a tertiary care center.

Background: Paracolostomy hernias are one of the most common complications of stomas. Primary repair is associated with a high rate of recurrence. The choice is between mesh-reinforced repair of the defect and relocation of the stoma to another position.

Laparoscopic restorative total proctocolectomy with ileal pouch anal anastomosis for familial adenomatous polyposis.

Background: Familial adenomatous polyposis is a hereditary disease characterized by the presence of thousands of colonic adenomas, which, if untreated, invariably undergo malignant transformation. Because this disease manifests at a young age, the laparoscopic approach to perform surgery would be desirable due to its cosmetic benefits. We describe our experience with this procedure and review the literature on the topic.

Minimally invasive management of achalasia cardia: results from a single center study.

Background: Since the performance of the first laparoscopic cardiomyotomy for achalasia cardia in 1991, the popularity of the minimally invasive approach for this troublesome disease has been growing. We present our experience of 226 patients who underwent laparoscopic cardiomyotomy and discuss the relevant issues.

Methods: A retrospective analysis was carried out of 226 patients who have undergone laparoscopic cardiomyotomy since 1993.

Single-center experience of laparoscopic cholecystectomy.

Background: The laparoscopic cholecystectomy procedure is considered as the gold standard for the management of benign symptomatic gallbladder diseases. In this paper, we present our experience as a tertiary reference center in the management of this disease.

Methods: A total of 9864 laparoscopic cholecystectomies have been performed in our institution since 1991.

Intestinal malrotation with midgut volvulus presenting as acute abdomen in children: value of diagnostic and therapeutic laparoscopy.

Introduction: Intestinal malrotation is a developmental anomaly of intestinal fixation and rotation caused by a disruption in the normal embryologic development of the bowel. Normal rotation takes place around the superior mesenteric artery. Incomplete rotation and midgut volvulus is the commonest type of anomaly.

Laparoscopic pancreaticoduodenectomy: technique and outcomes.

Background: We describe our experience with laparoscopic pancreaticoduodenectomy, including 5-year actuarial survival rates.

Study Design: This is a retrospective study of selected patients who underwent laparoscopic pancreaticoduodenectomy at a single center between 1998 and 2006. We have described the salient features of our technique and followup protocol.

Laparoscopic duodenojejunostomy for superior mesenteric artery syndrome.

Background: Superior mesenteric artery (Wilkie's) syndrome is a rare condition. Only 400 cases have been reported so far. The symptoms may be acute or chronic, the chronic form being more common.

Laparoscopic management of duodenal ulcer perforation: is it advantageous?

Background: Surgery is the mainstay of treatment of patients with peptic duodenal perforation. With the advent of minimal access techniques, laparoscopy is being used for the treatment of this condition.

Methods: Retrospective analysis of 120 consecutive patients (mean age 44.

Management of pancreatic pseudocyst in the era of laparoscopic surgery--experience from a tertiary centre.

Background: In the era of minimally invasive surgery, laparoscopy has a great role to play in the management of pseudocyst of pancreas. We present our surgical experience over the past 12 years (May 1994 to April 2006) in the management of pancreatic pseudocysts.

Materials And Methods: The total number of cases was 108, with 76 male and 32 female patients.

Laparoscopic repair of a paracolostomy hernia: secure reinforced closure of the defect prevents recurrence.

High incidence rates have been reported for parastomal hernias after colostomies, particularly end colostomies. In addition to cosmetic disfigurement, parastomal hernias also cause several functional problems in stoma management, and their repair becomes essential. While a variety of open techniques have been described for their management, including the extreme step of stoma relocation, laparoscopic techniques offer a viable and possibly better option.

Laparoscopic management of benign nonparasitic hepatic cysts: A prospective nonrandomized study.

Background: Nonparasitic benign hepatic cysts are relatively rare, and are usually detected fortuitously while investigating a patient for some other illness. However, they may reach huge proportions and present as an upper abdominal mass. With the advent of laparoscopy, a minimally invasive technique is available to manage these cases, which is described along with results and a discussion of the concerned literature.

Laparoscopic management of acid peptic disease.

Background: Despite successful medical treatment to reduce acid hypersecretion and eradicate Helicobacter pylori, surgery still plays an important role in the management of complicated peptic ulcer disease. Almost all types of conventional operations available for ulcer disease have been successfully performed by the laparoscopic approach and this has become the preferred approach in tertiary centers for operative management of acid peptic disease.

Method: Between 1995 and 2004, laparoscopic management was offered to refractory or obstructive acid peptic disease patients.