Artificial Intelligence Assisted Recognition of Anatomical Landmarks and Laparoscopic Instruments in Transabdominal Preperitoneal Inguinal Hernia Repair.

Laparoscopic TAPP (Trans-Abdominal PrePeritoneal) is a minimally invasive surgical procedure used to repair inguinal hernias. Arguably, one important aspect to TAPP hernia repair is the identification of anatomical landmarks and the correct use of various laparoscopic instruments. There are very few studies regarding the use of artificial intelligence in laparoscopic inguinal hernia repair and more specifically in TAPP.

First report of clear cell renal carcinoma metastasizing to the ischiorectal fossa 17 years after radical nephrectomy: an additional reason for lifelong follow-up.

Renal cell carcinoma has a high propensity for metastatic spread. There are several case reports of metastatic renal cell carcinomas associated with rare metastatic sites, in many cases more than ten years after the initial diagnosis. We present a 60-year-old man with perianal pain and a mass in the ischiorectal space, revealed by computed tomography.

"True" duct-to-mucosa pancreaticojejunostomy, with secure eversion of the enteric mucosa, in Whipple operation.

Background: Postoperative pancreatic fistula (POPF) due to anastomotic leak is often associated with significant morbidity and mortality. The aim of this study was to present an improved anastomotic technique for Whipple operation, which we call "true" duct-to-mucosa anastomosis (DMA)-pancreaticojejunostomy.

Methods: A novel enteric mucosal eversion at the point of the jejunostomy is constructed prior to the anastomosis with the pancreatic duct in order to enhance sealing.