Incidental benign metastasizing leiomyoma in a patient with bone sarcoma: a case report.

Background. The benign metastasizing leiomyoma is an exceptionally rare entity; it presents with ectopic leiomyoma nodules with a benign pattern. Symptoms vary according to the anatomic location.

Irrigation with bupivacaine at the surgical bed for postoperative pain relief after laparoscopic cholecystectomy.

Purpose: The aim of this study was to evaluate the effect of bupivacaine irrigated at the surgical bed on postoperative pain relief in laparoscopic cholecystectomy patients.

Methods: This study included 60 patients undergoing elective laparoscopic cholecystectomy who were prospectively randomized into 2 groups. The placebo group (n=30) received 20cc saline without bupivacaine, installed into the gallbladder bed.

Evaluation of a surgical simulator as used by students with different experience levels.

Background: Historically, the operating room has been the training setting for both surgeons and students. Nowadays, an alternative is represented by surgical simulators. In the same way a not-very-well-built mirror cannot reflect trustworthy images (distortion), a not well-built, calibrated or programmed simulator will be unable to reflect the training level of the operator.

Repair of total anomalous pulmonary venous return: results after 47 years.

We present herein the case of a 48-year-old patient who had undergone repair of total anomalous pulmonary venous return at the age of 14 months, in March 1960, at Texas Children's Hospital. When this patient voluntarily underwent re-examination in 2007, echocardiography revealed the late results of surgery that had been performed 47 years earlier: normal pulmonary venous velocity, patent pulmonary venous return, and no substantial electrocardiographic abnormalities. This patient is perhaps the oldest known survivor of surgical repair of total anomalous pulmonary venous return.

[Laparoscopic subtotal colectomy. Results from the Texas Endosurgery Institute].

Background: Laparoscopy is currently and progressively gaining acceptance for the management of colorectal disease. More bleeding and longer operating time were initially considered as contraindications to perform laparoscopic colon resections. Other obstacles were technical difficulties, the learning curve and the need for specialized instruments; however, improvements in surgical techniques and technological developments have allowed subtotal laparoscopic colectomy to be feasible.

[Laparoscopic splenectomy: Twelve-year experience in two private institutions].

Background: In 1991, Delaitre et al. reported the first successful laparoscopic splenectomy. This procedure has become the best option in patients with hematological diseases and who require surgical treatment.