Punch Incision with Secondary Healing (PISH) Technique for Benign Facial Lesions: An Institutional Experience in 307 Patients.

 Multiple or solitary facial lesions pose a unique challenge to the attending surgeon in terms of delivering the best cosmetic outcome. There are various methods in dealing with them and the preference of using them is based on the surgeon's experience, patient expectations, and availability of instruments. One such tool, skin-punch, primarily designed for a biopsy can play a very important therapeutic role in this era of keyhole surgery.

A Simple Bed-side Method of Enteral Feeding through Distal Mucous Fistula in Patients with Short Bowel Syndrome to overcome Parenteral Dependency: The Jategaonkar Technique.

Today, massive proximal small bowel resection with diverting stoma formation is a relatively common occurrence, especially in an emergency setting. However, the resultant short bowel syndrome remains difficult to manage on various nutritional fronts and commencing total parenteral nutrition, along with plethora of its associated complications, becomes almost obligatory for these unfortunate patients. In this context, the authors describe an innovative, yet, handy method of enteral feeding through distal mucous fistula using two commonly available tubes in the ward, with the aim to maximise the usage of the available gut and to outwit the ensuing need of parenteral supplementation, and name it the Jategaonkar technique.

Tensionless Purely Laparoscopic Intra-Gastric Surgery using an Innovative Mucosal Flap-Valve Mechanism: The Jategaonkar Technique.

Cooperative laparoscopic endoscopic intra-gastric surgery, with its ability to acquire advantages of both these technologies, is a recent development in the field of minimally invasive surgery. However, the pre-requisition of its multi-disciplinary approach together with several technical constraints have, plausibly, limited its widespread acceptance. The ever-increasing number of modifications being reported in today's literature largely underscores the inability of any one to be the best.

Amending Umbilical Porting in Laparoscopic Totally Extra-peritoneal Hernioplasty: A Simplified Way.

An unambiguous identification of anterior rectus sheath (ARS) is a crucial initial step required for precise umbilical porting in order to achieve successful execution of laparoscopic totally extra-peritoneal (TEP) hernioplasty. However, it is scarcely discussed in the present-day literature. Backed with the experience of 1100 cases, we present an easy and rapid technique of exposing the anterior rectus sheath with the aim to save operative time without compromising the safety.

Prospective Observational Study of Single-Site Multiport Per-umbilical Laparoscopic Endosurgery versus Conventional Multiport Laparoscopic Cholecystectomy: Critical Appraisal of a Unique Umbilical Approach.

Purpose. This prospective observational study compares an innovative approach of Single-Site Multi-Port Per-umbilical Laparoscopic Endo-surgery (SSMPPLE) cholecystectomy with the gold standard-Conventional Multi-port Laparoscopic Cholecystectomy (CMLC)-to assess the feasibility and efficacy of the former. Methods.

Jejunal adenocarcinoma with concomitant enterolith presenting as acute intestinal obstruction.

An enterolith is an infrequent clinical entity. It is generally diagnosed on imaging or at surgery. It is usually associated with underlying benign lesions like intestinal tuberculosis or Crohn's disease.

Single-site multi-port laparoscopic endo-surgery: the SIMPLE technique--a useful method of purely umbilical porting that ensures triangular laparoscopic ergonomics.

Umbilical single-port surgery is a recent development that produces better cosmesis and lesser pain. However, the steep learning curve and the higher surgical expense have led to its rather sceptical acceptance. In this regard, a technique is hereby described in which three ports are directly inserted on the umbilical mound (without raising the umbilical-flap) through three small incisions to form an isosceles triangle.

Trans-umbilical Laparoscopic Appendectomy for Acute Appendicitis without Raising Skin-flaps: An Easy-to-use Modification Applied to the Series of 164 Patients from a Rural Institute of Central India.

Background: Laparoscopic appendectomy (LA) is widely used and generally an accepted method for managing appendicitis. And the recent invention of laparoscopic trans-umbilical-appendectomy is a further improvement of LA. However, it requires expensive instruments with the requisite expertise.

Mesh/Meshless paraumbilical hernia repair with concomitant single-incision transumbilical three-port laparoscopic cholecystectomy-prospective observational study of 126 patients.

Background: Paraumbilical hernia with benign gallbladder disease forms a challenging combination for offering benefits of single-incision surgery. The purpose of this prospective observational study was to assess the outcomes of paraumbilical hernia repair performed concomitantly with three-port laparoscopic cholecystectomy through the same periumbilical incision using routine instruments.

Patients And Methods: In total, 126 subjects formed the patient cohort.

Double-lock technique: a simple method to secure abdominal wall closure.

Secure closure of a laparotomy incision remains an important aspect of any abdominal operation with the aim to avoid the postoperative morbidity and hasten the patient's recovery. Depending on the operator's preference and experience, it may be done by the continuous or the interrupted methods either using a non-absorbable or delayed-absorbable suture. We describe a simple, secure and quick technique of abdominal wall closure which involves continuous suture inter-locked doubly after every third bite.

Ruptured hemorrhagic ovarian cyst presenting as an incarcerated inguinal hernia in an adult female: a rare clinical scenario of a common surgical emergency.

Embryoanatomical peculiarities are responsible for low occurrence of inguinal hernias in females. Amongst them, ovarian hernias are rarer. They are commonly noticed in children.