Minimal access surgery of corrosive and thermal strictures of the foregut.

Background And Aim: : Conventional surgery for caustic/thermal strictures (CS/TS) entails considerable trauma, which may be mitigated by minimal access surgery (MAS). Experience with its use in CS/TS is both heterogeneous and limited, hence, warrants a comprehensive review.

Methods: : Medical literature/indexing databases were systematically searched for pertinent articles published in English, from 1990 to 2021, and analysed.

Applications of hepatic round ligament/falciform ligament flap and graft in abdominal surgery-a review of their utility and efficacy.

Background And Purpose: Despite their ubiquitous presence, easy availability and diverse possibilities, falciform ligament and hepatic round ligament have been used less frequently than their potential dictates. This article aims to comprehensively review the applications of hepatic round ligament/falciform ligament flap and graft in abdominal surgery and assess their utility and efficacy.

Methods: Medical literature/indexing databases were searched, using internet search engines, for pertinent articles and analysed.

Laparoscopic ligation of internal ring-three ports versus single-port technique: are working ports necessary?

Background: From three ports, technical refinements in laparoscopy have facilitated the ligation of the internal ring (IR) with a single port.

Objectives: The aims of this study were to determine whether, when, and where working ports are needed by assessing the differences in outcome between the three-port technique (TPT) and the single-port technique-subcutaneous endoscopically assisted ligation (SEAL).

Methods: Short-term outcomes of 163 children operated on by either technique (51 with TPT, and 112 with SEAL) were audited.

Pediatric inguinal hernia: laparoscopic versus open surgery.

Background And Objectives: Herniotomy/open surgery (OS) has been the time honored treatment for pediatric inguinal hernia (PIH). Laparoscopic surgery (LS) has recently emerged as an alternative in its management. However, controversy is rife on its feasibility and wider adoption.

How we "SEAL" internal ring in pediatric inguinal hernias.

"Subcutaneous endoscopically assisted ligation" is a novel technique in minimal access surgery of pediatric inguinal hernias. We describe our modifications of subcutaneous endoscopically assisted ligation, which confer greater ease, safety, speed, and success to this operation.

Minimal access surgery of pediatric inguinal hernias: a review.

Inguinal hernia is a common problem among children, and herniotomy has been its standard of care. Laparoscopy, which gained a toehold initially in the management of pediatric inguinal hernia (PIH), has managed to steer world opinion against routine contralateral groin exploration by precise detection of contralateral patencies. Besides detection, its ability to repair simultaneously all forms of inguinal hernias (indirect, direct, combined, recurrent, and incarcerated) together with contralateral patencies has cemented its role as a viable alternative to conventional repair.

Feasibility and safety of laparoscopic management of hydatid disease of the liver.

Background And Objectives: Laparoscopic treatment of hydatid disease of the liver produces encouraging results, though its feasibility and safety have been questioned. We evaluated the feasibility and safety of laparoscopic management of hydatid disease of the liver.

Methods: Consecutive patients with this disease reporting to our department from August 1998 to January 2002 were offered laparoscopic management.

Intestinal lipoma: a rare cause of lower gastrointestinal haemorrhage.

Lower gastrointestinal bleeding from submucosal lipomas of the intestine is very rare. We report our experience with 3-patients presenting with lower gastrointestinal haemorrhage who were detected to have no cause other than intestinal lipomas. In two of these patients, the lipoma was in the small intestine and presented with chronic blood loss or recurrent episodes of bleeding.