Intraoperative endoscopy for the assessment of circular-stapled anastomosis in laparoscopic colon surgery.

Introduction: Anastomotic bleeding after a circular-stapled anastomosis in laparoscopic colon resections is a rare but extremely aggravating complication. An intraoperative endoscopic assessment of the anastomosis allows immediate evaluation regarding bleeding and possible leakage. The aim of the study was to evaluate the impact of routine intraoperative endoscopy on postoperative complications.

Transilluminated powered phlebectomy: advantages and disadvantages of a new technique.

Background: Transilluminated powered phlebectomy is a new procedure for minimal invasive varicose vein surgery.

Objective: To evaluate this technique for its benefit and the technique-related risks and complications.

Methods: Thirty patients were prospectively operated with this new technique by the same surgeon (11 of them bilaterally [41 legs in all]).

Prospective trial comparing bilateral and unilateral varicose vein surgery.

Background: This study compared bilateral and unilateral varicose vein surgery in primary varicosis of the long or short saphenous vein with respect to blood loss.

Patients And Methods: The prospective trial assessed postoperative pain, analgesic consumption, blood loss, return to physical activity and work, cosmetic result, complications, hospitalization, patient satisfaction, and hospital cost in 73 consecutive patients undergoing unilateral ( n=40) or bilateral ( n=33) varicose vein surgery.

Results: There were no statistically significant differences between the two groups in postoperative pain, postoperative analgesic consumption immediately postoperatively and after 8 h, median postoperative stay, return to work and physical activity, or cosmetic result.