• Original Article|Open Access

    Pfannenstiel vs. midline incision for urinary diversion, following minimally invasive radical cystectomy: single center experience

    Gopal Ramdas Tak , Arvind P. Ganpule , Abhishek G. Singh , Aditya Pratap Singh Sengar , Mohankumar Vijayakumar , Sudharsan S. Balaji , Ravindra B. Sabnis , Mahesh R. Desai
    Aim: The present study is to assess the morbidity on comparing Pfannenstiel vs. midline incision following minimally invasive radical cystectomy. Methods: This is a retrospective comparative study from February 2004 to February 2017 and the number of patients studied was 116. Patients were divided into group A (Pfannenstiel incision) and group B (midline incision). The parameters analyzed were age, gender, co-morbidity, tobacco exposure, occupation, presentation, computed tomography findings, hydronephrosis, transurethral resection of bladder tumor report, duration of surgery (in minutes),... Read more
    Mini-invasive Surg 2018;2:15. | doi:10.20517/2574-1225.2018.05
    Published on: 31 May 2018  | Viewed:252  | Downloaded:4
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  • Original Article|Open Access

    Laparoscopic intra-peritoneal onlay mesh plus repair for ventral abdominal wall hernias - is there substance to the hype?

    Kalpesh Jani
    Aim: To summarize our experience in laparoscopic intra-peritoneal onlay mesh (IPOM) plus repair for ventral abdominal wall hernias over a 10-year period. Methods: All patients posted for laparoscopic repair of midline lower abdominal ventral hernia on an intention to treat basis were included in the study. Patients unfit for general anesthesia, patients posted for open repair or a hybrid approach (open reduction and closure of defect followed by laparoscopic IPOM repair) were excluded. Pre-operative patient demographics were noted. Intra-operative and post-operative data was recorded and... Read more
    Mini-invasive Surg 2018;2:14. | doi:10.20517/2574-1225.2018.08
    Published on: 28 May 2018  | Viewed:1024  | Downloaded:11
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  • Case Report|Open Access

    Duplicated gallbladder with obstructive jaundice: a case report with video

    Iman Ghaderi , Eleisha Flanagan , Suneet Bhansali , Timothy M. Farrell
    A 38-year-old male presented with painful obstructive jaundice. Ultrasound showed biliary dilatation and a duplicated gallbladder (DG). Magnetic resonance cholangiopancreatography (MRCP) imaging confirmed the diagnosis of DG and raised the suspicion of a stricture in the distal common bile duct. Endoscopic retrograde cholangiogram, sphincterotomy with small stone extraction, and biliary stent placement were accomplished, and the patient was transferred to our tertiary center. Given the report of a stricture, endoscopic retrograde cholangiopancreatography (ERCP) was repeated and showed no... Read more
    Mini-invasive Surg 2018;2:13. | doi:10.20517/2574-1225.2017.52
    Published on: 28 May 2018  | Viewed:353  | Downloaded:3
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  • Review|Open Access

    Robotic and laparoscopic urologic surgery ischemic preconditioning

    Murat Zor , Kubra Ozgok Kangal
    Laparoscopic and robotic assisted surgeries have evolved from a limited surgical procedure to a major surgical technique during the last three decades. The indications increased incrementally. Despite its several advantages, it has some surgery and pneumoperitoneum related adverse effects and hemodynamic complications. One of them is the ischemia reperfusion injury (IRI) of the abdominal organs that can be developed secondary to pneumoperitoneum. IRI is also a risk factor for acute kidney injury in partial nephrectomy surgeries even performed via open, or laparoscopic/robotic assisted. To... Read more
    This article belongs to the Special Issue Complications of Urologic Laparoscopic and Robotic Surgery
    Mini-invasive Surg 2018;2:12. | doi:10.20517/2574-1225.2017.34
    Published on: 15 May 2018  | Viewed:234  | Downloaded:10
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  • Original Article|Open Access

    A skill degradation in laparoscopic surgery after a long absence: assessment based on nephrectomy case

    Toru Sugihara , Hideo Yasunaga , Hiroki Matsui , Akira Ishikawa , Tetsuya Fujimura , Hiroshi Fukuhara , Kiyohide Fushimi , Yukio Homma , Haruki Kume
    Aim: To examine the laparoscopic skill-degradation effect by investigating whether a long absence from laparoscopic surgery increases laparoscopic surgery time. Methods: Using the Japanese Diagnosis Procedure Combination database from April 2010 to March 2012, data for patients undergoing laparoscopic nephrectomy and nephroureterectomy for malignancy were collected. To regulate the hospital volume effect, the hospitals included in the study were limited to those with hospital volumes of 12-24 per year. Laparoscopic time was assessed by multivariate linear regression analysis including... Read more
    Mini-invasive Surg 2018;2:11. | doi:10.20517/2574-1225.2018.14
    Published on: 14 May 2018  | Viewed:371  | Downloaded:13
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  • Original Article|Open Access

    Does intra-operative cardiac output monitoring improve outcomes for patients undergoing elective colorectal surgery within an enhanced recovery programme?

    Muhammad Imran Aslam , Harriet Smith , Chelise Currow , Nadia Akhtar , Julia Merchant , Richard Evans , Ugochukwu Ihedioha , Peter Kang
    Aim: Intra-operative cardiac output (CO) monitoring became a standard of care in Northampton General Hospital, UK, at the end of 2013. This study aimed to assess the effectiveness of intra-operative CO monitoring with oesophageal Doppler or LiDCO for patients undergoing elective colorectal surgery for cancer within an enhanced recovery after surgery (ERAS). Methods: Data was prospectively collected over a 5-year period (March 2010 - Feb 2015) for patients undergoing elective colorectal surgery in the practice of a single surgeon. The ERAS protocol was applied for all the patients. There... Read more
    Mini-invasive Surg 2018;2:10. | doi:10.20517/2574-1225.2017.42
    Published on: 27 Apr 2018  | Viewed:502  | Downloaded:23
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  • Original Article|Open Access

    Towards safe and efficient cervical dilatation

    Avinoam Tzabari , Amnon Weichselbaum , Michael Stark
    Aim: Traditional methods of cervical dilatation such as Hegar rods and laminaria are associated with the damage leading to the risk of cervical incompetence or require two sessions with higher risk of infections. In this study, a new dilator based on expanding triple balloons is assessed. Methods: Cervical dilation with the triple balloon was evaluated in 15 women with various indications. After measuring the diameter of the cervix the triple balloon was inserted and inflated for 5-7 min and thereafter measured again. Results: This time was sufficient to achieve the diameter of 4.5-9.5 mm... Read more
    Mini-invasive Surg 2018;2:9. | doi:10.20517/2574-1225.2018.11
    Published on: 27 Apr 2018  | Viewed:661  | Downloaded:28
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  • Case Report|Open Access

    Successful treatment for infected biloma after endoscopic ultrasound-guided hepaticogastrostomy using double stent placement technique

    Takeshi Ogura , Atsushi Okuda , Akira Miyano , Nobu Nishioka , Kazuhide Higuchi
    This case report describes a treatment of an elderly man who had undergone pancreaticoduodenectomy (Whipple Procedure) due to bile duct cancer. Herein, we describe technical tips of endoscopic ultrasound (EUS)-guided hepaticojejunostomy EUS-HJS combined with EUS-guided antegrade stenting (EUS-AS) using novel plastic stent. First, intrahepatic bile duct was punctured using 19G fine needle aspiration needle. Next, the 0.025-inch guidewire was inserted into the biliary tract. After the guidewire was advanced into the intestine, the bile duct and the intestine wall were dilated using by balloon... Read more
    Mini-invasive Surg 2018;2:8. | doi:10.20517/2574-1225.2017.48
    Published on: 23 Apr 2018  | Viewed:408  | Downloaded:19
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  • Review|Open Access

    Robotic urologic surgery complications

    Erdem Koc , Abdullah Erdem Canda
    Robot-assisted surgery is a commonly performed procedure in the recent urological approach. The scientific data that reveal the complication rates also tend to increase by the rising popularity of the robot-assisted surgeries in the treatment of urological cancers. Patient characteristics, nature of the cancer and learning curve of the surgeon are the determinant factors of the complication rates. Nevertheless, robot-assisted surgical techniques are safer with acceptable morbidity and mortality rates as compared to open surgical methods. In urology practice, robotic surgery is most commonly... Read more
    This article belongs to the Special Issue Complications of Urologic Laparoscopic and Robotic Surgery
    Mini-invasive Surg 2018;2:7. | doi:10.20517/2574-1225.2017.33
    Published on: 16 Apr 2018  | Viewed:247  | Downloaded:16
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  • Original Article|Open Access

    Laparoscopic transgastric resection of gastric submucosal tumor located near the esophagogastric junction

    Pablo Priego , Marta Cuadrado , Francisca García-Moreno , Pedro Carda , Julio Galindo
    Aim: Laparoscopic wedge resection is widely accepted as the choice of treatment for gastric submucosal tumors (GST). However, tumors on the posterior wall at the esophagogastric junction (EGJ) are difficult to approach. Laparoscopic transgastric resection (LTR) is a novel technique to remove gastric tumors that are unresectable by endoscopy due to their size and location. The aim of the article is to assess the feasibility and oncological outcomes of this laparoscopic approach for intraluminal GST located in the posterior wall and near the EGJ. Methods: A retrospective analysis of all... Read more
    Mini-invasive Surg 2018;2:6. | doi:10.20517/2574-1225.2018.01
    Published on: 8 Apr 2018  | Viewed:716  | Downloaded:34
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  • Original Article|Open Access

    Magnetic resonance imaging study of orthotic balloon brace used for the treatment of pectus carinatum

    Clifton Ewbank , Olajire Idowu , Taylor Chung , Sunghoon Kim
    Aim: A compressive orthotic brace is considered the first line therapy for patients with pectus carinatum. We designed a brace made of a non-metallic binder equipped with a balloon which can be insufflated to apply variable compression pressure to chondrogladiolar pectus carinatum. The study aimed to study the effect of this brace on patients with pectus carinatum, dynamic magnetic resonance imaging (MRI) studies were obtained. Methods: Dynamic chest MRI studies were obtained on pectus carinatum patients fitted with the orthotic balloon brace. Patient’s vital signs and oxygen saturations... Read more
    Mini-invasive Surg 2018;2:5. | doi:10.20517/2574-1225.2017.51
    Published on: 21 Mar 2018  | Viewed:708  | Downloaded:35
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  • Review|Open Access

    Complications of robotic and laparoscopic urologic surgery relevant to anesthesia

    Muhammed Ersagun Arslan , Ayşegül Özgök
    Technology keeps advancing in this era allowing surgery to become less invasive in many surgical sciences. Besides these technological advances, minimally invasive procedures such as laparoscopy and robotic assisted laparoscopy are preferred widely around the globe by both surgeons and patients. Because of the increasing demand to laparoscopy and robotic surgery, anesthetists also should adapt to these specific surgical procedures. Carbon dioxide (CO2) insufflation is applied in these procedures in order to provide working space and exposure to target organs. CO2 insufflation... Read more
    This article belongs to the Special Issue Complications of Urologic Laparoscopic and Robotic Surgery
    Mini-invasive Surg 2018;2:4. | doi:10.20517/2574-1225.2017.31
    Published on: 16 Mar 2018  | Viewed:861  | Downloaded:48
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  • Original Article|Open Access

    Upper gastrointestinal surgeon attitudes towards management of refractory gastroesophageal reflux disease in obese patients

    Waleed Al-Khyatt , Sherif Awad , Paul Leeder
    Aim: The marked increase in prevalence of obesity has been associated with an increase in obese patients seeking surgical treatment for refractory gastroesophageal reflux disease (GORD). The management of GORD in such patients remains contentious with no published guidelines. Methods: A snapshot 9-item online survey was undertaken to elicit professional opinions of UK surgeons regarding the surgical management of refractory GORD in obese patients. Results: Eighty-two percent and 51% of surgeons performed more than 10 anti-reflux procedures and more than 10 bariatric procedures per year,... Read more
    Mini-invasive Surg 2018;2:3. | doi:10.20517/2574-1225.2017.49
    Published on: 28 Feb 2018  | Viewed:2448  | Downloaded:144
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  • Case Report|Open Access

    RETRACTED ARTICLE: Complete amenorrhea following NovaSure endometrial ablation for resistant menorrhagia: a case report

    Ibrahim A. Abdelazim , Mohannad AbuFaza , Rania H. Farag
    Heavy menstrual bleeding (HMB) or menorrhagia is the most common form of dysfunctional uterine bleeding (DUB). In spite of medical treatment for DUB, many women will eventually require a hysterectomy, which is an invasive treatment option. NovaSure ablation offers a same day non-invasive alternative to hysterectomy and hysteroscopic ablation. A 38-year-old woman presented with HMB in 2015. The attacks of HMB interrupted her lifestyle, and she refused to continue with medical treatment, which failed to resolve her symptoms. This patient was admitted to the hospital four times over 2015 due... Read more
    Mini-invasive Surg 2018;2:2. | doi:10.20517/2574-1225.2017.30
    Published on: 27 Feb 2018  | Viewed:998  | Downloaded:30
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  • Case Report|Open Access

    Paucisymptomatic gastric anisakiasis: endoscopical removal of Anisakis sp. larva

    Rossella Palma , Simonetta Mattiucci , Cristina Panetta , Marilena Raniolo , Fabio Massimo Magliocca , Stefano Pontone
    Anisakiasis is increasing worldwide, even in Europe and in the Mediterranean region due to the increased practice of raw fish consumption. Usually, a detailed food history is the key to the diagnosis. A 52-year-old woman affected by pathological obesity underwent esophagogastroduodenoscopy (EGD) for a 1-year history of epigastric pain. In the gastric fundus, an Anisakis sp. larva, was casually detected. The nematode was successfully removed with a biopsy forceps. In this case, the finding of the parasite was casual, being detected during an accurate EGD performed for a 1-year history of... Read more
    Mini-invasive Surg 2018;2:1. | doi:10.20517/2574-1225.2017.40
    Published on: 16 Jan 2018  | Viewed:1543  | Downloaded:109
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  • Topic: Achalasia Management: the South American viewpoint|Open Access

    Non-conventional surgical approach to achalasia: mucosectomy and endomuscular pull-through

    Jose Luis Braga De Aquino , Marcelo Manzano Said , José Gonzaga Teixeira De Camargo
    Aim: Transhiatal esophagectomy is a therapeuthic option for the treatment of end-stage achalasia that avoids the complications of a thoracotomy. This technique; however, is still linked to some degree of morbimortality especially due to pleuromediastinal complications. Esophageal mucosectomy and endomuscular pull-through could avoid these complications.This study aims to evaluate the short and long-term outcomes of esophageal mucosectomy and endomuscular pull-through in a series of patients with advanced megaesophagus. Methods: We retrospectively studied 115 patients with end-stage... Read more
    Mini-invasive Surg 2017;1:167-72. | doi:10.20517/2574-1225.2017.29
    Published on: 28 Dec 2017  | Viewed:1118  | Downloaded:61
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  • Topic: Achalasia Management: the South American viewpoint|Open Access

    Minimally invasive esophagectomy in achalasia: a more liberal approach to esophageal resection

    Eduardo Crema , Júverson Alves Terra Júnior , Guilherme Azevedo Terra , Celso Junior de Oliveira Teles , Alex Augusto da Silva
    Aim: The advent of minimally invasive abdominal and thoracic surgeries has led to a meaningful reduction in complication and mortality rates among patients undergoing esophagectomy, especially when used for the treatment of benign diseases such as megaesophagus. Methods: Two hundred thirty-one patients, 152 (65.8%) men and 79 (34.2%) women, with a mean age of 52.46 (19-80) years, were treated for advanced megaesophagus between September 1996 and October 2016. Two hundred ten patients (90.91%) had chagasic megaesophagus and 21 patients (9.09%) had idiopathic megaesophagus. Results: Immediate... Read more
    Mini-invasive Surg 2017;1:160-6. | doi:10.20517/2574-1225.2017.26
    Published on: 28 Dec 2017  | Viewed:1070  | Downloaded:84
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  • Topic: Achalasia Management: the South American viewpoint|Open Access

    Heller-Pinotti, a modified partial fundoplication associated with myotomy to treat achalasia: technical and final results from 445 patients

    Edno Tales Bianchi , Rubens Antonio Aissar Sallum , Sergio Szachnowicz , Francisco Carlos Bernal Costa Seguro , Andre Fonseca Duarte , Julio Rafael Mariano da Rocha , Ivan Cecconello
    Aim: The need for an antireflux procedure after myotomy is no longer as controversial as it used to be. However, the choice of the best fundoplication after myotomy is still controversial. The authors present the results of laparoscopic myotomies associated with postero-latero-anterior fundoplications (Heller-Pinotti). Methods: Medical records and endoscopic findings were reviewed for achalasia patients that had submitted to the procedure following 5 years of follow-up. Results: In total, 445 patients were enrolled: 39 (8.7%) presented erosive esophagitis, the Los Angeles classification... Read more
    Mini-invasive Surg 2017;1:153-9. | doi:10.20517/2574-1225.2017.41
    Published on: 28 Dec 2017  | Viewed:1638  | Downloaded:81
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  • Topic: Achalasia Management: the South American viewpoint|Open Access

    Endoscopic pneumatic dilatation and peroral endoscopic myotomy in dilated megaesophagus

    Eduardo Turiani Hourneaux de Moura , Eduardo Guimarães Hourneaux de Moura
    Achalasia is a primary esophageal disorderth variable causes, with an incidence between 0.03 to 1/100,000 people, and prevalence of approximately 10/100,000, with no difference between gender. It is more frequent in South and Central America, where Chagas disease is endemic. There are several methods to treat achalasia including endoscopic and surgical procedures, however, all of these methods are palliative. This article discusses 2 different endoscopic methods to treat advanced megaesophagus in Chagas disease, pneumatic balloon dilatation (PBD), and peroral endoscopic myotomy (POEM).... Read more
    Mini-invasive Surg 2017;1:148-52. | doi:10.20517/2574-1225.2017.27
    Published on: 28 Dec 2017  | Viewed:905  | Downloaded:74
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  • Technical Note|Open Access

    Percutaneous nephrostomy step by step

    Ankush Jairath , Arvind Ganpule , Mahesh Desai
    Percutaneous renal access remains the cornerstone initial step in varied clinical settings. For obtaining the best surgical outcome and minimizing patient morbidity, an appropriate access to the target calyx is needed. Though the site of entry depends upon anatomy of pelvicalyceal system and indication for access, a proper technique should be used for gaining access and at the same time minimizing the associated complications. This article describes our technique of gaining access to the pelvicalyceal system and subsequent percutaneous nephrostomy placement in a stepwise manner. Read more
    Mini-invasive Surg 2017;1:180-5. | doi:10.20517/2574-1225.2017.24
    Published on: 28 Dec 2017  | Viewed:1715  | Downloaded:87
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