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   2008| January-March  | Volume 4 | Issue 1  
    Online since May 31, 2008

 
 
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UNUSUAL CASES
Laparoscopic management of abdominal cocoon
Ramesh Makam, Tulip Chamany, Saraswathi Ramesh, Vamsi Krishna Potluri, Prashanth J Varadaraju, Pradeep Kasabe
January-March 2008, 4(1):15-17
DOI:10.4103/0972-9941.40992  PMID:19547673
"Peritonitis fibrosa incapsulata", first described in 1907, is a condition characterized by encasement of the bowel with a thick fibrous membrane. This condition was renamed as "abdominal cocoon" in 1978. It presents as small bowel obstruction clinically. 35 cases of abdominal cocoon have been reported in the literature over the last three decades. Abdominal cocoon is more common in adolescent girls from tropical countries. Various etiologies have been described, including tubercular. It is treated surgically by releasing the entrapped bowel. We report a laparoscopic experience of tubercular abdominal cocoon and review the literature.
  9 4,933 265
ORIGINAL ARTICLES
Extra-biliary complications during laparoscopic cholecystectomy: How serious is the problem?
Arshad M Malik, Abdul Aziz Laghari, Qasim Mallah, Fazila Hashmi, Ubaid Sheikh, K Altaf Hussain Talpur
January-March 2008, 4(1):5-8
DOI:10.4103/0972-9941.40990  PMID:19547669
Objective: To deteremine the incidence, nature and management of extra-biliary complications of laparoscopic cholecystectomy. Materials and Methods: This study presents a retrospective analysis of extra-biliary complications occuring during 1046 laparoscopic cholecystectomies performed from August 2003 to December 2006. The study population included all the patients with symptomatic gallstone disease in whom laparoscopic cholecystectomy was performed. The extra-biliary complications were divided into two distinct categories: (i) Procedure related and (ii) Access related. Results: The incidence of access-related complications was 3.77% and that of procedure-related complications was 6.02%. Port-site bleeding was troublesome at times and demanded a re-do laparoscopy or conversion. Small bowel laceration occurred in two patients where access was achieved by closed technique. Five cases of duodenal and two of colonic perforations were the major complications encountered during dissection in the area of Calot's triangle. In 21 (2%) patients the procedure was converted to open surgery due to different complications. Biliary complications occurred in 2.6% patients in the current series. Conclusion: Major extra-biliary complications are as frequent as the biliary complications and can be life-threatening. An early diagnosis is critical to their management.
  5 7,275 455
UNUSUAL CASES
Septate gallbladder in the laparoscopic era
Nitin R Patel, Vismit P Joshipura, Sanjiv P Haribhakti, Harshad N Soni
January-March 2008, 4(1):20-22
DOI:10.4103/0972-9941.40994  PMID:19547674
The anatomy facing a surgeon during cholecystectomy is challenging as it involves complex relationship between the gallbladder, hepatic artery and extra-hepatic billiary tree. We report a case of septate gall bladder which was successfully treated with laparoscopic cholecystectomy. In this paper, we also discuss the embryology and characteristics of this rare anomaly. Lack of awareness, non-specific symptoms, signs and inadequacy of imaging methods are possible reasons for the reported problem of overlooking of this entity. Complete identification and removal of gallbladder is mandatory, as a remnant may result in recurrence of symptoms or stones.
  3 7,827 263
LETTER TO EDITOR
Endoscopic thoracic sympathectomy for hyperhidrosis: Technique and results
Arun Prasad
January-March 2008, 4(1):23-23
DOI:10.4103/0972-9941.40995  PMID:19547670
  2 2,771 214
REVIEW ARTICLE
Malposition of percutaneous endoscopic-guided gastrostomy: Guideline and management
Siamak Milanchi, Matthew T Wilson
January-March 2008, 4(1):1-4
DOI:10.4103/0972-9941.40989  PMID:19547728
Percutaneous endoscopic-guided gastrostomy (PEG) is done routinely on patients who suffer from inability to feed by mouth. PEG is generally considered a safe procedure with a low complication rate. A commonly underreported complication of PEG is malposition. This manuscript is a guideline to diagnosis and management of PEG malposition. We describe the different types of malposition, their diagnosis and management.
  2 9,902 439
UNUSUAL CASES
Gross intermittent hematuria after laparoscopic donor nephrectomy
G Gaurav, K Santosh, A Samiran, G Ganesh
January-March 2008, 4(1):18-19
DOI:10.4103/0972-9941.40993  PMID:19547672
Laparoscopic donor nephrectomy is a routine practice but still requires an intense level of attention to prevent complications. We report a rare case of gross hematuria in postoperative period after an uneventful laparoscopic donor nephrectomy.
  2 3,334 191
ORIGINAL ARTICLES
Laparoscopic cholecystectomy during pregnancy: A case series
Hadi Ahmadi Amoli, Hassan Tavakoli, Ali Yaghoubi Notash, Maryam Sajad Far, Patricia Khashayar
January-March 2008, 4(1):9-14
DOI:10.4103/0972-9941.40991  PMID:19547671
This study was conducted to evaluate the safety of laparoscopic cholecystectomy (LC) during pregnancy. Patients who underwent LC were selected from several hospital databases, only six were performed during pregnancy. In this series, one of the two patients who had LC in the first trimester underwent elective termination of pregnancy while the other one gave birth to a term child normally. Half of the four who had the second trimester LC had normal deliveries at term whereas for the other two cesarean section was performed. None of our patients underwent LC in the third trimester. The findings of the present study suggest LC to be a safe procedure performed during the first and second trimester of pregnancy.
  1 7,713 340
2004 Journal of Minimal Access Surgery
Published by Wolters Kluwer - Medknow
Online since 15th August '04