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The management of patients with recurrent incisional hernia continues to test the skills and judgments of gastrointestinal surgeons. Several different surgical techniques and types of mesh prostheses are available for repair. The purpose of this video is to show a technique for a recurrent ...
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This video demonstrates the technique of a total laparoscopic hysterectomy with unilateral adnexectomy and the excision of a vesical endometriotic nodule.
This patient is a 46-year-old lady with a previous surgical history of one laparotomy for a hemoperitoneum (endometriotic ovarian cyst ...
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Laparoscopic techniques have allowed surgeons to perform complicated intra-abdominal surgery with minimal trauma. Recently, the use of single incision laparoscopic surgery (SILS) has increased the potential of further reducing the trauma of surgical access respecting the basic principles of ...
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The reduction of the number of trocars is one of the ways to minimize the invasiveness of the surgical intervention. This video shows a cholecystectomy with a single site access, using a Gelport. This device was designed for hand-assisted surgery. Standard laparoscopic trocars are inserted through ...
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Single port access surgery may be the next generation of minimally invasive surgery thanks to the obvious advantages (e.g., scarless surgery, lesser pain, and faster postoperative recovery). Performing a cholecystectomy via a single trocar imposes a few technical constraints. The first is the ...
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Nowadays, with the accuracy of the modern imaging techniques, the diagnosis of incidental renal tumors has become increasingly frequent. These tumors are often small in size and minimally invasive procedures represent an optimal indication to perform nephron-sparing surgery (NSS). In addition, the ...
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In recent years, local treatment procedures have been developed to manage benign lesions of the rectum. This is the case of a superficial tumor of the anal margin located at the lower third of the rectum on its right anterior aspect. The objective of the video is to demonstrate a submucosal ...
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Transanal Endoscopic Microsurgery (TEM) is a minimally invasive technique for the resection of adenomas and early rectal carcinomas unsuitable for local or colonoscopic excision, which would otherwise necessitate major surgery. The objective of this film is to demonstrate the transanal resection of ...
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Pancreatic endocrine tumors (PETs) are uncommon but clinically challenging and fascinating tumors. Small, benign neoplasms are readily curable by surgical resection. This video presents the case of a 40-year-old woman with a tumor at the level of the pancreatic body. The patient’s virtual ...
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This video demonstrates a three-trocar laparoscopic splenectomy performed for atypical idiopathic thrombocytopenic purpura in a 33-year-old patient. An anterior approach, as in this case, is a very interesting one as the spleen does not need to be manipulated in this patient.
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This video shows a laparoscopic total hysterectomy and a bilateral pelvic lymphadenectomy for endometrial cancer. The patient is obese with a BMI of 34, which makes the surgical intervention more difficult. Anatomical landmarks are very well shown.
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Endoscopic polypectomy still remains the cornerstone of therapy for colorectal polyps and adenomas. However, if colorectal polyps are too large or not accessible for endoscopic ablation or cannot be removed without an increased risk of perforation, operative procedures are required. In such ...
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Laparoscopic cholecystectomy is the gold standard for symptomatic cholecystolithiasis. Technical maturation and advances in instrumentation have enabled the application of this procedure for acute cholecystitis.
This video demonstrates the surgical approach to performing a laparoscopic ...
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The laparoscopic approach has increasingly assumed a central role in the management of benign and malignant urological diseases. Laparoscopy is less morbid than open surgery and requires small incisions.
We present the case of an heminephrectomy, with a stepwise approach for the identification of ...
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This video shows the operative steps of the excision of a congenital choledochal cyst and the subsequent Roux-en-Y reconstruction.
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Esophageal leiomyomas are approximately 50 times less common than carcinomas, but they represent 80% of benign tumors of the lower esophagus.
An esophageal leiomyoma can be enucleated safely and effectively through minimally invasive surgery. The laparoscopic approach is a conventional option for ...
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We present the case of a TME dissection performed with monopolar cautery. A good knowledge of the anatomy and adequate surgical skills permit to effectively complete the mesorectal excision.
This video is recommended for advanced digestive surgeons.
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Hiatal hernia is a common disorder of the digestive tract. Most patients are elderly and with significant co-morbidities. Historically, the surgical repair of paraesophageal hernias (PHH) has been advocated regardless of the presence of symptoms. In fact, despite patients being symptom-free, the ...
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In recent years, the advances in preoperative localization studies, the availability of intraoperative parathyroid hormone (PTH) assay and the introduction of cervicoscopy revolutionized the surgical treatment of primary hyperparathyroidism (PHPT).
Minimally invasive video-assisted ...
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In this video, we present the technique of a TEP approach for the management of an inguinal hernia in a male patient. The technique is meticulously explained, emphasizing on the main anatomical landmarks, the key steps of the procedure and the potential injuries to be avoided.
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This video presents the laparoscopic treatment of a perforated acute diverticulitis of the sigmoid colon. The patient has a Hinchey stage IIb peritonitis. Because of a stable clinical presentation, a laparoscopic treatment was offered. The cavity of the abscess is opened and cleaned. Local ...
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We present a laparoscopic Nissen technique for the surgical management of a hiatal hernia. In order to better understand the technique, a stepwise approach is performed and tips and tricks on how to avoid major problems are presented.
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