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Wattiez A, Thoma V, Nassif J. Laparoscopic total hysterectomy for benign conditions: standard technique. Epublication: WeBSurg.com, Mar 2008;8(3). URL: http://www.websurg.com/ref/doi-ot02en326.htm
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Gynecology > Uterus > Benign pathology > Laparoscopic total hysterectomy

A Wattiez (France), V Thoma (France), J Nassif (France)

March 2008

Nowadays, hysterectomy is, after cesarean section, the most common surgical intervention performed in fertile women. Laparoscopic hysterectomy remains a safe and reproducible intervention that should be in any’s gynecologists therapeutic armamentarium.

 

Table of contents

1. Introduction
2. Anatomy
3. Indications and contraindications
4. Preoperative management
5. Operating room set-up
6. Trocar placement
7. Instruments
8. Division/left round ligament
9. Opening of vesicouterine space
10. Treatment of adnexa
11. Bladder dissection
12. Preparation/uterine pedicles
13. Opening and division of vagina
14. Hysterectomy and vaginal closure
15. Conclusion
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Nowadays, hysterectomy is, after cesarean section, the most common surgical intervention performed in fertile women. Laparoscopic hysterectomy remains a safe and reproducible intervention that should be in any's gynecologists therapeutic armamentarium.

Van Velthoven R. Laparoscopic cystoprostatectomy for bladder cancer in a male patient. Epublication: WeBSurg.com, Feb 2008;8(2). URL: http://www.websurg.com/ref/doi-ot02en311.htm
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Urology > Bladder > Cancer > Cystoprostatectomy

R Van Velthoven (Belgium)

February 2008

Radical cystectomy remains the gold standard for muscle invasive bladder cancer and high-risk superficial tumors resistant to intravesical treatment. Nevertheless, the laparoscopic cystoprostatectomy has rarely been well codified and illustrated.
Please click on the following link to watch the video of the procedure: http://www.websurg.com/ref/Laparoscopic_cystoprostatectomy_for_bladder_cancer-vd01en2001.htm

 

Table of contents

1. Introduction
2. Anatomy
3. Indications/Contraindications
4. Preoperative management
5. Operating room set-up
6. Trocar placement
7. Instruments
8. Operative protocol
9. Dissection/retrovesical space
10. Lateral dissection of bladder
11. Anterior dissection of bladder
12. Apical dissection
13. Lengthening techniques of ureter
14. Extraction
15. Orthotopic bladder replacement
16. Vesicourethral anastomosis
17. Postoperative management
18. Conclusion
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Radical cystectomy remains the gold standard for muscle invasive bladder cancer and high-risk superficial tumors resistant to intravesical treatment. Nevertheless, the laparoscopic cystoprostatectomy has rarely been well codified and illustrated.
Please click on the following link to watch the video of the procedure: http://www.websurg.com/ref/Laparoscopic_cystoprostatectomy_for_bladder_cancer-vd01en2001.htm

Dallemagne B. Laparoscopic short floppy Nissen fundoplication for gastroesophageal reflux disease. Epublication: WeBSurg.com, Nov 2006;6(11). URL: http://www.websurg.com/ref/doi-ot02en331.htm
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General and digestive > Stomach and duodenum > Hiatal hernia, reflux > Short floppy Nissen fundoplication

B Dallemagne (France)

November 2006

The original fundoplication technique as described by Rudolf Nissen in 1955 consisted in wrapping the fundus of the stomach around the esophagus, while leaving the gastrosplenic vessels and the diaphragmatic hiatus intact. Additionally, the vagus nerves were little or not preserved.
The basic principles of a fundoplication are:
- tension-free repositioning of the gastroesophageal junction (along with 2 cm of lower esophagus in a subphrenic position);
- use the gastric fundus to create the fundoplication;
- make sure that the resistance generated by the anti-reflux mechanism matches the preoperative assessment of esophageal peristalsis.

 

Table of contents

1. Introduction
2. Types of total fundoplications
3. Anatomy
4. Classification of hiatal hernias
5. Antireflux barrier
6. Operating room set-up
7. Trocar placement
8. Instrumentation
9. Exposure
10. Dissection/cardioesophageal junction
11. Mobilization of esophagus
12. Mobilization of gastric fundus
13. Cruroplasty
14. Creation of the fundoplication
15. Intraoperative complications
16. Closure
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Leroy J, Mutter D, Vix M, Marescaux J. 4DDOME® inguinal hernia repair. Epublication: WeBSurg.com, Mar 2006;6(3). URL: http://www.websurg.com/ref/doi-ot02en328.htm
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General and digestive > Abdominal wall > Inguinal hernia > 4DDOME®

J Leroy (France), D Mutter (France), M Vix (France), J Marescaux (France)

March 2006

The description of the 4DDOME® inguinal hernia repair covers all aspects of the surgical procedure used for the management of inguinal hernia.
Operating room set up, position of patient and equipment, instruments used are thoroughly described. The technical key steps of the surgical procedure are presented in a step by step way: local anesthesia, dissection of indirect inguinal hernia, repair: 4DDOME® technique, 4DDOME® placement, anterior mesh placement, end of procedure, other types of hernias.
Consequently, this operating technique is well standardized for the management of this condition.

 

Table of contents

1. Introduction
2. Technical principles
3. Anatomy
4. Indications/contraindications
5. Operating room set-up
6. Instruments
7. Local anesthesia
8. Dissection/indirect inguinal hernia
9. Repair: 4DDOME® technique
10. 4DDOME® placement
11. Anterior mesh placement
12. End of procedure
13. Other types of hernias
14. Postoperative management
15. Discussion
16. Conclusions
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Presently, the goals of modern hernia surgery are not only prevention of future herniation from areas of the inguinal floor beyond the region of the original hernia (<1%), but are also to repair hernias with less postoperative pain and a shorter recovery period (Schumpelick, 2000). To corroborate this, medicolegal complaints mainly refer to residual pain after anterior inguinal hernia repair. Residual pain is partly related to the dissection technique, to the excess of prosthetic material but also to fixation techniques which are responsible for chronic painful discomfort in 1 to 17% of patients (Vrijland et al., 2002).

For further information about the new 4DDOME®,
please access COUSIN Biotech web site.

Piéchaud T, Saussine C. Laparoscopic radical prostatectomy: transperitoneal approach. Epublication: WeBSurg.com, Feb 2006;6(2). URL: http://www.websurg.com/ref/doi-ot02en302.htm
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Urology > Prostate > Cancer > Laparoscopic prostatectomy

T Piéchaud (France), C Saussine (France)

February 2006

The description of the laparoscopic radical prostatectomy: transperitoneal approach covers all aspects of the surgical procedure used for the management of prostate cancer.
Operating room set up, position of patient and equipment, instruments used are thoroughly described. The technical key steps of the surgical procedure are presented in a step by step way: initial dissection of seminal vesicles, intrafascial dissection, specimen retrieval, vesicourethral anastomosis, end of procedure.
Consequently, this operating technique is well standardized for the management of this condition.

 

Table of contents

1. Introduction
2. Anatomy
3. Indications
4. Preop management
5. Operating room
6. Instruments
7. Trocar placement
8. Standard technique
9. Operative protocol
10. Initial dissection/seminal vesicles
11. Intrafascial dissection
12. Specimen retrieval
13. Vesicourethral anastomosis
14. End of procedure
15. Conclusions
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The use of radical prostatectomy is widespread in the treatment of localized prostate cancer. This procedure is well standardized in open surgery but laparoscopy can also be used as a treatment modality.

The first laparoscopic radical prostatectomy was primarily described by Schuessler (Schuessler et al., 1992).

Piéchaud T, Saussine C. Laparoscopic radical prostatectomy: extraperitoneal approach. Epublication: WeBSurg.com, Feb 2006;6(2). URL: http://www.websurg.com/ref/doi-ot02en327.htm
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Urology > Prostate > Cancer > Laparoscopic prostatectomy

T Piéchaud (France), C Saussine (France)

February 2006

The description of the laparoscopic radical prostatectomy: extraperitoneal approach covers all aspects of the surgical procedure used for the management of prostate cancer.
Operating room set up, position of patient and equipment, instruments used are thoroughly described. The technical key steps of the surgical procedure are presented in a step by step way: creation of extraperitoneal space, operative protocol, intrafascial dissection, specimen retrieval, vesicourethral anastomosis, end of procedure.
Consequently, this operating technique is well standardized for the management of this condition.

 

Table of contents

1. Introduction
2. Anatomy
3. Indications
4. Preop management
5. Operating room
6. Instruments
7. Trocar placement
8. Standard technique
9. Creation/extraperitoneal space
10. Operative protocol
11. Intrafascial dissection
12. Specimen retrieval
13. Vesicourethral anastomosis
14. End of procedure
15. Conclusions
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Radical prostatectomy is used for the treatment of localized prostate cancer.

The first laparoscopic radical prostatectomy was described by Schuessler (Schuessler et al., 1992). However, it was not until 1997 that the laparoscopic technique was standardized in a reproducible fashion.

Mutter D, Garcia A, Jourdan I. Endoscopes. Epublication: WeBSurg.com, Sept 2005;5(9). URL: http://www.websurg.com/ref/doi-ot02en308a.htm