Articles Related to Laparoscopy

Lower urinary tract injury in hysterectomy is rare, but once it occurs, the consequence can be deteriorating. We experienced late onset urinary tract injury that developed as late as 15 days after laparoscopic hysterectomy. The objective of this case report is to alert all gynecological laparoscopists that such late onset complication may happen to any of patients.

View complete article: PDF  |  Full-text

In order to detect if there is any correlation between the level of total and specific Chlamydia serology titre and the degree of tubal disease at laparoscopy in sub fertile women and to compare the results with a control group. A retrospective controlled clinical study was conducted in a hospital setting (both inpatient and outpatient clinic). A total of hundred and twenty two sub fertile women who underwent laparoscopy/tubal surgery in the period between January 2011-January 2014 were included. This included 40 women with positive Chlamydia Trachomatis specific titre (group 1), 40 with positive Chlamydia serology total titre only (group 2) and 42 women with negative Chlamydia serology titre (control group). Chlamydia serology titre was measured by ELISA. The differentiated Chlamydia specific titres were measured using Microscopic Immunofluorescence Assay (MIF) to determine the immunity status. The Chlamydia Trachomatis IgG titres were classified for the purpose of the study into normal (<1/16), Mild (1/16), Moderate (1/32), and severe (>=1/64). Laparoscopic grading of tubal disease was performed into grades 1-3 according to the severity of the tubal damage which was compared to the Chlamydia titre. Pearson`s correlation test was used as a descriptive measure.

View complete article: PDF  |  Full-text

A 55 year-old man with signs and symptoms of severe sepsis was admitted to the emergency department. He is severely obese with a BMI of 80 Kg/ m2 and a medical history of hypertension and arrhythmia. The abdominal pain was non-specific and the physical examination was impaired by obesity. Ultrasonography (US) was ineffective and no computed tomography (CT) scan was available for a patient of his weight. The acute abdomen presented an inflammatory etiology. The patient underwent laparoscopy and severe cholecystitis was diagnosed and treated. The patient recovered well, and remained for 36h in the intensive care unit and 5 days in the surgical ward.

View complete article: PDF  |  Full-text

Studies comparing robotic-assisted laparoscopic surgery (RALS) and conventional laparoscopic surgery (CLS) suggest that the two approaches have similar outcomes. However, RALS leads to higher cost and longer operative time. We sought to investigate patient perceptions of RALS for benign gynecologic pathology.

View complete article: PDF  |  Full-text

A study of the history of the dermoid cyst of the ovary suggests that the old masters were only conversant with large tumors. The relatively smaller dermoid cyst with its typical greasy matter and hairs only came into recognition during the second half of the 19th century. Therefore, the purpose of this paper is to document how the medical masters of yester years became acquainted with this distinct disease.

View complete article: PDF  |  Full-text

A retrospective analysis was conducted on 8466 gastric cancer patients from different age groups treated in Minsk City Clinical Oncological Hospital from 1998 to 2013. Of these, 72 (0.85%) patients were under the age of 30, 72.2% of which were diagnosed with clinical stage IV cancer

View complete article: PDF  |  Full-text