http://www.worldjls.org Get updates and now what happening in the world of Laparoscopic Surgery. en Copyright 2007 World Association of Laparoscopy Surgeons http://www.worldjls.org/News WALS RSS Generator contact@worldjls.org http://www.worldjls.org/News/wals.gif http://www.worldjls.org/member_area/index.html Approximately 20% of all patient visits to gynaecologist are suffering from pelvic pain. Pelvic pain can arise from a number of observable disorders or functional disorders in which obvious pathology is not present. The acute onset of pelvic pain is almost always related to an episodic event, such as ovulation, a rupturing ovarian cyst, or possible an ectopic pregnancy. CPP on the other hand is usually related to an evolving disorder such as endometriosis, pelvic adhesions, a slowly enlarging fibroid tumour or an ovarian cyst. In many cases where no definitive cause of chronic pain in females of reproductive age group is established, the PSN is one of the good options. New standards have been established for various indications. Patient comfort is a great consideration in the 21st century. The acquisition of recent technology and skills now affords a better choice of the mode of surgery. This document reviews the recent advances in treatment technique applicable to LPSN, examines the literature, and suggests guidelines for laparoscopic intervention in patients with CPP. http://www.worldjls.org/member_area/index.html WALS Fri, 16 Mar 2007 05:00:00 +1200 The aim of this review article is to compare the effectiveness and safety of laparoscopic and conventional open repair in the treatment of inguinal hernia. A literature review was performed using Springer link, Bmj, Journal of MAS and major general search engines like Google, MSN, and Yahoo etc. The following search terms were used: Laparoscopic inguinal hernia repair, Hernioplasty and Laparoscopic vs. open inguinal hernia repair. 1,600 citations found in total selected papers were screened for further references. Criteria for selection of literature were the number of cases excluded if less than 20, methods of analysis statistical or non statistical, operative procedure only universally accepted procedures were selected and the institution where the study was done Specialized institution for laparoscopic inguinal hernia repair were given more preference. http://www.worldjls.org/member_area/index.html WALS Thus, 15 Mar 2007 08:13:00 +1200 We hypothesize that task performance improves with the use of balanced degree of shadow and illumination compared to no or maximum shadow contrast and shadow-casting illumination from above compared to the side of the operative field. The standard task entailed touching target points on an undulating surface using a surgical hook. Each run consisted of 13 target points in a random sequence. The end points for each run were the execution time and number of errors. There is a need to develop a system that illuminates the operative field from above in order to create optimum shadow for endoscopic task performance. Fibre-optic light bundles can be deployed inside a super-elastic diverging shape memory alloy tubes to provide ceiling shadow-casting illumination. Such system also provides a balance between illumination and shadow contrast. Further research is required to develop the ideal shadow-producing video-endoscopic system. http://www.worldjls.org/member_area/index.html WALS Thus, 15 Mar 2007 08:13:00 +1200 Laparoscopic appendectomy is equally safe, and can provide less postoperative morbidity in experienced hands, as open appendectomy. Most cases of acute appendicitis can be treated laparoscopically. Laparoscopic appendectomy is a useful method for reducing hospital stay, complications and return to normal activity. With better training in minimal access surgery now available, the time has arrived for it to take its place in the surgeons repertoire. http://www.worldjls.org/member_area/index.html WALS Thus, 15 Mar 2007 08:13:00 +1200 While laparoscopy has been an enormous advance from open surgery, recent development in microfibres and lenses have seen the creation of even tinier laparoscopes measuring two to four millimeters which are known as micro and mini laparoscopes, respectively. At the same time, small laparoscopic instruments have been produced and so the total laparoscopic procedure can be performed with incisions of two to four millimeters. Conventional laparoscopy uses a 10 mm umbilical incision for the laparoscope and 5 mm to 10 mm incisions elsewhere. Because of the small diameter of the micro and mini laparoscopes, under suitable circumstances surgeries may be performed without general anesthesia. http://www.worldjls.org/member_area/index.html WALS Thus, 15 Mar 2007 08:13:00 +1200 Ventral hernia occur as a result of weakness in the musculofacial layer of anterior abdominal wall, the most popular classifications are congenital, acquired, incisional and traumatic. According to several medical literatures the successful series of laparoscopic repair for ventral hernia were done by LeBlanc in 1993. Since then it has been proved that to be accepted surgical technique. New standards have been noted for various indication, contraindication, light mesh in incisional hernia, which is considered as a common surgical complication with long term incidence of ten to twenty percent and controversies in laparoscopic repair, operative costs may be optimized with selection of mesh and optimal use of transabdominal suture and fixation device. This review article reveals the recent advances and progression in laparoscopic ventral hernia repair technique even in patient with morbid obesity and old adult with incisional hernia. http://www.worldjls.org/member_area/index.html WALS Thus, 15 Mar 2007 08:13:00 +1200 The incidence of perforated Duodenal Perforation remains the same. Operative treatment of perforated duodenal ulcer consists of time honoured practice of omental patch closure but now this can be done by laparoscopic method . Laparoscopic approaches to closure of duodenal perforation are now being applied widely and may become the gold standard in the future especially in patient with less than 10mm perforation size presented with in the first 24 hrs of onset of pain. Perforated duodenal ulcer is a surgical emergency. Urgent simple closure of the perforation with omental patching is widely applied for the vast number of these patients the general consensus is to perform simple closure alone without definite procedures especially patients with poor surgical risks and sever peritonitis. Various laparoscopic techniques have been advocated for closing the perforation intra and extra corporeal knots, sutureless techniques, holding the omental patch by fibrin glue or sealing with a gelatin sponge, stapled patch closure, or gastroscopically aided management in the perforation. Many surgeons has reported patient with sealed perforation by peritoneal lavage and drainage only. http://www.worldjls.org/member_area/index.html WALS Thus, 15 Mar 2007 08:13:00 +1200 Although minimally invasive prostate removal aided by a robot can lead to less blood loss, shorter hospital stays and fewer complications, there is no evidence that the procedure improves cure rates, according to a new technology assessment. http://www.worldjls.org/member_area/index.html WALS Wed, 14 Feb 2007 17:00:00 +1200