Suturing and Knot-Tying Technique
Fig. 11.1 Types of inline handles Fig. 11.2 Clashing of handles Fig. 11.3 Screw off To approximate the tissue, it is absolutely necessary to grasp the tissue by an assistant…
Incisional and Ventral Hernia Repair
Indications Hernia with a minimum defect size of 3 cm Symptomatic hernia Contraindications Bowel injury Intestinal strangulation Intolerance to general anesthesia Uncontrolled coagulopathy Closing the hernia orifice even under local…
Access Device 2: Multi-Channel Port
Feature TriPort15™/TriPort+™/QuadPort+™ SILS™ Port GelPOINT™/GelPOINT™ Mini ENDOCONE®/X-Cone/S-PORT® OCTO™ Port SPIDER™ E•Z Access™/E•Z Access™ Oval x-GATE® Free Access Olympus Covidien Applied medical Karl Storz Dalim SurgNET TransEnterix Hakko Sumitomo Bakelite TOP…
The Umbilicus as the Access Site
Fig. 13.1 Illustration of the human embryo at 8 weeks Fig. 13.2 Computed tomography image at the level of the umbilicus. There is no muscle layer or subcutaneous fat layer…
Needlescopic Devices and Pre-bent Forceps
Fig. 8.1 Differences between 2-, 5- and 10-mm optics A significant obstacle to needlescopic surgery is the limited visualization achieved with 3-mm and smaller laparoscopes. Minilaparoscopes are available from Olympus…
Concept of Reduced Port Laparoscopic Surgery
Fig. 2.1 Co-axial setup. Monitor, surgical field, camera port, and the operator are ideally placed in a line Fig. 2.2 Triangular formation. Instruments from both sides should make an angle…
Sleeve Gastrectomy for Obesity
Fig. 35.1 Bariatric Procedures 1. TANKO laparoscopic adjustable gastric banding (LAGB) TANKO LAGB seems to be the least technically demanding of the TANKO bariatric surgeries. LAGB requires an adjustable port…
Roux-en-Y Gastric Bypass for Obesity
Fig. 34.1 Evolution of Roux-en-Y gastric bypass. (a) Mason and Ito (1966), (b) Griffin modification (1977), (c) Torres (1980) Here we describe our technique for SITU-LRYGB. 34.3 Technique The patient…
Technical Considerations
Fig. 10.1 The difference between conventional laparoscopic surgery (a) and SPLS (b) 10.2 Types and Characteristics of Access Ports Usually, a trans-navel approach is chosen. This approach consists of a…
Two or Combined Procedures
Fig. 39.1 A view of minimally invasive surgery integrated operating theatres in our institution 39.2.1 Instruments/Equipment There is a large range of products available for the surgeon to utilize. Flexible,…
