Journal of Minimal Access Surgery最新文献

{"title":"Robotic versus laparoscopic right hemicolectomy: Does the approach matter?","authors":"M Jeevanandham, Gaurav Chinappa, Gilbert Samuel Jebakumar, Srilaxmi Murugan, M Ashwin, Sudeepta Kumar Swain, K S Santhosh Anand, Venkatesh Munikrishnan","doi":"10.4103/jmas.jmas_10_26","DOIUrl":"https://doi.org/10.4103/jmas.jmas_10_26","url":null,"abstract":"<p><strong>Introduction: </strong>Minimally invasive surgery has been widely recognised as the standard approach for the treatment of colon cancer. At present, right hemicolectomy for colonic malignancy has been widely done using a laparoscopic approach, in high-volume centres, and that has been proven to be both safe and feasible. However, laparoscopic surgery has several limitations, which can be minimised with robotic platforms. Our study aimed to compare the short-term outcomes of robotic right hemicolectomy (RRH) and laparoscopic right hemicolectomy (LRH).</p><p><strong>Patients and methods: </strong>This was a prospective observational study with two comparative arms. All patients who underwent right hemicolectomy for malignant indications were included and who underwent emergency surgeries for perforation or obstruction were excluded. They were followed up for a minimum of 30 days postoperatively. Statistical analysis was performed using SPSS software (IBM Corp., version 28.0). Continuous variables were expressed as mean ± standard deviation. Comparison between two groups were done using Student's t -test or Mann-Whitney U -test for continuous variables. Chi-square test or Fisher's exact test for categorical variables, as appropriate.</p><p><strong>Results: </strong>A total of 70 patients were recruited in the study, with equal numbers in each arm, and they were well matched. The RRH group had significantly longer operative time than the laparoscopic group (177.1 min vs. 144.7 min, P < 0.001). The length of hospital stay and time to passage of first flatus were shorter in the RRH arm, but it was not statistically significant. Post-operative complications were comparable between the two groups. No reoperation and mortality were noted in both groups. The RRH group had a slightly higher mean lymph node harvest than the LRH group (22.1 vs. 21.2), though not statistically significant.</p><p><strong>Conclusion: </strong>RRH offers comparable short-term perioperative and oncological adequacy to LRH, with similar length of hospital stay, post-operative complications, return of bowel function and lymph node yield. RRH appears to be a safe and feasible alternative to LRH. The longer operative time and higher cost of the robotic platform still remain as important limitations for wider application. However, a well-designed, multi-centre RCT with a larger sample size is necessary to validate these findings and to recommend a suitable approach.</p>","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148907776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acute appendicitis in a patient with obstructed hemivagina and ipsilateral renal anomaly syndrome: Diagnostic overshadowing in recurrent pelvic pain.","authors":"Rafique Umer Harvitkar, Neriah Mangion, Ioannis Hannadjas, Seshu Kumar Bylapudi, Nida Khan","doi":"10.4103/jmas.jmas_538_25","DOIUrl":"https://doi.org/10.4103/jmas.jmas_538_25","url":null,"abstract":"<p><strong>Abstract: </strong>Herlyn-Werner-Wunderlich syndrome, also known as obstructed hemivagina and ipsilateral renal anomaly (OHVIRA) syndrome, is a rare congenital Müllerian duct anomaly, occurring in approximately 1 in 1,000,000 females. It is characterised by a triad of uterine didelphys, obstructed hemivagina and ipsilateral renal agenesis. Patients typically present with chronic pelvic pain, dysmenorrhea and endometriosis, which can lead to diagnostic bias and the misattribution of all pelvic pain to their underlying gynaecological condition. We present the case of a 19-year-old female with a known diagnosis of OHVIRA syndrome who presented with acute right iliac fossa (RIF) pain and raised inflammatory markers. Despite her complex gynaecological background, imaging confirmed a diagnosis of acute appendicitis with impending perforation. She underwent a successful laparoscopic appendicectomy. The patient had experienced multiple prior episodes of RIF pain, previously attributed to her gynaecological condition, without further surgical evaluation. This case underscores the importance of maintaining a broad differential diagnosis in patients with complex gynaecological anomalies and highlights the risk of diagnostic overshadowing. A comprehensive assessment for acute surgical pathology should always be considered in this cohort to avoid delays in diagnosis and treatment.</p>","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148907770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Minimally invasive organ-preserving surgery for rectal gastrointestinal stromal tumour: Report of two cases with long-term follow-up.","authors":"Venu Madhav Jarapala, Hemanga Kumar Bhattacharjee, Washim Firoz Khan, Sagar Rathod Rathlavath, Ashmita Jain, Rajendra Kumar Behera, Rajinder Parshad","doi":"10.4103/jmas.jmas_114_26","DOIUrl":"https://doi.org/10.4103/jmas.jmas_114_26","url":null,"abstract":"<p><strong>Abstract: </strong>Rectal gastrointestinal stromal tumours (GISTs) are uncommon and pose technical challenges due to their deep pelvic location and proximity to the anal sphincter complex. Radical resections, although traditionally preferred, often result in significant morbidity. We describe two cases of rectal GIST successfully managed by transanal minimally invasive surgery (TAMIS). One patient received neoadjuvant imatinib to downsize the tumour before excision. Full-thickness transanal tumour excision was achieved without rupture in both cases, with primary rectal wall closure. At 5 and 4 years of follow-up, respectively, both patients remain recurrence-free with full continence. TAMIS represents a safe, oncologically sound, organ-preserving approach for selected rectal GISTs.</p>","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148913502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Robotic cytoreductive surgery and hyperthermic intra-peritoneal chemotherapy for selected appendiceal neoplasms: Early experience from a national referral centre.","authors":"Prateek Arora, Malinga Gallala, Filomena Liccardo, Rebecca Fish, Lorena Martin-Roman, Omer Aziz, Hamish Clouston, Paul Sutton, Jonathan Wild, Malcolm Wilson, Chelliah R Selvasekar","doi":"10.4103/jmas.jmas_528_25","DOIUrl":"https://doi.org/10.4103/jmas.jmas_528_25","url":null,"abstract":"<p><strong>Background: </strong>Selected high-risk appendiceal neoplasms with tumour perforation or T4 disease may be considered for risk-reducing cytoreductive surgery and hyperthermic intraperitoneal chemotherapy (CRS-HIPEC), even without overt radiological peritoneal disease. Since 2012, our centre has offered laparoscopic CRS-HIPEC, and a robotic approach was recently introduced to enhance visualisation, dexterity, and precision while minimising surgical trauma. This study evaluates the feasibility, safety, and early outcomes of risk-reducing robotic CRS-HIPEC (RCRS-HIPEC) in selected patients with high-risk appendiceal neoplasms without radiological peritoneal disease.</p><p><strong>Patients and methods: </strong>This retrospective single-centre case series was conducted at a national referral centre for peritoneal surface malignancy. Eight patients underwent standardised RCRS-HIPEC. The cohort included low-grade appendiceal mucinous neoplasm ( n = 3), goblet cell carcinoma ( n = 4), and appendiceal adenocarcinoma ( n = 1). The standardised operative approach included omentectomy, falciform excision, umbilicectomy, and cholecystectomy or salpingo-oophorectomy where indicated, followed by closed HIPEC. Outcomes assessed included operative time, blood loss, complications, length of stay, histopathology, patient-reported recovery, and preliminary resource utilisation.</p><p><strong>Results: </strong>Mean age was 65.8 years; there were 5 male and 3 female patients. Mean operative time was 6 h 19 min (±25 min), with minimal blood loss (<150 mL). No patient required epidural analgesia, parenteral nutrition, or prolonged critical care. Median time to first flatus was 3 days, and median hospital stay was 5 days. Two patients experienced Clavien-Dindo grade I morbidity, with no major complications. Histopathology demonstrated residual disease in two patients. Early electronic patient-reported outcome measures suggested favourable recovery, and preliminary Patient Level Information and Costing System data indicated potential NHS resource savings.</p><p><strong>Conclusions: </strong>RCRS-HIPEC is feasible and safe in carefully selected patients with high-risk appendiceal neoplasms without radiological peritoneal disease. A standardised robotic approach may promote reproducibility, support enhanced recovery, and reduce healthcare resource use. Larger comparative studies are warranted.</p>","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148907744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Application of lean management in operating room nursing and its impact on improving the on-time start rate of the first scheduled surgery: A pre-post study.","authors":"Siyuan Yang, Ruodan Zhou, Sanlin Zhang, Wei Xu","doi":"10.4103/jmas.jmas_87_26","DOIUrl":"https://doi.org/10.4103/jmas.jmas_87_26","url":null,"abstract":"<p><strong>Objective: </strong>This study sought to evaluate the impact of lean management (LM) on improving the on-time start rate of the first scheduled surgery and overall nursing performance in the operating room.</p><p><strong>Patients and methods: </strong>A total of 150 patients who received the first scheduled surgery from November 2023 to May 2024 were selected as the observation group and 150 patients who received the first scheduled surgery from May to October 2023 were selected as the control group. The observation group implemented LM, while the control group received routine peri-operative management. Work efficiency indicators, on-time start rates, operating room turnover efficiency, nursing quality scores, patient satisfaction and staff competency levels were compared before and after the implementation of LM.</p><p><strong>Results: </strong>The observation group showed notably reduced surgical duration, preparation time and room acceptance time compared to the control group (all P < 0.001). The on-time start rates of both the first and subsequent surgeries were significantly higher in the observation group (all P < 0.001). In addition, the observation group achieved higher daily surgical volume and surgeries per operating room. Nursing quality assessment scores, patient satisfaction ratings and staff competency scores were all significantly improved following LM implementation (all P < 0.001).</p><p><strong>Conclusion: </strong>Implementation of LM optimises operating room workflow, enhances nursing quality and improves patient satisfaction, indicating that LM is an effective strategy for improving operating room performance.</p>","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148833751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Optimal tilt: The search for the perfect angle for robot-assisted pelvic surgeries.","authors":"Girish Sharma, Shailesh Chandra Sahay, Pawan Kesarwani","doi":"10.4103/jmas.jmas_295_26","DOIUrl":"https://doi.org/10.4103/jmas.jmas_295_26","url":null,"abstract":"<p><strong>Introduction: </strong>Robotic pelvic surgeries offer distinct advantages regarding intraoperative manoeuvrability and post-operative outcomes. However, the steep Trendelenburg position required for these procedures presents significant physiological challenges. The optimal angle that minimises complications while maintaining surgical efficacy remains undefined.</p><p><strong>Patients and methods: </strong>A prospective, randomised comparative study was conducted involving 100 patients undergoing robotic radical prostatectomy ( n = 50) and robotic hysterectomy ( n = 50). The primary objective was to assess variations in intraocular pressure (IOP) and optic nerve sheath diameter (ONSD) at varying degrees of tilt. The secondary objective was to evaluate haemodynamic stability and surgical feasibility. Patients were randomised in a 1:1 ratio to either a reduced or standard tilt group for their respective procedures.</p><p><strong>Results: </strong>Haemodynamic parameters, including diastolic blood pressure (DBP), mean arterial pressure and arterial DBP, were significantly lower in the 15° and 20° tilt groups. ONSD measurements were marginally higher in prostatectomy patients (4.9 mm) versus hysterectomy patients (4.8 mm) ( P = 0.075). Significant variations in IOP, intracranial pressure and ONSD were observed between hysterectomy groups (15° and 20°) and prostatectomy groups (20° and 25°), with peak parameters typically occurring mid-surgery. Receiver operating characteristic analysis demonstrated superior sensitivity of IOP over ONSD for distinguishing conditions during hysterectomy. Minimal surgical difficulty was achieved at 20° tilt.</p><p><strong>Conclusion: </strong>While traditional practices favour angles between 30° and 45°, this study demonstrates that lower angles provide safer alternatives without compromising surgical visualisation. Rather than adhering to a universal rigid angle, we recommend an individualised approach: initiating procedures at moderate tilts (15° for hysterectomy and 20° for prostatectomy) and increasing the angle only if patient-specific anatomical constraints dictate the need for greater exposure.</p>","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148851763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Endoscopic management of post-oesophagectomy anastomotic leaks using fully covered self-expandable metal stents with a novel clip-through-mesh fixation technique: A single-centre cohort study.","authors":"Shaheen Nazir, Ulfat Ara Wani, Mohamad Younis Bhat, Jaswinder Singh Sodi, Mushtaq Ahmad Khan, Faisal A Guru, Shahida Nasreen, Shadab Maqsood, Abdul Haseeb Wani, Aayaan Altaf, Asifa Andleeb","doi":"10.4103/jmas.jmas_186_26","DOIUrl":"https://doi.org/10.4103/jmas.jmas_186_26","url":null,"abstract":"<p><strong>Introduction: </strong>Anastomotic leak after oesophagectomy remains a major cause of post-operative morbidity and mortality. Endoscopic placement of fully covered self-expandable metal stents (FC-SEMS) has emerged as a minimally invasive therapeutic option; however, real-world outcome data remain limited. We evaluated the outcomes of FC-SEMS placement for post-oesophagectomy leaks and described a novel clip-through-mesh fixation technique to reduce stent migration.</p><p><strong>Patients and methods: </strong>We conducted a retrospective cohort study of patients with post-oesophagectomy anastomotic leaks treated with FC-SEMS between December 2024 and December 2025 at a tertiary care center. Demographic, clinical, oncologic, surgical and procedural variables were collected. The outcomes assessed included leak characteristics, timing of intervention, stent dwell time, technical success, clinical healing, adverse events, mortality and functional recovery. A modified fixation method was used in all cases, whereby a through-the-scope clip was partially opened, passed through a single diamond-shaped stent mesh cell and deployed at a crossover point into the mucosa.</p><p><strong>Results: </strong>Ten patients underwent FC-SEMS placement. Median time to leak detection was 12 days (range 7-20), and median maximum defect size was 3.25 cm. Multifocal leaks were present in 50% of patients. Surgical approaches included transhiatal (50%), transthoracic (30%) and subdiaphragmatic resections (20%). Technical success was achieved in all patients (100%), and complete clinical healing occurred in eight patients (80%). Two patients with large defects (>4 cm) and severe sepsis died despite technically successful stenting. No major stent-related adverse events were observed. No stent migration occurred during the follow-up. All surviving patients resumed oral intake after FC-SEMS placement, tolerated progressive diet advancement and remained symptom-free after stent removal during the follow-up.</p><p><strong>Conclusion: </strong>FC-SEMS placement is a feasible and effective first-line endoscopic therapy for post-esophagectomy anastomotic leaks. Early diagnosis, adequate drainage, antimicrobial therapy and nutritional support remain critical to success. The novel clip-through-mesh fixation technique was safe, reproducible and may help reduce stent migration.</p>","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148851797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pre-operative sonographic assessment of thick-walled gall bladder in gallstone disease and its influence on the operative outcomes in laparoscopic cholecystectomy.","authors":"Kritika, Deepak Pankaj, Nitesh Kumar, Sudhanshu Somvanshi, Ashutosh Kumar, Prashant Kumar, Vibhuti Bhushan, Manish Mandal, Umakant Prasad","doi":"10.4103/jmas.jmas_264_26","DOIUrl":"https://doi.org/10.4103/jmas.jmas_264_26","url":null,"abstract":"<p><strong>Introduction: </strong>Gall bladder wall thickness (GBWT) on ultrasonography is widely considered a predictor of operative difficulty in laparoscopic cholecystectomy; however, its independent predictive value remains to be fully established.</p><p><strong>Patients and methods: </strong>This prospective, observational study included 196 patients with symptomatic gallstone disease undergoing laparoscopic cholecystectomy at a tertiary care centre. Patients were stratified into four groups based on GBWT (≤2 mm, 3-4 mm, 5-6 mm and >6 mm). Operative outcomes, including adhesions, operative time, conversion to open surgery and post-operative complications, were analysed. Multivariate logistic regression identified independent predictors, and receiver operating characteristic (ROC) analysis determined the optimal GBWT cutoff.</p><p><strong>Results: </strong>Increasing GBWT was significantly associated with higher operative difficulty, including adhesions (16.4% vs. 40.0%, P = 0.023), longer operative time (52.4 vs. 68.2 min, P = 0.002) and higher conversion rates (3.6% vs. 20.0%, P = 0.045). On multivariate analysis, GBWT >2 mm independently predicted adhesions (adjusted odds ratio [AOR]: 1.82, 95% confidence interval [CI]: 1.05-3.14), conversion (AOR: 2.41, 95% CI: 1.08-5.36) and drain placement (AOR: 2.06, 95% CI: 1.12-3.78). ROC analysis demonstrated moderate predictive accuracy (area under the curve 0.72), with an optimal cutoff of >3 mm (sensitivity - 68.5% and specificity - 70.2%).</p><p><strong>Conclusions: </strong>GBWT is an independent and clinically useful predictor of operative difficulty in laparoscopic cholecystectomy. Routine pre-operative ultrasonographic assessment can aid in risk stratification and surgical planning.</p>","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148833769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Roux-en-Y gastric bypass surgery in adolescents with morbid obesity: A retrospective case series.","authors":"Ahmed Abdelshafy Mohamed Nasser, Ashraf Khairy Yossef, Amr Radwan, Abd Elrahman Safwat Al Kady, Mohammed Abd Al-Fattah, Mohamed Ibrahim Henish, Mohamed Tag El-Din, Mostafa Darwesh, Osama Almezaien, Osama Osman Khalil","doi":"10.4103/jmas.jmas_258_26","DOIUrl":"https://doi.org/10.4103/jmas.jmas_258_26","url":null,"abstract":"<p><strong>Introduction: </strong>The prevalence of adolescent obesity has increased dramatically over the past several decades. The objective of this investigation was to evaluate the outcomes of Roux-en-Y gastric bypass (RYGB) surgery in adolescents.</p><p><strong>Patients and methods: </strong>This retrospective case series examined 15 adolescents aged 17 years or younger who underwent RYGB surgery. Of the 15 adolescents, 11 presented with severe obesity-related co-morbidities at the time of surgery. The median follow-up was 84 months.</p><p><strong>Results: </strong>The mean Roux limb length was 80.9 ± 46.32 cm, and the mean duration of initial hospitalisation was 6.1 ± 1.19 days. Thirteen (86.67%) patients lost weight, whereas two (13.33%) gained weight. The mean weight loss was 53.67 ± 25.6 kg, while the mean weight gain was 14.5 ± 0.7 kg. The mean time to weight loss was 60.8 ± 48 months, and the mean time to weight gain was 132 ± 9.8 months. Regarding post-operative complications, 3 (20%) patients developed incisional hernia, 3 (20%) patients experienced symptomatic cholelithiasis, 2 (13.33%) patients developed protein-calorie malnutrition and 1 (6.67%) patient had a small-bowel obstruction. Six (40%) patients had no reported complications.</p><p><strong>Conclusion: </strong>RYGB operation is a promising intervention for adolescents with morbid obesity, promoting significant weight loss and alleviating related co-morbidities. However, careful evaluation and preparation are crucial to prepare adolescents for lifestyle changes post-surgery. With proper support and follow-up, RYGB can empower young individuals to achieve and maintain healthier weights, offering a promising solution in the fight against adolescent obesity.</p>","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148851881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Laser ablation for pilonidal sinus disease.","authors":"Nitish Jhawar, Avinash Supe, Roy Patankar","doi":"10.4103/jmas.jmas_382_26","DOIUrl":"https://doi.org/10.4103/jmas.jmas_382_26","url":null,"abstract":"<p><strong>Abstract: </strong>We describe a standardised 14-step technique for pilonidal sinus tract ablation using a radial 1470-nm diode laser. The protocol incorporates systematic tract identification, methylene blue staining, pit excision and sequential curettage, followed by a dual curettage-dual ablation cycle with ice-cold saline cooling. Laser ablation is a safe, minimally invasive, day-case procedure offering rapid recovery, minimal post-operative pain and acceptable recurrence rates.</p>","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148833825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}