{"title":"An experimental investigation of the split-attention effect on endoscopic surgical performance.","authors":"Erol Ozcelik, Damla Topalli, Nergiz Ercil Cagiltay","doi":"10.4103/jmas.jmas_5_25","DOIUrl":"10.4103/jmas.jmas_5_25","url":null,"abstract":"<p><strong>Introduction: </strong>Surgeons in the operating theatre frequently need to split their attention, such as when switching between the monitor and radiological images during endoscopic surgery. This split attention can lead to cognitive overload, potentially impacting performance. Despite this, limited research has been conducted on how split attention affects surgical outcomes.</p><p><strong>Patients and methods: </strong>This study examines the impact of split attention on surgical performance in a simulation-based training environment with two conditions: A far-condition (where information sources were spaced farther apart) and a near-condition (where sources were positioned closer together). A total of 53 participants (13 experienced surgical residents and 40 beginners) completed ten trials in each condition.</p><p><strong>Results: </strong>The results indicated that split attention led to diminished performance in beginners but not in residents. These findings suggest that expertise plays a crucial role in managing cognitive load for surgeons.</p><p><strong>Conclusion: </strong>The study highlights the need to develop training curricula that promote the automation of surgical skills through practice, allowing surgeons to allocate more cognitive resources effectively.</p>","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692155","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}
Sabo Tanimu, Reilly A Coombs, Yusuf Tanimu, Adedayo A Onitilo
{"title":"Cholecystectomy clip-induced biliary stone: Case report and literature review.","authors":"Sabo Tanimu, Reilly A Coombs, Yusuf Tanimu, Adedayo A Onitilo","doi":"10.4103/jmas.jmas_323_23","DOIUrl":"10.4103/jmas.jmas_323_23","url":null,"abstract":"<p><strong>Abstract: </strong>Migration of cholecystectomy surgical clip into the common bile duct with subsequent stone formation is a rare phenomenon, one which may lead to complications including obstruction, pain, nausea, vomiting and fever. The mechanism of migration is largely unknown but may result from a combination of factors including necrosis, intra-abdominal pressure or poor surgical technique with migrated clip serving as a nidus for stone formation. We present a 55-year-old woman with clip-induced stone impacted at the distal common bile duct 12 years post-cholecystectomy and a review of the literature related to cholecystectomy clip stone formation. In addition, we reviewed relevant English language case reports and literature reviews by searching PubMed using search terms 'stone', 'clip', 'cholecystectomy' and 'biliary'. There was no limit to the date of publication. Our study found 68 unduplicated cases of clip-induced stones which had a wide range of onset and presenting systems. Further research is needed to identify risk factors, methods of prevention and benefits of early detection screening.</p>","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":"306-311"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12327789/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139716546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Suresh Kumar Thanneeru, Reyaz Ahmad, Chandrakala Singh Rajput, Amit Gupta
{"title":"Subcutaneous endoscopic surgery for plicating divarication of recti and epigastric hernia repair in a child.","authors":"Suresh Kumar Thanneeru, Reyaz Ahmad, Chandrakala Singh Rajput, Amit Gupta","doi":"10.4103/jmas.jmas_76_24","DOIUrl":"10.4103/jmas.jmas_76_24","url":null,"abstract":"<p><strong>Abstract: </strong>Epigastric hernia with divarication of recti is uncommon in children, and the aetiology remains incompletely understood - as does the optimal management strategy - whether to repair epigastric hernia alone or both defects. We present an innovative technique utilising subcutaneous endoscopic surgery to address both epigastric hernia and divarication in children. Our approach yields excellent cosmetic outcomes, avoids the need for a larger laparotomy scar and mitigates the risks associated with the transperitoneal laparoscopic approach. It is a viable option with all the advantages of minimally invasive surgery for repairing epigastric hernia and divarication of recti in symptomatic cases, particularly when the aetiology is uncertain and multiple defects are anticipated. Its use may be extrapolated to isolated diastasis recti as working in subcutaneous space involves lesser risk with excellent cosmesis.</p>","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":"326-328"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12327782/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141879714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mario Alberto Riquelme, Ana Cantu-Zendejas, Carlos Rodriguez
{"title":"A rare case of transverse testicular ectopia associated with polyorchidism addressed by minimally invasive surgery: A case report.","authors":"Mario Alberto Riquelme, Ana Cantu-Zendejas, Carlos Rodriguez","doi":"10.4103/jmas.jmas_30_24","DOIUrl":"10.4103/jmas.jmas_30_24","url":null,"abstract":"<p><strong>Abstract: </strong>This report describes the rare case of transverse testicular ectopia (TTE) associated with polyorchidism in a 16-month-old male, successfully managed through laparoscopic surgery. The patient presented with bilateral cryptorchidism, a palpable mass in the right inguinal canal and an absent left-side gonad. Ultrasound revealed three gonad-like structures. Laparoscopy identified duplicated and fused testes at the right deep inguinal ring, and a third testis in the right inguinal canal. Minimally invasive techniques positioned the duplicated testes in the right hemiscrotum and the single testis in the left hemiscrotum. Post-operative follow-up confirmed optimal scrotal positioning, with normal growth. This rare case underscores the efficacy of laparoscopy in diagnosing and managing rare paediatric conditions, providing valuable insights for surgeons facing cryptorchidism or scrotal masses.</p>","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":"312-314"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12327781/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142576684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lucía Aragone, Mariana Toffolo Pasquini, Raul Croceri, Pablo Medina, Daniel Pirchi
{"title":"Self-gripping mesh in laparoscopic inguinal hernia repair: A comparative study about surgical time, post-operative pain and recurrence.","authors":"Lucía Aragone, Mariana Toffolo Pasquini, Raul Croceri, Pablo Medina, Daniel Pirchi","doi":"10.4103/jmas.jmas_62_24","DOIUrl":"10.4103/jmas.jmas_62_24","url":null,"abstract":"<p><strong>Introduction: </strong>In laparoscopic inguinal hernia repair (LIHR), fixation means for meshes (FMMs) are commonly used to reduce hernia recurrence risk. Their use may result in post-operative pain (PP) and may even increase surgical time (ST). Recently, self-gripping meshes (SGMs) have been developed, which leave aside fixation devices; they could potentially reduce PP and even decrease ST. Our primary outcome was to compare ST, PP and recurrence rates in LIHR using SGM versus FMM.</p><p><strong>Patients and methods: </strong>A comparative retrospective study with prospective case registry was conducted. All patients who underwent LIHR with transabdominal pre-peritoneal approach from January to December 2022 in a high-volume centre were analysed. Patients were divided into two groups according to the type of mesh used in surgery (SGM vs. FMM). Demographic variables, hernia type and size, mesh type and size, ST, PP, recurrence and other morbidities were compared between the groups.</p><p><strong>Results: </strong>A total of 411 LIHRs were performed during the period, of which 283 were included in the study. Of these, 234 patients were repaired with FMM and 49 with SGM. ST had a statistically significant reduction in the SGM group ( P = 0.0004) with a mean time of 58.9 min (±13.6), compared to 68.1 min (±18.9) for the FMM group. A trend towards lower PP in the SGM group was noted ( P = 0.08). No recurrences were found in the SGM group with a median follow-up of 18 months (interquartile range: 3).</p><p><strong>Conclusions: </strong>SGMs have proven to be a safe, efficient and fast for LIHR in our series. They are a feasible alternative for LIHR, reducing ST and potentially reducing PP. Prospective randomised trials are needed to confirm this trend, along with a longer follow-up period to determine potential advantages in terms of recurrences.</p>","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":"292-296"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12327777/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142886278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kaique Flavio Xavier Cardoso Filardi, José Donizeti de Meira Júnior, Thiago Nogueira Costa, André Montagnini, Ismael Dominguez-Rosado, Carlos Chan, José Jukemura, Paulo Herman
{"title":"Intrapancreatic accessory spleen mimicking a pancreatic neuroendocrine tumour - An important but almost forgotten differential diagnosis.","authors":"Kaique Flavio Xavier Cardoso Filardi, José Donizeti de Meira Júnior, Thiago Nogueira Costa, André Montagnini, Ismael Dominguez-Rosado, Carlos Chan, José Jukemura, Paulo Herman","doi":"10.4103/jmas.jmas_245_24","DOIUrl":"10.4103/jmas.jmas_245_24","url":null,"abstract":"<p><strong>Abstract: </strong>Intrapancreatic accessory spleen (IPAS) is a rare condition resulting from the failure of embryological splenic buds to fuse. Found in approximately 1.1% to 3.4% of the population, IPAS can present significant diagnostic challenges, often mimicking pancreatic tumours such as pancreatic neuroendocrine tumours. We report two cases of IPAS, each illustrating different diagnostic approaches and outcomes. These cases highlight the importance of considering IPAS in differential diagnoses for hypervascular pancreatic tail lesions. Advanced imaging techniques such as magnetic resonance imaging, computerised tomography, technetium-99m scintigraphy and endoscopic ultrasound-guided fine-needle aspiration are critical in distinguishing IPAS from malignant conditions, potentially preventing unwarranted surgical interventions. Comprehensive diagnostic protocols combining multiple modalities are recommended to enhance diagnostic accuracy and optimise patient outcomes.</p>","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":"321-325"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12327783/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Laparoscopic Roux-en-Y hepaticojejunostomy for post-cholecystectomy type IIIb benign biliary stricture with internal duodenal fistula: A case report with surgical video.","authors":"Lokesh Agarwal, Kaushal Singh Rathore, Vaibhav Kumar Varshney, Subhash Chandra Soni, B Selvakumar, Peeyush Varshney, Ashish Agarwal","doi":"10.4103/jmas.jmas_322_24","DOIUrl":"10.4103/jmas.jmas_322_24","url":null,"abstract":"<p><strong>Abstract: </strong>Laparoscopic cholecystectomy (LC) is a widely performed procedure, but it can be complicated by iatrogenic bile duct injuries, leading to benign biliary strictures (BBS). This report details the case of a 38-year-old man with a Bismuth type IIIb BBS and an internal duodenal fistula following LC. He underwent a totally laparoscopic Roux-en-Y hepaticojejunostomy (RYHJ), a technically demanding procedure, particularly in the presence of complex biliary strictures. The surgery involved meticulous dissection and the creation of a wide hepaticojejunostomy. The patient had an uneventful recovery, with discharge on the post-operative day 4. At 18-month follow-up, he remains asymptomatic with normal liver function. This case demonstrates the feasibility and effectiveness of laparoscopic RYHJ in managing complex BBS, offering the advantages of minimally invasive surgery, including reduced post-operative pain and shorter hospital stay, while ensuring favourable long-term outcomes.</p>","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":"21 3","pages":"318-320"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12327779/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Minimally invasive surgery for giant splenic cysts.","authors":"Rany Aoun, Rhea Akel, Maxime Genety","doi":"10.4103/jmas.jmas_202_24","DOIUrl":"10.4103/jmas.jmas_202_24","url":null,"abstract":"<p><strong>Abstract: </strong>Patients diagnosed with solitary non-parasitic splenic cysts were mainly described in the literature as case reports or case series. This study aims to analyse data from published articles about this condition. We performed a systematic review using the PRISMA protocol. PubMed/MEDLINE, Embase and the Google Scholar Library were searched up to the end of May 2024. Fifty-five patients were included in this study. 31 (56.36%) patients are female, and the mean age is 29.13 years. 32 (58%) patients experienced abdominal pain and 5 (9%) patients were asymptomatic. Sizes of the cysts varied between 67 and 250 mm. Most of the patients underwent laparoscopic fenestration of the cyst (54.55%), and all the pathological results were benign lesions. 3 minor complications (5.45%) were observed and recurrence of the cyst occurred in 3 patients (5.45%). Solitary non-parasitic splenic cysts are uncommon. They are benign lesions but can become symptomatic and therefore require surgery. Minimally invasive surgery is a safe option with a very low morbidity and mortality.</p>","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":"21 3","pages":"231-238"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12327787/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A study on the impact of short structured laparoscopy training course: Fellowship of Indian Association of Gastrointestinal Endo Surgeons.","authors":"Sundaram Easwaramoorthy, Sakthivel Chandrasekar, Kanagavel Manickavasakam, Pranesh Sridhar, Gurusamy Govindan, Haridra Sundarrajan","doi":"10.4103/jmas.jmas_24_25","DOIUrl":"10.4103/jmas.jmas_24_25","url":null,"abstract":"","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":"21 3","pages":"297-302"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12327793/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Christopher Robert Smith, Guillaume B R C Lafaurie, Amir H Razvi
{"title":"Comment on: Is the self-adhesive mesh a solution for chronic postoperative inguinal pain after TAPP: A single centre preliminary experience?","authors":"Christopher Robert Smith, Guillaume B R C Lafaurie, Amir H Razvi","doi":"10.4103/jmas.jmas_246_24","DOIUrl":"10.4103/jmas.jmas_246_24","url":null,"abstract":"","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":"329-330"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12327785/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}