{"title":"Laparoscopic colposuspension.","authors":"V Lawton, A R Smith","doi":"10.1053/SLAS00600090","DOIUrl":"https://doi.org/10.1053/SLAS00600090","url":null,"abstract":"<p><p>Laparoscopic Burch colposuspension has entered the surgical armory for the treatment of genuine stress incontinence. The limited data available of the outcomes of the procedure currently suggest that success rates are lower than for the open colposuspension in the short term. Data is lacking on long-term effectiveness. This and the longer operating times documented may reflect inexperience of surgeons. There seem to be advantages in terms of sooner return to normal voiding, earlier discharge from hospital, perioperative morbidity, and a lower incidence of voiding problems when compared with the open procedure. No reduction in the incidence of de novo detrusor instability postoperatively has emerged. A large randomized controlled trial of the two procedures is required to provide higher quality data on outcomes.</p>","PeriodicalId":79535,"journal":{"name":"Seminars in laparoscopic surgery","volume":"6 2","pages":"90-9"},"PeriodicalIF":0.0,"publicationDate":"1999-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21324460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Minilaparoscopy.","authors":"P R Schauer, S Ikramuddin, J D Luketich","doi":"10.1177/155335069900600105","DOIUrl":"https://doi.org/10.1177/155335069900600105","url":null,"abstract":"<p><p>Minilaparoscopy is an emerging aspect of laparoscopic surgery involving the use of miniaturized scopes and instruments to further reduce perioperative morbidity and enhance cosmesis. Recent improvements in optical technology and instrument design have enabled relatively broad applications of minilaparoscopy to include diagnostic and therapeutic procedures in both inpatient and outpatient settings. Early results suggest that minilaparoscopic procedures in the hands of experienced laparoscopic surgeons appear to be similarly safe and effective with minimally perceptive scarring. Although promising, clear advantages in reducing perioperative pain and morbidity have yet to be determined.</p>","PeriodicalId":79535,"journal":{"name":"Seminars in laparoscopic surgery","volume":"6 1","pages":"21-31"},"PeriodicalIF":0.0,"publicationDate":"1999-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/155335069900600105","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21098510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Diagnostic laparoscopy outside of the operating room.","authors":"L Khaitan, E Chekan, E J Brennan, S Eubanks","doi":"10.1177/155335069900600106","DOIUrl":"https://doi.org/10.1177/155335069900600106","url":null,"abstract":"<p><p>Laparoscopy is increasingly being used as a diagnostic technique to characterize intraperitoneal processes. This technique can be highly informative when applied in settings such as the intensive care unit, the emergency room, the trauma bay, and the office. Diagnostic laparoscopy is an excellent method to evaluate intraperitoneal processes and should be part of the general surgeon's armamentarium of skills. In this paper, the technique of diagnostic laparoscopy and its role outside of the operating room setting is reviewed. Diagnostic laparoscopy is also compared with other diagnostic modalities.</p>","PeriodicalId":79535,"journal":{"name":"Seminars in laparoscopic surgery","volume":"6 1","pages":"32-40"},"PeriodicalIF":0.0,"publicationDate":"1999-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/155335069900600106","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21098511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Ambulatory laparoscopic surgery.","authors":"R I Beretvas, F Brody","doi":"10.1177/155335069900600104","DOIUrl":"https://doi.org/10.1177/155335069900600104","url":null,"abstract":"<p><p>Laparoscopic procedures are becoming routine and commonplace. Patients who undergo laparoscopic surgery enjoy shorter hospital stays and quicker recovery times. These procedures have naturally progressed to an ambulatory status. Their spectrum is continually expanding. Also, the trend towards shorter hospital stays, in part driven by the advent of laparoscopic procedures, may alter traditional surgical dogma regarding length of stay.</p>","PeriodicalId":79535,"journal":{"name":"Seminars in laparoscopic surgery","volume":"6 1","pages":"17-20"},"PeriodicalIF":0.0,"publicationDate":"1999-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/155335069900600104","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21098509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Overview of randomized trials in laparoscopic inguinal hernia repair.","authors":"P M Go","doi":"10.1177/155335069800500407","DOIUrl":"https://doi.org/10.1177/155335069800500407","url":null,"abstract":"<p><p>There are more than 20 randomized trials that compare laparoscopic with open hernia repair. Results of these show a longer operating time, less postoperative pain, a faster return to normal activity, and increased costs for laparoscopic over open hernia repair. Recurrence rates are lower for laparoscopic compared with open nonmesh repairs.</p>","PeriodicalId":79535,"journal":{"name":"Seminars in laparoscopic surgery","volume":"5 4","pages":"238-41"},"PeriodicalIF":0.0,"publicationDate":"1998-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/155335069800500407","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20763483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Totally extraperitoneal laparoscopic hernia repair.","authors":"D Wright, P J O'Dwyer","doi":"10.1177/155335069800500403","DOIUrl":"https://doi.org/10.1177/155335069800500403","url":null,"abstract":"<p><p>Totally extraperitoneal laparoscopic hernia repair is the endoscopic equivalent of the open preperitoneal prosthetic approach. Results from a randomized trial confirm that it is less painful, associated with a more rapid return to normal activity, and associated with an insignificant increase in recurrence rates when compared with open tension-free hernia repair.</p>","PeriodicalId":79535,"journal":{"name":"Seminars in laparoscopic surgery","volume":"5 4","pages":"217-23"},"PeriodicalIF":0.0,"publicationDate":"1998-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/155335069800500403","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20763479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Economic evaluation of open versus laparoscopic hernia repair: some pragmatic considerations for the measurement of costs.","authors":"E McIntosh, C Donaldson, A Grant","doi":"10.1177/155335069800500408","DOIUrl":"https://doi.org/10.1177/155335069800500408","url":null,"abstract":"<p><p>Laparoscopic hernia repair costs more than open repair. This increase in cost largely is because of the use of disposables. Indirect cost benefits of laparoscopic procedure because of a more rapid return to normal activity are different to calculate but may be present for select groups of patients.</p>","PeriodicalId":79535,"journal":{"name":"Seminars in laparoscopic surgery","volume":"5 4","pages":"242-7"},"PeriodicalIF":0.0,"publicationDate":"1998-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/155335069800500408","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20763484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Percutaneous endoscopic external ring hernioplasty using Dundee inguinal canal retractor.","authors":"B Waldron, T Frank, A Cuschieri","doi":"10.1177/155335069800500410","DOIUrl":"https://doi.org/10.1177/155335069800500410","url":null,"abstract":"<p><p>The percutaneous endoscopic external ring (PEER) hernioplasty is a novel technique that uses a minimal access approach to the inguinal canal by the anterior route and reproduces the conventional open tension-free mesh repair. The procedure consists of two stages: an open phase through a 2.5-cm incision over the external ring followed by an endoscopic repair of the defect. During the open stage, the spermatic cord is mobilized from the external ring, blunt finger dissection of the inguinal canal is used to create a space beneath the external oblique aponeurosis, and the hernial sac is dissected down to level of the preperitoneal fascia. The second endoscopic stage is performed after insertion of a telescope-mounted retractor through the external ring. The posterior wall of the inguinal canal is visualized and the hernial defect repaired by a tension-free mesh repair (Lichtenstein onlay mesh repair or mesh plug repair). The procedure provides an anatomic approach that is familiar to general surgeons. In a pilot study, the authors have established that the PEER hernioplasty is an easily learned, safe, and cost-effective operation that offers the benefits of minimal access surgery in terms of patient recovery and early return to work, and can be performed as a day case under local or regional anesthesia.</p>","PeriodicalId":79535,"journal":{"name":"Seminars in laparoscopic surgery","volume":"5 4","pages":"253-8"},"PeriodicalIF":0.0,"publicationDate":"1998-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/155335069800500410","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20763486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The learning curve for laparoscopic hernia repair.","authors":"D Wright, P J O'Dwyer","doi":"10.1177/155335069800500405","DOIUrl":"https://doi.org/10.1177/155335069800500405","url":null,"abstract":"<p><p>As with other laparoscopic procedures, the learning curve for laparoscopic inguinal hernia repair is longer than most surgeons anticipated. This, combined with a lack of familiarity with the preperitoneal anatomy and the simultaneous adoption of open tension-free hernioplasty, has made it difficult for surgeons to sustain enthusiasm for the laparoscopic hernia repair.</p>","PeriodicalId":79535,"journal":{"name":"Seminars in laparoscopic surgery","volume":"5 4","pages":"227-32"},"PeriodicalIF":0.0,"publicationDate":"1998-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/155335069800500405","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20763481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Other methods of laparoendoscopic hernia repair: mini-hernia--inguinal hernia repair through a 2-cm incision.","authors":"C Nduka, A Darzi","doi":"10.1177/155335069800500409","DOIUrl":"https://doi.org/10.1177/155335069800500409","url":null,"abstract":"<p><p>Mini-hernia repair is an endoscopic modification of the Lichtenstein tension-free repair. Clinical trials are warranted to determine the efficacy of this procedure and any advantages it may have over the original operation.</p>","PeriodicalId":79535,"journal":{"name":"Seminars in laparoscopic surgery","volume":"5 4","pages":"248-52"},"PeriodicalIF":0.0,"publicationDate":"1998-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/155335069800500409","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20763485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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