ABSTRACT
Primary retroperitoneal mucinous cystadenomas (PRMCs) are observed more frequently in women with no specific symptoms. A 35 Years old female patient presented with Intermittent abdominal pain in her left flank associated with fullness in abdomen. CECT confirmed a well-defined smoothly marginated homogenous non-enhancing unilocular cystic lesion in retroperitoneum in left lumbar region, separated from the pancreas, left kidney and ovary. On Laprotomy, the retroperitoneal tumor was completely removed, without spillage of its contents.
ABSTRACT
Background: Laparoscopic cholecystectomy (LC) has evolved to be as gold standard treatment for gall bladder disease and is the most common laparoscopic procedure performed worldwide. In recent times, the innovative techniques of Natural orifice Transluminal Endoscopic Surgery (NOTES) and Single Incision Laparoscopic Surgery (SILS) have been applied as a step forward towards scar less surgery with added benefits of less pain and less analgesic requirement, shorter hospital stay, quick return to work.Methods: A retrospective study of 50 patients admitted with gall bladder disease through outdoor for laparoscopic cholecystectomy from November 2018 to January 2019 in Maharishi Markandeshwar Institute of Medical Sciences and Research Mullana (AMBALA) were randomized into two groups of 25 each for Single Incision Laparoscopic Cholecystectomy (SILC) and standard laparoscopic cholecystectomy (LC) comparing the operative time, outcome and complications.Results: 50 patients admitted to MMIMSR Mullana from November 2018 to January 2019 with gall bladder disease were divided into two groups of 25 each who underwent three port SILC and four port laparoscopic cholecystectomy (4PLC). The average intra-operative time in SILC (80.56 mins) was significantly more than standard laparoscopic cholecystectomy. The average length of stay in the hospital for SILC was 1.8 days (1-3 days), was significantly less than in standard four port laparoscopic cholecystectomy. Incidence of Intraoperative complications were more in SILC than standard LC.Conclusions: SILC as the newer novel technique had better outcomes in terms of cosmesis, early discharge, shorter stay at hospital.
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Introduction: Inguinal hernia repair is the most commonprocedure that general surgeons undertake all over the world.The increasing popularity of laparoscopic inguinal herniarepair is, in part, due to the clinical potentials with lesspost operative pain and a shorter duration of convalescencecompared with an open hernia repair technique. The studyfocuses to compare the operative time, postoperative painalong with requirements of analgesics.Material and methods: The present study was conducted on60 patients admitted with diagnosis of inguinal hernia overthe period of one and half years (Jan 2014-June 2015) in theDepartment of General Surgery, MMIMSR, MULLANA(DISTT AMBALA), Haryana, India. These patients weredivided at random by lottery system in two groups of 30patients each i.e. Group A and Group B. Group A was treatedby Tension Free Hernia Repair by Lichtenstein technique.Group B was treated by Laparoscopic technique of herniarepair.Results: VAS score in the Lichtenstein inguinal hernia repairgroup ranged from 1 to 8 for which the mean was 3.80 ±1.86during the 1st 12 hours whereas VAS score in the laparoscopicrepair group ranged from 1 to 7 whose mean was 2.87±1.78.Analgesic tablet was given to the patients of both the grouppost-operative day 2 onwards as per requirement after 24hours of operation. The mean analgesic tablet consumed was5.27±1.72 in Lichtenstein open mesh repair and 3.53±1.93 inlaparoscopic repair which was statistically significant.Conclusion: Laparoscopic procedure showed clear advantagessuch as less postoperative and chronic pain, lower incidenceof use of pain medication.
ABSTRACT
Introduction: Inguinal hernia repair is the most frequentlyperformed surgical procedure worldwide. Advances inlaparoscopic techniques have ushered an opportunity toimprove and improvise many surgical procedures. Singleincision laparoscopic surgery (SILS) was developed withthe aim of reducing the invasiveness of conventionallaparoscopy, and has been successfully performed by manysurgeons. Aim of the study was to asses the safety andfeasibility of single por laparoscopic approach for inguinalhernia repair.Material and methods: This study was conducted on 50patients presenting to Acharya sri chander college of MedicalSciences and Hospital, Sidhra, Jammu ASCOMS over aperiod of one year from November 2011 to October 2012 withuncomplicated inguinal hernia in whom 25 patients underwentsingle port laparoscopic TAPP(SPL-TAPP) hernia repairand 25 underwent conventional three port transabdominalpreperitoneal hernia repair.Results: No significant differences were noted among patientdemographics. The age group ranged from 20-60 years. Themean Age, weight and height in SPL-TAPP were 44.4, 59.46and 157.2 cm respectively. Mean operative time, hospital stayin single port TAPP was significantly lower as compared toconventional surgery. Moreover postoperative complicationswere also lesser in SPL-TAPP with almost no reoccurances.Conclusion: Single port TAPP offers to be safe andefficacious with minimum reoccurances and shorter hospitalstay