RESUMO
Single-incision laparoscopic appendectomy seeks to further reduce the trauma of parietal access to abdomen. The challenge of this surgery lies in the compromised ergonomics of instrument movement and triangulation. In this context, a feasibility study of an operative technique of single-incision laparoscopic appendectomy with technical modifications was conducted. This prospective study was carried out in tertiary care teaching institute of a semi-urban area in South India over a period of 1 year from June 2010 to May 2011. Thirty-two patients of acute appendicitis were included in this study. Mean operative time was 56.7 min (40-85 min). Mean age of subjects was 41 ± 15 years. M/F ratio was 2:1. There was no significant peri-operative morbidity or mortality. Mean follow-up period was 8 months. We propose that this technique of single-incision laparoscopic appendectomy using conventional multiport laparoscopic instruments (SILACI) is feasible, safe, and cost-effective.
RESUMO
We report the surgical management of a case of Zenker's diverticulum in a 64 year old man, complicated by metallic nail penetration and surgical scarring due to previous surgery for cervical vertebral trauma.
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We present a case of Graves' disease with a image of plain radiograph of neck showing bilateral carotid calcifications and briefly discuss the pathophysiology of vascular calcification in Graves' disease.