Welcome to our December Newsletter. As promised, we are continuing to advance into the fields of Urology and Gynecology in our coverage of operative techniques and videos. In expanding our focus on different specialties, we hope to engage the interest of more of our members. Please remember that your feedback is vital to our development!
Digestive surgery- Inguinal hernias: diagnosis, indications and treatment - JB Flament (France)
A hernia is a diverticulum of the parietal peritoneum, usually containing viscera, and they develop through an opening or natural weakness in the abdominal wall. Groin hernias (inguinal and femoral) and umbilical hernias occur the most frequently. The Nyhus classification describes different types of hernia. All hernias can be complicated by strangulation, which is considered a surgical emergency.
Urology- Laparoscopic treatment of ureteropelvic junction obstruction in adults - C Saussine (France)
Ureteropelvic junction (UPJ) obstruction is a major cause of hydronephrosis. While conventional treaments such as Anderson-Hynes (dismembered) pyeloplasty and endoscopic retrograde or antegrade techniques are also used, laparoscopy for reconstructive procedures has made it possible to maintain the good functional results obtained by open surgery while avoiding approach-related sequelae. Laparoscopic pyeloplasty may be performed via a transperitoneal or a retroperitoneal approach.
- Laparoscopic treatment for genitourinary prolapse - JL Hoepffner, R Gaston (France)
Genitourinary prolapse is a frequent pathology in postmenopausal women. It is characterized by a deformation of the vagina caused by the prolapse of pelvic or abdominal organs. Prolapse repair can be performed via the high transabdominal approach and the low transvaginal approach. Advocates of the transabdominal procedure have developed a laparoscopic approach to avoid a wide incision on the anterior abdominal wall.
Gynecology- Laparoscopic transperitoneal pelvic lymphadenectomy - J Raiga (France)
Pelvic lymphadenectomy can influence the therapeutic strategy, especially when a combination of treatments is proposed. The transperitoneal approach permits a complete exploration of the peritoneal cavity.
Pediatric surgery- Pediatric cholecystectomy - G Mattioli, P Repetto, V Jasonni (Italy)
Cholelithiasis is unusual in children, but the use of ultrasound examination has led to higher rates of diagnosis. Benefits such as reduced hospitalization and discomfort have led to the adoption of the laparoscopic approach to cholecystectomy as the gold standard in adults and in children.
Digestive surgery- Right hepatectomy - D Franco (France)
The technique of liver resection has benefited in recent years from a better knowledge of both radiological and surgical liver anatomy. It is now possible to separately remove any single segment or very large parts of the liver, using new procedures for dividing liver parenchyma and methods for decreasing blood loss during surgery. A new anterior approach has been implemented for patients with massive tumors encased in the right hypochondrium.
VideosVideos on operating procedures performed by international experts are available at www.websurg.com in the Videos section (average duration 20 min). New procedures for December include:
Urology- Ureteropelvic junction obstruction syndrome: resection and anastomosis under coelioscopy - C Saussine (France), English commentary
- Syndrome de la jonction pyélo-uretèrale : résection anastomose sous coélioscopie - C Saussine (France), French Commentary
- Laparoscopic treatment of genitourinary prolapse - T Piechaud (France), English commentary
- Laparoscopic treatment of genital urinary prolapse and stress incontinence - R Gaston (France), English commentary
Gynecology- Laparoscopic transperitoneal pelvic lymphadenectomy - J Raiga (France), English commentary
- Lymphadenectomie pelvienne transpéritonéale laparoscopique J Raiga (France), French commentary
Digestive surgery- Laparoscopic segmental resection of the splenic flexure: medial approach J Leroy (France), English commentary
For our non-subscribing members, WebSurg offers freely accessible samples of site content.
Operative technique- Nissen fundoplication free full text version - B Dallemagne (Belgium)
Video- Laparoscopic Nissen fundoplication - B Dallemagne (Belgium), J Marescaux (France)
Expert's opinion- Nissen fundoplication - B Dallemagne (Belgium)
EditorialsFree access to all WebSurg editorials
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