“Digital Operating Room” is used to suggest better surgery through a better surgical environment. In a recent article we discussed this in detail . -The basic “Digital operating room” integrates 1 operating room. This generally indicates that in 1 operating room endoscopic images can be shown to the surgeon on any screen in that room [...]
A laparoscopic hysterectomy should always be preferred unless the uterus is more than 1 kgr. A bigger uterus can be operated by laparoscopy but this is technically more difficult. The biggest we operated was 1850 gram (in Oxford) There is a serious problem concerning informed consent for hysterectomy. Informed consent should inform the patient also [...]
The discussion on robotic assisted surgery is continuing . Following our opinion statement on www.endometriosis.org John F Dulemba posted in World Endometriosis Research Foundation 7 January 07:43 PEOPLE. THE ROBOT IS JUST LAPAROSCOPY!!!!!!!!!!!!! PLEASE WATCH THIS MINUTE VIDEO….TO THE VERY END. YOU WILL SEE HOW PRECISE THE INSTRUMENTS CAN BE, AND I DO NOT THINK [...]
Small bowel herniation in trocar sites and early repeat laparoscopy RCTs have not been performed, nor will be performed , in order to document the incidence and the prevention of small bowel herniation in trocar sites. Indeed it is a rare complication and for obvious ethical reasons trials will not be performed. The evidence therefore can only [...]
Surgical mistakes and surgical quality. Recently, surgical mistakes have been highlighted in the Belgian press because of surgical instruments left behind in the abdomen of patients. Fortunately this occurs very rarely. However, it has been said that more people die every year because of surgical mistakes than by car accidents Google ‘surgical mistakes’ and the [...]
Published at the AAGL listserv. : Date: Fri, 17 Dec 2010 08:42:22 -0500 From: “Philippe R. Koninckx, Carlo De Cicco, Jasper Verguts, Roberta Corona and Anastasia Ussia” Subject: Loss of pneumoperitoneum through trocar Reading the comments regarding loss of pneumoperitoneum I do have the impression that many try to reinvent the wheel, or simply do [...]
Published on AAGL listserv Date: Mon, 29 Nov 2010 20:59:15 -0500 From: “Philippe R. Koninckx and Anastasia Ussia” Subject:Informed consent and medicolegal exposure . Reading the last exchange of ideas, it seems important not to mix several issues. 1. Open hysterectomy versus laparoscopic hysterectomy. This is difficult to understand, given the legal obligation to obtain [...]
During an endoscopy meeting in Lisbon the use of robots was extensively discussed and this promted us to write this text. Laparoscopic surgery really started to be developed at the end of the eighties ie more than 20 years ago. Since then we witnessed its development and the progressive demonstration of its superiority in comparison [...]
Cystic ovarian endometriosis and ovarian cancer
Date: Tue, 10 Nov 2009 19:44:06 -0500 From: Kurian Thott Subject: Ureter repair laparoscopically Recently involved in a case where the ureter was transected during a TLH, (at the level of uterine artery) it was discovered during cystoscopy after we finished the case (which I do after all cases) and after attempting to pass a [...]