Monthly publications

This video demonstrates laparoscopic repair of simple umbilical hernia. The surgeon uses three trocars to reduce the hernial contents, then excise the hernia sac, which is not always done and then use a dual mesh to cover the defect with almost 3 cm over the edges of the defect. The surgeon uses tackers to secure the mesh in two concentric rows. Many surgeons also use sutures to anchor the mesh to the layers of the abdominal wall, but in this case this was not done.

This video demonstrates a posterolateral approach to splenectomy. The surgeon mobilizes the spleen towards the midline by dividing the lateral peritoneal attachments. He then proceeds to divide all the splenic attachments and vessels from inferior to superior border using a ligasure. The splenic hilar vessels are divided with linear staplers. the spleen is removed within a retrieval sac.

This video demonstrates the steps in performing a TAPP (transabdominal preperitoneal) repair using a large mesh. The surgeon with the aid of artistic drawings demonstrate the key anatomic landmarks and dissection of the hernia sac and safe application of mesh and closure of peritoneal window. In this case the surgeon uses sharp dissection with scissors but the steps could well be completed bluntly with dissecting forceps.

The description of the video-assisted parathyroidectomy covers all aspects of the surgical procedure used for the management of primary hyperparathyroidism.
Operating room set up, position of patient and equipment, instruments used are thoroughly described. The technical key steps of the surgical procedure are presented in a step by step way: incision, dissection, exploration.
Consequently, this operating technique is well standardized for the management of this condition.