Monthly publications : February 2005 | WebSurg, the online university of IRCAD

This video presents a case of strangulated incisional hernia in the McBurney's position. The surgeon frees omental adhesions before reducing the hernial contents, which included a dusky small bowel. No resection was necessary. The hernial sac is then dissected and delivered into the peritoneal cavity. The defect in the abdominal wall is small and is closed primarily with interrupted sutures. The area is then covered with a vicryl mesh, which is anchored to the abdominal wall. The peritoneum is used to cover over the mesh.

M Simone, J Marescaux

Surgical intervention

Laparoscopic repair of strangulated incisional hernia

This video presents a case of strangulated incisional hernia in the McBurney's position. The surgeon frees omental adhesions before reducing the hernial contents, which included a dusky small bowel. No resection was necessary. The hernial sac is then dissected and delivered into the peritoneal cavity. The defect in the abdominal wall is small and is closed primarily with interrupted sutures. The area is then covered with a vicryl mesh, which is anchored to the abdominal wall. The peritoneum is used to cover over the mesh.

Laparoscopic repair of umbilical hernia

D Mutter, J Marescaux

Surgical intervention

TEM for a dysplastic polyp of the rectum

N Demartines

Surgical intervention

Laparoscopic cholecystectomy with endoscopic exploration of CBD for suspicion of lithiasis

M Simone, J Marescaux

Surgical intervention

Treatment of recurrent uterine prolapse and GSI (genuine stress incontinence) by subtotal hysterectomy and Burch's colpopexy using LigaSure AtlasTM

A Wattiez

Surgical intervention

Laparoscopic radical prostatectomy: transperitoneal approach

R Gaston

Surgical intervention

What are the major rules to comply with for a good exposure of the operative field?

What are the major rules for correct trocar positioning?

What are the safety rules to perform anastomosis?

What kind of control do you achieve after anastomosis?

How do you determine the limits of resection?

What are your limits of vascular resection in case of sigmoidectomy for diverticulitis?

Which indications are truly actual for TEM?

A few years ago, you described the sentinel node technique in cervical cancer. What is the State of the Art today?

In cervical cancer patients who desire childbearing, in which way can we perform radical trachelectomy? What are the fertility results?

Can laparoscopic radical hysterectomy be as radical as conventional techniques?

G Mage

Are there as many knots in laparoscopy as in conventional surgery? What are the technical tips?

Can you tell us why systematic pelvic lymph node dissection for endometrial cancer is your technique of choice?

In which way laparoscopy is the best instrument for anatomical dissection?

Nerve-sparing surgery has become a trend today. In which way does this technique improve the patient's condition?

To which extent can laparoscopy be used in gynecological cancer?

What are the general problems related to the use of the laparoscope in gynecological cancer?

What does laparoscopy bring to pelvic exenteration?

C Pomel

What is the rational place of endoscopic surgery in cervical cancer (in terms of complication rate and recurrence rate)?

Could we determine an abdominal entry technique, which would be safer for laparoscopic gynecological surgery?