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

In this lecture, Dr. Gina Brown presents anatomical details of the rectum at MRI and CT-scan, compares these two techniques with endorectal ultrasonography and animates the operating theatre presenting two very interesting clinical cases.

Gina Brown

MRI clinical anatomy of the rectum (video version)

In this lecture, Dr. Gina Brown presents anatomical details of the rectum at MRI and CT-scan, compares these two techniques with endorectal ultrasonography and animates the operating theatre presenting two very interesting clinical cases.

What kind of control do you achieve after anastomosis?

Are there any special advantages of using minimally invasive surgery in pediatric urology?

Can you say something about endoscopy and carbon dioxide insufflation into the bladder?

What are the potential repercussions on the kidneys?

What do you think of the ongoing debate "retroperitoneoscopy vs. transperitoneal approach" in pediatric urology?

What do you think of the ongoing debate "retroperitoneoscopy vs. transperitoneal approach" in pediatric urology?

Do you think that inguinal hernia repair using laparoscopy will become a gold standard?

You perform myomectomy after occluding the uterine artery. Is there a risk of impairing infertility?

Jean-Bernard Dubuisson

Nowadays there is a trend towards using meshes vaginally. Is there any proper indication for it or should it be used in any case?

It is difficult to diagnose an enterocele clinically. In your experience, what is the best imaging technique to diagnose it and why?

Jean-François Lapray

You advocate treatment of prolapse without the use of a mesh. But we know from the literature that the long-term follow-up is usually better with a mesh. What is the rationale for just repairing native tissue?

Every surgeon observe that any kind of meshes do retract during the healing process. Could you tell us which factors may help minimize this phenomenon?

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

What are the indications for trachelectomy? Do you have any data about fertility rates? Are there any gestational complications and if any, how to prevent them?

What are the indications and advantages of the vaginal and of the laparoscopic approach for early cervical cancers? Why and in which cases choose one or the other?

Is the laparoscopic approach as complete as the abdominal route in pelvic lymphadenectomy?

In the context of radical hysterectomy, what is the advantage of the laparoscopic-assisted vaginal approach as compared to a purely laparoscopic approach?

Laparoscopic instruments

The description of laparoscopic instruments covers all aspects of laparoscopic instruments in the operating room.
The technical key steps of the chapter are presented in a step by step way: structure/function, ideal requirements, basic instruments, trocars, advantages and disadvantages, ergonomics, suction-irrigation, clips and staples, complications.

Didier Mutter, Alain Garcia, Iain Jourdan

Laparoscopic instruments

The description of laparoscopic instruments covers all aspects of laparoscopic instruments in the operating room.
The technical key steps of the chapter are presented in a step by step way: structure/function, ideal requirements, basic instruments, trocars, advantages and disadvantages, ergonomics, suction-irrigation, clips and staples, complications.