Laparoscopic box simulators constitute an accessible, affordable and effective solution for training in laparoscopic surgery

Litos Michail, Siristatidis Charalampos, Chrelias Charalampos, Grammatikakis Ioannis, Trompoukis Pantelis, Papantoniou Nikolaos

Background: Acquisition of laparoscopic surgical skills is best achieved before entering the operating theatre, in the context of a simulated environment. Although mechanical simulators are affordable and effective training tools, they remain non available in many training institutions. This study investigates the options available and the cost for purchasing a mechanical laparoscopic …

Case Report

Cesarean scar pregnancy: A diagnostic dilemma and management with suction curettage

Syed Rifat, Sinha Prabha, El – Halwagy Hosam, Brompton Wendy

A case of a cesarean section scar pregnancy with a diagnostic dilemma is presented. Due to a decrease in β – hCG after 48 hours, the patient was diagnosed with a failing pregnancy and was given misoprostol. However, β – HCG was still high and the patient had a severe vaginal bleeding after a month of medical management. Evacuation curettage under laparoscop …

Postoperative intrabdominal adhesions

Pados G, Almaloglou K, Bontis J

Postoperative adhesions are a significant complication of all abdominal surgical procedures. Adhesions formation is a consequence of peritoneal trauma and may lead to infertility, bowel obstruction and chronic pelvic pain. The major strategies for adhesion prevention are focused to the optimization of surgical technique and the use of antiadhesive agents which fall into two main categories …

Total laparoscopic radical hysterectomy with para-aortic and pelvic lymphadenectomy for stage IIA squamous cell carcinoma of the cervix: A case report

Chilaris GH, Tsoumpis T, Alarkof E, Karkotis K, Daveta A

The role of laparoscopy in the management of abdominopelvic malignancies is constantly evolving. Recebt data from clinical trials demonstrate that laparoscopic surgical staging has equal efficacy (lymph node counts, disease free survival) compared to traditional open cases and can be safely performed in selected patients. We report a case of laparoscopic radical hysterectomy …

Primary ovarian pregnancy: A case report

Grimbizis G, Papadopoulos NP, Mikos T, Tzitzimikas S, Papanikolaou A, Tsalikis T, Bontis J

Ovarian ectopic pregnancies are uncommon with an incidence of 2.5-3.5% of extrauterine pregnancies. ART, IUCD’s and PID are the most important risk factors. A case of a ruptured ovarian ectopic that was treated laparoscopically is presented. Transvaginal ultrasound and serum hCG measurement facilitate early diagnosis of ectopic pregnancies. Minimally invasive endoscopic techniques …