In acute appendicitis, a minimal inflamed appendix base can be safely divided using one endoloop.

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Acute symptomatic groin hernias with potential or definite ischemia represent a special group of all the groin hernias. The method of choice to treat these hernias has to fulfill the following criteria: 1. Easy reduction of the hernia sac and its contents without causing damage. 2. Good exposure and easy access for possible resection. 3. Safe hernia repair through the same access. According to our experience with 44 incarcerated and strangulated groin hernias operated between 1993 and 1997 and after a literature review, we took the following procedure as our routine: Posterior approach and mesh repair. We do not use a meshgraft only in the presence of colonic necrosis or peritonitis.

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Referencesmonoplana; or wedge resection oi segments I1 and 111. ~~~~l~ located lesions requiring biplanar or conical resection because the aqua jet works as a unidirectional and not a flexible knife. TO extend the practicability of water jet 1 Une Y, Uchino J, Hone T et al. Liver resection using a water jet. Cancer Chemother Pharmacoll989; 23(Suppl): S74-7. jet. BrJSurg 1982; 69: 93-4. resection might not be for laparoscopic water jet 2 papachristou DN, Barters R, Resection of the liver with a water 3 Rausis c, el Assaoui A, s a n c o s. H y d r o d y n m W dtradissection to laparoscopy, a flexible nozzle and ultrasound or magnetic resonance-controlled systems would be necessary to gain more information about the tissue in front of the jet. pressurisee en chirurgie. Helv Chir Acta 1990; 57: 95 1-5.