Textbook of Practical Laparoscopic Surgery

Mishra, RK

doi:10.5005/jp/books/11753

Cited by 18 publications

(20 citation statements)

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“…Aspiration of the CO 2 used in conventional laparoscopy lowers the intra-abdominal pressure resulting in poorer vision and, in some instances, stains the optic of the telescope [28]. Irrigation and aspiration can be used freely in gasless procedures.…”

Section: Strengths Of Karsmentioning

confidence: 99%

“…In addition, the trocars are needed to prevent gas leakage while inserting and using the hand instruments [28]. In contrast, during a KARS procedure the abdominal wall is elevated with surgical ropes and the intra-abdominal high pressure gas is useless.…”

Section: Strengths Of Karsmentioning

confidence: 99%

“…Although, a single special port or a multichannel device is used in single incision laparoscopic surgeries, they have limited numbers of access holes; one for the telescope and two for hand instruments [15,28,29]. KARS has all of the advantages of the single incision surgery and permits the use of multiple instruments at the same time.…”

Section: Strengths Of Karsmentioning

confidence: 99%

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Keyless Abdominal Rope-lifting Surgery (KARS)

Alker¹

2012

Surgery

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Ülker, Surgery 2013, S12 http://dx.doi.org/10.4172/2161-1076.S12-007 Research ArticleOpen Access AbstractKeyless Rope-lifting Surgery (KARS) is a novel, single incision, gasless laparoscopic surgery technique. Various operations including adnexal cyst excision, oophorectomy, diagnostic laparoscopy, tubal ligation, hysterectomy and cholecystectomy may be performed through the intra-umbilical transverse incision without using CO 2 pneumoperitoneum and thus the trocars (keyless). In KARS the abdominal cavity is accessed through the 1.5-2 cm intra-umbilical transverse incision. The anterior abdominal wall is elevated by the sutures loaded into the Veress cannula. The elevation creates room for the operations. All operations are performed through the intra-umbilical incision by using laparoscopic and/ or conventional hand instruments. Here in this paper, the KARS techniques and the preliminary results of the specific gynecological procedures are presented.

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Section: Strengths Of Karsmentioning

confidence: 99%

Section: Strengths Of Karsmentioning

confidence: 99%

Section: Strengths Of Karsmentioning

confidence: 99%

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Keyless Abdominal Rope-lifting Surgery (KARS)

Alker¹

2012

Surgery

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“…Modifi cation of Roeder's knot, to make it more secure are Meltzer's and Mishra's knot. 7 Over the years, there has been the development of several extracorporeal knots. A knot should secure tissue approximation, simple, easy, quick and reliable.…”

Section: Introductionmentioning

confidence: 99%

Comparing Extracorporeal Knots in Laparoscopy using Knot and Loop Securities

Akindele¹,

Fasanu²,

Mondal³

et al. 2014

WJOLS

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Background: Laparoscopic knot tying is a basic surgical skill that has been practiced for centuries having their roots in fi shing and sailing. [1][2][3][4] The advent of endoscopic surgery placed more challenges on the surgeons and this ever growing skills need to be acquired. Since endoscopic and arthroscopic knots must be delivered over a distance to a tissue with minimal access maintaining tension is more important than the knot confi guration chosen. 5,6 The aim of this article review is to determine which hand tied knot confi guration and possibly, suture size, and suture type that would be safe in laparoscopic surgery.

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“…The BDP is the conventional principle used in laparoscopic and VATS. [2][3][4][5] In BDP, the position of the baseball infielders (infield players) is used as the position of the ports (Fig. 1).…”

Section: Introductionmentioning

confidence: 99%

Comparing Task Performance and Comfort during Nonpulmonary Video-assisted Thoracic Surgery Procedures between the Application of the ‘Baseball Diamond’ and the ‘Triangle Target’ Principles of Port Placement in Swine Models

Ismail¹,

Mishra²

2014

WJOLS

Self Cite

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Objective: The baseball diamond principle (BDP) is the conventional principle used for ports placement in video-assisted thoracic surgery (VATS). The triangle target principle (TTP) was introduced as an alternative principle where BDP is associated with difficulties especially in lung resections. We compared the task performance and surgeon's discomfort during some nonpulmonary VATS procedures between using the BDP and TTP in swine models. Materials and methods:Thirty-six nonpulmonary VATS procedures were done on swine models at the World Laparoscopy Hospital, Gurgaon, NCR Delhi, India, from 19th February 2013 to 23rd march 2014. The procedures are 12 VATS pericardial window, 12 esophagocardiomyotomy and 12 thoracic sympathectomy (6 using BDP and 6 using TTP of each procedure). The outcome measures were the execution time, the errors rate and the surgeon's discomfort.Results: Video-assisted thoracic surgery pericardial window using TTP took longer time to be executed with a mean difference of 93 seconds when compared to using BDP but the errors rates and surgeon's discomfort was similar between BDP and TTP. VATS eso phagocardiomyotomy using BDP took longer time with a mean difference of 326.67 seconds but using the TTP was associated with more errors and surgeon's discomfort. In VATS thoracic sympathectomy using the BDP took longer time with a mean difference of 194 seconds, but the execution time data using BDP was not reproducible when validated statistically. The errors rates and surgeon's discomfort was similar between BDP and TTP. Conclusion:Using baseball diamond principle appears to lead to better task performance and less Surgeon's discomfort during some nonpulmonary VATS procedures in swine models but there is need for studies with larger sample size. TTP use may be more favored during nonpulmonary VATS when stapling will be required.

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Textbook of Practical Laparoscopic Surgery

Cited by 18 publications

References 0 publications

Keyless Abdominal Rope-lifting Surgery (KARS)

Keyless Abdominal Rope-lifting Surgery (KARS)

Comparing Extracorporeal Knots in Laparoscopy using Knot and Loop Securities

Comparing Task Performance and Comfort during Nonpulmonary Video-assisted Thoracic Surgery Procedures between the Application of the ‘Baseball Diamond’ and the ‘Triangle Target’ Principles of Port Placement in Swine Models

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