Minimally Invasive Surgical Techniques

The transition from open splenectomy (OS) to minimally invasive splenectomy is often described in the surgical literature but rarely documented longitudinally within a single institution. Hand-assisted laparoscopic splenectomy (HALS) has been proposed as a bridging technique between OS and total laparoscopic splenecto…

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This study aimed to compare preoperative findings obtained with an umbilical visceral sliding test using a transvaginal ultrasonography (TVUSG) probe with intraoperative findings and to evaluate the effectiveness of this novel approach in detecting sub-umbilical adhesions before laparoscopy. This prospective study was…

Background: Abdominal access is the crucial step for laparoscopic surgery, and there is no consensus for the ideal technique for initial trocar placement. We aim to introduce our new technique used for safe initial entry to create pneumoperitoneum in transabdominal laparoscopic surgery and compare it with the Veress n…

Objective: To compare perioperative outcomes of emergency gynecologic surgeries performed during working hours and off-hours, and to evaluate temporal trends in surgical approach, particularly laparoscopy. Methods: This retrospective cohort study included patients who underwent emergency surgery for ovarian torsion, o…

BACKGROUND: To compare the transvaginal natural orifice transluminal endoscopic surgery (vNOTES) approach versus conventional laparoscopy in bilateral tubal ligation for interval sterilization regarding perioperative outcomes, postoperative pain, and sexual function. METHODS: This retrospective cohort study at a terti…

Objective: The primary aim of this study was to compare perioperative and functional outcomes between conventional laparoscopic pyeloplasty (CLP) and mini-laparoscopic pyeloplasty (MLP) in pediatric patients. As a secondary objective, we evaluated a composite trifecta outcome, defined as a structured summary measure r…

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BACKGROUND: Acute appendicitis (AA) is one of the most common surgical conditions presenting as acute abdomen. Delaying appendectomy can increase the risk of perforation. However, patients admitted or treated at night have been found to have higher complication rates compared to those treated during the daytime. This…

Gossypiboma refers to a retained cotton-based, non-absorbable foreign body left in the operative field after surgery. Its detection is often difficult and may lead to significant morbidity and mortality. In this case report, we present a case of biliary stricture caused by gossypiboma in a patient who had undergone la…

Ureteral injury during advanced gynecologic laparoscopic procedures is an uncommon but potentially serious complication, particularly during para-aortic lymphadenectomy performed for oncologic staging. We describe the laparoscopic management of a proximal right ureteral transection encountered during transperitoneal p…