Laparoscopic Repair
Laparoscopic Repair - Related Videos
05:15
Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
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Cited by 2 •
2022
Presented here is a method for improving the mesh placement in laparoscopic incisional hernia repair, which can shorten the time required for mesh fixation and reduce the occurrence of postoperative chronic pain.
10:52
Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
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Cited by 1 •
2021
Presented here is a protocol of para-esophageal hernia repair. Use of absorbable biosynthetic mesh avoids the risk of erosion through the esophagus whilst reinforcing the repair. Glue fixation is preferred to avoid the risk of trauma such as bleeding or cardiac tamponade, which are associated with stitches or tacks.
02:25
Overview of DNA Repair
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2020
In order to be passed through generations, genomic DNA must be undamaged and error-free. However, every day, DNA in a cell undergoes several thousand to a million damaging events by natural causes and external factors. Ionizing radiation such as UV rays, free radicals produced during cellular respiration, and hydrolytic damage from metabolic reactions can alter the structure of DNA. Damages caused include single-base alteration, base dimerization, chain breaks, and cross-linkage. Chemically...
05:30
Laparoscopic Radical Gastrectomy for Remnant Gastric Cancer
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2025
Laparoscopic radical gastrectomy for remnant gastric cancer has been increasingly adopted as a minimally invasive surgical approach in recent years. This article proposes a detailed operating procedure, aiming to provide practical technical guidance for surgeons and promote the broader adoption of laparoscopic surgery in managing remnant gastric cancer.
01:54
Base Excision Repair
0 Views •
2020
One of the common DNA damages is the chemical alteration of single bases by alkylation, oxidation, or deamination. The altered bases cause mispairing and strand breakage during replication. This type of damage causes minimal change to the DNA double helix structure and can be repaired by the base excision repair (BER) pathways. BER corrects damaged DNA sequences by removing the damaged base and restoring the original base sequence using the complementary strand as a template. The first step of...
FAQs
Carbon dioxide insufflation expands the abdomen to create working space between the abdominal wall and internal organs. This space allows the laparoscope to provide a view of the operative field while giving surgeons room to manipulate specialized instruments. The resulting visualization and access are central to performing precise repairs through small incisions rather than relying on a large open exposure.
Specialized instruments let surgeons manipulate tissue within the insufflated abdomen, while sutures or mesh can reinforce or reconnect the affected anatomy. Their use depends on the structural defect being corrected and the repair strategy selected. Precise instrument control matters because the surgeon must perform these actions while viewing the operative field through the laparoscope.
The approach is not presented as suitable for every structural defect or patient. Its effectiveness depends on whether the abnormality can be accessed and corrected with laparoscopic visualization, instruments, sutures, or mesh. Careful selection helps match the technique to appropriate hernia, gastrointestinal, or gynecologic conditions while accounting for the precision and control the procedure demands.
A typical sequence begins with small abdominal incisions and placement of a laparoscope for visualization. Carbon dioxide insufflation then creates working space, allowing specialized instruments to reach the affected anatomy. The surgeon manipulates tissue and may place sutures or mesh to restore the structure. The exact repair steps vary with the condition and operative goal.
Hernias represent one important application, while selected gastrointestinal and gynecologic abnormalities may also be addressed. The word selected is significant because suitability depends on the specific structural defect and the patient's circumstances. In medicine, the technique therefore functions as an approach that can be adapted across several surgical problem areas rather than as a universal repair method.
By limiting tissue disruption compared with a large open incision, laparoscopic repair can support smaller scars, less postoperative pain, and faster recovery. These are potential advantages of the approach, not guarantees for every case. Clinicians must balance them against the need for precise visualization, controlled instrument movements, and appropriate patient selection during surgical planning.