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Journal articles on the topic 'Mini laparotomy'

Author: Grafiati

Published: 5 June 2025

Last updated: 15 July 2025

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1

Davydov, A. I., M. B. Tairova, I. A. Klindukhov, and V. А. Ptashinskaya. "Midline mini-laparotomy during pregnancy." Voprosy ginekologii, akušerstva i perinatologii 18, no. 1 (2019): 112–14. http://dx.doi.org/10.20953/1726-1678-2019-1-112-114.

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2

Zygouris, Dimitrios, Georgios Androutsopoulos, Charalampos Grigoriadis, and Emmanouil Terzakis. "The role of mini laparotomy in patients with uterine myomas." Clin Exp Obstet Gynecol 40, no. 1 (2013): 137–40. https://doi.org/10.5281/zenodo.6059992.

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Aim: The aim of our study was to evaluate the therapeutic effectiveness of myomectomy by mini laparotomy in patients with subserosal and/or intramural uterine myomas. Methods: Between January 2002 and December 2008, about 83 women with symptomatic uterine myomas were referred to the 2nd Department of Gynecology of St. Savvas Anticancer - Oncologic Hospital of Athens. In the study included women with subserosal and/or intramural uterine myomas with a maximum diameter of 10 cm. All patients underwent myomectomy by mini laparotomy. Results: The median age of the patients was 36.8 years (range 19-43). The median number of the removed uterine myomas was 3.1 (range 1-12) and the median operative time was 98 minutes (range 47-170). All patients mobilized within the first 24 hours and the median time of postoperative ileus was 1.6 days (range 1-3). The median hospital stay was 44 hours (range 30-120). We had no serious intraoperative or early postoperative complications. Conversion to laparotomy was performed only in 4 cases (4.82%), but none of the patients underwent to emergency hysterectomy. During a mean follow up of 38 months we had no recurrences of uterine myomas in our study population. Conclusion: Mini laparotomic myomectomy is a safe and effective minimally invasive method alternative to laparoscopic myomectomy for patients with subserosal and/or intramural uterine myomas.

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3

Hureibi, Khalid, Elgeilani Elzaidi, and Charles Evans. "Mini Laparotomy for Sigmoid Volvulus." World Journal of Surgery 43, no. 2 (2018): 657. http://dx.doi.org/10.1007/s00268-018-4507-z.

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4

Maximov, A. V., A. K. Feiskhanov, M. V. Plotnikov, E. V. Begicheva, and E. V. Tuisheva. "Perioperative serum cortisol levels at different operative accesses to femoral segment arteries." Kazan medical journal 93, no. 5 (2012): 717–20. http://dx.doi.org/10.17816/kmj1694.

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Aim. To compare invasiveness of reconstructive operations on arteries of aortofemoral segment using different accesses to surgical site. Methods. The analysis of the post-operative period was carried out in 40 patients who underwent aortofemoral bifurcation bypass surgery. Patients were assigned to 4 groups, each containing 10 patients. In group I surgeries were performed using mini-access of 5-7 cm, group II - mini-laparotomic access of 8-12 cm, group III - retroperitoneal mini-access, group IV - standard laparotomy. For invasiveness objectification, serum cortisol levels, forced lungs vital capacity and postoperative pain levels were measured. Results. All surgeries were performed as planned without inoperative complications. No deaths were registered. After mini-access surgeries intestinal peristalsis was defined by auscultation as soon as on 18-24 hour after the operation. Prolonged (more than 3 days) post-operative ileus was diagnosed in 3 patients, all operated using standard laparotomy. Serum cortisol level was typically elevated at the end of the surgery, but the difference was only statistically significant in patients from the group IV compared to baseline level as well as to patients with mini-access surgeries. Serum cortisol level reduced to normal at the second 24-hours after the surgery. Patients in which standard laparotomy was used reported more intense pain at the second day. Forced lungs vital capacity at day 4 was significantly reduced in patients of groups I, III and IV, with the significantly worse reduction in patients who overcame standard laparotomy compared to others. Conclusion. Mini-access reconstructive surgeries on aortofemoral segment arteries provide significant reduction of surgical trauma, which is proved by objective measurements.

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Luna-Russo, M. A., M. S. Orlando, and C. R. King. "Surgical Techniques for Mini-Laparotomy Myomectomy." Journal of Minimally Invasive Gynecology 28, no. 11 (2021): S144. http://dx.doi.org/10.1016/j.jmig.2021.09.278.

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6

Lee, Jun Suh, Jae Hyun Han, Gun Hyung Na, et al. "Laparoscopic Pancreaticoduodenectomy Assisted by Mini-Laparotomy." Surgical Laparoscopy, Endoscopy & Percutaneous Techniques 23, no. 3 (2013): e98-e102. http://dx.doi.org/10.1097/sle.0b013e3182777824.

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7

Jensen, Jørgen B., Knud V. Pedersen, Kasper Ø. Olsen, Ulla F. Bisgaard, and Klaus M. Jensen. "Mini-laparotomy approach to radical cystectomy." BJU International 108, no. 7 (2011): 1125–30. http://dx.doi.org/10.1111/j.1464-410x.2010.09958.x.

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8

Ros, A., L. Gustafsson, H. Krook, et al. "Laparoscopic cholecystectomy versus mini-laparotomy cholecystectomy." Annales de Chirurgie 127, no. 5 (2002): 411–12. http://dx.doi.org/10.1016/s0003-3944(02)00814-3.

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9

Ou, Honzen. "Laparoscopic-assisted mini laparotomy with colectomy." Diseases of the Colon & Rectum 38, no. 3 (1995): 324–26. http://dx.doi.org/10.1007/bf02055612.

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10

Ros, Axel, Lennart Gustafsson, Hans Krook, et al. "Laparoscopic Cholecystectomy Versus Mini-Laparotomy Cholecystectomy." Annals of Surgery 234, no. 6 (2001): 741–49. http://dx.doi.org/10.1097/00000658-200112000-00005.

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11

Sircar, S., G. J. Robson, J. A. Davis, J. K. Kennedy, and F. Alexander-Sefre. "Mini-laparotomy in advanced ovarian cancer." Gynecological Surgery 9, no. 2 (2011): 179–83. http://dx.doi.org/10.1007/s10397-011-0711-7.

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12

Schucht, Philippe, Vanessa Banz, Markus Trochsler, et al. "Laparoscopically assisted ventriculoperitoneal shunt placement: a prospective randomized controlled trial." Journal of Neurosurgery 122, no. 5 (2015): 1058–67. http://dx.doi.org/10.3171/2014.9.jns132791.

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OBJECT In ventriculoperitoneal (VP) shunt surgery, laparoscopic assistance can be used for placement of the peritoneal catheter. Until now, the efficacy of laparoscopic shunt placement has been investigated only in retrospective and nonrandomized prospective studies, which have reported decreased distal shunt dysfunction rates in patients undergoing laparascopic placement compared with mini-laparotomy cohorts. In this randomized controlled trial the authors compared rates of shunt failure in patients who underwent laparoscopic surgery for peritoneal catheter placement with rates in patients who underwent traditional mini-laparotomy. METHODS One hundred twenty patients scheduled for VP shunt surgery were randomized to laparoscopic surgery or mini-laparotomy for insertion of the peritoneal catheter. The primary endpoint was the rate of overall shunt complication or failure within the first 12 months after surgery. Secondary endpoints were distal shunt failure, overall complication/ failure, duration of surgery and hospitalization, and morbidity. RESULTS The overall shunt complication/failure rate was 15% (9 of 60 cases) in the laparoscopic group and 18.3% (11 of 60 cases) in the mini-laparotomy group (p = 0.404). Patients in the laparoscopic group had no distal shunt failures; in contrast, 5 (8%) of 60 patients in the mini-laparotomy group experienced distal shunt failure (p = 0.029). Intraoperative complications occurred in 2 patients (both in the laparoscopic group), and abdominal pain led to catheter removal in 1 patient per group. Infections occurred in 1 patient in the laparoscopic group and 3 in the mini-laparotomy group. The mean durations of surgery and hospitalization were similar in the 2 groups. CONCLUSIONS While overall shunt failure rates were similar in the 2 groups, the use of laparoscopic shunt placement significantly reduced the rate of distal shunt failure compared with mini-laparotomy.

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Sultana, Dr Nasrin, Dr Afroza Ghani, Dr A. KM Shamsuddin, Dr Md Muniruzzaman Siddiqui, Dr Khaleda Jahan, and Dr Nasima Begum. "Endoscopic Techniques and Minilaparotomy for Tubal Sterilization." Scholars Journal of Applied Medical Sciences 10, no. 4 (2022): 575–79. http://dx.doi.org/10.36347/sjams.2022.v10i04.024.

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Background: In recent times expert surgeons and medical technology companies advertise and promote laparoscopic surgeries as modern and safe alternatives to laparotomy. Objective: In this study our main goal is to evaluate the efficacy between Mini-Laparotomic and Laparoscopic Surgery for Tubal Ligation. Method: This retrospective study was conducted at Mohammadpur fertility services & Training center between January 2018 and January 2019. Informed consent was obtained from all patients. In total of 41 women, 18 in the laparoscopy and 23in the mini laparotomic surgery group participated in the study. Results: During the study, where in both minilaparotomy and Laparoscopic group majority were belonging to >35-40 years age group, 52.17% and 50%. In addition, majority were belonged to multiparas (P>2) in both groups. However, in Minilaparatomy group majority cases duration of operation was >20-25min whereas laparoscopic group need less time, 15-20 min most, 55.55%. Moreover, longer hospital staying period notice in minilaparotomy cases, 21.74% where as in laparoscopic cases it was 11.11%. Besides that, secondary infection only seen in minilaparotomy group, 4.34%. Conclusion: Apart from some technical disadvantages, according to our results laparoscopic surgery seems a safe and feasible alternative to mini laparotomy for surgical tubal sterilization.

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Kumar, Amanika, and Michael Pearl. "Mini-Laparotomy Versus Laparoscopy for Gynecologic Conditions." Journal of Minimally Invasive Gynecology 21, no. 1 (2014): 109–14. http://dx.doi.org/10.1016/j.jmig.2013.06.008.

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15

Huang, Wei-Tung, Christina Kirsten Wallenhorst, Stefan Wallenhorst, and Wolfgang Holtz. "Transfer of porcine embryos through mini-laparotomy." Theriogenology 57, no. 5 (2002): 1533–37. http://dx.doi.org/10.1016/s0093-691x(02)00649-0.

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16

Hickey, N. C., and S. P. Caldwell. "Aortic surgery through a transverse mini-laparotomy." European Journal of Vascular and Endovascular Surgery 25, no. 4 (2003): 369–70. http://dx.doi.org/10.1053/ejvs.2002.1802.

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17

Aral, K., C. G. Zorlu, O. Cobanoglu, S. Oguz, H. Yakupoglu, and O. Gokmen. "Tubal sterilization by laparoscopy and mini-laparotomy." Advances in Contraception 9, no. 4 (1993): 313–18. http://dx.doi.org/10.1007/bf01983209.

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18

Açikel, Ünal, Özalp Karabay, Erdem Silistreli, Akin Turan, Nejat Sariosmanoğlu, and Öztekin Oto. "Aortobifemoral Bypass Surgery Using Mini-Laparotomy Technique." Asian Cardiovascular and Thoracic Annals 7, no. 2 (1999): 128–31. http://dx.doi.org/10.1177/021849239900700213.

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19

Kanth, Sarita, Ajay Verma, and Ajay Madan. "Cholelithiasis in rural population of Haryana." Panacea Journal of Medical Sciences 7, no. 2 (2017): 92–94. https://doi.org/10.18231/2348-7682.2017.0025.

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Cholelithiasis is very common in the Northern part of India. Lifestyle and food habits are contributing factors for this disease. This study aimed at the pattern, presentation, management and type of gall bladder stones in this rural population of Haryana and how the patient centric decision (when patient decides for themselves regarding types of operation either mini-laparotomy cholecystectomy or laparoscopic cholecystectomy), affect the outcome. This study includes 152 patients of cholelithiasis. Clinical presentations were noted including their dietary habits. For the definitive diagnosis, liver function test (LFT) and ultrasonography (USG) were relied upon. We have informed them about the availability of operations of cholecystectomy that is either mini-laparotomy or laparoscopic, and depending on their choice, we operated and observe the outcome. The distribution of gall bladder stones examined by USG and LFT was 75.6% in female and 24.3% in male, ranging from 18 to 65 years of age. Most (93.4%) of all gallstones were cholesterol stones except few mixed stones. Given the option of operation, a high number of patients selected mini-laparotomy cholecystectomy, apparently because of the cost involved. As this is a patient-centric decision making about the operation of choice study (either mini-laparotomy cholecystectomy or lap cholecystectomy), therefore showing that most cases can be managed through mini-laparotomy cholecystectomy (under high spinal) without any major complication, and this is naturally guiding us towards cost effectivity in the rural setup.

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20

Ashok R. Anand, Aditi R. Jain, C. Pushpa, and Adithi Jayaprakash. "Tubal re-anastomoses through a mini-laparotomy incision." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 12, no. 5 (2023): 1444–48. http://dx.doi.org/10.18203/2320-1770.ijrcog20231239.

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To assess the feasibility and reproducibility of tubal anastomosis through a mini-laparotomy incision. Study design is descriptive case study at Academic Medical Center. Sixteen patients with previous tubal sterilization requesting for tubal re-anastomosis. Systematization of the operative steps for tubal re-anastomosis using a mini-laparotomy incision. Primary outcome measures were feasibility and reproducibility; secondary measures were tubal patency, operative time, complications, and ergonomic qualities. The 31 tubes were successfully re-anastomosed and patency was confirmed. The mean surgical time was 15 minutes per tube. Tubal re-anastomosis after tubal sterilization can be performed through a mini-laparotomy incision. Systematization of the operative steps allowed the performance of the operation at speed. More extensive series and follow-ups are needed to assess post-operative pregnancy rates.

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21

Naik, Suresh, Firoz Alam, Nagendra Yadav, and Akhil Khandarpa. "A comparative study of laparoscopic versus mini laparotomy cholecystectomy." International Surgery Journal 4, no. 11 (2017): 3696. http://dx.doi.org/10.18203/2349-2902.isj20174888.

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Background: Gallstones are common in Indian population and its treatment has shown a decisive shift from open to minimally invasive route. There is no doubt that laparoscopy require longer and steeper learning curve and higher cost, especially in the absence of health insurance to majority of suburban and rural Indian population. However, preferences of patients are changing rapidly due to better level of awareness and availability of healthcare facility. Aims was to study safety and efficacy of laparoscopic cholecystectomy in patients of cholelithiasis by comparing withresults of mini laparotomy cholecystectomy by comparing use of post-operative analgesia, operative Time, post-operative hospital stay, morbidity and mortality.Methods: It is a prospective randomized study of 100 Patients of cholelithiasis aged between 25 years to 65 years operated during 2016-2017 at Dr. D Y Patil medical college Pune. They were divided into mini laparotomy and laparoscopic cholecystectomy group by draw a lot method. Patient’s written valid informed consent for the particular procedure was taken and the pros and cons of both the procedure were explained in detail to the patient. This study was done after due clearance of ethical committee.Results: The median (range) operation time for laparoscopic cholecystectomy was 50-175 min (mean=103.98 min) and 35-95 min (mean=70 min) for mini laparotomy cholecystectomy (p<0.001). During the study period operation time for laparoscopic cholecystectomy showed a tendency to become shorter. The use of Injectable analgesics in case of laparoscopic cholecystectomy (Mean no. of days=1.5) is considerably less than mini laparotomy cholecystectomy (Mean no. of days=3.36). Conversion rate in literature in laparoscopic cholecystectomy ranges from 3% to 15% in well trained hands. In our series it is 6% in spite of being a teaching and training institution.Conclusions: Minimally invasive surgery is better than mini laparotomy cholecystectomy in terms of post-operative pain, analgesic requirement and early return to work. However, mini laparotomy cholecystectomy is preferred method for Surgeons in the beginning of their career and in case of difficult cholecystectomy.

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Razumovskiy, A. Yu, Z. B. Mitupov, N. V. Kulikova, et al. "Minilaparotomy in the treatment of choledochal malformations in children." Russian Journal of Pediatric Surgery 25, no. 3 (2021): 165–73. http://dx.doi.org/10.18821/1560-9510-2021-25-3-165-173.

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Introduction. The article presents the analysis of surgical treatment of children with choledochal malformations (CM) with mini-laparotomy and laparoscopy techniques.Purpose. The aim of the study is to improve outcomes of surgical treatment of choledochal malformations in children.Material and methods. For the last ten years (January 2010 - May 2020), 84 children with choledochal malformations (CM) (n = 84) were operated on with different surgical techniques in our hospitals. Group 1 - patients who had Roux-en-Y hepaticojejunoanastomosis (RYHJ, n = 68, 81%); Group 2 - patients who had hepaticoduodenoanastomosis (HD, n = 16, 19%). The authors compared outcomes because Roux-en-Y hepaticojejunostomosis and hepaticoduodenanastomosis were formed under mini-laparotomic (ML) and laparoscopic (LS) accesses. Surgical time, short-term and long-term postoperative outcomes were assessed.Results. The groups were comparable in gender, age, clinical manifestations, CM complications before surgery, comorbidities (p > 0.05). A statistically significant (p = 0.0000001, Mann–Whitney U-test) decrease in the surgical time was revealed when using mini-laparotomy access. Independent defecation appeared 3 times faster in the subgroup with mini-laparotomy and Roux-en-Y hepaticojejunostomy (ML RYHJ) than in the subgroup of laparoscopic Roux-en-Y hepaticojejunostomy (LS RYHJ) (p = 0.033, Mann–Whitney U-test), mainly due to early enteral loading in the first subgroup (on 0-1 postoperative day). Long-term postoperative outcomes in laparoscopic subgroups revealed a statistically insignificant (p> 0.05) prevalence of 4 anastomotic stenosis requiring repeated surgical interventions. Good outcomes were seen in 90% of patients after ML RYHJ (p = 0.002, Pearson’s Chi-square with Yates’ correction) versus 52.6% after LS RYHJ.Conclusion. Currently, laparoscopy is not a method of choice in children with CM due to the development of short-term and long-term postoperative complications. Minilaparotomy gives promising results in pediatric CM and can be “a gold standard” in the treatment of children with this pathology.

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23

Boland, J. P., R. E. Kusminsky, and E. H. They. "Laparoscopic mini-laparotomy with manipulation: The middle path." Minimally Invasive Therapy 2, no. 2 (1993): 63–67. http://dx.doi.org/10.3109/13645709309152669.

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24

Black, C., C. Moore, C. Marfori, and C. Wu. "12455 Mini-Laparotomy Myomectomy at 16 Weeks Gestation." Journal of Minimally Invasive Gynecology 31, no. 11 (2024): S164. http://dx.doi.org/10.1016/j.jmig.2024.09.1004.

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25

SHARMA, ATUL K., and AMARJEET SINGH. "CHOLECYSTECTOMY THROUGH A MINI-LAPAROTOMY A PRELIMINARY REPORT." Medical Journal Armed Forces India 50, no. 3 (1994): 163–66. http://dx.doi.org/10.1016/s0377-1237(17)31051-1.

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26

Faria, Gil R., and Antonio Taveira-Gomes. "Open gastrostomy by mini-laparotomy: A comparative study." International Journal of Surgery 9, no. 3 (2011): 263–66. http://dx.doi.org/10.1016/j.ijsu.2010.11.019.

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27

Shulutko, Alexander M., Airazat M. Kazaryan, and Vadim G. Agadzhanov. "Mini-laparotomy cholecystectomy: Technique, outcomes: A prospective study." International Journal of Surgery 5, no. 6 (2007): 423–28. http://dx.doi.org/10.1016/j.ijsu.2007.07.004.

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28

Brokstorp, M., S. Redéen, J. Österberg, and G. Sandblom. "Cholecystectomy through mini-laparotomy. a matched cohort study." HPB 26 (2024): S453. http://dx.doi.org/10.1016/j.hpb.2024.03.949.

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29

Ale, AlexanderFemi, MercyW Isichei, and MichaelA Misauno. "Preliminary experience with mini-laparotomy cholecystectomy in Jos." Journal of West African College of Surgeons 14, no. 1 (2024): 59. http://dx.doi.org/10.4103/jwas.jwas_58_23.

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30

Edge, Rachel, and William Hanna Kutteh. "Mini-laparotomy (MINI) Versus Robotic-Assisted (ROBA) Myomectomy: Comparing Costs and Safety [ID 1067]." Obstetrics & Gynecology 145, no. 6S (2025): 35S. https://doi.org/10.1097/aog.0000000000005917.019.

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INTRODUCTION: Uterine fibroids, associated with pelvic pain, abnormal bleeding, and infertility, occur in over 50% of women. Although both are minimally invasive procedures, robotic procedures have been emphasized over MINI in training programs. Prior studies favor ROBA from a safety aspect; however, few studies have compared this to same-day mini-laparotomy myomectomies. This study sought to determine the safety and costs of MINI versus ROBA. METHODS: Patients who underwent MINI (n=98) at an outpatient surgery center were compared to 89 patients who underwent ROBA myomectomies. All patients had a same-day discharge. We compared mean estimated blood loss, mean operative times, and rate of complications (transfusions, organ injury, readmission). We extrapolated costs using existing literature and local information. Cost estimates included preoperative care, operating room (OR), recovery room, physician, and supply costs. RESULTS: MINI was associated with decreased operative time (97.5 minutes versus 181 minutes with ROBA), decreased time to discharge (210 minutes versus 481 minutes), fewer complications (one transfusion required for MINI, two transfusions for ROBA), and lower associated costs ($4,937 for MINI versus $7,299 with ROBA). There was a nonsignificant increase in estimated blood loss with MINI compared to ROBA. CONCLUSIONS/IMPLICATIONS: MINI myomectomies are a cost-effective, safe alternative to ROBA myomectomies. Using standard OR equipment and traditional surgical skills, MINI had shorter OR times and times to discharge at significantly reduced costs. With the large shift toward ROBA surgeries in recent years, this study determined that MINI remains a safe, cost-effective option for our patients.

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31

Narumiya, Kosuke, Tsutomu Nakamura, Hiroko Ide, and Ken Takasaki. "Comparison of extended esophagectomy through mini-thoracotomy/laparotomy with conventional thoracotomy/laparotomy for esophageal cancer." Japanese Journal of Thoracic and Cardiovascular Surgery 53, no. 8 (2005): 413–19. http://dx.doi.org/10.1007/s11748-005-0076-9.

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32

Maksimov, A. V., S. D. Mayanskaya, M. V. Plotnikov, and E. A. Gaysina. "Mathematical modeling of an optimal mini-access for reconstruction of arteries of the aortofemoral segment." Kazan medical journal 93, no. 4 (2012): 611–16. http://dx.doi.org/10.17816/kmj1554.

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Aim. To determine the optimal size and location of the mini-laparotomic access for the reconstruction of arteries of the aortofemoral segment. Methods. The method of mathematical modeling was used. The parameters of the mini-access were calculated depending on the sex of the patient, as well as for a variety of clinical situations (operations for occlusive disease, for abdominal aortic aneurysm, including the propagation of the aneurysmal dilatation to the iliac arteries). Topography of the aorta and iliac arteries was determined on the basis of computer tomograms of 155 patients (61 of them with an aneurysm of the infrarenal aorta). Results. It was established that for the purpose of creation of an adequate access an incision of 6.8-7.0 cm in length at the level of the umbilicus and above is sufficient during surgery for occlusive disease. No significant gender differences were found. During aortic aneurysm the required length of the mini-laparotomic access is significantly increased up to 7.6 cm (p=0.003), and in cases of propagation of the aneurysmal dilatation on to the common iliac arteries - up to 8.5 cm (p=0.001). In the latter case its location also changes: approximately half of the length of the access incision is located below the umbilicus. Conclusion. Mathematical modeling of the optimal mini-access makes it possible to optimize the use of mini-laparotomy in various clinical situations.

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Ohtake, H., H. Urayama, M. Tamura, E. Kanehira, M. Kawasuji, and Y. Watanabe. "Aorto-bifemoral bypass grafting by mini-laparotomy: Case report." Minimally Invasive Therapy & Allied Technologies 6, no. 3 (1997): 249–51. http://dx.doi.org/10.3109/13645709709153330.

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34

Yamamoto, M., L. Cafferata, and E. Zaritsky. "Laparoscopic Versus Mini-Laparotomy Hysterectomy: A Retrospective Cohort Study." Journal of Minimally Invasive Gynecology 16, no. 6 (2009): S91. http://dx.doi.org/10.1016/j.jmig.2009.08.576.

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35

Noun, Roger, Eddy Riachi, Smart Zeidan, Bassam Abboud, Viviane Chalhoub, and Alexandre Yazigi. "Mini-Gastric Bypass by Mini-Laparotomy: A Cost-Effective Alternative in the Laparoscopic Era." Obesity Surgery 17, no. 11 (2007): 1482–86. http://dx.doi.org/10.1007/s11695-008-9426-x.

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36

Amonov, Sh Sh, S. Sh Musoev, and M. O. Olimi. "Minilaparotomy choledocholithotomy in patients with metabolic syndrome." Health care of Tajikistan, no. 3 (October 29, 2024): 5–12. http://dx.doi.org/10.52888/0514-2515-2024-362-3-5-12.

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Aim. To evaluate the outcomes of mini-laparotomy choledocholithotomy in patients with choledocholithiasis and metabolic syndrome using “Mini-Assistant” instruments.Materials and Methods. This study is based on the outcomes of surgical interventions performed on 54 patients diagnosed with choledocholithiasis accompanied by metabolic syndrome, conducted between 2009 and 2022. A minimally invasive laparoscopic approach was utilized, employing “Mini-Assistant” instruments. Preoperative assessments included laboratory tests, ultrasound examination, electrocardiography, echocardiography, respiratory function testing, chest radiography, esophagogastroduodenoscopy, and magnetic resonance cholangiopancreatography (MRCP). The miniaccess operation was performed using a transrectal incision, 6-7 cm in length. The technical steps of the operation were similar to traditional cholecystectomy and choledocholithotomy.Results. The average duration of the procedure was 68 ± 9.3 minutes. The patients’ condition before and after surgery was satisfactory, with stable hemodynamics. No hypertensive crises or tachycardia were observed. No mortality was reported. Postoperative complications were observed in three patients, including accumulation of serous fluid in the subcutaneous tissue (2 cases) and postoperative pancreatitis (1 case). The average length of hospital stay after choledocholithotomy via mini-access was 6 ± 1.6 days.Conclusion. Mini-laparotomy choledocholithotomy using the “Mini-Assistant” instrument set allows for avoiding conventional, more invasive techniques, facilitating effective surgical intervention even in cases where laparoscopic procedures are not feasible.

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Voros, Charalampos, and Kalliopi Pappa. "Post Partum Hemorrhage – Mini Review." Hellenic Journal of Obstetrics and Gynecology 19, no. 3 (2020): 109–14. http://dx.doi.org/10.33574/hjog.2039.

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Postpartum hemorrhage (PPH) is an obstetric emergency. It is one of the top causes of maternal mortality in both high and low income countries, although the absolute risk of death from PPH is much lower in high-income countries. Several risk factors predispose to the development of PPH including prolonged labor, precipitous labor, uterine distension. In 2017, the American College of Obstetricians and Gynecologists revised the definition of PPH to help guide its management. In the present mini-review we focus on specific medical and minimally invasive interventions, and surgical interventions at laparotomy.

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Garg, Nisha. "Comparing Complications Between Mini-Laparotomy and Laparoscopy for Benign Hysterectomy – A Systematic Review." Obstetrics Gynecology and Reproductive Sciences 8, no. 2 (2024): 01–07. http://dx.doi.org/10.31579/2578-8965/175.

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Objective: To perform a comprehensive systematic review comparing complications between mini-laparotomy hysterectomy (MLH) and laparoscopic hysterectomy (LH). Methods: A systematic review of MEDLINE, Clinicaltrials.gov, Embase, Cochrane Library, and Scopus was conducted. Out of 641 initially identified studies, 8 were ultimately included. The primary outcomes were operative time, time to discharge, need for blood transfusion, superficial and deep wound complications, post-operative fever, reoperation, readmission, and conversion to laparotomy. A meta-analysis was performed for each outcome, including measures of heterogeneity among studies. Results: There was a significant difference between mean operative time for MLH (121.6 min) and LH (127.51 minutes). There was no significant difference between time to discharge [ MLH (79.21 hours) vs LH (73.21 hours)], need for blood transfusion [MLH (.03) vs. LH (.01)], superficial wound complications [MLH (.01) vs LH (0)], deep wound complications [MLH (0) vs LH (.01)], post-operative fever [MLH (.02) vs LH (.01)] or reoperation [MLH (.01) and LH (0)]. There was not a significant difference in readmission [MLH (.02) vs LH (.01)], or conversion to laparotomy [ MLH (.01) vs LH (.01)]. There was significant heterogeneity among studies in one or both groups for: operative time, time to discharge, need for blood transfusion, and conversion to laparotomy. Conclusion: In this systematic review comparing complications between MLH and LH, there was significant heterogeneity amongst studies, making it challenging to interpret definitively. Even the definition and technique for performing mini-laparotomy was not well defined. There was an overall trend towards similar rates of complications. Though there was a statistically significant difference in operative time, the mean difference of 6 minutes is clinically unimportant.

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Santarelli, Stefano, Matthias Zeiler, Tania Monteburini, et al. "Videolaparoscopic Catheter Placement Reduces Contraindications to Peritoneal Dialysis." Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis 33, no. 4 (2013): 372–78. http://dx.doi.org/10.3747/pdi.2011.00314.

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BackgroundVideolaparoscopy is considered the reference method for peritoneal catheter placement in patients with previous abdominal surgery. The placement procedure is usually performed with at least two access sites: one for the catheter and the second for the laparoscope. Here, we describe a new one-port laparoscopic procedure that uses only one abdominal access site in patients not eligible for laparotomic catheter placement.MethodWe carried out one-port laparoscopic placement in 21 patients presenting contraindications to blind surgical procedures because of prior abdominal surgery. This technique consists in the creation of a single mini-laparotomy access through which laparoscopic procedures and placement are performed. The catheter, rectified by an introducer, is inserted inside the port. Subsequently, the port is removed, leaving the catheter in pelvic position. The port is reintroduced laterally to the catheter, confirming or correcting its position. Laparotomic placement was performed in a contemporary group of 32 patients without contraindications to blind placement. Complications and long-term catheter outcome in the two groups were evaluated.ResultsAdditional interventions during placement were necessary in 12 patients of the laparoscopy group compared with 5 patients of the laparotomy group ( p = 0.002). Laparoscopy documented adhesions in 13 patients, with need for adhesiolysis in 6 patients. Each group had 1 intra-operative complication: leakage in the laparoscopy group, and intestinal perforation in the laparotomy group. During the 2-year follow-up period, laparoscopic revisions had to be performed in 6 patients of the laparoscopy group and in 5 patients of the laparotomy group ( p = 0.26). The 1-year catheter survival was similar in both groups. Laparoscopy increased by 40% the number of patients eligible to receive peritoneal dialysis.ConclusionsVideolaparoscopy placement in patients not eligible for blind surgical procedures seems to be equivalent to laparotomic placement with regard to complications and long-term catheter outcome. The number of patients able to receive peritoneal dialysis is substantially increased.

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Jesch, N. K., G. Vieten, T. Tschernig, W. Schroedel, and B. M. Ure. "Mini-laparotomy and full laparotomy, but not laparoscopy, alter hepatic macrophage populations in a rat model." Surgical Endoscopy 19, no. 6 (2005): 804–10. http://dx.doi.org/10.1007/s00464-004-2189-0.

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Poluektov, V. L., S. V. Morozov, V. T. Dolgikh, A. I. Lobakov, and A. B. Reis. "METHOD OF OPERATIVE TREATMENT OF POSTNECROTIC CYSTS OF THE PANCREAS." Grekov's Bulletin of Surgery 175, no. 2 (2016): 87–89. http://dx.doi.org/10.24884/0042-4625-2016-175-2-87-89.

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An analysis of treatment results was made in 26 patients with postnecrotic cysts of different degree of maturity. The laparotomy with trans-gastral cystogastrostomy on the external drainage were performed on 11 patients. A new modified operation underwent 15 patients. This operation was transgastric cystogastrostomy on the external drainage from mini-access, which was developed in 2011. The laparotomy of 4-5 cm was made in pseudocyst projection of the pancreas using a standard set of tools «mini-assistant». Postoperative period have passed without complications in all the patients. The drainage was removed on 30-40 days of postoperative period. The terms of hospital stay reduced from (14,4±0,9) bed/ days to (10,8±0,5) bed/days due to application of proposed method of treatment.

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Singh, Vinita, Sangeeta Pradhan, Vijaylakshmi Shanbhag, Pushpawati Thakur, Chandrashekhar Shrivastava, and Neetu Kumari. "Laproscopic Assisted Ovarian Cystectomy: A New Approach." Journal of Obstetrics and Gynecological Surgery 4, no. 1 (2023): 1–4. http://dx.doi.org/10.52916/jogs234031.

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Ovarian cysts are fluid-filled sacs that are discovered incidentally, on physical examination, imaging or symptomatic. Recently there has been increase in ovarian cysts in unmarried, nulligravida young women, so ovarian preserving minimal invasive surgeries have come into role with compared to open surgeries done in the past which resulted in more adhesions, subfertility and poor reproductive outcome. This is a case report of 26 years, unmarried female who had large right ovarian cyst (20 × 16 × 14) cm with complaint of mass in abdomen since 4 years , underwent laparoscopic assisted ovarian cystectomy by mini laparotomy with no intraoperative or postoperative complications. So the ovarian cystectomy by laparoscopic guided mini laparotomy is a better alternative in minimally invasive surgery for huge benign ovarian cysts.

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Yang, Po-Jen, Chih-Yuan Lee, Chi-Chuan Yeh, Hsiao-Ching Nien, Tun-Jun Tsai, and Meng-Kung Tsai. "Mini-Laparotomy Implantation of Peritoneal Dialysis Catheters: Outcome and Rescue." Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis 30, no. 5 (2010): 513–18. http://dx.doi.org/10.3747/pdi.2009.00033.

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BackgroundContinuous ambulatory peritoneal dialysis is one of the main treatments for end-stage renal disease. To correct mechanical outflow obstruction after open surgical methods of catheter insertion, laparoscopic techniques are widely employed.MethodsBetween January 2001 and December 2006, 228 open Tenckhoff catheter implantations were carried out by mini-laparotomy in 218 patients at our medical center. The procedures were all performed by an experienced surgeon, and the postoperative care, patient education, and long-term follow-up were all conducted by the same peritoneal dialysis team.ResultsInfection of the exit site or tunnel was the most common complication (27/228, 11.8%), followed by peritonitis (18/228, 7.9%) and refractory mechanical catheter obstruction (9/228, 3.9%). The main causes of catheter removal were successful renal transplantation (21/228, 9.2%), peritonitis (18/228, 7.9%), and infection of the exit site or tunnel (7/228, 3.1%). In the 9 cases of refractory mechanical catheter obstruction, laparoscopic surgery was performed to identify the pathology and to rescue the catheter at the same time. Omental wrapping was the major cause (8/9) of catheter obstruction, with blood clot in the lumen and tube migration occurring in the remaining case (1/9). Partial omentectomy was performed in 5 patients to prevent recurrent obstruction. Neither technique failure nor operation-related complications were noted in our laparoscopic rescue group. For 20 of the 25 patients with refractory infection of the exit site or tunnel, the salvage technique of partial re-plantation was performed, with an 85% (17/20) technique survival rate.ConclusionsWith an experienced surgeon and a good postoperative care team, open paramedian placement is a simple, safe, and effective method for Tenckhoff catheter insertion, with a low complication rate. Laparoscopic surgery is effective as rescue for mechanical obstruction, and partial re-plantation is effective as salvage for exit-site or tunnel infection.

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AI Wagih, Hatem, Essam Gabr, and Ahmed Shaabaan. "Mini-laparotomy cholecystectomy: A reasonable answer to a difficult situation." Ain Shams Journal of Surgery 9, no. 1 (2012): 59–64. http://dx.doi.org/10.21608/asjs.2012.179352.

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Barakaat Ahmed, Wael, Ahmed Gaber Mahmoud, and Kamal A.M. Hassanein. "Laparoscopic Cholecystectomy versus Mini-laparotomy Cholecystectomy: A Randomized Controlled Trial." Ain Shams Journal of Surgery 15, no. 2 (2015): 221–25. http://dx.doi.org/10.21608/asjs.2015.195113.

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Youssif, S. N. M. "Early discharge after hysterectomy for benign diseases by mini-laparotomy." Journal of Obstetrics and Gynaecology 15, no. 6 (1995): 401–5. http://dx.doi.org/10.3109/01443619509009174.

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Vagenas, Konstantinos, Panagiotis Spyrakopoulos, Menelaos Karanikolas, George Sakelaropoulos, Ioannis Maroulis, and Dionissios Karavias. "Mini-laparotomy Cholecystectomy Versus Laparoscopic Cholecystectomy: Which Way to Go?" Surgical Laparoscopy, Endoscopy & Percutaneous Techniques 16, no. 5 (2006): 321–24. http://dx.doi.org/10.1097/01.sle.0000213720.42215.7b.

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Calhoun, A., D. Idowu, A. Pressman, M. Perron-Burdick, and E. Zaritsky. "Length of Hospital Stay Following Laparoscopic Versus Mini-Laparotomy Hysterectomy." Journal of Minimally Invasive Gynecology 18, no. 6 (2011): S60. http://dx.doi.org/10.1016/j.jmig.2011.08.206.

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Jamali, Faek R., Danie J. Fölscher, Charles M. H. Bailey, Joel Leroy, and Jacques Marescaux. "Rapidly reversible closure of mini-laparotomy during laparoscopic colorectal surgery." American Journal of Surgery 194, no. 4 (2007): 556–58. http://dx.doi.org/10.1016/j.amjsurg.2006.11.042.

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Yuda Handaya, A. "Comparation effectiveness mini-laparotomy versus laparoscopic cholecystectomy for acute cholecystitis." HPB 26 (2024): S461. http://dx.doi.org/10.1016/j.hpb.2024.03.967.

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