Laparoscopy is an examination of the abdominal cavity using a special set of instruments. As part of this procedure it is possible to perform treatments. A typical set consists of a laparoscope (endoscope with a camera that allows transfer images from the examined location to monitor), trocar (devices used to enter instruments), needles Veressa (first access is "blind"), insufflator (introduces air into the peritoneal cavity and causes edema for diagnosis and treatment), diathermy, and a set of surgical instruments.

General anesthesia is required before starting the procedure. Course of treatment begins with the implementation of a small cut or stab a Veresse needle, then foundation trocar and insertion a laparoscope. The next step is to put (already under visual control) remaining trocars, make insulfation and accession to the order procedure (diagnosis, treatment). In case of inability to complete the laparoscopically surgery (or if there are serious reasons: life-threatening complications, anatomic barriers) should be converted - open the abdominal walls and perform traditional surgery (laparotomy).


a) diagnostics (taking a tumor fragments, the search for endometriosis, diagnosis of liver, searching unidentified causes of inflammation);

b) treatment:

• excision of the gallbladder (cholecystectomy - a gold standard);

• antireflux operations - the gold standard;

• removal of adrenal tumors - the gold standard;

• treatment of morbid obesity;

• removal of the appendix (appendectomy);

• removal of bowel cancer lesions;

• inguinal hernia;

• removal of the spleen;

• removal of ovarian cysts or liver disease.


a) relative: older age, obesity, severe hypertension, heart failure, unstable angina, myocardial infarction, arrhythmias, the state with a history of abdominal surgery, presence of a large abdominal tumor, pregnancy> 12 weeks, active inflammation in lesser pelvis;

b) absolute: diffuse peritonitis, the patient's objection, impaired hemostasis, severe cardio-respiratory.
Possible complications: arrhythmia, subcutaneous emphysema, pneumothorax, pulmonary embolism, gastrointestinal tract failure, bleeding from large vessels.

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Underbelly Line Sleeve Gastrectomy

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Surgical video case: 20 years old female patient BMI 50, 3 port underbelly (cosmetic advantages), without retractor, second layer seromusculer reinforcement sutures. Unedited, uncutted, 4x faster. After...

Laparoscopic Cerclage

Kunal Rathod

Specialty:  Gynecology
views: 3153 comments: 4

Surgical video case: laparoscopic cerclage in a gravid uterus for recurrent 2nd trimester miscarriage. 

Laparoscopic Bilateral Pelvic Lymphadenectomy...

Dr Vipin Goel

Specialty:  Gynecology
views: 7647 comments: 0

Surgical teaching video: step by step description of laparoscopic pelvic lymph node dissection for carcinoma endometrium.   

Laparoscopic Multivisceral Resection for Advanced...

views: 3484 comments: 1

58-year-old male patient (BMI 22.4) with obstructing sigmoid adenocarcinoma. Preoperative CT revealed a large sigmoid tumor infiltrating the urinary bladder and the small bowel. No distant metastases...

Laparoscopic left splenopancreatectomy

views: 1318 comments: 0

Pseudopapillary solid tumor of the tail of the pancreas.  

Gastric Volvulus, Laparoscopic Treatment

views: 1310 comments: 1

Mesenteric-axial gastric volvulus - laparoscopic treatment.  

TAPP Surgery After TEP

views: 6372 comments: 4

This video presents a TAPP surgery after TEP on the right side for hernia reccurence and chronic pain. Baby step are indicated for this type of surgery due to the fibrosis and anatomy modification.  

Laparoscopic Myomectomy (With Voice Over)

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This procedure demonstrates technique of enucleation of fibroid and suturing. (*brand hidden*) instruments was used as an energy device. (*brand hidden*) was used for the serosal and myomertrial closure. 

Laparoscopic Hiatal Hernia Repair

views: 1178 comments: 1

Video describes laparoscopic technique to large hiatal hernia prostetic repair. Surgeon: Bruno Benini MD ( 

Laparoscopic Repair of Large Diaphragmatic Hernia

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Surgical video case: this video shows a post-traumatic diaphragmatic hernia repaired with laparoscopic approach.

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