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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Laparoscopic Resection Of Gastric GIST (Gastro-Intestinal...

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This is a surgical video showing laparoscopic resection of gastric GIST. A 41 year old male patient was diangosed to have Large Gastric GIST close to GE junction for which he was started on Imatinib 400...

Toupet Fundoplication

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Surgical video case: sliding hiatal hernia needs some sort of anti-reflux procedure. Laparoscopic surgery is the gold standard approach for hiatal hernia repair. Nissan and Toupet fundoplications are...

Laparoscopic Appendicectomy for Gangrenous Appendix

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Video case: acute appendicitis is a surgical emergency that needs immediate surgery. Laparoscopic approach for the management of acute appendicitis is an effective and safe technique. Apart from benefit...

Conventional Laparoscopy to Laparo-Endoscopic...

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Surgical video case: conventional laparoscopy to laparo-endoscopic single site fundoplication the journey for GERD. 

Laparoscopic Opening of Left Fallopian Tube Obstruction

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Laparoscopic opening of left fallopian tube obstruction through mechanical dilatation of the tube and pressure of Methylene blue dye injected through her cervix.

R-eTEP Lateral Diastasis Recti & UH, Inan...

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Surgical technique video: classic laparoscopic diastasis recti plication produces a vertical subcutaneous bulge especially disturbing in thin patients. This robotic inverting plication suturing is inspired...

Left Adnexal Ectopic Pregnancy

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Surgical video case: laparoscopic excision of left adnexal ectopic pregnancy. Chronic disturbed EP with excessive vascularility in left adnexal compartment.

Weston Sliding Knot - Laparoscopic Sliding Knots

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Surgical video: laparoscopic sliding knots.

Laparoscopic Heller Myotomy and DOR Fundoplication...

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Surgical video case: laparoscopic Heller Myotomy and DOR fundoplication for recurrent achalasia.

Laparoscopic Management of Port Site Abscess...

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Surgical video case: 42 year old gentleman who underwent laparoscopic cholecystectomy 5 years back came to us with complaints of swelling near the supra-umbilical port site region for the past 6 months....

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