Annals of Minimally Invasive Surgeries

Case Report Pages 67-71

The Use of the Minimally Invasive APTOS Thread Method for the Treatment of Female Stress Urinary Incontinence: 3-year Follow-up Results

Authors: T Tomadze, M Sulamanidze and M Tsivtsivadze

Abstract: To assess the long-term (3-year) follow-up of female stress urinary incontinence treatment using minimally invasive Aptos Thread method. 124 women with stress urinary incontinence confirmed by clinical and urodynamic evaluation were treated surgically using Aptos Thread method. Totally favourable results, including improvement (1) and cure (123) were recorded in all 124 patients. The improvement of quality of life, as well as total relief from all symptoms and the restoration of all adjacent organs involved in urodynamic disorders were observed.

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Case Report Pages 72-74

Bilateral Empyema after Robotic Paraesophageal Hernia Repair: A Case Report

Authors: Peter D Drevets, MD, Mikenzie Sturdivant, BS, Meghan Hovell, BS, Jacob Greenberg, MD, Aaron Bolduc, MD and Lisa R Hilton, MD

Abstract: Modern paraesophageal hernia repairs are typically performed via a laparoscopic or robotic approach, with or without mesh, and typically include some degree of fundoplication following closure of the hiatus. Known complications include slippage of wrap, esophageal perforation, vagal damage, and damage to nearby structures. We present a previously undescribed complication of bilateral empyema following robotic paraesophageal hernia repair with Nissen

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Research Article Pages 61-66

Alternative Back-Up Approach for Inaccessible Laparoscopy in Cases of Huge Probably Benign Cystic Adnexal Masses

Authors: Darwish AM, Darwish DA and Dervis A

Abstract: It comprised 28 consecutive reproductive non-pregnant women with above umbilicus huge probably benign cystic adnexal masses beyond the capacity of conventional laparoscopic intervention due to failed access of the intraumbilical primary trochar. Preoperative clinical, biochemical, and sonographic assessment of the cystic lesions

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Research Article Pages 54-60

Early Outcome of Mitral Valve Surgery comparing Minimally Invasive Versus Standard Median Sternotomy Approach

Authors: Yasser Mubarak

Abstract: Minimal invasive mitral valve surgery (MIMVS) aims to avoid complications of SMS like, bleeding, postoperative pain, and sternal wound infection. It provides better cosmesis and early recovery. The aim of this study is to evaluate early clinical outcome of MIMVS.

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Original Article Pages 50-53

Complications of Gynecologic Surgery: Vaginal Cuff Dehiscence after Total Laparoscopic Radical Hysterectomy

Authors: Carlos Leal, MD, PhD, Jesús Villegas, MD, Miguel Guigón, MD, Víctor Rubio, MD and Ale Valenzuela, MD

Abstract: A 34-year-old woman G = 2 P = 2 completed parity was diagnosed with an abnormal PAP smear definite as AGC (Atypical Glandular Cells), seen in our center for a second opinion. The Bethesda system classifies atypical glandular cells (AGC) as glandular cells that demonstrate nuclear atypia appearing to exceed reactive or reparative changes but lacking certain features of adenocarcinoma. AGC occurs in approximately 0.18 to 0.74 percent of all cervical smears and AGC on cervical cytology is associated with premalignant or malignant disease in approximately 30 percent of cases

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Case Report Pages 46-49

Metastatic Melanoma: A Rare Cause of Gastrointestinal Intussusception under Nivolumab

Authors: Simona Deidda, MD, Rita Schirru, MD, Luca Ippolito, MD, Agnese Favale, MD, Francesco Cabras, MD, Sara Onali, MD, Angelo Restivo, MD, Massimo C Fantini, MD, and Luigi Zorcolo, MD

Abstract: Melanoma is a malignant tumor with a low 5-year survival rate. The small intestine is a privileged site for the development of metastases, which often cause intussusception and gastrointestinal bleeding. Nivolumab is a monoclonal antibody that has produced higher response rates than other chemotherapeutics.

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Case Report Pages 44-45

Double Adnexal Twist

Authors: Carlos Leal, MD, PhD, Jesús Villegas, MD, Miguel Guigón, MD, Víctor Rubio, MD and Ale Valenzuela

Abstract: A 48-year-old, gravida 3 paras 3, female presented in ER for acute abdominal pain. The ultrasound revealed a left 5 cm - 6 cm complex adnexal mass; Doppler showed evidence of blood supply occlusion. PE with pain on the left lower abdominal quadrant, vaginal bimanual examination with Chandelier´s sign positive. Blood work with Lymphocytosis of > 14,000 cells/microL, D-dimer by ELISA testing was 1,500 ng/mL. Laparoscopic surgery was performed (Figure 1), showing double left adnexal torsion (Figure 2). The evidence of necrotic tissue was visualized

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Case Report Pages 41-43

Authors: Carlos Leal, MD, PhD

Abstract: A 27-year-old, gravida 0 para 0, female presented herself for an evaluation of recurrent urinary tract infections and severe dysmenorrhea. The ultrasound revealed a bilateral small but complex adnexal mass, suggesting endometriosis (Figure 1). Ca 125 was 88 U. Laparoscopic surgery was performed, showing evidence of infiltrative endometriosis and entrapment of the right ureter on the right pelvic sidewall (Figure 2); During the initial anatomical inspection a duplicated ureter was diagnosed (Figure 3). The laparoscopic surgery was performed to liberate both ureters and resection of the deep endometriosis without any complicated issues (Figure 4).

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