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  Last Update :: October 16 2007
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The Trocar, Online Videojournal of Gynecologic and Surgical Endoscopy

Is a paper intending to fully exploit the Internet's resources in the field of scientific diffusion. It is our opinion that an On-line Journal devoted to such a still expanding branch of surgery as laparoscopy may "take advantage of" the Internet better than any traditional paper.
Thanks to the web resources, the published articles may be furnished with photographs and videos which may better explain or point out anatomical aspects, new technique and surgical procedures possibly described. All the same, each article will be selected on the basis of the same scientific strictness and thorough statistical analysis as traditional papers.


COURSES
Contemporary Management of Chronic Pelvic Pain


November 6-8, 2008


COURSES
Master in Gynecologic Oncology


November 24-28,2008


CONGRESSES
Global Congress of Minimally Invasive Gynecology


October 28-November 1, 2008


CONGRESSES
2nd International Meeting - Deep Infiltrating Endometriosis


December 14-15, 2008


CONGRESSES
EuroAmerican MultiSpecialty Summit IV


February 11-14, 2009


NEWSLETTERS

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AUTHORS

Are you interested in submitting articles, videos or proposing any suggestions you consider useful to laparoscopic surgeons?"
E-mail to: info@thetrocar.com

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JOURNAL
Editorials » Articles » Practical Tips » Case reports »
Reports & Reviews » Educationals » Instruments » News »
Tips on surgical anatomy » Instructions »
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EDUCATIONALS
Role of Laparoscopic Tubal Recanalisation in modern era of ART
First microsurgical reversal of the sterilization was done by Gomel & Winston in 1977. Around 25-30% of the subfertile females have tubal damage and quite a few of them seek tubal micro-reconstruction for fertility enhancement, also those with tubal sterilization procedure seeking reversal for further child bearing are better candidates. This can now be achieved with principles of laparoscopic microsurgery.

Sanjay Patel , Yogendra Jhala , Rujul Patel
 
FULL TEXT
EDUCATIONALS
Extraperitoneal Laparoscopic Aortic Lynphadenectomy in Gynecological Cancer.
A fundamental principle in the assessing the prognosis of many gynaecological cancers such as cancer of the breast, cervix and endometrium is to have information about lymphatic invasion. These tumours spread predominantly by lymphatic channels...

Daniel Dargent M.D., Sergio Schettini M.D.
 
FULL TEXT
NEWS
Total Laparoscopic Radical Hysterectomy and Bilateral Pelvic Lymphadenectomy using the Harmonic Scalpel
   Division of Gynaecologic Oncology, Mount Sinai Medical Center, New York, NY
The use of the harmonic scalpel in a laparoscopic radical hysterectomy for early carvical cancer has been described.

Farr Nezhat MD, Nimesh Nagarsheth, MD, Monica Prasad, MD
 
FULL TEXT
EDUCATIONALS
Laparoscopic Excision of Deep Fibrotic Endometriosis of the Cul-de-sac and Rectum
Diagnosis and treatment of endometriosis is the most frequent reason for gynecologic operative laparoscopy in the United States (Peterson et al,1990). Therefore, the laparoscopist must be thoroughly familiar with the current standards of diagnosis and management of this complex disease. The most common presentations of endometriosis include pelvic pain, infertility, and adnexal mass...

Harry Reich, M.D.
 
FULL TEXT
ARTICLES
Power Doppler Sonographic Evaluation of the Vascularity of the Myomectomy
   Comparison between Laparoscopic and Laparotomic Myomectomy.
Study objective: To study times and conditions of the vascular repair of the uterine "scar" after laparoscopic and laparotomic myomectomy by means of transvaginal Color- Doppler ultrasonography. To check for defective healing along the uterine scar in the immediate post-operative period.

Alfonso Rossetti M.D., Ornella Sizzi M.D., Giuseppe Florio M.D., Giulietta Tancredi M.D., Pierluigi Paparella M.D., Salvatore Mancuso M.D.
 
FULL TEXT
CASE REPORT
Laparoscopic Management of Hypogastric Vein Injury during Pelvic Lymphadenectomy
The first laparoscopic lymphadenectomy was reported in the late 1980’s and safety of this procedure has been largely proved. Familiarity with instrumentation and management of complication is a prerequisite to perform this procedure. In this case report we describe the successful management of a hypogastric vein injury during a pelvic laparoscopic lymphadenectomy.

Farr Nezhat MD, S. Tzitzimikas M.D., J. Rahoman M.D, J. Yadav M.D.
 
FULL TEXT
ARTICLES
Laparoscopic rectosigmoid resection in case of deep endometriosis
Intestinal endometriosis is a disabling disease present in 6% to 30% of deep endometriosis cases. Colorectal endometriosis requires surgical treatment that can be performed by abdominal route or by laparoscopy. The present study describes the total laparoscopic rectosigmoid resection in case of deep endometriosis with bowel involvement.

Renato Seracchioli, MD, G. Poggioli, MD, F. Pierangeli, MD, F. Vianello, MD, P. Pollastri, MD
 
FULL TEXT
CASE REPORT
Acute on-set of Hematometra and Hematosalpinx in a non-communicating Rudimentary Horn of an Unicornuate Uterus: Laparoscopic Management
   
A case of unicornuate uterus with cavitary non-communicating rudimentary horn suddenly revealing with acute abdomen is presented. The patient was managed by laparoscopic miniaccess hemihysterectomy.

Francesco La Grotta M.D., Lello De Marco M.D.
 
FULL TEXT
ARTICLES
The importance of Visual Port Insertion During Laparoscopy
Patient safety is finally being institutionalized due to growing concern over the terrible cost of inadvertent human error. Medicine's punitive perfectibility model in dealing with unintended injury is slowly evolving to accept error during surgery, as an inevitable yet manageable reality of operations (Leap, 1994).

Artin Ternamian MD, FRCSC.
 
FULL TEXT
ARTICLES
Inguinoscopy or Video-Endoscopic Inguinal Lymphnode Dissection.
The development of surgery in the field of oncology is currently distinguished by the effort to decrease the aggressiveness and the morbidity of surgical treatment without lowering the chances of survival. The application of laparoscopy in the field of gynecologic oncology is not only a way to achieve these goals but also to improve the surgical staging of gynecologic malignancies.

Patrice Mathevet M.D., Sergio Schettini M.D., Michele Roy M.D., Daniel Dargent M.D.
 
FULL TEXT



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TIPS ON SURGICAL ANATOMY
Laparoscopic ureter dissection
In this sequence of pictures, some tips for freeing the ureter are given. The ureter is the most imp...

Eugenio Volpi M.D.
FULL TEXT
INSTRUMENTS
MANGESHIKAR Uterine Manipulator
The author has developed MANGESHIKAR Uterine Manipulator (Gunter Bissinger Medizintechnik GmbH, Teni...

Prashant Mangeshikar
FULL TEXT
NEWS
A Practical Manual of Hysteroscopy and Endometrial Ablation Techniques.
   A Clinical Cookbook.
Book Review....

Resad P. Pasic M.D., Ph.D., Ronald L. Levine, M.D.
FULL TEXT
TIPS ON SURGICAL ANATOMY
Anatomy of the Autonomic Innervation of the Pelvic Organs.
   Some considerations for the pelvic surgeon.
The innervation of the pelvic structures has an important role in the surgical knowledge, especially...

Eugenio Volpi M.D.
FULL TEXT
EDITORIALS
Robotically-assisted laparoscopic surgery
In the last years the world of surgery has enriched of several tools able to help the surgeon to car...

Alfonso Rossetti M.D., Ornella Sizzi M.D.
FULL TEXT
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The Trocar :: Online Videojournal of Gynecologic and Surgical Endoscopy
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