Kartagener syndrome consists of situs inversus, chronic sinusitis, and bronchiectasis. A 39-year-old woman known to have Kartagener syndrome presented with complaints of left upper abdominal quadrant pain. Suspicion of cholelithiasis was confirmed with ultrasound and oral cholecystogram. The patient underwent a laparoscopic cholecystectomy. Standard techniques were modified in mirror image fashion to provide access to the left upper quadrant. This unusual presentation of chronic calculus cholecystitis in a patient with Kartagener syndrome demonstrates the adaptability of laparoscopic cholecystectomy technique.
A laparoscopic diaphragmatic hernia repair was done using a left subcostal trocar insertion with a total of three ports. The laparoscopic technique was illustrated. Chest x-rays pre-op and post-op were taken. The material used in the repair was 0-Chromic sutures and expanded PTFE patch. The hospital stay was minimal (24h). The patient symptomatology was improved almost immediately. The use of a laparoscopic approach for accessible diaphragmatic hernias is the method of choice. The use of an expanded PTFE patch (with its properties to incorporate the diaphragm) adds strength to the remaining diaphragm.
Pericardial interventions for the diagnosis and treatment of pericardial disease has been evolving since the 17th century. The controversy over opened or closed procedures, the optimal guidance modality, and techniques for the creation of pericardial windows continues to be debated. This report describes two patients who received the endoscopic approach to creating a pericardial window.
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