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    Laparoscopic removal of a gallbladder remnant
    (1995) Gurel M.; Sare M.; Gurer S.; Hilmioglu F.
    We describe a patient who had an incomplete open cholecystectomy 32 years previously and was hospitalized with jaundice due to a stone in the gallbladder remnant encroaching on the common bile duct. Despite extensive adhesions the gallbladder remnant was removed with laparoscopic techniques and the patient had an uneventful recovery. We conclude that previous surgery, even on the gallbladder, does not preclude the successful completion of a laparoscopic cholecystectomy. © 1995 Lippincott-Raven Publishers, philadelphia.
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    Therapeutic modalities in rectal prolapse
    (AVES, 1998) Demirkiran A.E.; Ertas E.; Sare M.; Gurer S.
    In this manuscript, literature about rectal prolapse is reviewed. Rectal prolapse is a rare clinical entity, seen in all ages, but the incidence makes a peak in certain ages and sex. Treatment varies according to the patient and the degree of the pathology. Even though rectal prolapse is known more than 3500 years, its etiology, mechanism and treatment is still on discussion. Notaras abdominal posterior rectopexy is one of the most preferred techniques among more than 100 types of known operations, because of its low complication and recurrence rates. Laparoscopic techniques are being utilized widely, parallel with the achievements in laparoscopic surgical techniques. Finally, today, Notaras posterior rectopexy is one of the most popular surgical abdominal procedures, but we think that laparoscopic rectopexy will take the place of open procedures in the near future.
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    Tissue anastomosis using a KTP laser: An experimental study
    (Informa Healthcare, 1996) Gurer S.; Gurpinar T.; Gurer I.E.; Griffith D.P.
    Sutured visceral anastomoses are time-consuming and complex when performed endoscopically. Theoretically, laser-welded visceral anastomoses are possible and are potentially easier and quicker to perform endoscopically than the sutured anastomoses. In this living canine study, we compared the operating time and intraluminal bursting pressure of laser-welded vs sutured anastomoses of (1) common bile duct (CBD), (2) small intestine, (3) colon and (4) ureter. Each organ was joined to itself using both anastomotic techniques. Welded anastomoses were much quicker in each organ system. Watertight anastomoses were achieved in each organ tested with both anastomotic techniques. Intraluminal hydrostatic bursting pressures occurred at lower pressures (approximately 70% of sutured anastomosis bursting pressure) in all organs. Though not qualified, tensile disruption pressure appeared to be significantly lower in the welded anastomoses as compared to the sutured anastomoses. Laser-welded visceral anastomoses are rapid and watertight. Compared to sutured anastomoses, welded anastomoses are less secure to intraluminal bursting pressures and probably less to tensile pressures. Strength enhancing adjunctive measures, such as serosal adhesives or serosal clips, may strengthen welded anastomoses and are worthy of additional studies.