title: Minimally invasive surgical technique integrating multiple procedures with large specimen extraction via inguinal hernia orifice.
abstract: While laparoscopic surgery can be performed using small skin incisions, any resected specimen must still be able to fit through these opening. For procedures, such as cholecystectomies and appendectomies, this is not usually a problem; however, for large specimens such as bowel or large tumors, this becomes problematic. Currently, the standard technique is to attempt piecemeal removal of the specimen or enlarge one of the laparoscopic incisions, effectively creating a mini laparotomy. Creating a larger incision adds many of the drawbacks of open laparotomy and should be avoided whenever possible. In this article, we present a new technique of combining the repair of an inguinal hernia, umbilical hernia with a duodenal tumor resection in order to extract the specimen through the inguinal hernia orifice.
authors.affiliation: Department of Surgery, New York University School of Medicine, New York, USA vishnu.mani@nyumc.org mani.montfort@gmail.com.
authors.forename: Vishnu R
authors.initials: VR
authors.lastname: Mani
authors.affiliation: Department of Surgery, Columbia University College of Physicians and Surgeons at Harlem Hospital, New York, USA.
authors.forename: Leaque
authors.initials: L
authors.lastname: Ahmed