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Instillation of the fluid into the gallbladder bed produced edematous, distended tissue making separation safe and easy. A novel safe approach to the peritoneal cavity for per-oral transgastric endoscopic procedures. Acta Neurochir Wien ; Subsequently, uncontrolled introperative bleeding occurred in the second case, leading to the operation failure. Impact of vaginal surgery on sexuality and quality of life in women with urinary incontinence or genital descensus.

Acta Obstet Gynecol Scand.

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Laparoscopic cholecystectomy LC [ 1 ] remains the gold standard for the treatment of benign gallbladder diseases, showing superiority such as better cosmetic results, less postoperative pain, and shorter recovery time compared with open cholecystectomy. This approach compared to other approaches has no blind region in enterocoelia, in the other hand, it cannot support stable platform due to soft abdominal wall resulting in difficulties in manipulating endoscope[ 17 ]. Although double-channel endoscope has elevator, parallel correlation of double-channel cannot produce surgical triangulation resulting in limited orientation to manipulate. Unexpected error occurred, please contact support. Pugliese et al[ 5 ] showed no above-mentioned discomfort and incision related complications. Reliable ligation using double nylon loops insured the safety of cutting between the loops.








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