D. K. Agarwal

Retroperitoneal laparoscopic nephrectomy: initial case report.

Pre-transplant nephrectomy was done in a 25-year-old man for calculous pyelonephritis using a retroperitoneal laparoscopic approach with a newly devised ligature applicator-dissector- kidney retractor.

Retroperitoneal Laparoscopic Pyelolithotomy

Retroperitoneal laparoscopic pyelolithotomy was successful in 5 of 8 patients using the recently described balloon technique of retroperitoneal laparoscopy. All patients were considered for this new minimally invasive procedure only on economic grounds. However, with improved technique and instrumentation, the retroperitoneal laparoscopic approach could become a practical alternative for the management of patients with medium sized pelvic stones not amenable to extracorporeal shock wave lithotripsy nor ideally suitable for percutaneous nephrolithotomy, or when both of these facilities are not available.

Laparoscopic Orchiopexy for the Intra-Abdominal Testis

Laparoscopic orchiopexy was performed in 3 patients with an intra-abdominal testis. The laparoscopic approach provides better exposure of the spermatic vessels and vas deferens, and is less traumatic compared to the open procedure. In 2 patients the spermatic vessels were dissected after incising the posterior peritoneum but in 1 a strip of peritoneum overlying the vessels was left to avoid inadvertent damage to the spermatic vessels. The testicles could be brought down easily to the scrotum and there was no postoperative atrophy in any of the cases. Preliminary results suggest that the laparoscopic approach is a suitable, minimally invasive alternative to open exploration in patients with salvageable abdominal testes.

New instrument for laparoscopic ligature

A new technique of applying a laparoscopic ligature is described using a self-designed ligature carrier and knot pusher.

A new concept of laparoscopic suturing

SummaryA simple technique of laparoscopic interrupted suturing, using our self-designed needle holder and needle, is described.

Single port laparoscopic ligature carrier

SummaryA simple method of endoscopic pedicle ligation through a single entry port for laparoscopic surgery is described.

Laparoscopic ureterolithotomy for impacted lower ureteral calculi: Initial case report

A laparoscopic ureterolithotomy was performed in a 63-year-old man who presented with azotaemia and large impacted calculi in the lower ureter. Although the procedure was performed transperitoneally, the ureter was completely re-peritonealized and drained extraperitoneally.

Retroperitoneal laparoscopic Gil-Vernet pyelolithotomy: an initial report

A 22 × 22 × 20 mm calculus in the intrarenal pelvis of a 30-year-old female was successfully removed retroperitoneoscopically using Gaurs balloon technique of retroperitoneoscopy.

Agarwal-Gaur knot pusher

The technique of accurate and smooth placement of the extracorpor-eal surgeons knot is described using the self-designed knot-pusher.

Laparoscopic punch scissors cum hook dissector

SummaryA new instrument, the laparoscopic punch scissors cum hook dissectors, is described.