Laparoscopic Repair of Postoperative Perineal Hernia

Perineal hernias are infrequent complications following abdominoperineal operations. Various approaches have been described for repair of perineal hernias including open transabdominal, transperineal or combined abdominoperineal repairs. The use of laparoscopic transabdominal repair of perineal hernias is not well-described. We present a case report demonstrating the benefits of laparoscopic repair of perineal hernia following previous laparoscopic abdominoperineal resection (APR) using a nonabsorbable mesh to repair the defect. We have demonstrated that the use of laparoscopy with repair of the pelvic floor defect using a non absorbable synthetic mesh offers an excellent alternative with many potential advantages over open transabdominal and transperineal repairs

Laparoscopic Retrieval of a Peritoneal Mouse

A 67-year-old Caucasian male was referred by the urology service with a history of incomplete bowel emptying. He complained of tenesmus. MRI scan suggested a leiomyoma lying anterior to the rectum. He underwent examination under anaesthesia and attempted endorectal ultrasound and biopsy. However, the lesion seemed to migrate cranially and was impalpable. At laparoscopy, a mobile, unattached, 5.5 × 5 × 3.5, cream-coloured ‘egg was retrieved from the retrovesical space. Histology confirmed a hyalinised fibrocollagenous lesion lined with mesothelium. A comprehensive review of the literature is presented

Boletim agrometeorológico de 2001 para o Município de Teresina-PI.

Fonte dos dados meteorológicos; Dados meteorológicos e normais climatológicas; Apresentacão dos dados meteorológicos diários do município de Teresina, PI, referentes a 2001 (Tabelas 1 a 12); Comparação das normais climatológicas de médias mensais das variaveis climáticas do município de Teresina, PI, entre os períodos de 1980 a 2000 e ano de 2001 (Fig . 1 a 8); Análise dos dados e fatores meteorológicos atuantes.bitstream/item/36626/1/Doc66.pd

Parliamentary Libraries, Institutes and Offices: The Sources of Parliamentary Information

World Bank Institute Working Paper Series on Contemporary Issues in Parliamentary, Washington D