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Tensionless Purely Laparoscopic Intra-Gastric Surgery using an Innovative Mucosal Flap-Valve Mechanism: The Jategaonkar Technique.

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Cooperative laparoscopic endoscopic intra-gastric surgery, with its ability to acquire advantages of both these technologies, is a recent development in the field of minimally invasive surgery. However, the pre-requisition of… Click to show full abstract

Cooperative laparoscopic endoscopic intra-gastric surgery, with its ability to acquire advantages of both these technologies, is a recent development in the field of minimally invasive surgery. However, the pre-requisition of its multi-disciplinary approach together with several technical constraints have, plausibly, limited its widespread acceptance. The ever-increasing number of modifications being reported in today's literature largely underscores the inability of any one to be the best. We illustrate a novel, simple-to-learn, rapid and potentially cost-effective technique of intra-gastric surgery using just the routine laparoscopic instruments, and name it the 'Jategaonkar technique'. We have practised it in seven consecutive patients without any complications; and hence, recommend it for regular application. Such a method is yet to be described in the literature.

Keywords: jategaonkar technique; surgery using; surgery; intra gastric; gastric surgery

Journal Title: Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
Year Published: 2018

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