Abstract: A method of repair of direct space and indirect space inguinal hernias and a unique prosthesis enable the use of laparoscopic surgical techniques with the benefits associated therewith, while greatly reducing the recurrence of hernial defects. The prosthetic device in accordance with the present invention is a unitary piece having an abdominal wall engaging base, a hollow projection, and a slurry retaining flap. The base includes a flange that anchors the prosthetic device against the abdominal wall and a flange that covers and gives support to the surrounding abdominal wall where direct space inguinal hernia recurrence is high. The projection, situated between the ledge and the flange, is received within the defect associated with inguinal hernias and lends support thereto.

Abstract: A pyloroplasty/pylorectomy shield having a base member and a proximally extending shield member. The pyloroplasty/pylorectomy shield has attachment means for engagement with a circular stapler. The pyloroplasty/pylorectomy shield also has dilation means for progressively dilating a sphincter. The pyloroplasty/pylorectomy shield is used with a circular stapler to perform a pyloroplasty/pylorectomy. Also disclosed is a method of performing a pyloroplasty/pylorectomy using the pyloroplasty/pylorectomy shield of the present invention. The pyloroplasty/pylorectomy shield has numerous advantages including reduced trauma, decreased misalignment resulting in improved stapling and improved positioning of the pyloroplasty/pylorectomy.

Abstract: A pyloroplasty/pylorectomy shield having a base member and a proximally extending shield member. The pyloroplasty/pylorectomy shield has attachment means for engagement with a circular stapler. The pyloroplasty/pylorectomy shield also has dilation means for progressively dilating a sphincter. The pyloroplasty/pylorectomy shield is used with a circular stapler to perform a pyloroplasty/pylorectomy. Also disclosed is a method of performing a pyloroplasty/pylorectomy using the pyloroplasty/pylorectomy shield of the present invention. The pyloroplasty/pylorectomy shield has numerous advantages including reduced trauma, decreased misalignment resulting in improved stapling and improved positioning of the pyloroplasty/pylorectomy.

Abstract: In accordance with the present invention, a swab for use in laparoscopy is provided. The swab comprises an outer, generally tubular shank with a handle or gripping end and a working end. An inner shaft is slidably received in the shank and has a working end and a gripping end. A changeable, disposable absorbent tip is operably connected to the working end of the shaft. The swab includes a biasing means at the gripping ends of the shank and shaft for urging the absorbent tip toward the gripping ends.