Welcome to The SAGES Surgical WIKI

SAGES launched its member-generated Wiki in 2010 and it quickly grew into a resource accessed by more than 2,500 people/month seeking advanced and accurate definitions of all types of minimally invasive surgery and diseases treated by minimally invasive surgery.

As part of the recent overhaul to SAGES web properties, the SAGES Wiki has been moved to a new home on the SAGES site. In addition to moving more than 75 member-generated articles back to the main SAGES web site, we have also completely changed the way members can interact with the Wiki:

  • It’s easier than ever to become a contributor! Simply log in with your member account and head over the Wiki pages. Use the “Create A New Wiki” button on the right sidebar to add your own article.
  • If you see a way to improve an existing article, simply click the Edit tab at the top of the article and make your edits.
  • Want to discuss an article? All logged-in SAGES members can now comment on an article using the Discussion tab at the top of the article and post away.

Recommended Wiki: Thoracoscopic Ligation of Patent Ductus Arteriosis

Introduction Persistent patent ductus arteriosus (PDA) occurs in anywhere from 1 in 2500 to 1 in 5000 live births, with higher rates being found in premature infants(1). Patients are typically then treated medically with a COX inhibitor unless contraindicated. In these instances, in addition to the failure of medical treatment, surgical options are then explored. Thoracoscopic ligation of the PDA has emerged as a less invasive but equally effective treatment modality with the potential to mitigate the long-term complications of an open thoracotomy in a neonate. Pathophysiology The ability to divert most of the fetal ventricular outflow away from the underdeveloped pulmonary system makes the ductus arteriosus (DA) essential to the well being of a developing fetus in-utero. Connecting the pulmonary artery to the aorta, it allows 60% of fetal blood flow to bypass the immature lungs and eventually enter the umbilical arteries to again be re-oxygenated(1). In this regard… Continue Reading »