The Current Status of Laparo-endoscopic Single-site Surgery (less) Across Surgical Disciplines, a Single Institution’s Experience.
Objective: To evaluate one institution’s multi-departmental experience performing LESS procedures. Introduction: LESS, also known as single incision laparoscopic surgery, has emerged as one of the newest surgical modifications of laparoscopic surgery. LESS procedures can be performed using various combinations of articulating and straight instruments with various angled or flexible cameras while achieving similar results to […]
Laparoscopic Cholecystectomy Associated with Gastric Bypass Surgery: A Safe Approach for Morbid Obesity Patients?
Background: Some researchers suggest that gastric bypass surgery plus cholecystectomy increases post-surgical complications. However, there is not studies that exploring this association. Objective: To compare the post-surgical complications between patients operated on cholecystectomy and who not among obese persons meeting criteria for gastric bypass surgery in Medellín, Colombia. Method: A case-control study was done. In […]
Introduction: Pulmonary embolism (PE) is a relatively uncommon complication following laparoscopic cholecystectomy (LC). When the abdomen is insufflated with CO2, increased intrabdominal pressure diminishes venous return causing potentially low cardiac output and venous stasis. Our study was to determine whether this phenomenon is significant enough to increase the risk of PE while performing LC. Methods: […]
Introduction: Concerns have been raised as to how to maintain pictorial documentation of an interesting finding during laparoscopic cholecystectomy (LC). We believe that documentation of surgery is of essential benefit, especially if a complication arises. In addition, documentation may be utilized for future reference for patient care. Methods: We reviewed the pictorial documentation of 100 […]
Introduction: Some surgeons perform routine preoperative screening endoscopy in all patients undergoing bariatric surgery. Various pathologies have been noted and reported during preoperative endoscopy. This investigation explores the incidence of Barrett’s esophagitis in patients undergoing preoperative screening endoscopy for bariatric surgery. The hypothesis that was tested was that Barrett’s esophagitis would be common in patients […]
Laparoscopic Anti-reflux Surgery As a Definitive Treatment in Refractory Upper and Lower Respiratory Tract Diseases.
BackgroundLaparoscopic anti-reflux surgery (LARS) is now well established as an effective treatment in the management of gastro-oesophageal reflux disease (GORD). Some of the reflux can be severe enough to cause upper respiratory symptoms such as laryngitis, hoarseness, chronic cough. Reflux resulting in aspiration can result in lower respiratory tract illnesses such as asthma and pulmonary […]
Outcome of Laparoscopic Rectopexy Versus Perineal Rectosigmoidectomy for Full-thickness Rectal Prolapse in Elderly
Background: Perineal approaches have been preferred for the treatment for full-thickness rectal prolapse in elderly patients despite a higher incidence of recurrence when compared with open abdominal approaches. However laparoscopic rectopexy with or without resection may also be used for elderly patients. Purpose: Therefore, the aim of this study was to evaluate safety and effectiveness […]
Assessment of the Outcomes of Hand-Assisted Laparoscopy Vs. Laparoscopy in Elective Colorectal Surgery in Obese Patients – Are There Advantages?
Introduction: Obesity has been challenging for both laparoscopic (LA) surgery and hand-assisted laparoscopic (HAL) surgery. The aim of this study was to compare the outcomes of LA and. HAL colorectal surgery in obese patients. Methods and procedures: An IRB approved retrospective chart review of a prospectively maintained database was conducted to identify obese patients (BMI>30) […]
Introduction: Adjustments are an integral part of the success of the laparoscopic adjustable gastric banding. Without these adjustments, successful weight loss is not possible. Fear and pain could create barriers for patients to receive their proper band adjustments. It is important to understand the patient’s perception of adjustments. The objective of this study was to […]
Introduction: During the last years increasing numbers of children have been reported with a body mass index (BMI) higher than the 85th percentile in the western world. Surgical strategies are still discussed controversially in adolescent patients due to the impact on further maturing process. Laparoscopic adjustable gastric banding (LAGB) is considered as a minimal invasive […]