Meeting: SAGES 2015

Convergent Ablation Using a Laparoscopic Technique for the Treatment of Atrial Fibrillation

Atrial Fibrillation (AF) is a common problem with profound medical and economic impact. For men and women 40 years of age or older, the lifetime risk for development of AF is roughly 25% with annual costs for treatment estimated at $6.65 Billion in the United States. AF increases the lifetime risk of stroke nearly 5-fold and the development of persistent (Pe) and long-standing persistent (LSPe) AF is associated with an 8% per patient-year mortality risk. Open surgical treatment of AF

How To Use Endoluminal Vacuum Therapy To Treat Upper Gastrointestinal Anastomotic Leaks and Perforations

This is a video describing the new method of treating anastomotic leaks and perforations using endoluminal vacuum therapy. This video will describe its function, development and application. In addition, the results of some of our treated patients will be shown.

Ventral Hernia Repair with Component Separation Utilizing the Newest Generation Robotic Surgical System

The newest generation robotic surgical system offers several unique features that make it well suited to minimally invasive ventral hernia repairs. We performed the first minimally invasive ventral hernia repair with bilateral posterior componenet separation using the new system. The presented video documents the surgery and highlights the benefits of the system.

TAMIS-TME: A New Solution To An Old Problem

Transanal minimally invasive surgery (TAMIS) is a novel technique developed as an alternative to transanal excision and transanal endoscopic microsurgery for local excision of well selected rectal neoplasms. This approach makes use of a disposable flexible transanal platform and conventional laparoscopic instruments. TAMIS application has recently been extended to total mesorectal excision (TME) for rectal cancer. TAMIS-TME is a hybrid approach where transabdominal mobilization of the left colon

Laparoscopic Retroperitoneal Schwannoma Resection

A 36-year-old male with nonspecific abdominal symptoms and a 4.5 cm mass in left retroperitoneal position, incidentally found during work up.
Paranganglioma was ruled out during the preoperative workup, and a percutaneous CT biopsy demonstrated a Schwannoma.
With a minimal invasive approach, the mass was safely dissected from the retroperitoneal structures and peripheral neural pedicles, without complications.

Laparoscopic Repair of Peritoneopericardial diaphragmatic Hernia Repair

This is a case of a 60-year-old female with a significant surgical history of a trans-diaphragmatic cardiac ablation for atrial fibrillation 9 months prior, who presented to the emergency room with shortness of breath. A CT scan of the chest was obtained which showed the greater omentum and portions of the transverse colon extending from the abdomen into the pericardium through a peritoneopericardial diaghragmatic hernia. The patient was taken to the operating room for a laparoscopic repair of t

Retroperitoneal Endoscopic Left Adrenalectomy

Retroperitoneal endoscopic adrenalectomy is being increasingly utilized for small to moderate size adrenal tumors. This technique requires a thorough understanding of the retroperitoneal anatomy due to the posterior approach and different anatomic orientation. The video demonstrates the technique for retroperitoneal endoscopic left adrenalectomy with a focus on these challenges.

Laparoscopic resection of a mycotic superior mesenteric artery aneurysm

Mycotic superior mesenteric artery aneurysms are extremely rare. Mycotic aneurysms represent approximately 50% of all superior mesenteric artery aneurysms (SMAAs). The majority of mycotic SMAAs are associated with recent infective endocarditis. Patients may present with fever, significant and progressive abdominal pain, and a pulsatile abdominal mass. Untreated mycotic aneurysms have a reported mortality rate of up to 67%, usually due to rupture. No prior published reports of laparoscopic resect

Case report: Laparoscopic splenopexy without use of mesh

Objective: Case report describing a novel technique in an adult patient for the performance of laparoscopic splenopexy to treat wandering spleen.
Patient Background: A 27 year old woman with amedical history significant for omphalocele presented initially for evaluation of chronic abdominal pain. She had been experiencing worsening pain over the past 3 years requiring pain medication for adequate analgesia. Her abdominal discomfort was unaccompanied by any nausea, vomiting, or obstipation sugge

Hydatid Liver Cyst Laparosocpic Treatment

The Hydatid Liver cyst is a common disease in Argentina. The aim of this video is to present the alternative options of laparoscopic surgical treatment.
We present two cases.
The first one is a 55 years old male with abdominal pain and positive serology for hydatid disease. Ultrasound and MRI reveals one Hydatid liver cyst in segment II and another in segment V.
The second case is a 30 years old male who presents abdominal pain and nausea. Hydatid Serology was positive.

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