Working with a pre-operative checklist in laparoscopic surgery, an initial study
Abstract Background: Major changes in endoscopic surgery have taken place in recent years. More and more, technical applications and complicated devices are introduced in the operation room. In previous studies, various preventable equipment related problems are reported. Potentially, this can influence the quality and safety of laparoscopic surgery. The goal of study is to find… Continue Reading
Women’s Perceptions of Trans-Vaginal NOTES Surgery
Two decades ago, Minimally Invasive Surgery (MIS) was introduced and led to a revolution in modern surgery; currently MIS procedures are the standard of care for many surgical interventions and patients often seek out surgeons with special training in MIS. Today, Natural Orifice Translumenal Endoscopic Surgery (NOTES) appears to be on the threshold of another… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
When the Sleeve Gastrectomy Fails: Adding a Laparoscopic Adjustable Gastric Band to Increase Restriction
Laparoscopic Sleeve Gastrectomy (LSG) is becoming more popular as a primary option for the surgical management of morbid obesity. Although some early sleeves performed over large-sized bougies have resulted in poor long-term weight loss maintenance, recent research has demonstrated that more restrictive sleeve gastrectomies can maintain nearly 60% excess weight loss. While the choice of… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
When Surgery Stops: A Quantitative Video Analysis of Workflow During Laparoscopic Surgery
Introduction: Interruptions in surgical workflow has been shown to lead to OR inefficiencies and patient injury; however, we lack knowledge as to what causes these interruptions and to what degree these interruption affect the procedure time (PT). Workflow is a result of teamwork, thus interruptions were analyzed based on their effect on the teamwork rather… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Education / Simulation
When does GERD testing become cost effective?
GERD affects as many as 40% of Americans. Millions of pts could potentially be treated with PPI therapy expectantly without a definitive diagnosis. This study looked at actual cost in an integrated healthcare system to determine when GERD testing might become cost effective when pts are placed on high dose PPI therapy. The primary care… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
What Is the Ideal Location and Size of a Gastrotomy?
BACKGROUND:The feasibility of using the endoscopic transgastric approach to perform an intra-abdominal surgical procedure has been well demonstrated in animal models. Factors that could possibly limit the successful closure of a gastrotomy include: (a). its anatomical location on the gastric surface; (b). its diameter size, and, (c). duration of the transgastric procedure. Our hypothesis is… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
What is the definition of “conversion” in laparoscopic surgery among colorectal surgeons? a survey among SAGES and ASCRS
Background: Various definitions are used in the literature to define conversion, rendering comparison among studies difficult. A web-based and postal survey was conducted among colorectal surgeons representing the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) and the American Society of Colon and Rectal Surgeons (ASCRS) regarding their definition of conversion during laparoscopic colorectal surgery… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
What is the benefit of the laparoscopic approach to restorative proctocolectomy? a comparative study
Restorative proctocolectomy (RPC)is one of the more complex operations in colon and rectal surgery.It has evolved extensively and the most recent controversy is the adoption of the laparoscopic approach.There is limited short-term data comparing the open and laparoscopic approach for RPC.This is a comparative study for the short-term outcomes and impact on closure of loop… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
What is the appropriate level of the regional lymph node dissection, when we perform the laparoscopic surgery for T1 colorectal cancer?
[Background] Laparoscopic colorectal cancer surgery came to be performed widely, but the oncological validity of this surgery has not been well analyzed. Especially for pathological T1 (pT1) colorectal cancer, the level of lymph nodes (LN) dissection is not clear. [Patients and Method] The study group consists of 321 patients who underwent laparoscopic colorectal resection since… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
What Influences Follow-Up After Gastric Bypass Surgery?
IntroductionBariatric surgery remains the only effective and enduring treatment for morbid obesity. Even after bariatric surgery, obesity is recognized as a chronic disease requiring appropriate follow-up. We hypothesized that certain patient characteristics may influence 1 year follow up. MethodsBariatric surgery clinic records from an academic medical center were reviewed from 2004- 2006. Patients were divided… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Weight Loss Expectations After Laparoscopic Gastric Bypass Are Influenced By Preoperative Body Mass Index.
BACKGROUND: Specific guidelines of expected weight loss after laparoscopic Roux-en-Y gastric bypass (LRYGB) in relation to preoperative body mass index (BMI) do not exist. Published weight loss outcomes after LRYGB are usually reported as a mean or median of the population examined as a whole. OBJECTIVE: To examine whether preoperative BMI influences percent of excess… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Videolaryngoscopic Intubation: A new teaching tool for residents in the Surgical Intensive Care Unit
Objective: This is a study to determine the efficacy and feasibility of videolaryngoscopy as a training tool for emergent endotracheal intubations by surgical residents in the surgical intensive care unit (SICU). Methods: Over a fifteen month period ending December 2007, SICU patients underwent emergent endotracheal intubation using videolaryngoscopy. All residents underwent a thirty minute tutorial… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Video Assisted Thoracoscopic Esophagctomy for Carcinoma Esophagus
Introduction:Thoracoscopic esophagectomy is emerging as an alternative to conventional open esophagectomy. It is perceived to have advantages of reduced surgical trauma and hence lesser postoperative morbidity. This paper presents outcome of patients undergoing thoracoscopic esophagectomy and compares it to patients undergoing open surgery in the same time period in the thoracic surgical service of Tata… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Verification of the Effectiveness of Nissen Fundoplication Without Myotomy in the Treatment of Nutcracker Esophagus – a Study of 11 Patients.
BACKGROUND: Nutcracker esophagus (NE) is a primary motor disorder characterized by esophageal peristaltic contractions of high amplitude. There is a relationship between gastroesophageal reflux disease (GERD) and NE. However, in spite of this, there is no consensus regarding the use of surgery for these diseases.AIM: To evaluate the treatment of nutcracker esophagus (NE) using laparoscopic… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Venous Thromboembolic Events and risk stratification: Evaluation of Short vs Prolonged Prophylaxis in Bariatric Patients
Introduction: The risk of a venous thromboembolic event (VTE) after bariatric surgery remains a significant source of morbidity, mortality, and liability. A survey of ASBS members showed the incidence of DVT/PE after open bariatric surgery to be 2.63% and 0.95% respectively. Reviews of the laparoscopic literature demonstrate a risk of symptomatic VTE to be 0.8-2.4.… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Outcomes and Quality