A novel laparoscopic approach to gastrostomy salvage following early dislodgment
Introduction: Gastrostomy tube dislodgment shortly after placement may lead to a gastric perforation if a gastrocutaneous fistula tract did not have time to form. The current standard approach to this problem is immediate laparotomy and creation of a new gastrostomy. We report a novel, incision-free approach to this problem that involves grasping the gastric perforation… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Dysphagia after using a Biological Mesh to Repair a Recurrent Hiatal Hernia
Introduction: It has been recently demonstrated in a controlled trial that reinforcement of the crura with a biological mesh decreases the incidence of recurrence of paraesophageal hernias after hiatal repair. This technique is therefore increasing in popularity. Complications from this type of mesh have not been reported, but an animal study has suggested that a… Continue Reading
- Topic:
- Outcomes and Quality
Early reoperation – a quality parameter for monitoring laparoscopic surgery ?
Background:The science of surgical quality measurement is evolving!The need for unplanned early reoperation usually represents a major adverse event in the patient’s postoperative course. Unplanned early reoperations were suggested as a possible quality indicator in general surgery .There are only a small number of prospective studies concerning this issue in general surgery, and no reports… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Outcomes and Quality
Esophageal Perforation after Gastric Balloon Extraction
The use of the BioEnterics intragastric balloon® is generally considered to be safe and efficacious for short-term weight loss, however complications have been reported. The most commonly reported complications include balloon intolerance requiring early removal, gastric erosions, gastric ulcerations, esophagitis, and early deflation of the device.We report a case of a esophageal perforation following endoscopic… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Herniation Through Falciform Ligament – a Rare Cause of Small Bowel Obstruction Following Laparoscopic Surgery
Introduction:The most common causes for small-bowel obstructions with subsequent strangulation are intra-abdominal adhesions and external hernias. The occurrence of an internal hernia through a congenital or iatrogenic defect in the falciform ligament is extremely rare. However in the era of minimally invasive surgery, an increase in laparoscopic port related complications have been increasing. Method and… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Mesh Complications after Prosthetic Reinforcement of Hiatal Closure. A 29 Case Series.
Background:Primary laparoscopic hiatal hernia repair is associated with up to a 42% recurrence rate. This has lead to the use of mesh for crural repair, which has resulted in an improved recurrence rate (0-24%). However, mesh complications have been reported. Methods:We compiled three cases and our senior author contacted other experienced esophageal surgeons who provided… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Outcomes and Quality
Outcomes in Laparoscopicc Cholecystectomy (LS) done with or without using Energy Sources (ES): Results of a Prospective Randomized Controlled Study
Objectives of study :Structured training, skill's evaluation,regulated granting of privileges, systems approach & judicious use of ES haven’t alleviated the concerns of unfavorable outcomes in LC. Biliary injuries, an index of adverse outcome evaluation have been linked to use of ES. LC can be done without using ES as reported by us earlier. The aim… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Percutaneous Endoscopic Gastrostomy in Patients on Antiplatelet Therapy: Are Bleeding Complications Increased?
Percutaneous Endoscopic Gastrostomy (PEG) is a commonly performed procedure amongst hospitalized patients. Patients requiring PEG are frequently treated with antiplatelet agents for chronic conditions. Guidelines of the American Society of Gastrointestinal Endoscopy published in 2006 recommend that practitioners consider discontinuing antiplatelet agents for 7-10 days prior to PEG placement. Discontinuing antiplatelet agents for one week… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Outcomes and Quality
Peritonitis from PEG tube insertion and ensuing complications in Surgical ICU patients: Identification of risk factors and clinical outcome
OBJECTIVE - Percutaneous Endoscopic Gastrostomy (PEG) tubes are routinely placed in Surgical Intensive Care Unit (SICU). Poor tissue healing or technical issues after tube insertion can lead to peritonitis requiring a laparotomy. Risk factors leading to this major complication are not identified.METHODS - We conducted a retrospective review of all PEG tubes inserted in SICU… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Outcomes and Quality
Predictors of Postoperative Pneumonia Following Laparoscopic Gastric Bypass
Background: Given the frequent presence of multiple comorbidities, obese patients undergoing laparoscopic gastric bypass are at risk for perioperative complications. We hypothesized that patients with gastroesophageal reflux disease (GERD), obstructive sleep apnea (OSA), and asthma would have higher rates of pneumonia.Methods: We retrospectively analyzed 343 laparoscopic gastric bypass patients, operated on at a single institution… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Short Bowel Syndrome following Laparoscopic Procedures
Many general surgical procedures are being performed increasingly via laparoscopy. The short bowel syndrome (SBS) is a potential postoperative complication after intraabdominal procedures. Intestinal ischemia secondary to pneumoperitoneum has been reported after a variety of laparoscopic procedures. Our aim was to evaluate potential mechanisms of SBS following laparoscopic procedures. The records of 85 adult patients… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
The Effect of Laparoscopic Staplers on Porcine Small Bowel Perfusion.
Introduction: Few studies have been designed to assess the performance of laparoscopic surgical staplers. This study analyzes the effect of staples and staple height on tissue perfusion. Methods: Staple lines created on live porcine small bowel segments using laparoscopic surgical staplers were tested for perfusion using visible light spectroscopy to assess tissue oxygenation. Perfusion measurements… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Outcomes and Quality
The perforation of the gallbladder in cases of incidental gallbladder cancer- And the indication for the use of isolation bags.
Introduction: The accidental intraoperative perforation of the gallbladder is a problem of the laparoscopic surgery, if an incidental gallbladder carcinoma exists at the time of operation.According to the literature this complication comes up to 30% of the laparoscopic operations.In order to prevent the dissemination of tumourcells the use of an isolation bag is proclaimed.The question… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Thermal Injury Secondary to the Laparoscopic Fiber Optic Cable
Background: Laparoscopy requires a reliable light source to provide adequate visualization. However, thermal energy is produced as a by product from the optical cable. This study attempts to quantify the degree of thermal damage secondary to the fiber optic light source. Temperature variation at the tip of the optical cable was examined also. Methods: Using… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
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