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
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
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
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
Validation that a one-year fellowship in minimally invasive/bariatric surgery can eliminate the “learning curve” for laparoscopic Roux-en-Y gastric bypass (LRYGB): Fellows’ first 100 cases in practice replicate the quality of their training institution.
INTRODUCTION: The concept that advanced surgical training can reduce or eliminate the “learning curve” for complex procedures makes logical sense but is difficult to verify and has not been tested for LRYGB. We sought to determine if minimally invasive / bariatric surgery fellowship graduates would demonstrate complication-related outcomes (CRO) equivalent to the outcomes achieved during… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Education / Simulation
Utilization of the Intragastric Balloon (bib) in Pre-operative Preparation for Super Obese Patients with High Surgical Risk Comparing with Two Steps Surgery.
Background: Super obese patients show a high surgical risk (major complications in 30% and mortality rate of 5-12%). The present study evaluates the use of BIB as a preoperative procedure aiming an initial weight loss and reduction of surgical risk. Methods: From November 2000 to February 2006, 66 super obese patients (mean BMI= 60.3 ±… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Utilization of Laparoscopic and Open Inguinal Hernia Repair
BACKGROUND: Laparoscopic inguinal hernia repair is a safe and effective treatment for inguinal hernias, and is considered by some to be the procedure of choice for recurrent inguinal hernias. Little is known, however, about the frequency with which laparoscopic inguinal hernia repair is performed and the determinants of its utilization.METHODS: We performed a retrospective cohort… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Education / Simulation
Using a Dynamic Training Environment to Assess Laparoscopic Skill
Current physical laparoscopic surgical simulators contain only static tasks, which do not develop the advanced hand-eye coordination skills needed to navigate the dynamic surgical environment. A dynamic minimally invasive training environment (DynaMITE) was developed to fill this need. Preliminary testing showed a potential for the device to improve the hand-eye coordination skills of even expert… Continue Reading
Upper gastrointestinal Dieulafoy lesions and endoscopic treatment: report from a single center
Introduction & Aim: Considering all new endoscopic devices, the endoscopic treatment (ET) is the standard management for Dieulafoy´s lesion (DL). Our objective was to evaluate initial success, rebleeding, emergency surgery need, and mortality rates of patients with DL and ET for first time in a single center from Latin America. Material and methods: Patients from… Continue Reading
Unrecognized Adrenal Insufficiency in Patients Undergoing Laparoscopic Adrenalectomy
Introduction: There is scant data in the literature about unrecognized adrenal insufficiency (AI) in patients undergoing laparoscopic adrenalectomy (LapA). We hypothesized that postoperative day (POD) 1 AM cortisol levels could identify these patients after LapA. The aim of his study is to determine the incidence of AI after LapA and identify clinical predictors. Methods: One… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Solid Organ and Endocrine
True Single-Port Laparoscopic Appendectomy: First Experience with the “Puppeteer Technique”
Introduction: Our novel “puppeteer technique” using an intraabdominal pulley system enabled us to perform the first true single-port appendectomy. In this report, we describe our first experience with this innovative technique which allows us to remove the appendix safely and successfully through one single incision.Methods: Five consecutive patients were assigned prospectively to undergo a true… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Minimally Invasive Other
Treatment of Gallbladder Disease During Operations Iraqi Freedom and Enduring Freedom
INTRODUCTION: We examined the outcome after treatment for gallbladder disease in deployed military service members and the impact of instituting a clinical pathway to expedite return to duty (RTD). METHODS AND PROCEDURES: A retrospective chart review of 97 medically evacuated patients with gallbladder disease was analyzed. These patients were evacuated from the field to Landstuhl… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB