A clinical trial of a tool removing the small intestine from the pelvic space using a new concept
Laparoscopic intrapelvic operation, such as gynecological, urological and rectal operations, are often interrupted by the phenomenon of the small intestine flowing into the pelvic space. This phenomenon makes intrapelvic laparoscopic operations difficult. Although, patients are placed in an extreme head down position to keep the pelvic space wide to prevent this interruption of the small… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
A Comparison Study of Laparoscopic , Hand-Assisted Laparoscopic, and Open Techniques for Treatment of Complicated Diverticulitis
INTRODUCTION-Our study was aimed at demonstrating that two laparoscopic methods, complete laparoscopy (LAP) and hand-assisted laparoscopy (HAL) are acceptable techniques for sigmoid resection in patients with complicated diverticulitis as compared to open surgery (OS). METHODS AND PROCEDURES- A retrospective review of 88 patients with complicated diverticulitis diagnosed between February 2003 and August 2007, were divided… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
A Computer-Assisted Endoscope to facilitate access and support surgical tasks in the abdomen: Animal experience
Objective: Natural orifice transluminal endoscopic surgery has potential benefits for patients and clinicians. Many improved tools have been developed in the last few years, but access, navigation and orientation, especially in the upper abdomen for procedures such as diaphragmatic pacing and Nissen fundoplication, remain an unsolved challenge. NeoGuide has developed a computer-controlled multi-segmented endoscope with… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
A decades experience of laparoscopic anterior Watson fundoplication in children.
Background: Laparoscopic anti-reflux surgery has become firmly established in the management of gastro-oesophageal reflux in children. The Nissen remains the most widely used anti-reflux procedure, but its success is frequently compromised by mechanical complications. Several modifications, such as partial wraps, have been described. It is not known whether the advantages of partial fundoplication translate into… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
A General Surgeon\’s early experience using prone thoracoscopy for minimally invasive esophageal procedures
With the realized benefits of decreased post-operative pain, a shorter hospital stay, and a faster recovery time when compared to open surgery, enthusiasm for minimally invasive esophagectomy has increased worldwide. Several groups use lateral decubitus positioning for thoracoscopic mobilization of the esophagus, while some have suggested that prone positioning may minimize the number of technical… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
A Hybrid Endoluminal Transgastric Cholecystectomy Approach – a Bridge Between Laparoscopy and NOTES
Background: The Natural Orifice Transgastric Cholecystectomy is a method in development. This study proposes the hybrid approach, transluminal and laparoscopic, showing the advantages of the technique.Methods: Non-survival procedures were conducted in pigs(n=15) using a transgastric approach. The procedure started with a puncture in the umbilical scar to create a CO2 pneumoperitoneum through the Veress needle.… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
A Minimally Invasive Approach to a ‘ Seatbelt Hernia\’
A MINIMALLY INVASIVE APPROACH TO A ‘ SEATBELT HERNIA’.Elyssa Feinberg MD, Aksim Rivera MD, Suttatip Vechvitvarakul MD , Ajay K Chopra MD.Jacobi Medical Center, Albert Einstein College of Medicine, Bronx NYIntroduction: Traumatic abdominal wall hernias are often the result of improperly worn lap and shoulder seat belts. Most cases of traumatic lumbar/flank hernias described have… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
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
A Novel Method of Mesh Placement in Laparoscopic Repair of Giant Paraesophageal (gph) Hernias
Objective of the Technique: To introduce a novel technique for mesh placement during laparoscopic GPH repair. Recent data support the use of prosthetic mesh in the repair of large (>5cm) paraesophageal hernias, with decreased recurrence rates compared to primary repair. There is no consensus, however, as to the optimal type and shape of mesh, or… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
A Novel Rating System Effectively Differentiates Resident Surgical Performance on a Gastrectomy Animal Model
INTRODUCTION: Current evaluation of trainee operative performance is based on overall impressions and rarely involves objective rating systems. We hypothesized that a new rating system would objectively differentiate between residents of variable surgical skill performing a series of standardized operative steps.METHODS: Upper level residents were instructed using an open Billroth II porcine gastrectomy model. The… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
A realistic and a virtual reality laparoscopic incisional hernia repair simulator offer complementary training with acceptable workload
Background: National basic laparoscopic skills curricula have been developed and are being incorporated into training programs. Additional procedural based simulator curricula are needed. Our aim was to compare two laparoscopic ventral hernia simulators.Methods: Novices (n=7) were enrolled in an IRB approved protocol. They trained to proficiency on the 9 basic laparoscopic tasks of the Lap… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
A retrospective analysis of the incidental gallbladder cancer and a review of the laparoscopic cholecystectomy.
BACKGROUND/PURPOSE: With the increasingly widespread acceptance of laparoscopic cholecystectomy (LC), the number of cases of incidental gallbladder cancer (IC) has increased. However, the surgical procedure for advanced cancer is still difficult to improve a prognosis. Otherwise, preoperative detecting early gallbladder cancer may be difficult in symptomatic patients with such as cholelithiasis. The present study aims… Continue Reading
A safe and easy method of gastrotomy creation and closure for NOTES
Introduction:As a foundation for transgastric NOTES, we aimed to develop an easy and fast method to create and close a gastrotomy without the use of endoluminal suturing devices.Methods:Four pigs, mean weight 36 kg, were used for this survival study. Pigs were anesthetized and received preoperative IV antibiotics. The stomach was endoscopically irrigated with saline, followed… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
A standard scoring system for contrast esophagography following anti-reflux operation
Objective: Contrast esophagram (CE) is commonly performed following anti-reflux operations for gastroesophageal reflux disease (GERD). However, utilization of this procedure is not uniform, and guidelines on its interpretation and clinical relevance are lacking. We hypothesized that a standardized scoring system for interpretation of CE would improve its clinical relevance, particularly when compared to clinical outcomes.… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
An Evaluation of Rectal Carcinoids: A Trend Towards Earlier Detection and Treatment
With increased regularity of diagnostic colonoscopies, it has been suggested that rectal carcinoids are being detected earlier with decreasing need for radical therapy. The purpose of our study was to evaluate our experience with rectal carcinoids, in particular, to identify trends towards earlier detection and minimally invasive treatment options.Rectal carcinoid patients identified from a pathology… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal