Laparoscopic Surgery Significantly Reduces Surgical Site Infections Compared to Open Surgery
Background: Surgical Site Infections (SSI) are known but infrequent hospital acquired infectious complications that are associated with significant morbidity, mortality and hospital costs. Recently, the U.S. Department of Human Health Services and Congress have questioned the preventive measures aimed towards hospital acquired infections. We determined and compared the incidence of SSI after laparoscopic and open… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Minimally Invasive Other
Hybrid NOTES Cholecystectomy: Prospective Human Series
Introduction. Natural orifice transluminal endoscopic surgery (NOTES) makes it possible to perform intraperitoneal surgical procedures with a minimal number of access points in the abdominal wall. It is not yet possible at the present time to perform these interventions without the help of abdominal wall entryways, so these procedures are hybrids, a fusion of minilaparoscopy… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Ab Prep a New Colon Cleansing
AB Prep: colon cleansing made easierWith the colonoscopy being the main procedure that evaluates and prevents colon cancer; efforts to make the experience tolerable and pleasant has always been a priority and a challenge.In the United States out of all the people meeting the criteria for screening colonoscopy only 35% of the people actually undergo… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
Use of Flexible Retractor to Facilitate Vascular Length in Living Related Total Laparoscopic Donor Nephrectomies
Background Minimally invasive Laparoscopic Donor Nephrectomy (LDN) is the gold standard procedure for donor nephrectomy. Various techniques of donor neprectomy have been described and the utility of any one technique depends upon the skill of the surgeon. Donor vascular length facilitates adequate recipient anastomosis and prevents technical difficulties associated with short vessels. Our preference has… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Solid Organ and Endocrine
Evaluation of a Viscerotomy Formation and Closure Device for Natural Orifice Surgery in a Survival Model
Introduction: The most challenging of the many hurdles surgeons must overcome to safely perform NOTES is viscerotomy closure. The perfect device must be easy to deploy, can be used on any viscera, and will create a rapid, reliable and durable closure. To date, new devices created for this purpose have fallen well short of these… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Management of Post Gastric Bypass Noninsulinoma Pancreatogenous Hypoglycemia (nesidioblastosis)
Introduction: Post gastric bypass hyperinsulinemic hypoglycemia defines a group of patients with postprandial neuroglycopenic symptoms similar to insulinoma but in many cases more severe. There are few reports of patients with this condition. The primary surgical therapy is distal or subtotal pancreatectomy. Here we describe our surgical experience for the management of this rare condition.… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Solid Organ and Endocrine
Laparoscopic Colon Simulator
Introduction: Laparoscopic simulators are utilized as an integral part of pre-clinical OR surgical training and proficiency assessment. Currently no standard model for teaching laparoscopic colectomy exists. We hypothesized that performance on a laparoscopic colectomy simulator would correlate with key laparoscopic skills and level of clinical volume and expertise.Methods: 15 surgeons participated in this study which… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Education / Simulation
Prospective Randomized Double Blind Placebo Controlled Trial of Postoperative Elastomeric Pain Pump Devices Following Laparoscopic Ventral Hernia Repair.
Introduction: The laparoscopic repair of ventral hernias can result in significant postoperative pain resulting in prolonged length of hospital stay, increased narcotic utilization, and patient dissatisfaction. Elastomeric pain pump devices with local analgesics may result in a significant reduction in postoperative discomfort after laparoscopic ventral hernia repair. We evaluated the effect of continuous infusion of… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Laparoscopic Total Extraperitoneal Repair in Recurrent Inguinal Hernias: Comparing Outcome with Primary Hernia Repair in 937 Patients
Objective- To study the outcome and morbidity parameters of total extraperitoneal (TEP) repair in patients with recurrent inguinal hernia and assess as how they are different from the primary inguinal hernia repair. Patients & Methods- A retrospective analysis was carried out over a three-year period in 937 patients in whom TEP was done. The recurrence… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Bioluminescent Endoscopic Imaging: Technical Requirements of the Chemistry and Camera System
Objective: Bioluminescent chemistry can be infused as an angiography media and by developing endoscopic techniques for bioluminescent imaging (BLI) we have previously demonstrated sensitive visualization of anatomic structures, including the biliary tree and vascular beds. In nature bioluminescence is light produced by a chemical reaction within a living organism. In BLI applications, a luciferin (the… Continue Reading
Prospective Evaluation of Percutaneous Endoscopic Gastrostomy Related Peritonitis in the Surgical Intensive Care Unit (sicu) — A Preliminary Analysis
Introduction: The purpose of this study was to prospectively examine the impact of technical factors during percutaneous endoscopic gastrostomy (PEG) tube placement on the development of subsequent peritonitis. Determination of whether BMI or nutritional status were independent risk factors for the development of this complication were secondary endpoints.Methods: All patients undergoing PEG tube placement in… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Outcomes and Quality
Gages: A Valid Measurment Tool for Technical Skills in Flexible Endoscopy
Introduction: GAGES (Global Assessment of Gastrointestinal Endoscopic Skills) was created to provide an objective measure of endoscopic skills to better assess training curricula. Pilot data have shown GAGES to meet high standards of reliability and validity. The aim of this multicenter study was to demonstrate the practicality and external validity of this instrument, while providing… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Education / Simulation
Treatment of Ultra-long Segment Barretts Using Focal and Balloon-based Radiofrequency Ablation
INTRODUCTION: Endoscopic radiofrequency ablation (ERFA) is being evaluated as definitive treatment for patients with Barrett’s esophagus (BE). Guidelines have yet to be developed for the application of this technology to patients with ultra-long segment BE (ULBE, > or = to 8cm). This study reports a single institution’s experience with ERFA of ULBE with various degrees… Continue Reading
The effect of videogame “warm-up” on performance of LS surgery tasks
Introduction: “Warming up” before performing a skill can lead to early and sustained excellence. Performing procedures in the laparoscopic arena requires special training to perform at a superior level. Our previous studies suggest that videogame play is associated with superior laparoscopic performance (1), so we investigated whether surgeons benefited from practicing video games immediately before… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Education / Simulation
The Development and Testing of a Tethered, Independent Camera for NOTES and Single-site Laparoscopic Procedures
Background:“Tunnel vision” associated with flexible endoscopes used in NOTES and rigid laparoscopes used in Single Site Laparoscopic (SSL) procedures can present the surgeon with a disorienting view of familiar surroundings. Because the working tools are in-line with the view in these approaches, it is also difficult to achieve adequate instrument triangulation, a critical component of… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES