“y” Fundoplication for Gastroesophageal Reflux Disease: Evaluation of 80 Consecutive Cases
“Y” Fundoplication for Gastroesophageal Reflux Disease: EVALUATION OF 80 CONSECUTIVE CASESJorge Fernandez - Alvarez, M.D., Iker León, M.D., Gonzalo Vargas, M.D., Iker León, Alonso R. López, M.D. Abstract OBJECTIVE: Description of an hybrid laparoscopic fundoplication technique (Nissen plus Guarner) performed in patients with gastroesophageal reflux disease (GERD) in nine years of experience and the results… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Who\’s Afraid of Natural Orifice Translumenal Endoscopic Surgery (notes)?
Introduction: Intraabdominal surgery using a flexible endoscope combines the skills of both gastroenterologists (GI) and minimally invasive surgeons (MIS). Deficiencies in each of these standard training models include the lack of familiarity with complex intraabdominal maneuvers, for physicians with a GI background, and difficulty operating without a fixed horizon, for those with an MIS background.Materials… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Which Case of Preoperative Suspected Gallbladder Cancer Is Most Appropriate for Laparoscopic Cholecystectomy ?
BACKGROUND/PURPOSE: The surgical procedure for gallbladder cancer is still difficult to improve a prognosis. Otherwise, laparoscopic cholecystectomy (LC) is possible to get complete cure in some cases of early cancer. The present study aims to clarify the appropriate case for LC by evaluating the preoperative suspected gallbladder cancer and its clinicopathological finding. METHODS: We performed… Continue Reading
What Is the Cost Associated with the Implementation of the Fls-program Into a General Surgery Residency?
Introduction: The Fundamentals of Laparoscopic Surgery (FLS) program was designed to teach the physiology, fundamental knowledge, and technical skills required in basic laparoscopic surgery. Under the auspices of SAGES and industry support the program was recently made available to all US general surgery training programs. Nevertheless, the implementation cost of the program is unknown. The… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Weight Loss Induced By Laparoscopic Bariatric Surgery Is Associated with a Reduction in Autonomic Responsiveness
Introduction: In the face of high caloric intake and low levels of physical exertion, obesity induces sympathetic nervous system activation. This increased autonomic activity is manifested as higher blood pressure in obese patients, and as a result, excess body weight is associated with increased cardiovascular morbidity. Furthermore, it has been shown that when patients lose… Continue Reading
- Type:
- Posters
- Topic:
- Basic Science
Volume-outcome Relationships and Other Influences of Outcome in Bariatric Surgery – Justification of the Current Paradigm
Introduction: With the incidence of morbid obesity in the United States increasing at a rapid rate, bariatric surgical practices have continued to flourish. Recent years have seen the establishment by various professional organizations of credentialing processes, centers-of-excellence programs and fellowship training positions. Many of these processes grant privileges to bariatric surgeons based on case volume,… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Visual Enhacement of Fascia Facilitates Laparoscpic Preparation
Introduction: Laparoscopic surgery for both benign and malign diseases of the colon is well established. The correct dissection of layers may impose some difficulties in patients who underwent surgical interventions before, who suffer from inflammatory diseases and for surgeons who are still in their learning phase of laparoscopy. The presented system encompassing both hardware and… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Vessel Sealing in Laparoscopic Colonic Surgery
Despite the widespread use of vessel sealing devices in laparoscopic colonic and abdominal surgery, there is little clinical data to support its safety or efficacy with any of the current manufactured devices .A prospective study was conducted using the Enseal Treo by Surg Rx for laparoscopic segmental and total colectomy to evaluate the safety of… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Vertical Sleeve Gastrectomy Performed on an Outpatient Basis
VERTICAL SLEEVE GASTRECTOMY PERFORMED ON AN OUTPATIENT BASIS(New Techniques Format) Robert W. Landerholm, MD, FACS; Rachelle I. Tomei, BS; Melanie Machado, RD, CD; Peter S. Billing, MD ABSTRACT INTRODUCTION:Vertical Sleeve Gastrectomy (VSG) has recently been recognized as a potential stand alone operation for the treatment of obesity. Given the improvements in surgical techniques and medical… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Ventral Hernia Repair in Patients with Cirrhosis.
Introduction: Ventral hernias occur in up to 30% of patients with cirrhosis, however, elective repair is usually delayed until the onset of symptoms and is reserved for low risk patients. Hernia complications such as incarceration are usually treated with an open approach. Refinement of laparoscopic techniques has resulted in decreased morbidity in ventral hernia repairs… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Venous Air Embolism: Preventing a Laparoscopic Phenomenon?
IntroductionVenous air embolism (VAE) is a rare but potentially devastating complication of laparoscopic surgery. The patient outcomes from VAE are poor with a reported 50% mortality and the event represents a significant risk of malpractice risk exposure for hospitals and physicians. The infrequent occurrence and severity of this event make it a perfect target for… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Validity of Using the Fundamentals of Laparoscopic Surgery (fls) Program to Assess Laparoscopic Competence Among Gynecologists
Introduction: The Fundamentals of Laparoscopic Surgery (FLS) program has been accepted as a valid tool for assessment of basic laparoscopic skills among general surgeons. This study is designed to investigate the validity of using the FLS program for assessing cognitive and psychomotor laparoscopic skills among gynecologists. Methods: A total of 45 gynecologists with variable surgical… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Education / Simulation
Validation of a Virtual Reality Trainer for the Endostitch Device
VALIDATION OF A VIRTUAL REALITY TRAINER FOR THE AUTOSUTURE ™ ENDOSTITCH™ DEVICE. Lee, C, Kurenov S, Punak S, Cendan J. University of Florida College of Medicine. Objective: The Endostitch ™ device (Covidien, CT) is difficult to learn. In particular, the handle requires the use of a toggle which is unique in this instrument. We have… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Vagotomy Vs Nonvagotomy in Gastric Bypass Surgery
Objective: Post bariatric symptoms related to dumping syndrome were compared in Nonvagotomized Laparoscopic Roux en Y Gastric Bypass (NVLGB) patients and Vagotomized Laparoscopic Roux en Y Gastric Bypass (VLGB) patients.Methods: A questionnaire was given to patients during follow up appointments at 24 to 30 months after LRYGB treated with both NVLGB and VLGB. 48 responses… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Using Vibration to Provide Force Information in Surgery
USING VIBRATION TO PROVIDE FORCE INFORMATION DURING SURGERYBell, A., *Schwaitzberg, S.D., Cao, C.G.L., Tufts University, Cambridge Health Alliance Laparoscopic surgeons receive distorted force feedback during tissue manipulation. Research shows that sensory augmentation using vibrotactile stimulation with amplitude modulation enhances performance in tissue differentiation tasks. It was hypothesized that the capacity of information transmission through vibration… Continue Reading