The Impact of the Type and Route of Postoperative Nutritional Support on Complications in Malnourished Patients Undergoing Upper Gastrointestinal Surgery
Background: Malnutrition is a common problem in hospitalized patients, increasing the risk of postoperative complications. The aim of the study was to assess the impact of the type and route of postoperative nutritional support on complication rates in malnourished patients undergoing resection for upper gastrointestinal cancer.Material and Methods: Between June 2002 and December 2005, a… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Rectus Sheath Flap Closure of Persistent Enterocutaneous Fistula: A Novel Approach
Introduction: Enterocutaneous fistulas most commonly develop as a postoperative complication of bowel surgery, though in 15% to 20% of cases fistulas occur spontaneously. Management of a patient with enterocutaneous fistula is very difficult. Intraperitoneal surgical repair of these fistulae is very difficult. Coils of intestine are plastered together. Dissection is extremely difficult and time consuming.… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Complications Related to the Access-port in 435 Cases of Laparoscopic Adjustable Gastric Binding.
Objective: To establish the frequency and nature of complications related to the access-port in patients who underwent Laparoscopic Adjustable Gastric banding (Allergan, Inc., Irvine, CA).Methods: We reviewed the medical records of 435 patients who underwent laparoscopic adjustable gastric banding in our institution to ascertain the complications related to the access-port. The complications data were collected… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Predictors of Mortality in Laparoscopic Foregut, Hindgut and End-organ Surgery
INTRODUCTION A number of studies have identified predictors of perioperative mortality for open surgery and include variables such as ASA score, ascites, electrolyte abnormalities, and surgeon experience. In comparison, predictors of 30-day mortality in patients undergoing laparoscopy have yet to be defined. This study aims to identify factors predictive of 30-day mortality in patients undergoing… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
“inadvertent Vagotomy”: What Does This Mean for the Patient and Surgeon?
Objective: “Inadvertent vagotomy” is often discussed from the podium of national meetings as a cause of complications of Nissen fundoplication. Sometimes the tone of the comments borders on inferring medico-legal liability in such cases. The goal of this review is to see if there is a valid correlation with vagotomy and the suggested complications.Methods: 300… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Predicting Marginal Ulcers After Laparoscopic Roux En Y Gastric Bypass
BACKGROUND: Marginal ulcer formation after Laparoscopic Roux en Y Gastric Bypass (LRYGB) is a known complication. Few studies have clearly identified risk factors and recommendations for prophylaxis have been controversial. METHODS: From July 2001 until January 2006, 764 patients underwent LRYGB for morbid obesity. Prospectively collected data were reviewed and demographic information, co-morbidities, and Body… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Insulation Failure in Laparoscopic Instruments
INTRODUCTION: Electrosurgery is used in virtually every laparoscopic operation. In the early days of laparoscopy with hybrid trocars, capacitive coupling was thought to be the major cause of laparoscopic electrosurgery injuries. Modern laparoscopic equipment has reduced capacitive coupling. Currently, insulation failure is thought to be the main cause of electrosurgery complications. PURPOSE: (1) To determine… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Outcomes and Quality
Salvage Endoscopic Antegrade Dilation on Tight or Complete Coloanal Anastomotic Stricture Via Ileostomy
Background: Dilation of tight or complete coloanal anastomotic strictures has a risk of potential false tract formation and anastomotic disruption. Use of endoscopic dilation is limited by alternated anatomy. Here, we report our experience of three cases of colonoscopic antegrade dilation for coloanal anastomotic stricture via loop ileostomy using pediatric colonoscope.CASES: Three patients underwent low… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
The Use of a Modified Cyanoacrylate-based Synthetic Glue in Difficult Laparoscopic Cholecystectomy Cases.
INTRODUCTION: Laparoscopy cholecystectomy is the treatment of choice for gallbladder. Unfortunately it is not without complications. The complication rates listed in the literature is low and only increase in the more complex cases or when a less experienced surgeon performs the procedure. Other than the bile duct injuries, the more common complications which are seen… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Health Utility Determination for Transvaginal and Transgastric Cholecystectomy: How Do Patients Value Complications of Natural Orifice Translumenal Endoscopic Surgery?
Introduction: Critical to the evaluation of NOTES procedures is the perceived benefit of scarless surgery weighed against its unique complications such as gastric leak (GL), gastric hemorrhage (GH), pelvic cellulitis (PC), pelvic abscess (PA) and pelvic hemorrhage (PH). The goal of this study was to calculate health utility (HU) values for these complications, to provide… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Chylothorax – a Risk From Laparoscopic Nissen Fundoplication
Chylothorax is a rare complication from a Lap Nissen Fundoplication for treatment of GERD. Two weeks post-op, the patient returned for follow up and was found to have a pleural effusion. Further evaluation, including thoracentesis revealed a chylothorax. The patient was given a trial of conservative management but ultimately required a thoracotomy for mass ligation… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Endoscopy in the Management of Cervical Spine Plating-related Esophageal Injury
Report of first case: A 52 year old man was referred for progressive dysphagia, involuntary 30 lb. weight loss, chronic cough and episodic upper chest pain of one year's duration. He described food sticking at the lower cervical level. He had anterior cervical discectomy with plating six years previously. He was counseled for esophagogastroduodenoscopy (EGD).Report… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Conversions in Anatomic Vats Lung Resection: A Method of Assessing Reasons for Conversion
Objectives: Following analysis of why VATS lobectomy cases were converted to open procedures we propose a simple method of classifying reason for conversion that allows monitoring during the implementation & development of a minimally invasive thoracic surgery program. Background: Lung cancer remains one of the commonest causes of cancer death in North America. Lung resection… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
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
Laparoscopic Managment of Iliac Vein Injury
Laparoscopic Management of Iliac Vein InjuryHellinger M, Gagner M, Jorge I, Rekkas S, Tangir J Major vascular injuries during laparoscopy is uncommon. Most cases are reported while obtaining access into the peritoneal cavity. We report a case of an iliac vein injury during a laparoscopic abdomino-perineal resection with hysterectomy. A 1 cm longitudinal laceration was… Continue Reading
- Topic:
- Outcomes and Quality