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
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
The Impact of Body Mass Index (bmi) and Intraperitoneal Fat Tissue on Laparoscopy Assisted Gastrectomy for Gastric Cancer
Introduction) After adopting preoperative assessment of the perigastric vessels using 3D-CT and standardization of the procedures, obesity still influences smooth laparoscopy assisted gastrectomy (LAG). We evaluated the impact of body mass index (BMI) and area of intraperitoneal fat tissue on the risks of LAG.Patients and methods) The 51 patients who performed LAG for gastric cancer… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Small Bowel Obstruction in a Postpartum Female Following Laparoscopic Roux-en-Y Gastric Bypass: A Case Report
Laparoscopic Roux-en-Y gastric bypass (LRYGB) is the most common bariatric surgical procedure performed in the United States. Small bowel obstruction following LRYGB is a common complication often caused by adhesions, internal hernias, or obstruction at the gastrojejunal or jejuno-jejunal anastomosis.We present a case report of a 38 year old Caucasian female, 36 week gestation, who… Continue Reading
- Type:
- Posters
- 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
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
Recommended Timing for Surveillance Ultrasonagraphy to Diagnose Portal Vein Thrombosis After Laparoscopic Splenectomy
Introduction: Symptomatic portal or splenic vein thrombosis (PSVT) is a rare but potentially lethal complication of laparoscopic splenectomy (LS). Routine postoperative duplex ultrasound surveillance of asymptomatic patients can be used for early detection. The optimal timing for surveillance ultrasonography is unknown. The aim of this study was to estimate the incidence and progression of asymptomatic… Continue Reading
- Type:
- Podium Presentations
- 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
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
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
Portal Vein Thrombosis After Laparoscopic Splenectomy for Massive Splenomegaly
Background Laparoscopic splenectomy has become the surgical procedure of choice in the therapy of various hematologic diseases. Portal vein thrombosis (PVT) is a well known complication of splenectomy, but the true incidence is not well established with several reports of up to 50% incidence. Massive splenomegaly is considered a risk factor for developing post operative… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Laparoscopic Telementoring on a Shoestring Budget: Leveraging Free and Ubiquitous Technologies to Improve Surgical Patient Safety
Existing methods for remote guidance or mentoring of laparoscopic procedures is resource and capital intensive. With the intention of establishing a practical and cost-effective method of providing remote intraoperative consultation, we describe the design and operation of a highly versatile telecommunications system for the purpose of mentoring clinicians while improving patient safety. We wanted to… Continue Reading
- Type:
- Video Loop 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
Laparoscopic Management of Gastrogastric Fistulas Resulting From Open Undivided Gastric Bypass
Introduction: Before the era of laparoscopic gastric bypass, many bariatric surgeons performed open undivided gastric bypasses(OUGB). The inherent issue with not dividing the stomach is that these patients are prone to staple line failure and gastrogastric fistula formation. Gastrogastric fistulas can lead to reflux, pain, marginal ulceration of the gastrojejunostomy, and weight regain. Any of… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Laparoscopic Appendectomy for Acute Appendicitis Does Not Carry a Higher Risk of Postoperative Complications
Following a number of readmissions after laparoscopic appendectomy,we reviewed the procedures performed for acute appendicitis over 1 year. Excluding 64 cases of peritonitis, 237 emergency appendectomies were performed by a group of surgical associates at a single institution between August 2007 and August 2008. The procedure of choice was laparoscopy performed using 3 ports in… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality