Combined Transabdominal and Preperitoneal Obturator Hernioplasty
The patient is a 91 y/o female who presented to the hospital with new onset abdominal pain and distention. CT of the abdomen/pelvis revealed an incarcerated left obturator hernia with evidence of bowel obstruction.This video submission demonstrates combination of the transabdominal and extraperitoneal techniques for reduction and repair of an incarcerated left obturator hernia. Session:… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Abdominal Wall Hernias
Endoluminal Vertical Gastroplasty
Although laparoscopic bariatric procedures have dramatically reduced the morbidity and mortality associated with them, there is still morbidity associated with a transabdominal procedure. An endoluminal procedure would theoretically have no more risk or difficulty in an obese patient compared to a normal weight one. Furthermore, an endoluminal procedure, if possible, would avoid all wound and… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Endolumenal / NOTES
Endoscopic and Radiographic Changes Following Incisionless Revisional Surgery for Treatment of Post Roux-en-Y (rygb) Stoma and Pouch Dilatation
Introduction: Upper gastrointestinal contrast studies and upper endoscopy are useful tools for screening and evaluation of gastrointestinal integrity before and after bariatric surgery. They also can be useful in documenting the anatomical changes following these interventions. We wanted to evaluate the immediate and intermediate post-operative changes associated with an incisionless approach to revisional surgery for… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Incisionless Endo-laparoscopic Colecotmy for Left-sided Colonic Tumors
Background: In performing ¡¥traditional¡¦ laparoscopic colectomy for left-sided colonic tumours, specimen retrieval necessitates a mini-laparotomy which often is the cause and evil of postoperative pain, wound infection as well as other pain related complications. Herein we describe a new technique of endo-laparoscopic anterior resection without abdominal incision, where specimen retrieval and colorectal anastomosis can be… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Minimally Invasive Other
Laparo-endoscopic Single Site Surgery (lesss) for Placement of Adjustable Gastric Band
Objective: To demonstrate with video presentation a Laparo-Endoscopic Single Site Surgery (LESSS) for placement of adjustable gastric band. Method: Essentially this is a laparoscopic procedure done via one skin incision. A periumbilical skin incision is made and a small pocket is then created above the anterior fascia to accommodate multiple ports. Pneumoperitoneum is first achieved… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Laparoscopic Cystgastrostomy
Introduction:Laparoscopic drainage is a definitive and effective treatment for symptomatic pancreatic pseudocysts. Pancreatic pseudocysts are pancreatic fluid collections that develop a defined fibrous wall without a true epithelial lining. These are usually caused by acute or chronic pancreatitis or trauma with disruption of the pancreatic duct. 85% resolve spontaneously in six weeks. Large pseudocysts can… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- HPB
Laparoscopic Excision of a Urachal Remnant
The urachus connects the bladder to the allantois during gestation, and normally involutes shortly after birth. Abnormalities of the urachus, which include cysts, remnants and diverticula, can result in persistent umbilical drainage and infection. Excision of an incompletely involuted urachus is recommended to prevent infection, and is typically accomplished through a transverse infraumbilical or vertical… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Minimally Invasive Other
Laparoscopic Linear Stapler Latero-lateral Esophagojejunostomy After Total Gastrectomy for Hereditary Diffuse Gastric Cancer Syndrome
Hereditary diffuse gastric cancer syndrome is an autosomal dominant condition manifesting as a diffuse infiltrating poorly differentiated adenocarcinoma. Seen usually in young adults and results from a mutation in the tumor suppressor gene Spell please (CDH-1) that normally encodes for E-Cadherin. This condition is managed by meticulous regular surveillance for early detection and treatment of… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Laparoscopic Repair of a Paraesophageal Hernia After Gastric Bypass for Morbid Obesity with Repair of an Incidental Internal Hernia and Gastro-gastric Fistula.
Background: This video illustrates the use of laparoscopic techniques to repair a paraesophageal hernia after roux-en-y gastric bypass as well as repair of both an internal hernia and a gastro-gastric fistula that were discovered at the time of surgery. Case Report: We present a fifty-year-old female with a history of prior roux-en-y gastric bypass (RYGBP)… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Laparoscopic Repair of Incarcerated Left Paraduodenal Hernia
Here in we present a 53 year old previously healthy woman was admitted to the emergency department due to acute abdominal pain and recurrent vomiting.On physical examination she appeared dehydrated. She was tachycardic up to a heart rate of 110 but with normal blood pressure and no fever. Her abdomen was diffusely tender but with… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Minimally Invasive Other
Laparoscopic Roux-en-Y Cystjejunostomy and Choledochojejunostomy for a Pancreatic Pseudocyst with Biliary Obstruction
The minimally-invasive management of uncomplicated chronic pancreatic pseudocysts has been shown to be safe and effective with laparoscopy becoming the preferred surgical modality in many patients. Complicated pancreatic pseudocysts, however, continue to pose a challenge to the surgeon, and the ideal surgical treatment remains unclear. We are reporting the first case to our knowledge of… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- HPB
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
N.o.t.e.s. Sentinel Node Biopsy Combined with Endoscopic Submucosal Dissection of the Sigmoid Colon
Background: Endoscopic submucosal dissection (ESD) is proving effective in the resection of selected early stage gastrointestinal cancers. Its application and appropriateness could be extended if a means of determining lymphatic dissemination could be provided without recourse to conventional operation. Here we demonstrate the performance of companion sentinel node biopsy (SNB) by Natural Orifice Translumenal Endoscopic… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Endolumenal / NOTES
NOTES Retroperitoneal Transvaginal Total and Partial Right Nephrectomy
IntroductionAdvantages of transperitoneal and retroperitoneal laparoscopic nephrectomy in comparison to open nephrectomy are well established. The vagina is a viable route for kidney retrieval following laparoscopic nephrectomies. Conceivably, nephrectomy performed through a natural orifice could enhance cosmesis and patients recovery.Aim: to explore trans-vaginal retroperitoneal NOTES total and partial nephrectomy in the porcine model.Materials and methodsTotal… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Endolumenal / NOTES
Single Incision Laparoscopic Appendectomy
Introduction: This video describes the technique of Single Incision Laparoscopic Appendectomy. The patient is a 23-year-old Hispanic male who presented with a 1-day history of right lower quadrant pain and tenderness, and an elevated white blood cell count. A CT scan confirmed the diagnosis of acute appendicitis. Procedure: The steps of the procedure are as… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Minimally Invasive Other