Spontaneous Retroperitoneal Haematoma Caused By Lumbar Artery Bleed.
INTRODUCTION: Spontaneous retroperitoneal hemorrhage can present as a rare life-threatening event. We present the first spontaneous retroperitoneal haematoma due to bleeding from lumbar artery without history of trauma, instrumentation or anticoagulation. Prompt diagnosis and proper management of this condition is essential to improve survival. METHODS AND PROCEDURES: A 84-year old female admitted to hospital for… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Pulmonary Embolism in Laparoscopic Cholecystectomy
Introduction: Pulmonary embolism (PE) is a relatively uncommon complication following laparoscopic cholecystectomy (LC). When the abdomen is insufflated with CO2, increased intrabdominal pressure diminishes venous return causing potentially low cardiac output and venous stasis. Our study was to determine whether this phenomenon is significant enough to increase the risk of PE while performing LC. Methods:… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Communication Problems Across Surgical Patients\’ Care Pathways
Introduction: Evidence suggests that poor information transfer and communication practices are a leading cause of medical errors and adverse events. Despite this, little is known about what these communication failures are, why they occur and how to prevent them. We conducted an interview study to identify information transfer and communication problems across the entire surgical… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Esophageal-pleural Fistula After Laparoscopic Sleeve Gastrectomy (lsg): Successful Endoscopic Management.
INTRODUCTION: As a new bariatric surgery procedure, LSG is rapidly gaining adepts and establishing as a stand-alone surgery for morbid obesity. It is also considered a safe procedure as compared to other bariatric surgical techniques. However, there exists the risk of potentially fatal complications. We report the case of an esophageal-pleural fistula that after conservative… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Safety of Open Technique for First Trocar Placement in Laparoscopic Surgery – a Series of 6000 Cases
Introduction: Open technique for the placement of the first trocar in laparoscopic surgery has become the preferred method to gain safe entry into the peritoneal cavity in the last decade. This is largely due to the reduced visceral and vascular injuries with the open technique. We reported our technique in 2002 which has been accepted… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Complications of Bariatric Surgery and Solution
Abstract: The bariatric surgery is demanding in the UAE and other gulf countries for the high incidence of diabetic patients , infertility in females , sleep apnea and other disturbances . starting bariatric surgery needs good training and good hospital stuff support otherwise serious complications can occur. We have started bariatric surgery program since 2001… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Surgeon-controlled Factors That Reduce Monopolar Electrosurgery Capacitive Coupling During Laparoscopy
OBJECTIVE: To determine factors that can be modified by the surgeon to reduce monopolar electrosurgery capacitive coupling (CC) during laparoscopy. BACKGROUND: Monopolar electrosurgery is used in virtually every laparoscopic operation. CC is a major cause of laparoscopic electrosurgery complications. SPECIFIC AIMS: To determine CC energy: (#1) using different generator power settings, (#2) comparing generator mode… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Short-stay Surgery: What Really Happens After Discharge?
Introduction: Innovations in surgery and perioperative care enable rapid hospital discharge after a variety of procedures. While length of hospital stay is commonly used as a surrogate outcome for surgical recovery, it is not applicable in the setting of short-stay surgery (<24 hours). The objective of our study was to describe the trajectory of recovery… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Outcomes and Quality
Bile Duct Injury After Laparoscopic Cholecystectomy in Hospitals with and Without Surgical Training Programs. Is There a Difference?
Introduction: Laparoscopic cholecystectomy (LC) is one of the most common surgical procedures performed by non academic surgeons as well as general surgery residents, under the supervision of academic surgeons. Bile duct injury is a catastrophic complication of this procedure. There is a general perception that performance of LC in a facility with a surgical training… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Outcomes and Quality
Laparoscopic Appendectomy Is Safe and Efficacious in the Elderly: An Analysis Using the Nsqip Database.
IntroductionWhile laparoscopic appendectomy has been increasingly utilized, there is a paucity of data pertaining to its use exclusively in the elderly population. The aim of this study was to examine patterns in 30-day post-operative morbidity and related patient factors in elderly patients following appendectomy. Methods Cases of appendicitis in patients over the age of 65… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Outcomes and Quality
Prevention of Stomal Complications
Introduction:It is very well known that Ileostomy and Colostomy operations are associated with a very high rate of complications. These result in increased morbidity and mortality. It also increases the chances of litigation. It is important to understand what is causing the complication and what role the nature is playing in initiating the complication. Once… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Laparoscopic Removal of an Intraabdominal Intrauterine Device: Case and Systematic Review
Introduction: Perforation of the uterus by an intrauterine device (IUD) is a rare but serious complication. We report a case of a perforated copper IUD adherent to the sigmoid colon which was successfully removed laparoscopically using a harmonic scalpel. The use of a harmonic scalpel allowed dissection of the IUD in close proximity to the… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Acute Pancreatitis After Elective Laparoscopic Cholecystectomy: Retrospective Study
Introduction: Acute pancreatitis in an uncommon complication after elective laparoscopic cholecystectomy for gallstone disease. The purse of the study is to determine the incidence of acute pancreatitis after elective laparoscopic cholecystectomy and to postulate potential ways to avoid this complication. METHODS and Procedure: A retrospective study of 4,101 consecutive elective laparoscopic cholecystectomies at a single… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Can Case Selection Minimise Conversion Rate in Laparoscopic Colorectal Surgery?
INTRODUCTIONThe aim was to systematically review the literature and determine patient factors that increase the risk for conversion.Laparoscopic colorectal surgery (LCS) is notoriously difficult surgery and the dissemination of the technique throughout the UK has been gradual. For trainees in their early LCS learning curve, it is essential to select appropriate patient cases. Although conversion… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
The Clinical Reserch of Prevention of Pancreatic Leakage and the Usefulness of Fibrin Glue and Polyglycol Acid Felt After Laparoscopic Assisted Gastrectomy for Gastric Cancer
?Introduction?Pancreatic leakage is a common complication after gastrectomy. Pancreatic leakage and fistula formation are particularly serious and potentially fatal.?Objective?To prevent pancreatic leakage, we investigated the usefulness of fibrin glue and polyglycol acid felt after Laparoscopic assisted gastrectomy for gastric cancer. ?Patients and Methods?A retrospective study was carried out involving 86 patients who underwent laparoscopy-assisted gastrectomy… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality