140 Cases Experience of Self-expandable Metalic Stent Insertion for Colon and Rectum
Purpose: In the treatment of obstructive colorectal cancer, we should relieve ileus in the same time that we pursue improvement of operative curability and safety. To avoid emergency operation and to perform elective surgery without stoma creation after improvement of patients’ general condition, we use self-Expandable Metallic Stent (EMS) placement. We report the result of… Continue Reading
3-ccd (charge Coupled Device) Image Enhancement for Bowel Ischemia
Introduction: Determination of bowel perfusion in cases of strangulating hernias, SMA occlusion, and other ischemic states is currently a subjective decision of surgeons. 3-CCD image enhancement allows objective and quantitative criteria to be included in a surgeon’s decision as to whether bowel resection is warranted secondary to ischemia. 3-CCD technology separates visible light into its… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Basic Science
30-day Readmission After Ventral Hernia Repair: Predictable or Preventable?
Introduction: Thirty-day readmission has become an increasingly scrutinized event in the field of surgery, especially in light of projected cuts in reimbursement. Our objective was to determine if any factors are predictive of 30-day readmission in patients undergoing ventral hernia repair. Methods: We retrospectively reviewed consecutive charts of patients who underwent laparoscopic or open ventral… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
A Case Control Comparison of Laparoscopic (LX) and Open (OP) Approach for the Surgical Management of Small Bowel Obstruction (SBO)
Background: LX offers enhanced recovery and better cosmesis. Reduction in postoperative adhesions and incisional hernia rates are potential long term benefits. Previous studies have shown that laparoscopic management of SBO is feasible and associated with acceptable morbidity. However, rates of conversion to OP are higher than in other laparoscopic procedures. Data comparing short and long… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
A Comparative Study of Hand-sewn Versus Stapled Gastrojejunal Anastomosis in Laparascopic Roux-en-Y Gastric Bypass
OBJECTIVE: The two basic techniquesavailable in which to perform the gastrojejunal (GJ) anastomosis during a laparoscopic Roux-en-Y gastric bypass are stapled and hand-sewn techniques. Few outcomes differences have been noted between the two in order to recommend one as a superior approach. We present our findings of stricture and leak as potential differences in outcome.METHODS:… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
A Comparison of Outcomes in Open Versus Laparoscopic Surgical Repair of Recurrent Inguinal Hernias
IntroductionInguinal hernia recurrence following surgical repair is a major concern. There are conflicting views in the surgical community regarding the best treatment approach to prevent recurrence. We report our experience with open and laparoscopic repair of recurrent inguinal hernias. Methods After obtaining Institutional Review Board (IRB) approval, we retrospectively reviewed the charts of 98 patients… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
A Comparison of Short-term Outcomes for Open, Laparoscopic, and Robotssisted Rectal Resection for Cancer
Introduction: In recent years, robotic-assisted surgery using the da Vinci System® has been proposed as an alternative to the traditional open or laparoscopic procedures. The aim of this study was to compare the short-term outcomes for open, laparoscopic, and robot-assisted rectal resection for cancer.Methods: Two hundred sixty-three patients with rectal cancer who underwent curative resection… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Robotics
A deficiency in knowledge of basic principles of laparoscopy among attendees of an advanced LS course
Introduction: Advanced laparoscopic courses serve as a comprehensive and very popular Continuing Medical Education (CME) activity. Knowledge of basic laparoscopy is an assumed prerequisite for attendance at these courses. Objective: To determine the baseline laparoscopic knowledge of attendees at an advanced laparoscopic surgical course. Methods: Aseventeen questionexam wasdesigned utilizing datafrom the basic laparoscopic quizzes on… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Education / Simulation
A National Training Program for Laparoscopic Colorectal Surgery in the Uk
Introduction: The aim of this study was to investigate the educational impact of a national training programme (NTP) for laparoscopic colorectal surgery by analysing peer- and self- assessments of trainers and trainees. Methods: Colorectal surgeons enrolled in the NTP (trainees) were trained in a series of individual live cases by expert laparoscopic surgeons (trainers). Trainers… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Education / Simulation
A Novel Sensorized Instrument-based Minimally Invasive Surgery (simis) Tool: Initial Construct Validation of Force Sensing
Objective: A novel sensorized laparoscopic instrument capable of sensing forces acting at the instrument tip in 5 degrees of freedom (DOF) as well as position in 6 DOF was evaluated. The purpose of this research was to demonstrate that the force sensing component is construct valid as evidenced by different force profiles between novice and… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Education / Simulation
A Pilot Study of Using Multiphoton Microscopy to Diagnose Gastric Cancer
Introduction: Using a combination of autofluorescence from cells and second harmonic generation signal from collagen, multiphoton microscopy (MPM) imaging can provide detailed information on tissue architecture and cellular morphology. The purpose of this study was to evaluate the feasibility of using MPM to diagnose gastric cancer, compared with gold standard hematoxylin-eosin (H-E) stained histopathology.Methods: A… Continue Reading
A Prospective Randomized Study Comparing Suture Mesh Fixation Vs Tacker Mesh Fixation for Laparoscopic Repair of Incisional and Ventral Hernias
BackgroundRecurrence is one of the major problems after open incisional hernia repair. Laparoscopic incisional hernia repair has brought down the recurrence rate to less than 10%. The main causes of recurrence have been inadequate mesh size, fixation of mesh and patient factors. The issue of mesh fixation to the abdominal wall in laparoscopic ventral hernia… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Analysis of Standard Multi-port Vs. Single Site Access for Laparoscopic Skills Training and Acquisition
Introduction: Single site access (SSA) laparoscopy is gaining popularity but is more challenging to perform than laparoscopy using multiple separate port sites. This study examined the effect of standard multi-port (MP) laparoscopic skills training versus SSA training on laparoscopic skills acquisition and performance in surgically naive individuals. Methods: Forty end-of-first year medical students were randomized… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Education / Simulation
B-type Natriuretic Peptide Increases After Gastric Bypass and Correlates to Weight Loss
Background: B-type natriuretic peptide (BNP) is a recognized serologic marker of heart failure and has been associated with cachexia of heart failure. In addition, BNP is positively correlated to adiponectin which is inversely correlated to weight gain. We are aware that gastric bypass leads to early satiety and increases in adiponectin. Our study hypothesis is… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Barrett\’s Esophagus Treatment Dilemma: Pills Versus Operation: Statistical Analysis and Cost/effectiveness
INTRODUCTION:Controversy over the management of barrett's esophagus has been difficult to resolve due to the low incidence of progression to adenocarcinoma. A prospective study comparing thousands of patients with barretts esophagus randomized either into PPI or antireflux surgery group is costly and no likely to be perfomed. This study examined possible clinical outcomes of the… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery