Against Occam’s Razor: Tap Repair of Recurrent Inguinal Hernia with Concomitant Inversion of Original Polypropylene Plug
Against Occam’s Razor: TAP Repair of Recurrent Inguinal Hernia with Concomitant Inversion of Original Polypropylene Plug The patient is a 42 year old female who had undergone an open left inguinal hernia repair 13 years ago. She presents to clinic with a 1 year history of a recurrent left groin mass in the area of… Continue Reading
- Topic:
- Abdominal Wall Hernias
Endoscopic Transesophageal Mediastinal and Thoracic Lymph Node Dissection with En Bloc Resection
This video demonstrates a novel, transesophageal endoscopic technique for mediastinal and thoracic lymph node dissection and en bloc lymphadenectomy using a Natural Orifice Transluminal Endoscopic Surgery (NOTES®) technique. Using a swine model, a double-channel gastroscope equipped with an endoscopic cap band mucosectomy device is used to create a small esophageal mucosal defect. Next, a short… Continue Reading
- Topic:
- Endolumenal / NOTES
Gallbladder Volvulus: A Video Case Report
Summary: We present a case report from September 2009 at our Laparoscopic Institution. The case attended as an emergency in an 84 year old female. Initially treated under medical care with generalised abdominal pain, an abdominal ultrasound scan demonstrated an inflamed, thick-walled gallbladder and a diagnosis of cholecystitis was made. At laparoscopy, the gallbladder was… Continue Reading
- Topic:
- HPB
Improving Functional Esophageal Surgery with a “smart” Bougie: Endoflip®
Introduction: In order to improve the results of functional surgical procedures on the esophagus, the use of intraoperative esophageal manometry has been described to document the ablation of the lower esophageal sphincter (LES) high-pressure zone (HPZ) and to calibrate the pressure of the fundal wrap. An emerging physiology tool, the functional lumen imaging probe (Endoflip®,… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic and Thoracoscopic Ivor Lewis Esophagectomy
Minimally invasive (MIS) Ivor-Lewis Esophagectomy is a technically challenging procedure, but series from expert centers have described its feasibility and safety. The benefit in terms of long-term oncologic outcomes is being investigated. The extent of MIS techniques has ranged from a laparoscopic abdominal component with a thoracotomy, mini-thoracotomy, or thoracoscopic component. This video describes the… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Bilateral Partial Adrenalectomy for Hereditary Pheochromocytoma
Hereditary syndromes are responsible for a small number of pheochromocytomas. These hereditary pheochromocytomas are frequently bilateral and rarely malignant. Surgical treatment remains controversial secondary to the risk of Addisonian crisis and need for lifelong corticosteroid therapy associated with bilateral total adrenalectomy. Recently it has been reported that cortical sparing bilateral adrenalectomy is safe and can… Continue Reading
- Topic:
- Solid Organ and Endocrine
Laparoscopic Cholecystectomy Using Intraoperative Fluorescent Cholangiography
OBJECTIVE: Although intraoperative cholangiography (IOC) has been recommended for avoiding bile duct injury during laparoscopic cholecystectomy (LC), radiographic IOC is time-consuming and the procedure itself may cause bile duct injury. We have developed a novel fluorescent cholangiography technique by applying the principle that indocyanine green (ICG) is excreted into bile and emits light with a… Continue Reading
- Topic:
- HPB
Laparoscopic Completion Radical Cholecystectomy
LAPAROSCOPIC COMPLETION RADICAL CHOLECYSTECTOMYWe describe a of a case of 60 years old female who underwent laparoscopic cholecystectomy elsewhere and incidentally on histopathology was diagnosed as adenocarcinomas of gall bladder with invasion up to the serosa. She was referred to our institute for laparoscopic completion radical cholecystectomy. Method :- Five ports were placed with camera… Continue Reading
- Topic:
- HPB
Laparoscopic D2 Lymph Node Dissection with Total Gastrectomy and Hunt Lawrenc Jejunal Pouch Reconstruction for Carcinoma Stomach
Introduction:D2 lymph node dissection for early gastric cancer was popularized by the Japanese, though it is still controversial. The adequacy of laparoscopic node harvest remains doubtful. In this video, we present a laparoscopic D2 dissection with total gastrectomy and jejunal pouch anastamosis. Methods: The patient is placed supine with legs apart so that the surgeon… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Duodenal Polypectomy with Intraoperative Endoscopy in Peutz-jeghers Syndrome
We present a video of a laparoscopic resection of a 6cm hamartomatous polyp arising from the 3rd part of the duodenum and intraoperative endoscopy in a 15 year old female with Peutz-Jeghers syndrome. The patient has a history of multiple small hamartomatous polyps removed endoscopically. She now presents with symptoms of intermittent postprandial abdominal pain.… Continue Reading
- Topic:
- Colorectal
Laparoscopic Extirpation of a Fork From the Duodenum
BACKROUND: A woman who had accidentally swallowed a fork during a dinner party was admitted to our Department of General and Abdominal surgery. Different techniques have been described for removing foreign bodies (FB) from the stomach or the duodenum. Endoscopical techniques are widely and successfully used, but not in each case. Here, we present the… Continue Reading
- Topic:
- Minimally Invasive Other
Laparoscopic Gastric Access for Endoscopic Retrograde Cholangiopancreatography (ercp) Following Roux-en-Y Gastric Bypass (rygb)
Patients who have undergone roux-en-y gastric bypass may require upper endoscopic evaluation for a variety of reasons which may or may not be related to their surgical procedure. The ability to access the remnant stomach or biliary tree by the traditional transoral route may be only possible through specialized endoscopic or percutanous procedures, or even… Continue Reading
- Topic:
- Metabolic / Obesity
Laparoscopic Hepaticoduodenostomy
INTRODUCION: Rapid weight loss following bariatric surgery can result in cholelithiasis and related complications, including choledocholithiasis. Furthermore, a Roux-en-Y gastric bypass can complicate the management of choledocholithiasis. CASE HISTORY: Here, we present the case of a 72 year-old woman with a history of morbid obesity who underwent a Roux-en-Y gastric bypass and a cholecystectomy for… Continue Reading
- Topic:
- HPB
Laparoscopic Left Hepatectomy Without Inflow Occlusion Using Modified Anterior Approach
INTRODUCTION: Laparoscopic liver surgery requires high degree of anatomical knowledge, laparoscopic skills and technical know how of latest state of the art haemostatic and parenchymal split instruments, more so for major hepatic procedures like right hepatectomy .We describe the technique of laparoscopic left hepatectomy by anterior approach performed by single surgeon using two hand technique.METHOD:… Continue Reading
- Topic:
- HPB
Laparoscopic Lumbar Hernia Repair with Bone Anchor Fixation
INTRODUCTION: Lumbar hernias are rare defects of the posterolateral abdominal wall. Surgical repair of lumbar hernias is challenging because they are bounded inferiorly by the iliac bone, which makes adequate mesh fixation difficult. We demonstrate a method of a laparoscopic lumbar hernia repair utilizing bone anchor fixation at the inferior border. METHODS: The patient is… Continue Reading
- Topic:
- Abdominal Wall Hernias