3d CT Navigation for Single Umbilical Incision Laparoscopic Appendectomy
Introduction: Laparoscopic appendectomy is generally performed with 3 ports system. We have performed single umbilical incision laparoscopic appendectomy (SUILA) using a wound retractor without ports from the year 2006. We studied the cases of three-dimensional CT (3DCT) to demonstrate the anatomical location of appendix clearly and made use of 3DCT for SUILA. Materials and Methods:… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
A Case Series of Transmural Pressure Necrosis From Prolonged Use of Peg Tubes
Percutaneous Endoscopic Gastric (PEG) tubes are essential tools in providing enteral feeds to patients with either contraindications to oral feeds or malnutrition. Hollow viscous injuries are the most common complications arising shortly after insertion. There are very few life-threatening complications from prolonged use of the PEG tubes. We report two cases of a gastric and… Continue Reading
- Type:
- Posters
A Combined Laprascopic and Endoscopic Technique to Evaluate Gastric Remnant After Gastric Bypass
Introduction: Laprascopic gastric bypass is a very common procedure performed in many university and community hospitals throughout the United States. Some of these patients present with later complications related to remnant stomach.Commonly these include gastritis,ulcers or bleeding.Evaluating the remnant stomach is always a challenge to the surgeon. We performed a combined Laprascopic and endoscopic technique… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
A Comparative Biomechanical Evaluation of Hernia Mesh Fixation with Fibrin Sealant (fs) Containing 4 Vs. 500 Iu Thrombin in Pigs
Background: The atraumatic fixation of meshes by fibrin sealant (FS) has been established for both open and laparoscopic techniques of hernia repair. This study was performed to evaluate the use of FS in hernia mesh fixation with different polymerization speed (thrombin concentrations), using commercial hernia meshes, and in two techniques, TAPP and IPOM. Methods: A… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
A Comparison of Independence of Motion in Single Port Access Techniques
A number of different access techniques have emerged within reduced port laparoscopy. The multi-trocar approach via separate fascial incisions and multichanneled single trocar devices have challenged reliable paradigms of multiport laparoscopy (MPL). Although benefits of the reduced port technique have yet to be proven, change has begun without comprehensive evaluation. Given that this new platform… Continue Reading
- Type:
- Posters
A Device of Operative Method for Laparoscopic Subtotal Hysterectomy.
[Objectives]We introduce Laparoscopic subtotal hysterectomy(LSH) into our hospital and perform operative method improvement for standardization of surgical technique. This time, we reviewed examinations of the changes of this operative method, the device of operative method and operation results. [Operative procedure]The utero-ovarian ligament, fallopian tube and round ligament are initially dissected with a Vessel sealing system(LigaSure… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
A Large Single Institution Case Series of Laparoscopic Splenectomy for Benign and Malignant Splenic Masses
INTRODUCTION: Both benign and malignant splenic masses are uncommon with the former being found in 0.007% of autopsy specimens. Little has been reported on the use of laparoscopic surgery for the management of splenic neoplasms. We reviewed our single institution experience of laparoscopic splenectomy in patients with splenic masses. METHODS: A database of laparoscopic splenectomies… Continue Reading
- Type:
- Posters
- Topic:
- Solid Organ and Endocrine
A Multi-center, Simulation-based Skills Training Collaborative Using Shared Gi Mentor II™ Systems: Results From the Texas Association of Surgical Skills Laboratories (tassl) Flexible Endoscopy Curriculum
Background: The Texas Association of Surgical Skills Laboratories (TASSL) is a state-wide, non-profit consortium of surgical skills training centers for all of the accredited surgery residency programs in Texas. A training and research collaborative was forged between TASSL members and Simbionix (Cleveland, OH, USA) to assess the feasibility and efficacy of a multicenter, simulation- and… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
A New Application of Biliary Tract Identification Based on Indocyanine Green Fluorescent Imaging At Laparoscopic Surgery
Background: Although biliary tract injuries are lethal, many difficulties in identifying it have been encountered during laparoscopic surgery. We report a novel method of biliary tract identification using an endoscopic device with fluorescent imaging of indocyanine green. Method: During operation 1.0-2.0 ml of 0.25% ICG had been intravenously injected in a patient with multiple liver… Continue Reading
A New Approach for Laparoscopic Resection of Submucosal Tumor on Upper Portion of the Stomach
Introduction: Laparoscopic resection of tumors on upper portion of the stomach, especially when they are located at the posterior wall or greater curvature, is both difficult and time consuming. In order to overcome these difficulties, we introduce a new technique through right lateral decubitus position for laparoscopic resection of submucoal tumor (SMT) on upper portion… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
A New Multi-view (mv) Rigid Laparoscope
Background: Minimally invasive surgery is based on visualization with less reliance on tactile feedback. Therefore, the type of laparoscope, location of the laparoscopic working port, light transmission, viewing angle, depth of view, camera, magnification, image display and clarity are critical. Rigid laparoscopes with fixed viewing angles are the most employed worldwide because of their ease… Continue Reading
- Type:
- Posters
A New Strategy for Adhesive Bowel Obstructon Using Laparoscopic Surgery and Bioabsorbable Membrane
(Introduction) To construct a more effective operation for adhesive bowel obstruction, we introduced laparoscopic surgery and bioabsorbable membrane for operation of this disease. Recurrent adhesive bowel obstruction is supposed to be indication of operation. But it is undeniable that the new adhesion between damaged peritoneal areas and bowels may be constructed. Recently, efficacy of laparoscopic… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
A New Synthetic Bioabsorbable Prosthetic and Method of Fixation for Mesh Reinforcement of Crural Closure During Hiatal Hernia Repair
OBJECTIVE: It is well established by Level 1 data that mesh reinforcement of the crural closure for hiatal hernia repair decreases the risk of recurrence of the hernia. Most of the early studies used various synthetic meshes for repair of hiatal hernia and while they showed decreased recurrence rates, the fear of erosion of the… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
A Novel Approach to Failed Vertical Banded Gastroplasty: Laparoscopic Conversion to Sleeve Gastrectomy
Purpose:The need for revisional surgery following Vertical Banded Gastroplasty (VBG) has ranged from 21-56% with approximately 46% of pre-operative diagnosis being food intolerance. Although the Roux-en-Y Gastric bypass addresses the late complications associated with VBG, it is accompanied by an increased rate of anastomotic leaks (18%), bleeding, internal hernias, and strictures (22%). In an attempt… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
A Novel Articulated Robotic Laparoscope for Single Incision and Natural Orifice Surgical Applications; Preliminary Usability Trials in a Live Porcine Model.
IntroductionWith the exploration of increasingly less invasive surgical techniques, such as single incision or natural orifice surgery, numerous technical challenges have been identified as essential to be overcome if the techniques are to be adopted across the wider surgical community. One of the most significant includes; impaired visualisation of the operative site. For single incision… Continue Reading