Comparison of Transrectal NOTES® Approaches in a Cadaveric Appendectomy Model: Anterior Is Better
Byron F Santos, MD, Eric S Hungness, MD, Nathaniel J Soper, MD, Anne-Marie Boller, MD. Northwestern University Department of Surgery, Chicago, IL Introduction: A transrectal NOTES approach is a potentially promising alternative to transgastric or transvaginal approaches for intraperitoneal procedures. Although both anterior and posterior transrectal approaches have been described in pre-clinical models, the optimal… Continue Reading
- Topic:
- Endolumenal / NOTES
Endoscopic vs. Surgical Ampullectomy: an Algorithm to Treat Disease of the Ampulla of Vater
Eugene P Ceppa, MD, Rebecca A Burbridge, MD, Kristy L Rialon, MD, Philip A Omotosho, MD, Dawn Emick, MD MPH, Paul S Jowell, MD, M S Branch, MD, Theodore N Pappas, MD. Duke University Medical Center Introduction: Proposed management of benign ampullary lesions includes local resection (endoscopic or surgical ampullectomy) and en-bloc resection (pancreaticoduodenectomy). Most… Continue Reading
- Topic:
- HPB
Graduated Operative Training of Fellows Can Be Safely Accomplished in a Minimally Invasive Surgical Fellowship
Paul N Montero, MD, Neal Agee, MD, Kent Kercher, MD, William Hope, MD, Amy E Lincourt, PhD, Dimitrios Stefanidis, MD PhD, B Todd Heniford, MD. Carolinas Laparoscopic and Advanced Surgery Program, Carolinas Medical Center Introduction: Poorer patient outcomes at the beginning of the academic year have been reported as a result of trainee inexperience ("July… Continue Reading
Incidence of Gastrojejunostomy Stricture After Laparoscopic Roux-En-Y Gastric Bypass Using an Autologous Fibrin Sealant
Anna Ibele, MD, Frank Bendewald, MD, Scott Mimms, MD, Samer Mattar, MD, Daniel McKenna, MD. Indiana University School of Medicine Introduction: Anastomotic leak at the gastrojejunostomy is a life-threatening complication of laparoscopic Roux en Y gastric bypass (LRYGB). Fibrin sealants have been used as topical adjuncts to promote healing and reduce leaks at the gastrojejunostomy.… Continue Reading
- Topic:
- Metabolic / Obesity
Is Single-Incision Laparoscopic Right Colectomy Feasible and Safe At a Veterans Affairs Hospital: A Comparative Study with Standard Laparoscopic Right Colectomy At the Roudeboush Va Hospital in Indianapolis, Indiana
Andrea L Jester, MD, Michael J Guzman, MD, Joshua A Waters, MD, Bruce Robb, MD, Don L Selzer, MD, Virgilio V George, MD. Department of Surgery, Indiana University School of Medicine INTRODUCTION: The safety and efficacy of standard laparoscopic colectomy in both benign and malignant diseases has been well-established. Single port laparoscopic surgery is emerging… Continue Reading
- Topic:
- Colorectal
New Dog, New Tricks: Trends in Laparoscopic Simulator Performance for Incoming Surgery Residents
Nicoleta O Kolozsvari, MD, Pepa Kaneva, MSc, Melina C Vassiliou, MD, Gerald M Fried, MD, Liane S Feldman, MD. Steinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, McGill University, Montreal, QC, Canada Introduction: Exposure to laparoscopic surgery during medical school has increased over recent years. The Fundamentals of Laparoscopic Surgery (FLS) simulator allows for objective… Continue Reading
Previous Hiatal Mesh Is Associated with Significant Morbidity After Laparoscopic Revisional Paraesphageal Hernia Repair (pehr)
Vladan N Obradovic, MD, Horatiu C Dancea, MD, Aamir Akmal, MD, Wai M Yeung, MD, Mohanbabu Alaparthi, MD, Jon D Gabrielsen, MD, Anthony T Petrick, MD. Geisinger Medical Center - Danville, PA Introduction: Recent studies have suggested increased morbidity associated with revisional foregut surgery utilizing mesh reinforcement. Optimizing the outcome of revisional PEHR remains a… Continue Reading
Routine Pelvic Drainage Reduces Pelvic Abscess Formation After Laparoscopic Appendectomy for Gangrenous or Perforated Appendicitis
Andrea Pakula, MD MPH, Amber Jones, MSIV, Ray Chung, MD FACS. Kern Medical Center Background: Laparoscopic appendectomy has become the treatment of choice for acute appendicitis with equal or better outcomes than traditional open appendectomy. Laparoscopic appendectomy in patients with gangrenous or perforated appendicitis carries an increased rate of pelvic abscess formation, requiring reoperation or… Continue Reading
Surgical Technique Influences Perfusion of the Gastric Conduit Used for a Minimally Invasive Esophagectomy
DARMARAJAH VEERAMOOTOO, MB BS MRCS MD, ANGELA C SHORE, PhD, SHAHJEHAN A WAJED, MA BMBCh MChir FRCS. Department of Upper Gastro-Intestinal Surgery, Royal Devon and Exeter NHS Foundation Trust, Exeter, United Kingdom. Institute of Biomedical and Clinical Sciences, University of Exeter, Exeter, United Kingdom. Introduction:Minimally invasive esophagectomy (MIE) offers a novel strategy for the management… Continue Reading
- Topic:
- Basic Science
The Natural History of Anatomic Failure After Laparoscopic Paraesophageal Hernia Repair
Nathaniel Stoikes, MD, Mary Quasebarth, RN, Brent Matthews, MD, Margaret Frisella, RN, L. Michael Brunt, MD. Section of Minimally Invasive Surgery, Washington University School of Medicine, St. Louis, MO Introduction: Anatomic failure after laparoscopic paraesophageal hernia (PEH) repair ranges from 20-40%. However, the clinical significance of these recurrences has not been clearly delineated. We reviewed… Continue Reading
Transesophageal Endoscopic Myotomy (teem) for Achalasia- Recognizing Potential Pitfalls Before Clinical Application
Mahmoud Abu Gazala, MD, Abed Khalaila, MD, Noam Shussman, MD, Samir Abu Gazala, MD, Ram Elazary, MD, Oleg Ponomernco, MD, Gideon Zamir, MD, Avraham I Rivkind, MD FACS, Yoav Mintz, MD. Hadassah Ein Kerem Medical Center ObjectiveLaparoscopic Heller esophagomyotomy is the standard of care for achalasia treatment. General anesthesia is mandatory and mucosal perforations occur… Continue Reading
- Topic:
- Endolumenal / NOTES