Durability of the Effect of Transversus Abdominis Plane Blocks on Patient Outcomes in Laparoscopic Colorectal Surgery: Review of 200 Consecutive Cases
Deborah S Keller, MS, MD, Benjamin Crawshaw, MD, Bridget O Ermlich, RN, MSN, CCRP, Conor P Delaney, MD, MCh, PhD. University Hospitals-Case Medical Center, Case Western Reserve University. BACKGROUND: Quality improvement in colorectal surgery requires implementation of tools to improve patient and financial outcomes, and assessment of results. Our objective was to evaluate the durability… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Predictors of Venous Thromboembolism in Open and Laparoscopic Bariatric Surgery
Ivy N Haskins, MD, Richard Amdur, PhD, Khashayar Vaziri, MD, FACS. George Washington University Department of General Surgery. Background: The number of bariatric surgeries performed annually in the United States continues to rise. Venous thromboembolism (VTE) is a major complication of bariatric surgery leading to significant morbidity and mortality. We sought to identify predictive factors that… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
The ‘July Phenomenon’: Experience at a Community Teaching Hospital
Stephen Jones, MD, Peter DeVito, MD, FACS. Northside Medical Center. Introduction: The July Phenomenon term implies a perceived association between introduction of new graduates into the healthcare team and increased risk of complications. Numerous studies have focused on resident fatigue and operative safety, but none have clearly addressed the “July phenomenon”. The purpose of this… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Outcomes and Quality
Outcomes of Laparoscopic Versus Open Ladd’s Procedure for Intestinal Malrotation in Adults
Lane Frasier, MD, Glen E Leverson, PhD, Ankush Gosain, MD, PhD, Jacob A Greenberg, MD, EdM. University of Wisconsin Hospital and Clinics, Department of Surgery. Introduction: The purpose of this study was to investigate outcomes for adult patients undergoing laparoscopic vs open surgical repair for intestinal malrotation. Intestinal malrotation results from errors in fetal intestinal… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Robotically-Assisted Laparoscopic Biliopancreatic Diversion with Duodenal Switch. Learning Curve and Progress in Five Years of Practice
Iswanto Sucandy, MD, Gintaras Antanavicius, MD, FACS. Abington Memorial Hospital, PA. Introduction: Laparoscopic biliopancreatic diversion with duodenal switch (BPD/DS) is the most technically challenging procedure in bariatric surgery. This procedure has been shown to result in better resolution of diabetes mellitus, hypertension, and hypercholesterolemia, as well as more sustained weight loss compared to gastric banding… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
The Controversy of Prophylactic IVC Filters in High Risk Patients Undergoing Gastric Bypass Surgery
B Jakub Wilhelm, MD, Aniket K Sakharpe, MD, MPH, Manthan Makadia, MD, Leopoldo M Baccaro, MD, Vinay Singhal, MD. Easton Hospital, Drexel University College of Medicine. Introduction: Patients undergoing gastric bypass surgery have a high risk for thromboembolic events. Over the last decade the use of prophylactic IVC filter (IVCF) placement has drastically increased for… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
The powered Echelon Flex Endopath Stapler (EFPE) leads to less postoperative hemorrhage following laparoscopic Roux-en-Y gastric bypass; evidence for an unanticipated benefit from the powered staple device.
Darrell P Doucette, MD, John J Kelly, MD, Donald R Czerniach, MD, Philip A Cohen, MD, Richard A Perugini, MD. UMass Memorial Medical Center. Introduction/Background: Ethicon Endosurgery has introduced a powered endoscopic stapling device (Echelon Flex Powered Endopath-EFPE). The benefits of this device include ease of use for individuals with smaller hands, and minimization of… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Laparoscopic Management of Perforated Gastric Ulcers after Gastric Bypass with a combined Laparoscopic-Endoscopic Technique
Benjamin Clapp, MD. Providence Memorial Hospital. This video demonstrates the combined laparoscopic and endoscopic management of perforated ulcers after gastric bypass. The first segment shows a perforated ulcer at the gastrojejunostomy and the laparoscopic management with an omental patch. The second segment shows the management of an antecolic antegastric bypass with a perforated prepyloric ulcer.… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Outcomes and Quality
Two year prospective follow up of bowel function after cholecystectomy in 100 patients
Matthew Zapf, BA, Woody Denham, MD, Ermilo Barrera, MD, Chih E Wang, PhD, Zeeshan Butt, PhD, JoAnn Carbray, BS, John Linn, MD, Michael Ujiki, MD. NorthShore University HealthSystem. Introduction: Bowel dysfunction after Laparoscopic cholecystectomy (LC) is a common issue, yet little has been described on its progression. By prospectively following patients for two years after… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
A Systematic Review of Synthetic and Biologic Materials for Abdominal Wall Reinforcement in Contaminated Fields
Lawrence Lee, MD, MSc, Juan Mata, MD, Tara Landry, MLIS, Kosar A Khwaja, MD, MBA, Melina C Vassiliou, MD, MEd, Gerald M Fried, MD, Liane S Feldman, MD. McGill University Health Centre. INTRODUCTION: Guidelines recommend the use of bioprosthetics for abdominal wall reinforcement in contaminated fields, but the evidence supporting the use of biologic over… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Outcomes and Quality
Predictors of Adenoma Detection in Colonoscopy by Gastroenterologists and General Surgeons
B Evans, M Borgaonkar, MD, FRCPC, D Pace, MD, FRCSC, N Hickey, M O'Leary, G Fallows, J McGrath. Memorial University of Newfoundland, Queens University. Introduction: Adenoma detection rate (ADR) is a major indicator of colonoscopy quality. This study looks at predictors of adenoma detection. Purpose: To identify factors that are associated with adenoma detection in… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Recurrent intussusception- laparoscopic conversion of loop gastrojejunostomy with side to side enterostomy to Roux Y configuration
Daniel L Moon, MD. Kaiser Permanente Los Angeles Medical Center. Intussusception is an uncommon but recognized complication of Roux en Y gastrojejunostomy. One of the theories for it is disruption of the migrating motor complex. This patient is peculiar in that she had persistent episodes of retrograde intussusceptions over the course of a year in… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Outcomes and Quality
Impact of an Enhanced Recovery Pathway for Colorectal Surgery On Quality of Life After Hospital Discharge
Lawrence Lee, MD, MSc, Juan Mata, MD, Berson Augustin, Gabriela A Ghitulescu, MD, A S Liberman, MD, Patrick Charlebois, MD, Carol-Ann Vasilevsky, MD, Nancy Morin, MD, Franco Carli, MD, Liane S Feldman, MD. McGill University Health Centre; Sir Mortimer B. Davis Jewish General Hospital. INTRODUCTION: Enhanced recovery pathways (ERP) for colorectal surgery shorten length of… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Outcomes and Quality
Succesful Medical Management of Gastric After Minimally Invasive Three Fields Esofagectomy by Achalasia Megaesophagus
Evelyn Dorado, DR, Andres Romero, DR. Fundacion Clinica Valle Del Lili Cali Colombia. INTRODUCTION Achalasia is a disease that affects men and women equally, although it is not yet clear etiology, progression to a megaesophagus is evident in the terminal stages of the disease. In advanced cases esophagectomy is the best option for these patients.… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Should We Routinely Transfuse Platelet for Immune Thrombocytopenia Patients with Extreme Low Platelet Count Who Underwent Laparoscopic Splenectomy?
Yunqiang Cai, PhD, Xubao Liu, PhD, Xin Wang, PhD, Bing Peng, PhD. Department of Hepatopancreatobiliary Surgery, West China Hospital, Sichuan University. Background: Laparoscopic splenectomy (LS) is considered as the gold standard procedure for patients with immune thrombocytopenia (ITP). In many institutions, low platelet counts (< 30 × 109/L) contraindicated LS. This study aimed to investigate… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality