Complex Laparoscopic Repair of Giant Type IV Hiatal Hernia after Esophagectomy
Fredrick Che, MD, Nojan Toomari, DO, Ninh Nguyen, MD. University of California Irvine Medical Center. 69 year old male with a history of esophageal adenocarcinoma status post laparoscopic and thoracoscopic Ivor Lewis esophagectomy, presented with abdominal pain and symptoms of bowel obstruction. Images performed showed a giant type 4 hiatal hernia with transverse and descending… Continue Reading
- Topic:
- Abdominal Wall Hernias
Use of Chemical Components Separation for Primary Wound Closure in an Open Abdomen
Natasza M Posielski, BS, Clayton C Petro, MD, Yuri W Novitsky, MD, Hooman T Soltanian, MD, Michael J Rosen, MD. University Hospitals Case Medical Center. Introduction: A 58-year-old male with gallstone pancreatitis developed abdominal compartment syndrome requiring a decompressive laparotomy at an outside hospital. Ten days later his fascial defect remained >30cm wide and he… Continue Reading
- Topic:
- Abdominal Wall Hernias
Foramen of Winslow Hernia: A Minimally Invasive Approach
Cristina R Harnsberger, MD, Elisabeth C McLemore, MD, Ryan C Broderick, MD, Peter Yu, MD, Martin A Berducci, MD, Catherine Beck, MD, Hans F Fuchs, MD, Garth R Jacobsen, MD, Santiago Horgan, MD. University Of California, San Diego. Hernias through the Foramen of Winslow have traditionally been managed via an open surgical approach. The case… Continue Reading
- Topic:
- Abdominal Wall Hernias
Laparoscopic Paraesophageal Hernia Repair with Collis Gastroplasty and Diaphragmatic Relaxing Incision
Geoffrey Chow, MD, Ezra N Teitelbaum, MD, Nathaniel J Soper, MD, Eric S Hungness, MD. Northwestern University Feinberg School of Medicine. This video shows a laparoscopic repair of a type III paraesophageal hernia. Despite full mobilization, a short esophagus was present and a stapled Collis-type wedge fundectomy was performed as an esophageal lengthening procedure. Additionally,… Continue Reading
- Topic:
- Abdominal Wall Hernias
The Medial Approach to the Splenic Flexure
Christopher M Schlachta, MD, Syed T Ali, MD. CSTAR, London Health Sciences Centre. This video demonstrates the medial approach to the splenic flexure for when full splenic flexure mobilization is required. Demonstrated in this video will be following steps: 1. Identification of the IMV 2. Creating a window behind the IMV 3.… Continue Reading
- Topic:
- Colorectal
THE SURGEON AND THE SCOPE: TALES FROM THE EARLY DAYS Tales from the Early Days of Laparoscopy at McGill
Katherine M McKendy, MD, Yusuke Watanabe, MD, Ekaterina Lebedeva, MLIS, Liane S Feldman, MD, Gerald M Fried, MD, Melina C Vassiliou, MD, MEd. McGill University Health Centre, Jewish General Hospital. This video is a compilation of interviews with the surgeons who pioneered the implementation of laparoscopic surgery at McGill. Using semi-structured interviews, we collected the… Continue Reading
- Topic:
- Education / Simulation
Endoscopic Rescue of Dislodged Trans-Abdominal Decompressive Esophagostomy Tube
Ryan M Juza, MD, Tung T Tran, MD, Eric M Pauli, MD. Penn State Milton S. Hershey Medical Center. Transabdominal tube drainage is a well described surgical technique for drainage of a blind-ending luminal structure particularly in the emergent setting. A potentially serious complication of transabdominal drainage includes dislodgement of the tube leading to free perforation and… Continue Reading
- Topic:
- Endolumenal / NOTES
Single Incision Laparoscopic Low Anterior Resection combined with Natural Orifice Surgery using prolapsing technique
Goutaro Katsuno, MD, PhD, Masaki Fukunaga, MD, PhD, Yoshifumi Lee, MD, PhD, Kunihiko Nagakari, MD, PhD, Masahiko Sugano, MD, PhD, Masaru Suda, MD, PhD, Yoshito Iida, MD, PhD, Seiichirou Yoshikawa, MD, PhD, Masakazu Ouchi, MD, PhD, Yoshitomo Itou, MD, PhD, Yoshinori Hirasaki, MD, PhD, Daisuke Azuma, MD, Shintaro Kohama, MD, Jun Nomoto, MD. Department of… Continue Reading
- Topic:
- Endolumenal / NOTES
Transanal Total Mesorectal Excision for Rectal Cancer: A Training Pathway
Elisabeth C McLemore, MD, Cristina R Harnsberger, MD, Patricia Sylla, MD, Ryan C Broderick, MD, Alberto S Gallo, MD, Martin A Berducci, MD, Alisa M Coker, MD, Moneer Almadani, MD, Hans F Fuchs, MD, Garth R Jacobsen, MD, Santiago Horgan, MD. University Of California, San Diego. The majority of surgically treated rectal cancer via a… Continue Reading
- Topic:
- Endolumenal / NOTES
Endoscopic Per-Oral Pyloromyotomy (POP)
Eran Shlomovitz, MD, Christy M Dunst, MD, Radu Pescarus, MD, Ahmed Sharata, MD, Kevin M Reavis, MD, Lee L Swanstrom, MD. Providence Portland Medical Center, The Oregon Clinic. This video demonstrates a novel technique of Endoscopic Per-Oral Pyloromyotomy (POP) for the treatment of gastroparesis. In this procedure the endoscopic submucosal myotomy technique is applied to… Continue Reading
Sleeve Esophageal Endoscopic Mucosectomy “SEEM”
Ahmed Sharata, MD, Christy M Dunst, MD, Radu Pescarus, MD, Eran Shlomovitz, MD, Ashwin Kurian, MD, Kevin M Reavis, MD, Lee L Swanstrom, MD. Providence Portland Medical Center, The Oregon Clinic. The incidence of esophageal adenocarcinoma is increasing rapidly in the western world. The treatment of the early esophageal cancer (high grade dysplasia & intra… Continue Reading
The nightmare of the GI surgeon
Radu Pescarus, MD, Ahmed Sharata, MD, Eran Shlomovitz, MD, Kevin M Reavis, MD, Christy M Dunst, MD, Lee L Swanstrom, MD. Oregon Clinic and Providence Portland Medical Center; Portland, Oregon. Perforations of the gastro-intestinal (GI) tract represent a major challenge for all surgeons. Various endoscopic tools are increasingly part of the armamentarium of the GI… Continue Reading
Novel Combined Vats/laparoscopic Approach for Giant and Complicated Paraesophageal Hernia Repair: Description of Technique and Early Results
Daniela Molena, MD, Benedetto Mungo, MD, Miloslawa Stem, MS, Anne O Lidor, MD, MPH. Johns Hopkins Medicine. Objective of the study/technique: The laparoscopic approach for repair of giant and/or recurrent paraesophageal hernias (PEH) is challenging, due to limited access to the dissection of the hernia sac into the proximal mediastinum and to esophageal mobilization through the… Continue Reading
- Topic:
- Foregut
Removal of Magnetic Les Augmentation Device
Cristina R Harnsberger, MD, Ryan C Broderick, MD, Martin A Berducci, MD, Catherine Beck, MD, Alberto S Gallo, MD, Moneer Almadani, MD, Bryan J Sandler, MD, Garth R Jacobsen, MD, Santiago Horgan, MD. University Of California, San Diego. Magnetic lower esophageal sphincter (LES) augmentation devices are being placed in patients for management of gastroesophageal reflux… Continue Reading
- Topic:
- Foregut
Using a Functional Lumen Imaging Probe to Assess the Effect of Variable Myotomy Length During Poem and Heller
Ezra N Teitelbaum, MD, Nathaniel J Soper, MD, Eric S Hungness, MD. Northwestern University Feinberg School of Medicine. This video demonstrates the use of a functional lumen imaging probe (FLIP) to evaluate esophagogastric junction (EGJ) distensibility in real-time during operations for achalasia. FLIP is additionally used to test the physiologic effect of variable myotomy length… Continue Reading
- Topic:
- Foregut