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
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
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
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
Laparoscopic Management of Hiatal Hernias in Difficult Cases
Oscar M Crespin, M, D, Brant K Oelschlager, M, D, Carlos A Pellegrini, M, D. University of Washington Medical Center. Introduction: Hiatal hernia is a common disorder, characterized by a protrusion of any abdominal structure other than the esophagus into the thoracic cavity through a widening of the hiatus of the diaphragm. Reduction of the… Continue Reading
- Topic:
- Foregut
Transgastric endo-organ resection of proximal gastric lesion
Piyush Aggarwal, MD, Kulsoom Laeeq, MD, Angela Osmolak, MD, Tommy Lee, MD, Sumeet Mittal, MD. Creighton University Medical Center. Laparoscopic trans-gastric resection is a novel technique of removing gastric tumors that are unresectable secondary to their size and location. Tumor near esopahgogastric-junction are especially challenging for removal by endoscopy. We present a case of 41… Continue Reading
- Topic:
- Foregut
Laparoscopic Total Gastrectomy with D2 Lymphadenectomy in an Obese Patient with Intracorporeal Anastomosis
Leonardo Ferraz, MD, Thiago Boechat, MD, Marcio Balieiro, MD, Baltazar Fernandes, MD, Jose Ribamar S Azevedo, MD, PhD, FACS. Bonsucesso Federal Hospital / Rio de Janeiro - Brazil. The aim of this video is to demonstrate the technique of Total Gastrectomy with D2 Lymphadenectomy with intracorporeal anastomosis in an obese patient . A 54-year-old woman… Continue Reading
- Topic:
- Foregut