Twisted and Backwards: Laparoscopic Ladd’s Procedure in a Patient with Malrotation, Situs Inversus and Preduodenal Portal Vein
Benjamin R Biteman, MD, MS, Todd Ponksy, MD, FACS, Amelia Dorsey, MD. Akron Children's Hospital. Description of failure of rotation and fixation of the intestinal tract was first described in the 1920s. In 1936, Ladd and Gross wrote the article on treatment of the condition. Situs inversus is a congenital condition in which the major… Continue Reading
- Topic:
- Minimally Invasive Other
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
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
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
Superior Mesenteric Artery Syndrome Four Months Following Sleeve Gastrectomy
Allison M Barrett, MD, David J Harrison, BA, Seth I Felder, MD, Edward H Phillips, MD, FACS, Miguel A Burch, MD, FACS. Cedars Sinai Medical Center. Superior mesenteric artery syndrome is rare, but has been reported in the bariatric surgery population in case reports. We describe a patient who developed SMA syndrome following rapid weight… Continue Reading
- Topic:
- Minimally Invasive Other
Totally Laparoscopic Puestow Procedure
Rosara Milstein, MS, Jennifer Schwartz, MD, Andrei Manilchuk, MD, David B Renton, MD. The Ohio State University. Since the Laparoscopic Revolution began in the early 1990s, we have continued to perform more complicated procedures using a laparoscopic approach. For several years now, advanced pancreatic procedures have been approached laparoscopically with a great deal of success.… Continue Reading
- Topic:
- HPB
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
Hybrid Laparoscopic-Robotic Management of Type IVa Choledochal Cyst in the setting of prior Roux-en-Y Gastric Bypass
Julietta Chang, MD, R. Matthew Walsh, MD, Kevin El-Hayek. Cleveland Clinic Foundation. Choledochal cysts are rare congenital lesions of the biliary system. The recommended treatment is surgical excision with biliary enteric reconstruction. In patients with normal anatomy, Roux-en-Y hepaticojejunostomy is preferred. However, different options in biliary reconstruction must be entertained in those with altered anatomy.… Continue Reading
- Topic:
- Robotics
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
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
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
Robotic Approach to Giant Paraesophageal Hernia Repair
Juan P Toro, MD, Hernan D Urrego, MD, Aliu O Sanni, MD, John F Sweeney, MD, S. Scott Davis Jr., MD, Edward Lin, DO, MBA, Ankit D Patel, MD. Department of Surgery, Emory University. Atlanta, GA. The repair of large paraesophageal hernias is still a demanding procedure even for experienced laparoscopic surgeons. The anatomy of… Continue Reading
- Topic:
- Robotics
Robotic Assisted Total Pancreatectomy and Autologous Islet Cell Transplantation: Potential Benefits of a Novel Technique
Amer H Zureikat, MD, Trang Nguyen, MD, David Bartlett, MD, Martin Wijkstrom, MD, Herbert Zeh, III, MD, Abhinav Humar, MD. University of Pittsburgh Medical Center. Reducing warm ischemic time can optimize islet cell yield in pancreatic islet cell autotransplantation following total pancreatectomy. Performing a total pancreatectomy without division of the pancreatic neck may also potentially… Continue Reading
- Topic:
- Robotics
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