Francois Julien, MD, FRCSC, Diana Losada, MD, FRCSC, Mireille Methot, MD, FRCSC, Amy Neville, MD, FRCSC, Jean Denis Yelle, MD, FRCSC, FACS. Minimally Invasive Surgery, Division General Surgery, The Ottawa Hospital, University of Ottawa. A 80-year-old male underwent an uncomplicated endovascular repair of abdominal aortic aneurysm (EVAR). The routine follow up imagery showed a persistent… Continue Reading
Katherine Foley, MD, Christian Balabanoff, MD, Ala Stanford Frey, MD, FACS, FAAP. Abington Memorial Hospital. A laparoscopic appendectomy is one of the most common acute pediatric surgery operations. Common post-operative problems include abscess formation and occasionally port site hernias. There are rare reports of intestinal obstruction from loose linear staples in the adult literature, but this… Continue Reading
Can Single Anastomosis Post Pyloric Bypass or Loop Duodenal Switch be the bariatric operation of the future?
Roslin Mitchell, MD, FACS, Andrew R Brownlee, MD, Yuriy Dudiy, MD. Lenox Hill Hospital. For years the mechanisms of action for bariatric procedures were considered to be restriction and malabsorption. Recently, it has been found that hormonal changes such as reduction of ghrelin, or increased PYY and incretins are involved in hunger suppression and satiety.… Continue Reading
Edward L Felix, MD. Clovis Community Medical Center. In the past the accurate diagnosis and treatment of small bowel obstruction relied on an open exploration of the abdomen. With the advent of minimally invasive techniques, the accuracy of of determining the underlying etiology of the obstruction has been increased while decreasing the morbidity of the… Continue Reading
Edward L Felix, MD. Marian Hospital, Santa Maria California. Vertical banded gastroplasties were common 20 to 30 years ago, but are rarely performed today because of high failure rates and complications. Complications include band erosion, stenosis or obstruction, reflux, and gastro-gastric fistulas or break down of the partitioning staple line as well as weight regain.… Continue Reading
Laparoscopic Vertical Sleeve Gastrectomy (LVSG) in a patient with Dilated Cardiomyopathy with a Left Ventricular Assist Device (LVAD)
Pornthep Prathanvanich, DO, Bipan Chand, DO. Loyola University Chicago Stritch School of Medicine. Background: A ventricular assist device (VAD) provides cardiac output in patients with severe cardiac dysfunction. This surgically implanted pump delivers blood from the left ventricle to the aorta and may also provide a bridge to cardiac transplantation. We report a case of… Continue Reading
Grant O Lee, MD, Hui Sen Chong, MD. Department of Surgery, University of Iowa Hospitals and Clinics. Background: Hiatal hernia repairs are known to have a high recurrence rate, with opinions divided between the use of mesh and type of mesh for crural reinforcement during a repair. Recent data suggest that mesh reinforcement is associated… Continue Reading
David A Santos, MD, Nina N Bowman, DO, Clifford C Eke, MD, FACS. Kaiser Permanente Southern California Fontana/Ontario Medical Center. Background: Bochdalek hernias are rare entities in adults and usually present as bowel obstruction. Asymptomatic hernias, as diagnosed on computed tomography, have an incidence of 0.17% in the general population. The optimal repair of a… Continue Reading
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
Laparoscopic Adrenalectomy for Large Adrenal Tumors: Is the “vein First” Approach Really Worthwhile?
Giancarlo Basili, MD, Nicola Romano, MD, Federico Filidei, MD, Graziano Biondi, MD. Health Unit 5 Pisa, Pontedera General Hospital, General Surgery Unit. The role of minimally invasive surgery for large adrenal tumours remains a highly controversial problem. Risks of inadequate margin resection and tumour spillage with the related possibilities of locoregional and port-site recurrence are… Continue Reading
Lucas Beffa, MD, Mark Perna, MD, Roger A de la Torre, MD. University of Missouri - Columbia. This is a case of a 41 year old 28 week pregnant female who had previously undergone a laparoscopic gastric bypass procedure 7 years prior. She presented to an outside facility with acute onset of abdominal pain and… Continue Reading
Agustin Duro, MD, Axel F Beskow, MD, Fernando G Wright, MD, Alfredo Amenabar, MD, Juan R Medici, MD, Demetrio Cavadas, MD. Hospital Italiano de Buenos Aires. Brunner's gland adenomas are rare benign tumors of the duodenum that are traditionally managed endoscopically or surgically. A 38-year-old male who presented with vague epigastric pain and upper gastrointestinal… Continue Reading
Total Laparoscopic Choledochal Cyst Excision with Roux-En-Y Hepaticojejunostomy. Safe and Feasible Techniques and Tips in Pediatric Age group.
Sendhil Kumar, PhD, Latif Bagwan, Dr, Piyush Patwa, Dr, Deepu Thyagraj, Dr. Gateway Clinics. Coimabtore. India. Choledochal cyst excision and biliary enteric reconstruction constitute the best therapy for choledochal cyst. With increased familiarity with the laparoscopic anatomy of the biliary tract and advances in minimally invasive techniques, surgeons have ventured further to operate on technically… Continue Reading
Giovanni Dapri, MD, PhD, FACS, Viola Zulian, MD, Maria Bortes, MD, Perrine Mathonet, MD, Guy-Bernard Cadiere, MD. European School of Laparoscopic Surgery, Brussels, Belgium. Background: Single-access laparoscopy (SAL) has been reported for adrenal gland surgery. This technique can also be applied for patients presenting giant and symptomatic diseases such as pheochromocytoma. Video: A 17-year-old woman… Continue Reading
Giovanni Dapri, MD, PhD, FACS, Leonardo Gerard, MD, Viola Zulian, MD, Maria Bortes, MD, Jean Bruyns, MD, Guy-Bernard Cadiere, MD, PhD. European School of Laparoscopic Surgery, Brussels, Belgium. Background: Laparoscopic repair of inguinal hernia by totally extra-peritoneal mesh placement (TEP) has been popularized. Recently, with the advent of single-incision transumbilical laparoscopy, this procedure has to… Continue Reading