Zhu’s Trocar Placements for laparoscopic appendectomy: an initiated novel and potentially standardized technique for complicated appendicitis
Hengliang Zhu, MD. The First Affiliated Hospital of Wenzhou Medical UniversityLaparoscopic appendectomy (LA) is probably the technique of choice in acute suppurative, gangrenous and perforated appendicitis. A variety of trocar placements in complicated appendicitis might indicate a failed satisfaction with the procedure in conventional three trocar technique LA. To develop a better procedure for LA, Dr. Hengliang Zhu initiated… Continue Reading
Why the Nissen-Hill Hybrid Is Better Than Nissen Fundoplication
Gal Levy, MD, Ralph W Aye, MD, FACS. Swedish Medical CenterThis video shows the performance, results, and concepts behind of a new antireflux procedure, the Nissen-Hill hybrid. The operation evolved from a randomized controlled trial comparing the Nissen and Hill repairs. In that study all objective and quality of life outcomes were equivalent, but there were differences in recurrences… Continue Reading
Who took away the due surgery from the Chinese residents and how to make it up
Zhifei Wang1, Yue Gao2, Dahong Zhang3, Defei Hong1, Hong Wang4, Yan Li5, Dongsheng Huang1. 1Department of Hepatobiliary, pancreatic and minimally invasive surgery, 2Biomedical Engineering, Cleveland Clinic Foundation,9500 Euclid Ave, Cleveland, OH 44195., 3Department of Urology, Zhejiang Provincial People's Hospital, 4Department of Anesthesiology, .Wayne State University/Detroit Medical Center.McLaren Flint Hospital. Detroit, MI, USA, 5Department of Neurosurgery,… Continue Reading
Who are the PPI non-responders?
Paul D Colavita, MD1, Christy M Dunst, MD1, Maria A Cassera, BS1, Kristin W Beard, MD1, Ahmed M Sharata, MD1, Radu Pescarus, MD2, Kevin M Reavis, MD1, Valerie J Halpin, MD3, Lee L Swanstrom, MD1. 1Gastrointestinal and Minimally Invasive Surgery Division, The Oregon Clinic, 2Department of General Surgery, Hopital Sacre-Coeur, Montreal, QC, 3Legacy Weight and… Continue Reading
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- Basic Science
When You Gotta Go: A High Resolution Anal Manometry Study Evaluating the Urge to Defecate in Patients with Mixed Fecal Incontinence and Obstructed Defecation
Elyse LeeVan, MD1, Aaron Lewis, MD2, Alex Huang1, Gabriel Akopian, MD1, Howard Kaufman, MD1. 1Huntington Hospital, 2City of HopeObjectives: In the past 5 years, three-dimensional high resolution anorectal manometry (3D HRAM) has replaced traditional perfusion catheters in the evaluation of defecatory disorders. Our objectives were to utilize 3D HRAM to identify physiologic differences between groups… Continue Reading
What is the Value of the SAGES/AORN MIS Checklist? A Multi-Institutional Practical Assessment
Emily Benham, MD1, William Richardson, MD2, Henry Lin, MD3, Jonathan Dort, MD4, Dimitrios Stefanidis, MD, PhD1. 1Carolinas Healthcare System, Charlotte, NC, 2Ochsner Clinic, New Orleans, LA, 3Naval Hospital Camp LeJeune, NC, 4Inova Fairfax Medical Campus, Falls Church, VABackground: Surgical safety checklists reduce perioperative complications and mortality. Given that minimally invasive surgery (MIS) is dependent on… Continue Reading
What Is the Learning Curve in Robotic General Surgery?
Luise I Pernar, MD1, Faith Robertson2, Eric G Sheu, MD, PhD1, Ali Tavakkoli1, David C Brooks1, Douglas S Smink1. 1Brigham and Women's Hospital, 2Harvard Medical SchoolIntroduction: Robotic-assisted surgery is used with increasing frequency in general surgery for applications as varied as foregut, pancreatic, and hindgut surgery. In spite of this increase in usage, the technology… Continue Reading
What Is the Fate of the Cholecystostomy Tube Following Percutaneous Cholecystostomy?
Mena Boules, MD, Ivy Haskins, MD, Mario Farias-Kovac, MD, Daniel Guerron, MD, David Schechtman, MD, Michael Samotowka, MD, Gordon McLennan, MD, R. Matthew Walsh, MD, Gareth Morris-Stiff, MD. Cleveland ClinicIntroduction: Cholecystectomy is the preferred management option for acute cholecystitis, with percutaneous cholecystostomy (PC) considered a viable option in high-risk patients. The aim of this study… Continue Reading
What Is the BMI Threshold for Repairing a Ventral Hernia?
Luise I Pernar, MD1, Claire H Pernar, MPH2, Bryan V Dieffenbach, MD1, David C Brooks1, Douglas S Smink1, Ali Tavakkoli, MD1. 1Brigham and Women's Hospital, 2Harvard School of Public HealthIntroduction: Overweight and obese patients are often asked to lose weight prior to attempts at ventral hernia repair (VHR). Improved short as well as long term… Continue Reading
What is the best practice management for patients with acute cholecystitis?
Koji Asai, MD, Manabu Watanabe, Hiroshi Matsukiyo, Tomoaki Saito, Tomotaka Ishii, Ryohei Watanabe, Toshiyuki Enomoto, Natsuya Katada, Yoshihisa Saida, Shinya Kusachi. Department of Surgery, Toho University Ohashi Medical CenterIntroduction We assessed the best practice management for patients with acute cholecystitis (AC) according to our own experience. Patients and methods We analyzed 273 patients who underwent… Continue Reading
What Influences Bariatric Surgery Outcomes? – A Multiple Regression Analysis of the Ontario Bariatric Registry.
Uri Kaplan, MD, Wael Zohdy, MD, MSc, Scott Gmora, MD, Dennis Hong, MD, MSc, Mehran Anvari, MD, PhD. McMaster UniversityBackground: A number of factors have been proposed to impact the outcome of bariatric surgery. The aim of this study was to evaluate the relative influence of various factors which may impact patient selection and preparation. … Continue Reading
Weight loss at three months post-operatively predicts weight loss success at one year for Roux-en-Y gastric bypass and sleeve gastrectomy
Wayne Yang, MD, Keith Gersin, MD, Dimitrios Stefanidis, MDPhD, Timothy Kuwada, MD. Carolinas Medical CenterBackground: Previous studies have sought to identify early predictors of poor weight loss response that would allow interventions to be pursued sooner following bariatric surgery. Our goal was to identify the earliest interval at which failure to meet a threshold of… Continue Reading
Weight Loss and Obesity Co-morbidity Outcomes Vary by Race After Open Roux-en-Y Gastric Bypass (ORYGB): Analysis of 5,389 BOLD Database Patients
Amna Mehdi, DO, Gus Slotman, MD. Inspira Health NetworkObjective/Background: Today, ORYGB is chosen primarily for massively obese patients and for those with complex intra-abdominal scarring/anatomy. In managing these fragile patients, every clinical insight helps. While pre-operative characteristics of ORYGB patients differ among racial groups, whether or not post-ORYGB outcomes are affected by race is unknown.… Continue Reading
Warm and Humidified vs. Cold and Dry Co2 Pneumoperitoneum in Minimally Invasive Colon Resection: A Randomized Controlled Trial
Elie Sutton, MD1, Geoffrey Bellini, MD2, Hmc Shantha Kumara, PhD2, Xiaohong Yan, PhD2, Linda Njoh2, Vesna Cekic, RN2, Richard L Whelan, MD2. 1Mount Sinai Roosevelt Hospital, Department of Surgery, New York, NY, USA; Maimonides Medical Center Department of Surgery, Brooklyn, NY, USA, 2Mount Sinai Roosevelt Hospital, Department of Surgery, New York, NY USAIntroduction: Peritoneal insufflation… Continue Reading
Volume and Outcomes Relationship in Laparoscopic Diaphragmatic Hernia Repair
Matthew D Whealon, MD, Juan J Blondet, MD, Michael J Phelan, PhD, Ninh T Nguyen, MD. UC IrvineIntroduction: There is no published data regarding the relationship between hospital volume and outcomes in patients undergoing laparoscopic diaphragmatic hernia repair. We hypothesize that centers performing high case volume have improved outcomes compared to low volume centers. Materials… Continue Reading
