Tranversus Abdominis Plane Block with Liposomal Bupivacaine in Patients Undergoing Laparoscopic Sleeve Gastrectomy Decreases Post-Operative Opiate Use
Alexandra Argiroff, MD, John-Paul Bellistri, MD, Diego R Camacho, MD. Montefiore Medical CenterBackground: The “Opioid Crisis” has taken over headlines with increasing public attention brought to the drastically increasing rates of addiction to prescription narcotics. In 2015, the American Society of Addiction Medicine reported 2 million Americans with an addiction to prescription pain relievers and… Continue Reading
- Type:
- Posters
TRANSVERSUS ABDOMINIS BLOCK UTILIZING LIPOSOMAL BUPIVACAINE AS A NON-OPIOD ANALGESIC FOR POST-OP PAIN MANAGEMENT
Thomas C Robertson, MD1, Kathryn Hall2, Susan Bear, PharmD1, Kyle Thompson, PhD1, Keith Gersin, MD1. 1Carolinas Medical Center, 2Virginia TechIntroduction: Opioid-related deaths now outnumber vehicle-related deaths in the United States. The trajectory of opioid addiction usually begins with prescription opioid misuse. Identifying non-narcotic means to treat post-op pain is an intervention to limit patient exposure… Continue Reading
To evaluate efficacy and safety of laparoscopic cholecystectomy under spinal anaesthesia
Nikhil Gupta, Rachan Kathpal, Dr, Arun K Gupta, Dr, Dipankar Naskar, Dr, C K Durga, Dr. PGIMER Dr RML Hospital, DelhiIntroduction: Cholecystectomy have shown some advantages when done under spinal anaesthesia (SA) and associated with less intra operative and post -operative morbidity and mortality. Laparoscopic cholecystectomy (LC) under regional anaesthesia alone included patients with coexisting… Continue Reading
- Type:
- Posters
The Impact of Transversus Abdominis Plane Block on Patients in an Enhanced Recovery Bariatric Surgery Pathway
Sydney Pinch, BS1, Tjasa Hranjec, MD2, Sara A Hennessy, MD1. 1UT Southwestern Medical Center, 2Memorial Healthcare SystemIntroduction: A transversus abdominis plane (TAP) block is an ultrasound-guided injection of local anesthetic in the plane between the internal oblique and transversus abdominis muscles to interrupt innervation to the abdominal skin, muscles, and parietal peritoneum. Currently there are… Continue Reading
- Type:
- Posters
SURGEON-ADMINISTERED TAP BLOCKS WITHIN A NARCOTIC SPARING PAIN MANAGEMENT PATHWAY IN PATIENTS UNDERGOING ABDOMINAL SURGERY IN A RURAL HOSPITAL
Larry M Deppe, MD, FACS1, Christopher A Kasal, MD, FACS1, David R Farley, MD, FACS2. 1Mayo Clinic Health System, 2Mayo Clinic RochesterIntroduction: Data suggests value in using TAP (transversus abdominis plane) neural blockade in abdominal surgical procedures. We deploy TAP blockade using liposomal bupivacaine via ultrasound (US) as part of a narcotic sparing pain management… Continue Reading
- Type:
- Posters
Post-operative analgesia in colorectal surgery
Federico Sertic, MD, Ashwin Gojanur, Dr, Ahmed Hammad, MD. Guy's and St Thomas' HospitalIntroduction: The aim of this project is to assess the quality of post-operative pain relief in colorectal surgery and identify patients in whom pain management has not been effective, in order to improve the quality of post-operative care. Effective management of post-operative… Continue Reading
- Type:
- Posters
Pilot study of a novel, surgically-administered quadratus lumborum block
Shreya J Shetty, MD, Tiffany Weidner, MD, Hangge Patrick, MD, Tonia Young-Fadok, MD. Mayo Clinic, Scottsdale, AZIntroduction: Quadratus lumborum (QL) blocks are effective for pain control after abdominal surgery, modifying somatic and visceral pain. Published descriptions are for anesthesiologist administration pre- or post-operatively. We present a pilot series of patients undergoing a novel intraoperative ultrasound-guided… Continue Reading
- Type:
- Posters
PATIENT SPECIFIC FACTORS OF STERILE INFLAMMATION MARKERS OF CONVALESCENCE FOLLOWING LAPAROSCOPIC SURGERY-RESULTS OF A TRIPLE BLIND RANDOMIZED CONTROL STUDY
Nayan Agarwal, Juhil D Nanavati, DNB, Neeraj Dhamija, DNB, Brij B Agarwal, MS, Satish Saluja, MD. Sir Ganga Ram Hospital & GRIPMER, IndiaINTRODUCTION: Enhanced recovery after surgery (ERAS) in post-operative convalescence (POC) following minimally invasive surgery (MIS) is determined by sterile inflammation which is mediated by an interplay between pro/anti-inflammatory and immunosuppressive cytokine cascades (PAIKn).… Continue Reading
- Type:
- Posters
Outpatient Anti-reflux Surgery: Re-evaluating the Need for Inpatient Admission Following Laparoscopic Nissen Fundoplication
Lauren Cardella, DO, Sophia Horattas, MD, Christopher R Daigle, MD, Charudutt Paranjape, MD. Cleveland Clinic Akron GeneralIntroduction: Laparoscopic Nissen fundoplication procedures are a safe and effective option for definitive anti-reflux treatment in select patients; however, patient selection criteria for same day discharge remain unclear. A retrospective study was undertaken to evaluate Nissen fundoplication procedures performed… Continue Reading
- Type:
- Posters
Opioid-free Colectomy: A Reality that Can Improve Patient & Financial Outcomes in Surgery
Deborah S Keller, MS, MD1,2, Manish Chand, MBA, FRCS, PhD2. 1Columbia University Medical Center, 2University College London Hospitals, NHS Foundation TrustsBackground: Opioids are a mainstay for postsurgical pain management, but have significant associated complications, costs, and contribute to the spiraling opioid epidemic. Enhanced Recovery After Surgery (ERAS) protocols aim to reduce opioid utilization and improve… Continue Reading
NSAID Administration Post Colorectal Surgery Increases Anastomotic Leak Rate – Systematic Review/Meta-Analysis
Aryan Modasi, MD, David Pace, MD, MBA, Marshall Godwin, MD, MSc, Chris Smith, MD, Bryan Curtis, MD, MSc. Memorial University of NewfoundlandINTRODUCTION: Current enhanced recovery guidelines suggest that opioid sparing medications should be used for analgesia whenever possible following colorectal surgery. The present study aims to assess whether postoperative NSAID use is associated with an increased… Continue Reading
Novel Approach to a Quick and Effective Trans-peritoneal Transversus Abdominis Plane Block (TP-TAP Block) Confirmed with Ultrasound
Sepehr Lalezari, MD, Hien T Nguyen, Gina L Adrales, Jean-Pierre Ouanes, MD, Michael A Schweitzer. Johns HopkinsINTRODUCTION: Enhanced recovery pathways are an area of increasing interest for minimally invasive surgeons. The transversus abdominis plane (TAP) block has been adopted by many as a way to improve post-operative pain control. We present our modified version of… Continue Reading
Move for Your Bowels: Perioperative Activity Impacts the Duration of Postoperative Ileus
Heather Carmichael, MD, Douglas Overbey, MD, Edward Jones, MD, Teresa Jones, MD, Carlton Barnett, John Moore, MD, Thomas Robinson, MD. University of Colorado, Denver Veteran Affairs Medical CenterObjective: Prolonged postoperative ileus increases hospital length of stay and therefore impacts healthcare costs. Although many surgeons recommend ambulation in the postoperative period to hasten return of bowel… Continue Reading
- Type:
- Posters
Laparoscopic Heller Myotomy with Dor Fundoplication and Type III Hiatal Hernia Repair Can Be Performed Successfully in the Same Day Surgery Setting
Margaret Jackson, MD1, Farzaneh Banki2. 1McGovern Medical School at the University of Texas Health Science Center at Houston (UTHealth), 2McGovern Medical School at the University of Texas Health Science Center at Houston (UT Health). Memorial Hermann Southeast Esophageal Disease Center.Introduction: The reported length of stay after Heller myotomy is 1-4 days. The aim was to… Continue Reading
Laparoscopic Heller Myotomy and Dor Fundoplication: A Same Day Surgery with a Trained Team and an Enhanced Recovery Protocol
Chandni Kaushik, MS1, Madison Milhoan, MS1, Anshu Khanna, MPH1, Munish Chawla, MD2, Charles C Miller, PhD1, Farzaneh Banki, MD3. 1McGovern Medical School at the University of Texas Health Science Center at Houston (UTHealth), 2Memorial Hermann Southeast Esophageal Disease Center, 3McGovern Medical School at the University of Texas Health Science Center at Houston ( UT Health).… Continue Reading
- Type:
- Posters