Comparison of Robotic-assisted, Laparoscopic and Open Surgery in Primary Inguinal Hernia Repair
Liam T Knott, MD1, I-Fan Shih, MS, PT2, Chao Song, MS3, T. Paul Singh, MD, FACS1. 1Albany Medical Center, 2UCLA Fielding School of Public Health, 3Global Health Economics & Outcomes ResearchObjectives: Inguinal hernia repair (IHR) is a commonly performed surgical procedure by general surgeons worldwide. The outcomes of hernia recurrence have been difficult to quantitate.… Continue Reading
The Impact of Cholangiography on 30-Day Readmissions After Laparoscopic Cholecystectomy
Andrew Lambour, MD, Karissa Tauber, Jesse Columbo, MD, Byron F Santos, MD. Dartmouth-Hitchcock Medical CenterBackground: The benefits of intra-operative cholangiography (IOC) during laparoscopic cholecystectomy have been widely studied. The impact on readmissions has yet to be fully determined. We hypothesized that surgeon confidence in lack of bile duct injury or retained stones afforded with IOC… Continue Reading
- Topic:
- Biliary
IS A DIVERTING LOOP ILEOSTOMY PROTECTIVE FOR PERFORATED DIVERTICULITIS IN THE EMERGENCY SETTING? – AN ACS-NSQIP ANALYSIS
Nathalie Wong-Chong, MD, Maria Abou Khalil, MD, Nancy Morin, MD, Carol-Ann Vasilevsky, MD, Julio Faria, MD, Gabriela Ghitulescu, MD, Marylise Boutros, MD. Sir Mortimer B. Davis Jewish General HospitalINTRODUCTION: Diverticulitis with purulent or feculent peritonitis has been historically managed with a Hartmann’s procedure (HP). However, increasing evidence shows that resection and primary anastomosis (PA) with… Continue Reading
- Topic:
- Colorectal
FES EXAM OUTCOMES IN YEAR TWO OF A PROFICIENCY-BASED ENDOSCOPIC SKILLS CURRICULUM
Joshua J Weis, Lauren Busato, BS, Daniel J Scott, MD, Sara A Hennessy, MD. University of Texas Southwestern Medical Center at DallasBackground: Fundamentals of Endoscopic Surgery (FES) certification is required to sit for the American Board of Surgery (ABS) Qualifying Exam. Our previous work demonstrated a 40% FES pass rate for our residents with standard… Continue Reading
Intertest Reliability of Hiatal Hernia Diagnosed By High Resolution Manometry, Video Esophagography or Endoscopy and Association with Gastroesophageal Reflux Disease
James M Tatum, MD, Evan Alicuben, MD, Nikolai Bildzukewicz, MD, Kulmeet Sandhu, MD, Kameran Samakar, MD, Caitlin Houghton, MD, John L Lipham, MD. Keck School Of Medicine Of The University Of Southern CaliforniaIntroduction: Multiple testing modalities are commonly performed on patients undergoing preoperative evaluation of gastroesophageal reflux symptoms. While hiatal hernia is classically associated with… Continue Reading
- Topic:
- Foregut
SURGICAL MANAGEMENT OF PATIENTS WITH ESOPHAGEAL OUTFLOW OBSTRUCTION AND REFLUX
Anee Sophia Jackson, MD, Brian E Louie, MD, Dale Shultz, Alexander Farivar, MD, Adam J Bograd, MD, Ralph W Aye, MD. Swedish Medical CenterINTRODUCTION: A small proportion of patients are found to have esophageal outflow obstruction (EOO) and hypertensive lower esophageal sphincter (HLES) on manometry prior to fundoplication for reflux. The optimal surgical strategy for… Continue Reading
- Topic:
- Foregut
TRANSORAL INCISIONLESS FUNDOPLICATION PROVIDES LONG-TERM IMPROVEMENT IN DISEASE SPECIFIC QUALITY OF LIFE FOR SELECT PATIENTS WITH SYMPTOMATIC GERD
Munyaradzi Chimukangara, MD1, Anahita D Jalilvand, MD1, W. Scott Melvin, MD2, Kyle A Perry, MD1. 1Department of Surgery, The Ohio State University, 2Department of Surgery, Albert Einstein College of MedicineINTRODUCTION: Transoral incisionless fundoplication (TIF) offers an endoscopic approach to the treatment of gastroesophageal reflux disease (GERD). Controlled trials have demonstrated the short-term efficacy of this… Continue Reading
- Topic:
- Foregut
The long-term system and surgeon cost efficiencies of gastric bypass
Aristithes Doumouras, MD, MPH1, Fady Saleh, MD, MPH2, Scott Gmora, MD1, Mehran Anvari, MD, PhD1, Dennis Hong, MD, MSc1. 1McMaster University, 2William Osler HealthcareBackground: Gastric bypass is an important public health procedure with economic benefit to society. Understanding system factors, including the individual surgeon cost efficiencies, is vital to ensuring optimal economic benefit. Therefore, this… Continue Reading
- Topic:
- Metabolic / Obesity
STAPLE LINE REINFORCEMENT REDUCES POSTOPERATIVE BLEEDING AFTER LAPAROSCOPIC SLEEVE GASTRECTOMY- AN ANALYSIS OF THE MBSAQIP DATASET
Sn Zafar, MD, MPH, E Wise, MD, M Kligman. University of Maryland Medical CenterIntroduction: Staple line treatment during laparoscopic sleeve gastrectomy (LSG) remains a controversial issue among bariatric surgeons. The objective of this study was to compare rates of postoperative bleeding among various accepted methods of staple line reinforcement. Methods and Procedures: The Metabolic and… Continue Reading
- Topic:
- Metabolic / Obesity
DYNAMICS OF MINIMALLY INVASIVE SURGERY IN DISTAL ESOPHAGEAL CANCER: A NATIONWIDE TREND ANALYSIS OVER THE LAST FIVE YEARS
Afshin Heidari, MD, Kenneth W Bueltmann, MD, Marek Rudnicki, MD. UIC/MGHIntroduction: Surgical management of patients with cardioesophageal or distal esophageal cancer has remained a challenging problem for surgeons. Newly developed minimally invasive surgical techniques (MIS) could offer some treatment alternatives for patients. It might be expected that following many other intraabdominal and intrathoracic surgeries, laparoscopic and/or… Continue Reading
Bariatric Efficiency at an Academic Tertiary Care Center
Clayton C Petro, MD, Wanda Lam, MD, Adel A Saleh, MD, Gi Yoon Kim, Leena Khaitan, MD, FACS. University Hospitals Cleveland Medical CenterINTRODUCTION: Operating room(OR) efficiency is the culmination of coordinated care between the staff surgeon, anesthesia team, circulating nurse, surgical tech, and surgical trainee/assistant. Bariatric cases present challenges to all team members in regards… Continue Reading
Advancement in the Quality of Operative Documentation: A Meta-Analysis and Systematic Review of Synoptic Versus Narrative Operative Reporting
Shannon Stogryn, MBBS, Jennifer Metcalfe, MD, FRCSC, Krista Hardy, MD, FRCSC, FACS, Ahmed Abou-Setta, MD, PhD, Ashley Vergis, MD, FRCSC, FACS. University of ManitobaBackground: The operative report is a vital document for the surgical patient and central to quality assessment processes for surgical care. Despite this, data suggests that traditional narrative operative reports are often… Continue Reading