Mahmoud Selim, MD, Research Fellow Surgery, Steven P Bowers, MD, Associate Professor Surgery. Mayo Clinic, Jacksonville, Florida, USA
The Medigus Ultrasonic Surgical Endostapler (MUSE) procedure utilizes a full thickness stapling of esophagus to stomach and has been approved for use by the FDA. To our knowledge, the technique of remediation of MUSE failure has not been described. We present a case of symptomatic MUSE failure and the technique for minimally invasive takedown of the MUSE procedure and conversion to Nissen fundoplication. Details of the described technique include: complete dissection of the hiatus, removal of staples from the stomach to allow mobilization of the stomach from the left crural pillar, separation of the left crural pillar from the left lateral esophagus and division of staples fixating esophagus to crus. Intraoperative endoscopy was performed to confirm the avoidance of mucosal injury with the technique. Postoperative contrast esophagram revealed no contrast extravasation and prompt emptying.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 80331
Program Number: V008
Presentation Session: Foregut 1
Presentation Type: Video