Surgical Outcomes at Bariatric Centers of Excellence: Are They All Excellent?
Andrew M Ibrahim, MD, Amir A Ghaferi, MD, MS, Jyothi Thumma, MPH, Justin B Dimick, MD, MPH. University of Michigan, Center for Healthcare Outcomes & PolicyIntroduction: As bariatric surgery continues to grow among the most common operations in the United States, increased attention is being given to the associated perioperative risk. One strategy to improve… Continue Reading
Surgeon performed rectus blocks reduce same day admission rates after laparoscopic ventral hernia repairs, a case series of 52 patients.
Matthew Kasulke, MD, David Ryan, MD, Ibrahim Daoud, MD. St. Francis HospitalOverview: Analgesic nerve blocks reduce post-operative opioid use while fostering patient mobilization and comfort. We performed rectus sheath blocks under laparoscopic vision during ventral hernia repairs. Traditionally this procedure requires 2-3 days of hospitalization for analgesia. Our technique facilitates same day discharge and reduces… Continue Reading
Surgeon Case Volume and Readmissions After Roux-en-Y Gastric Bypass: More Is Less
Adam Celio, MD, Matthew Burruss, MD, Kevin Kasten, MD, Walter Pofahl, MD, Walter Pories, MD, William Chapman, MD, Konstantinos Spaniolas, MD. Department of Surgery, Brody School of Medicine at East Carolina UniversityIntroduction: Laparoscopic Roux-en-Y Gastric Bypass (LRYGB) is a commonly performed bariatric procedure. Readmissions are being used as an indicator of quality care and there… Continue Reading
Supply Cost Variability for Robotic-Assisted Prostatectomy Among Hospitals Within a Single Healthcare System
Steven Groene, MD, Davis Heniford, Tanushree Prasad, MA, Amy Lincourt, PhD, MBA, Vedra Augenstein, MD, Brent Matthews, MD. Carolinas Medical CenterIntroduction: Although robotic-assisted surgery is being utilized more frequently for Urologic, Gynecologic and General Surgery cases, cost continues to be somewhat prohibitive. Our aim was to compare supply utilization costs among 5 hospitals where robotic-assisted… Continue Reading
Superior Mesenteric Artery Syndrome Following Gastric Bypass
Luke Kinsinger, MD, Isaac Samuel, MD, Jessica Smith, MD, Peter Nau, MD, MS. University of IowaThis is a presentation of a 33 year old female who underwent laparoscopic Roux-en-Y gastric bypass in 2006 who developed recurrent pancreatitis and abdominal. She was diagnosed with superior mesenteric artery syndrome and treated with laparoscopic duodeno-jejunostomy with resolution of… Continue Reading
Super-super obesity : early outcome after laparoscopic sleeve gastrectomy and gastric bypass in observational study
Rapheephat Tanompetsanga, MD, Pondech Vichajarn, MD, Narong Boonyagard, Jakrapan Wittayapairoch, Krit Kitisin, Suppa-ut Pungpapong, AsstProf, Chadin Tharavej, AssocProf, Patpong Navicharern, AssocProf, Suthep Udomsawaengsup, assocProf. King Chulalongkorn Memorial Hospital Introduction Morbid obesity is the second most common cause of preventable death in worldwide. Bariatric surgery has been proven the effectiveness in weight reducing and comorbidity resolution.… Continue Reading
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- Basic Science
Super-selective intra-arterial Indocyanine Green injection for positive Fluorescence Image Guided hepatic segments staining: proof of the concept in the porcine model.
Michele Diana, MD1, Yu-Yin Liu, MD2, Raoul Pop, MD3, Seong-Ho Kong, MD1, Andras Legner, MD1, Remy Beaujeux, MD, PhD3, Patrick Pessaux, MD, PhD4, Didier Mutter, MD, PhD, FACS4, Bernard Dallemagne, MD5, Jacques Marescaux, MD, FACS, Hon, FRCS, Hon, FJSES, Hon, APSA5. 1IHU-Strasbourg, Institute for Image-Guided Surgery, Strasbourg, France, 2Department of General Surgery, Chang Gung Memorial… Continue Reading
Suggestion of Novel Measurement Methodology for Performance Evaluation of Medical Equipment
Munenori Uemura, PhD1, Makoto Yamashita1, Morimasa Tomikawa, MD, PhD, FACS1, Satoshi Obata, MD1, Takahiro Jimbo, MD1, Noriyuki Matsuoka2, Makoto Hashizume, MD, PhD, FACS1, Yoichi Nakanishi, MD, PhD1. 1Kyushu University, 2Kyoto Kagaku Co., LtdPURPOSE: Three-dimensional (3D) visualization has been shown to improve surgical performance. The effectiveness of 3D endoscopy has previously been measured by conventional criteria… Continue Reading
Successful Peritoneal Dialysis Program From a Surgical Perspective: A Case Series of Laparoscopic Peritoneal Dialysis Catheter Patients
Sarah Markham, Wayne S Lee, MD, Tony Chan, MD, Jonathan D Svahn, MD, FACS. Department of Surgery, Kaiser Permanente Oakland, CaliforniaIntroduction: Laparoscopic peritoneal dialysis (PD) catheter placement has been shown to have equal or better outcomes compared to other approaches. In the US, only 7% of all patients initiating dialysis treatment started PD. Kaiser Permanente… Continue Reading
Subtotal Laparoscopic Cholecystectomy for Complicated Cholelitiasis
Francesco Fleres, MD1, Carmelo Mazzeo, MD1, Vincenzo Pruiti, MD2, Massimo Trovato, MD3, Eugenio Cucinotta, MD1. 1University of Messina, AOU Policlinico G. Martino Messina, 2University of Milan, 3AOU Policlinico G. Martino MessinaIntroduction Laparoscopic cholecystectomy has become the gold standard for managing of cholelithiasis. However patients with complicated cholecystectomy and difficult dissection around Calot’s triangle are still… Continue Reading
Subsequent cholecystectomy rate after Bariatric surgery in morbid obesity patients: A Systematic review and Meta-Analysis
Ajaree Sattaratnamai, MD1, Noppawat Samankatiwat, MD1, Suthep Udomsawaengsup, MD2. 1Ratchaburi Hospital, 2King Chulalongkorn Memorial HospitalIntroduction: Recently, the rate of bariatric surgery in morbid obesity patients is continuously increasing. After bariatric surgery, rapid weight loss increases the risk to develop gallbladder disease. Gallbladder management in bariatric surgery is still controversial whether to perform cholecystectomy only in… Continue Reading
Study on Postoperative Dysphagia Following Gastroesophageal Fundoplication and Response to Endoscopic Dilation
Ambar Banerjee, MD, Taylor Coleman, BS, Daniel McKenna, MD, Jennifer Choi, MD, Don Selzer, MD. Department of Surgery, Indiana University School of Medicine, Indianapolis, INObjective: The objective of our study was to assess - The incidence of dysphagia in patients who underwent complete or partial gastroesophageal fundoplication The effect of esophageal dilation on improvement of… Continue Reading
Study of the usefulness of a novel gauze-rolled liver retractor in laparoscopic surgery
Nobuyuki Sakurazawa, MD1, Masao Miyashita, MD1, Sigeki Yokomuro, MD1, Satoshi Matsumoto, MD1, Akihisa Matsuda, MD1, Kazuya Yamahatsu, MD1, Junichiro Harada, Dr1, Tomohiko Yasuda, Dr1, Eiji Uchida, MD2. 1Nippon Medical School Chiba Hokusou Hospital, 2Nippon Medical School Hospital[Introduction] Various techniques are used for retraction of the liver during laparoscopic surgery. Herein, we report the use of… Continue Reading
Study of gastroesophageal reflux in patients submitted laparoscopic sleeve gastrectomy: correlation between symptoms and nuclear tests
Nelida Diaz, Juan Francisco Ruiz Rabelo, PhD, Elena Navarro Rodriguez, MD, Luisa Mena, Juan Antonio Vallejo, Antonio Membrives Obrero, Francisco Javier Briceno Delgado. Hospital Universitario Reina SofiaIntroduction: Gastroesophageal reflux after sleeve gastrectomy is a controversial issue. Sleeve gastrectomy has demonstrated great effectiveness. Nevetheless the posibility to develop “the novo” gastroesophageal reflux disease (GERD) due to… Continue Reading
Structured Early Ambulation Protocols and Post-Operative Pain Following Laparoscopic Sleeve Gastrectomy – Is There a Relationship?
Brian Housman, MD, Prasanthi Sunkesula, MD, Krystyna Kabata, PA, Anthony Tortolani, MD, Piotr Gorecki, MD. New York Methodist HospitalINTRODUCTION: Early ambulation following abdominal operations has been linked to reduced postoperative pulmonary and thromboembolic complications. However little data is available to support this relationship and evaluate patient compliance with structured early ambulation protocols (SEAP). In this… Continue Reading