Evaluation for Double Balloon Sealing of Gastric Perforation in Transgastric NOTES
IntroductionTransgastric route is one of the most major accesses in NOTES. Gastric perforation has been the major challenge because of the risk of peritonitis and consequent complications. The original gastric incision is usually dilated because of the constant movement of the endoscope, the dislodgement of the endoscope from gastric orifice prolongs the procedure time. To… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Evaluation of a Video-based Curriculum for Laparoscopic Biliary Surgery: a Pilot Study From the Sages Mis Web Learning Center
The SAGES Continuing Medical Education and Resident Education committees have, in conjunction with Cine-Med, developed a web based learning module for surgical education utilizing various SAGES videos and educational materials. The aim of this project was to assess resident utilization of the pilot module in laparoscopic biliary surgery and to evaluate improvement in standardized test… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Education / Simulation
Evaluation of a Viscerotomy Formation and Closure Device for Natural Orifice Surgery in a Survival Model
Introduction: The most challenging of the many hurdles surgeons must overcome to safely perform NOTES is viscerotomy closure. The perfect device must be easy to deploy, can be used on any viscera, and will create a rapid, reliable and durable closure. To date, new devices created for this purpose have fallen well short of these… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Evaluation of Intraoperative Strategies and Recurrences After Laparoscopic Paraesophageal Hernia Repair
Introduction:Patients undergoing paraesophageal hernia repair are known to have recurrence rates as high as 40 %. Preoperative findings on anatomic studies fail to determine intraoperative strategies to decrease this recurrence rate. Current operative techniques to reduce this rate include extensive mediastinal dissection to increase intra-abdominal esophageal length, closure of the hiatus with mesh, sac excision… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Evaluation of the Short Term Outcome of Laparoscopic Colorectal Surgery
Aim: The outcome of 536 patients who underwent LAC during 1993-2007 were compared with that of 1140 patients of OC. Methods: We evaluated patient outcome in two phases; phase 1 (1993-2004) and phase 2 (2005-2007). Results: Operation time was significantly longer in LAC patients ( 254 min. v.s. 234 min.). Bleeding, postoperative hospital stay and… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Evolving National Practice Patterns for Management of Paraesophageal Hernia: A Population Based Study
EVOLVING NATIONAL PRACTICE PATTERNS FOR MANAGEMENT OF PARAESOPHAGEAL HERNIA: A POPULATION BASED STUDYThai H. Pham MD, Kyle A. Perry MD, Eugene Y. Chang MD, Brian S. Diggs PhD, John G Hunter MD, Brett C Sheppard MD. Department of Surgery, Oregon Health and Science University, Portland, OR. Introduction: Based on studies from specialized centers, laparoscopic paraesophageal… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Experience with the Gore Absorbable Plug in Laparoscopic Inguinal Hernia Repair
Intro: Laparoscopic transabdominal preperitoneal hernia repair (TAPP) has traditionally used permanent mesh. Goretex absorbable mesh is an FDA approved synthetic absorbable material approved for use as a tissue reenforcement strategy that resorbs in 2-3 months.Study Design: Retrospective review of prospectively collected data from a single surgeon experience using laparoscopic TAPP repairs in selected patients. Laparoscopic… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Favorable Outcomes in Elderly Patients Undergoing Bariatric Surgery Despite Increased Co-morbidities
BackgroundElderly (65 years and older) obese patients are expected to be at high risk for bariatric surgery. We sought to study outcomes in elderly patients undergoing bariatric surgery with or without Medicare (MC, since 2006), and to evaluate differences in co-morbidities when compared to a meta-analysis study of younger patients. MethodsElderly patients undergoing bariatric surgery… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Feasibility and Efficacy of Optimal Peritoneal Dialysis Catheter Placement Using a Laparoscopic Technique
INTRODUCTION: Peritoneal dialysis (PD) is an effective and accepted method for renal replacement therapy in patients with chronic renal failure. Various laparoscopic techniques have been described separately to optimize placement and reduce the potential of catheter related complications and failure. A study was undertaken to determine the feasibility and efficacy of combining these laparoscopic techniques… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Feasibility and Potential Advantages of Transporous Mesh Fixation By a Laparoscopic Spray System (lss) in Inguinal Hernia Repair
Background. Chronic pain after inguinal hernia repair is often due to nerve injury by penetrating mesh fixation devices, such as staples, tacks or sutures. The cumulative incidence of pain, numbness and discomfort after surgery for inguinal hernia is reported to be as high as 30%. Tissue sealants have been proposed to provide atraumatic mesh fixation… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Feasibility of Diagnostic Peritoneoscopy Using a Flexible Endoscope Under Low Pressure Pneumoperitoneum
Objectives: Standard laparoscopy requires general anesthesia for muscle paralysis to allow for adequate pneumoperitoneum. Our goal is to determine the effectiveness of diagnostic peritoneoscopy using a flexible endoscope under low pressure pneumoperitoneum. Methods: Three 25-kg female swine were subjected to general anesthesia. Pneumoperitoneum to 8mm Hg was achieved with a veress needle. Using a laparoscopic… Continue Reading
- Type:
- Posters
Feasibility of Transabdominal Diagnostic Peritoneoscopy Using a Flexible Endoscope
Objectives: Diagnostic laparoscopy is an established tool in oncologic evaluation. Standard rigid laparoscopy presents certain limitations in terms of access to various areas of the peritoneal cavity. Other authors have explored the utility of diagnostic laparoscopy with a flexible endoscope via a transgastric or transvaginal approach (NOTES). Our goal is to determine the effectiveness of… Continue Reading
- Type:
- Posters
Fecal Incontinence Quality of Life After Transanal Endoscopic Microsurgery (tem)
INTRODUCTION: TEM is a natural orifice minimally invasive treatment option used to excise a variety of rectal lesions. The procedure requires dilatation of the anal canal to allow placement of the 40mm operating scope, which has the potential for overstretching the sphincter musculature. This combined with partial resection of the rectum and the subsequent loss… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Feeding Tube Placement in the Excluded Stomach After Gastric Bypass: A Novel Laparoscopic Technique
Introduction: Enteral access for nutritional support after gastric bypass is a challenging problem due to dense postoperative adhesions, difficulty in gaining endoscopic access to the excluded stomach, and the thick abdominal wall in an obese patient. Open techniques can be technically difficult and associated with high morbidity. We present our novel laparoscopic technique for feeding… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Financial Impact of Laparoscopic Surgery At a High-volume Academic Center
INTRODUCTION: The objective of this study was to compare the hospital costs of laparoscopic and open foregut and colorectal surgery at our institution.METHODS: Consecutive patients undergoing elective foregut surgery (fundoplication, paraesophageal hernia repair), segmental colectomy, and rectal resection between 2005 and 2007 were identified from a hospital administrative database. The Eclipsys Case Costing System, used… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other