Laparoscopic Repair of Perforated Type V Gastric Ulcer in a Patient with Recurrent Paraesophageal Hernia
Georgios Orthopoulos, MD, PhD, Parth Sharma, MD, Mazen Al-Mansour, MD. Baystate Medical Center/University of Massachusetts Medical SchoolThis is a case of a 76 year old female with multiple medical comorbidities, abuse of Non-Steroidal Anti-Inflammatory Drugs due to chronic knee pain and remote history of laparoscopic paraesophageal hernia repair who presented with peritonitic signs and pneumoperitoneum.… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Acute Care Surgery
Laparoscopic surgery for mechanical small bowel obstruction due to appendicitis
Andrew Mueller, MD1, Carl Tadaki, MD2. 1University of Hawaii, 2Straub Medical CenterA 53 year old male with no prior history of abdominal surgery presented to the emergency department with a two day history of abdominal pain, nausea and vomiting, and absent flatus and bowel movements. During the initial physical exam the patient was found to… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Acute Care Surgery
Laparoscopic Small Bowel Resection
Marcoandrea Giorgi, MD, Todd Stafford, MD. Brown University - Rhode Island HospitalVideo illustration of laparoscopic small bowel resection with anastomosis. Patient is a 33 years old female with history of malrotation and sleeve gastrectomy who presented with acute onset epigastric pain and was found to have closed loop obstruction on CT scan, She was taken… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Acute Care Surgery
Jejunal Perforation by a Wire Grill-Cleaning Brush Bristle
Erin M Thompson, MD, John Romanelli, MD. Baystate Medical CenterInjuries from unintentional ingestion of wire grill-cleaning brush bristles have been increasingly reported in the literature over the past decade. Although a special report was published by the CDC in 2012 warning of this pattern of injury, case reports continue to appear in both the medical… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Acute Care Surgery
Less is More: Comparison of Partial v. Full REBOA in a Porcine Hemorrhagic Shock Model
Dominic M Forte, Woo S Do, MD, Jessica B Weiss, MD, Rowan R Sheldon, MD, Matthew J Eckert, MD, Matthew J Martin. Madigan Army Medical CenterObjectives: Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) is effective as a temporizing measure in non-compressible truncal hemorrhage (NCTH). However, use for longer than 60min causes lethal reperfusion injury. Partial… Continue Reading
Interim analysis of a prospective, randomized, double blind, placebo controlled, phase IIb trial of the TLPLDC vaccine to prevent recurrence in resected stage III or IV melanoma patients.
Jessica L Campf1, John W Myers1, Guy T Clifton1, Diane F Hale1, Tommy A Brown1, Timothy J Vreeland2, Robert Hi Andtbacka3, Adam C Berger4, James W Jakub5, Jeffrey J Sussman6, Alicia M Terando7, Mark B Faries8. 1San Antonio Military Medical Center, 2University of Texas MD Anderson Cancer Center, 3Huntsman Cancer Institute, 4Thomas Jefferson University Kimmel… Continue Reading
Linear Tensile Force Testing in Porcine Model validates use of Novel Mesh Suture
Christopher J Scheiber, MD, Dearth Christopher, PhD, Alfred Pisano, Liacouras Peter, PhD, Jason Souza, MD. WRNMMCINTRODUCTION: Despite recent studies1,2 investigating different closure techniques following laparotomy, the incidence of incisional hernia remains high. A common cause of failure is suture pull-through, leading to early dehiscence. In order to decrease this risk, the authors have previously proposed… Continue Reading
Effects of Vasopressin and Norepinephrine on Wound Healing of Vascular Smooth Muscle and Endothelium
Kenneth J Bogenberger, MD, Dao H Ho, PhD. Tripler Army Medical CenterObjectives: Hemorrhagic shock as a result of trauma or surgical bleeding is frequently temporized with administration of vasopressors in order to augment systemic vascular resistance while resuscitation measures are employed. This mimics the treatment strategy of other forms of shock where systemic vascular resistance… Continue Reading
Immunologic Efficacy of E39 & E39’ Vaccination in a Phase I/IIa Trial in Ovarian & Endometrial Cancer Patients
Jessica L Cindass, MD1, Annelies T Hickerson, MD1, Tommy A Brown II1, Kaitlin M Peace1, John W Myers III1, Timothy J Vreeland2, Diane F Hale1, Doreen O Jackson1, Julia M Greene3, John S Berry IV4, Guy T Clifton1, Garth S Herbert1, George E Peoples5. 1Brooke Army Medical Center, San Antonio, TX, 2University of Texas MD… Continue Reading
SILS(SINGLE INCISION LAPAROSCOPIC SURGERY )
Lakshman Agarwal, Mbbs, MS. Swai man singh medical college, jaipur , rajasthan , indiaGall stones(cholelithiasis) are common condition . Advent of ultra sonography has increased its detection in a large way. The exact number of cholecystectomy performed in india is difficult to know as there is no standard national registery for it. We are practising SILS since last 4 years and the number exceed 600. Langenbuch in 1882 did first open cholecystectomy, Conventional four port laparoscopic cholecystectomy(Philippe Mouret 1987) , Single incision… Continue Reading
GANGRENOUS CHOLECYSTITIS: DELAYS IN SURGICAL EVALUATION AND OUTCOMES IN THE ERA OF MINIMALLY INVASIVE SURGERY
Rebecca C Gologorsky, MD1, Justin Tse, MD2, Dylan Wolman, MD2, Aya Kamaya, MD2. 1University of California San Francisco-East Bay, 2Stanford UniversityIntroduction: Gangrenous cholecystitis (GC) is a highly morbid complication of acute cholecystitis (AC). Risk factors for gangrenous progression are poorly described, as are pre-operative clinical features and post-operative outcomes in the era of minimally invasive surgery.… Continue Reading
An Unusual Presentation of Acute Cholecystitis: Gallbladder Volvulus
Elizabeth E Price, DO, Luciano Dimarco, DO. UPMC Pinnacle Community Osteopathic HospitalGallbladder volvulus is an uncommon disease caused by torsion of the gallbladder around its mesentery along the axis of the cystic duct and artery, ultimately leading to gallbladder ischemia and obstruction of biliary drainage. The etiology of the condition is unknown; however, hypothesized contributory… Continue Reading
Laparoscopic Management of Gastro Intestinal Stromal Tumours
Ajay H Bhandarwar, MS, FMAS, FIAGES, FAIS, FICS, FBMS1, Jalbaji P More, MS1, Amol N Wagh, MS, FMAS, FIAGES, FAIS, FICS, FBMS1, Shekhar A Jadhav, MS, FMAS1, Amarjeet E Tandur, MS1, Priyanka Saha, MBBS1, Khushboo Kadakia, MBBS1, Soumya Chatnalkar, MBBS1, Ruchira Bhattacharya, MBBS1, Shraddha R Gajbhiye, MBBS, MD Associate Professor2. 1Grant Government Medical College &… Continue Reading
The outcome of Laparoscopic Cholecystectomy in Situs Inversus Totalis: Technique and Anatomical Variation. case report
Omar A Ibrahim, MD, Surgical Resident, Tahir I Yunus, General Surgery and Bariatric Consultant, Ahmed M Mai, MD, Surgical Resident. International Medical CenterSitus inversus totalis (SIT) is an rare medical condition where thoracic and abdominal organs are in the mirror-image reversal of their natural position. Many difficulties faces surgeons to diagnose and manage chronic cholecystitis… Continue Reading
Single incision laparoscopic cholecystectomy (SILC) for emergency and elective cases: Eight-year experience in more than 250 patients.
Fernando Arias, MD, FACS1, Gabriel Herrera, MD1, Camilo Cetares, MD2, Manuel Arrieta, MD3. 1University Hospital Fundación Santa Fe de Bogota - University of the Andes, Bogotá Colombia, 2University Hospital Fundacion Santa Fe de Bogota, 3University of Sabana, Bogota, ColombiaIntroduction: Single incision laparoscopic cholecystectomy has gained increasing attention over conventional technique due to the potential benefits… Continue Reading