Initial Clinical Assessment of Urological Laparo-endoscopic Single-site (less) Surgery
We examined the initial clinical experience of Urological LESS surgery in our institution.Methods: Since June of 2008, a total of 10 patients underwent LESS surgery (simple Nephrectomy and renal cryoablation).Surgical Technique: Laparoscopic entry technique is performed using the Veress needle for initial CO2 insufflation. Umbilical site incision is used for the placement of a 12… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Initial Experience in Single-port Laparoscopic Appendectomies
OBJECTIVES: Single port access surgery is an emerging technique in laparoscopic surgery. Currently outcome data is limited for a majority of procedures. We present the largest series of single port appendectomy performed for acute appendicitis.METHODS: Over a 5 month period, ten consecutive patients presenting with appendicitis underwent single-port appendectomy using the Tri-Port multiport (Advanced Surgical).… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Initial Experience with Hybrid NOTES Sleeve Gastrectomy Using Two Trocars
BACKGROUNDPotential benefits using the natural orifices transluminal endoscopic surgery (NOTES) approach including advantages related to reduction of visible scaring, recovery time, hernia formation and adhesions have been evaluated over the traditional surgical approaches for the morbid obese population. Hybrid NOTES procedures (combination of laparoscopic and transluminal surgery) have emerged as an alternative in minimally invasive… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Initial Japanese Experience with Laparoscopic Adjustable Gastric Banding
Background/Aim: Since bariatric surgery had not been so popular in Japan, we introduced laparoscopic adjustable gastric banding (LAGB) for the treatment of morbid obesity into Japan. Our initial data were evaluated.Methods: Between August 2005 and August 2008, 28 morbidly obese patients (17 women / 11 men, mean age of 38yr) received LAGB in our institute.… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Inpatient Mortality and Length of Stay Comparison of Percutaneous Endoscopic Gastrostomy and Percutaneous Endoscopic Gastrojejunostomy
Introduction: Percutaneous endoscopic gastrostomy (PEG) and percutaneous endoscopic gastrojejunostomy (PEGJ) are endoscopic procedures often performed by surgeons. No recent population based study has compared inpatient mortality or length of stay between patients who undergo PEG or PEGJ placement during their hospitalization. Methods: Patients undergoing inpatient PEG or PEGJ placement >=18 year old were identified from… Continue Reading
Insulation Failure in Laparoscopic Instruments
INTRODUCTION: Electrosurgery is used in virtually every laparoscopic operation. In the early days of laparoscopy with hybrid trocars, capacitive coupling was thought to be the major cause of laparoscopic electrosurgery injuries. Modern laparoscopic equipment has reduced capacitive coupling. Currently, insulation failure is thought to be the main cause of electrosurgery complications. PURPOSE: (1) To determine… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Outcomes and Quality
Intern Boot Camp: One Day Makes a Difference
Introduction: Surgical simulation is becoming a more widely used method in the training of residents as it enables the honing of technical skills and exposes residents to new procedures resulting in the reduction of error in the operating room and increases in patient safety. The inequities and inconsistencies of the cognitive and technical skill levels… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Intra-operative Oesophageal Manometry As a Predictor of Post-operative Dysphagia
Intra-operative oesophageal manometry as a predictor of post-operative dysphagiaAuthors: Khan M, Elghellal K, Smythe A, Globe J, Ackroyd RInstitution:Royal Hallamshire Hospital, Glossop Road, Sheffield, S10 2JF, U.K.AbstractBackground:Many trials have undertaken Intra-oesophageal manometry (IEM) as a measurement of adequacy of fundoplication. The aim of this pilot study was to assess the value of IEM in predicting… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Intragastric Balloon for Weight Loss Before Cardiac Transplant – a Case Report
BACKGROUND: Intragastric balloon treatment for obesity has been developed and it’s placement and removal techniques has been improved. Its primary objective is the treatment of obese people, who have had unsatisfactory results in their clinical treatment for obesity, despite of being cared for by a multidisciplinary team, and to prepare super obese patients with a… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Intragastric Balloons Are Effective for the Weight Control in Non Obese Patients
BACKGROUND: Many clinical treatments have been attempted for weight reduction in overweight patients, body mass index (BMI) below 30, most commonly medically treated with Orlistat, Sibutramine and more recently with Rimonabant, all presenting gastrointestinal, circulatory, metabolic or psychological side effects which are sometimes severe. Recent Silicone intragastric balloons (SIB) clinical trials have used overweight patients… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Intragastric Balloons for Obesity – A Novel Technique for More Secure, Quicker, and Less Expensive Office Placement and Removal – the First 138 Ballons.
BACKGROUND: Although bariatric surgery is the fastest and most effective way to lose and control weight, some overweight patients are not eligible for this procedure. OBJECTIVE: To report improvements made in the technique for office placement and removal of Silicone Intragastric Balloons (SIB). MATERIAL AND METHODS: Between June 2006 and September 2008, 117 obese patients… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Intraoperative Cardiopulmonary Effects of Natural Orifice Translumenal Endoscopic Surgery (notes) Compared to Traditional Surgery
Introduction: Interest in natural orifice translumenal endoscopic surgery (NOTES) is fueled by the possibility that it may represent a less invasive method of abdominal surgery. To objectively evaluate this, we compared the intraoperative cardiopulmonary effects of NOTES versus traditional surgery.Materials and Methods: Nine mongrel dogs undergoing bilateral inguinal herniorrhaphy (BIH) were used for this study.… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Intraperitoneal Ropivacaine Washout for Reduction of Pain After Laparoscopic Cholecystectomy : A Prospective Randomized Study
Introduction: There is controversy about the effectiveness of intraperitoneal local anesthesia in laparoscopic surgery. We designed a prospective randomized clinical trial to evaluate the efficacy of intraperitoneal ropivacaine washout (IRW) in the early recovery period after laparoscopic cholecystectomy.Methods: A total of 62 consecutive patients undergoing laparoscopic cholecystectomy due to uncomplicated symptomatic gallstones were randomized to… Continue Reading
Intussusception Complicating Post Gastric Bypass Pregnancy
OBJECTIVE: Only 10 cases of intussusception after Roux-en-Y gastric bypass (RYGB) surgery and 11 cases of intussusception complicating pregnancy have been reported in the literature with one previous case common to both groups. We present an unusual case of intussusception complicating pregnancy following open RYGB. METHODS: 34-year-old female had a normal vaginal delivery at full… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
\”Invisible Cholecystectomy\” Initial Experience of Hybrid Cholecystectomy
The operative technique and the results of the first 50 patients of hybrid cholecystectomy are fully described.Methods50 Patients underwent to “invisisible cholecystectomy”.The surgical technique was a Transumbilical laparoscopic cholecystectomy with a 3 mm aditional port in the epigastric area.Two trocar of 5mm were introduced through the umbilical scar, the first one in midline with vertical… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other