Harmonic scalpel Vs the conventional clip and cautery technique in single port laparoscopic cholecystectomy: A randomized controlled trial.
Samer Bessa, Ms, MD, Phd. Faculty of medicine- university of AlexandriaBackground: Ultrasonically activated devices have been used to achieve complete hemobiliary stasis as well as gallbladder dissection in the classic four-port laparoscopic cholecystectomy with encouraging results. The aim of this prospective study was to compare the surgical outcome of single-port laparoscopic cholecystectomy (SPLC) performed by… Continue Reading
Health related quality of life assessment in post-operative oesophageal cancer patients
G Jayasinghe, BSc, MBBS, MRCS, M Aboul Enein, MBChB, MSc, MRCS, A Hamouda, MD, FRCS, A Nisar, FRCS, H Ali, MD, FRCS. Maidstone and Tunbridge Wells Hospital -NHS trust.INTRODUCTION-Surgical treatments for gastrointestinal malignancies are well documented to have a significant impact on the quality of life for patients. The functional Assessment of Cancer Therapy-General scale… Continue Reading
Heller Myotomy with Esophageal Diverticulectomy: An Operation in Need of Improvement
Sharona B Ross, MD, Prashant Sukharamwala, MD, Andrew Boland, MD, Carrie E Ryan, MS, Frank De Stefano, Alexander S Rosemurgy, MD. Florida Hospital TampaIntroduction: Achalasia can be complicated by a distal esophageal pulsion diverticulum. This study was undertaken to determine outcomes after Heller myotomy, anterior fundoplication, and diverticulectomy. Methods: 617 patients undergoing laparoscopic Heller myotomy… Continue Reading
Hiatal Hernias and Repair in Bariatric Surgery Patients: The Impact of Preoperative Imaging
Ashley Mooney, MD1, Stephen S McNatt, MD1, Adam Reid, MD2, Myron S Powell, MD1, Matthew Tufts, MD1. 1Wake Forest School of Medicine, 2Southern Illinois University School of MedicineIntroduction Hiatal hernias in obese and morbidly obese patients seeking weight loss surgery have been reported to occur at a rate of nearly 40%. Based on the International… Continue Reading
High Intensity Focused Ultrasound (HIFU) for Submucosal Gastrointestinal Tissue Ablation. Proof of the Concept in the Porcine Model.
Michele Diana, MD1, Bernard Dallemagne, MD2, Yu-Yin Liu, MD2, Veronique Lindner, MD, PhD3, Jacques Marescaux, MD, FACS, HonFRCS, HonFJSES, HonAPSA2. 1Institute for Image-Guided Surgery (IHU-Strasbourg), 2Research Institute against Cancer of the Digestive System (IRCAD), 3Pathology Department, University Hospital of Strasbourg, FranceObjective of the technology or device Advanced minimally invasive surgical endoscopic techniques, such as endoscopic… Continue Reading
High Risk Bariatric Candidates: Does ‘Red-Flagging’ predict the Post-Operative Course?
Kathryn Ziegler1, Don Selzer, MD2, Jennifer Choi, MD2, Daniel McKenna, MD2, William Hilgendorf, PhD2. 1William Beaumont Hospital, 2Indiana UniversityBackground: Patients who wish to undergo bariatric surgery are evaluated preoperatively using a multidisciplinary team, including surgeons, dieticians, nurses, and a psychologist. Most bariatric surgeons recommend a thorough preoperative psychological evaluation prior to bariatric surgery, including documented… Continue Reading
Hill Repair After Gastric Bypass: A Case Series
Simon C Chow, MD1, Emily Speer, MD2, Amber Shada, MD2, Valerie J Halpin, MD1, Lee L Swanstrom, MD2, Kevin M Reavis2. 1Legacy Good Samaritan Medical Center, 2Providence Portland Medical CenterIntroduction: The symptoms of gastroesophaeal reflux disease (GERD) are frequently improved following roux-en-Y gastric bypass, however 10 to 30% of patients have persistent or new GERD… Continue Reading
HIV related anal canal squamous cell carcinoma refractory to chemo radiation needing abdominoperineal resection is a locally aggressive disease requiring muscle flap.
Ben Selvan, MD1, Andrew Zheng2, David Stein, MD1, Juan L Poggio, MD1. 1Drexel University College of Medicne, 2Jefferson college of medicine Background. Anal canal squamous cell carcinoma (SCC) historically has a complete response rate up to 80-90% and average Cd4 count at the time of diagnosis is above 300. Failed or recurrent tumors following modified… Continue Reading
Hospital Readmission, Healthcare Follow-up, and Weight Loss After Bariatric Surgery in Patients With a Dsm-iv Axis-i Psychiatric Diagnosis
Eric P Kubat, MD1, Nina Bellatorre, RN1, Dan Eisenberg, MD2. 1Palo Alto VA Health Care System, 2Palo Alto VA Health Care System and Stanford School of MedicineObjective A preoperative psychosocial assessment of patients seeking bariatric surgery is common in bariatric surgical practice. However, there is no consensus as to the postoperative effect of a psychiatric… Continue Reading
How Often Do Surgeons Obtain the Critical View of Safety During Laparoscopic Cholecystectomy?
Bindhu Oommen, MD, MPH, Brittany L Anderson-Montoya, PhD, Manuel Pimental, BS, Dimitrios Stefanidis, MD, PhD. Carolinas Medical Center, Charlotte, NCINTRODUCTION The reported incidence (0.4-0.5%) of bile duct injury (BDI) during laparoscopic cholecystectomy (LC) is higher than during open cholecystectomy and has not decreased over time despite increasing experience with the procedure. The “critical view of… Continue Reading
How To Use Endoluminal Vacuum Therapy To Treat Upper Gastrointestinal Anastomotic Leaks and Perforations
Nathan Smallwood, MD, Steven Leeds, MD, JS Burdick, MD. Baylor University Medical Center DallasThis is a video describing the new method of treating anastomotic leaks and perforations using endoluminal vacuum therapy. This video will describe its function, development and application. In addition, the results of some of our treated patients will be shown. Continue Reading
Human Extensions electromechanical hand-held device: First human trials .
Amir Szold, MD. Assia Medical Group, Tel Aviv, IsraelObjective: Laparoscopic instruments have limited degrees of freedom and are not ergonomic. This results in severe limitations in performing complex, and even simple tasks in surgery, limiting many surgeons from performing a variety of minimally invasive procedures. Our goal was to combine the advantages of robotic surgery… Continue Reading
Hydatid Liver Cyst Laparosocpic Treatment
Jorge Nefa, MD2, Sergio Bustos Navarrete, MD1, Pablo Jaureguiberry, MD2, Martin Berducci, MD2, Cecilia Bustos, MD1, Jorge Bufaliza, MD2, Pablo Gomez, MD2, Pablo Omelanczuk, MD2. 2Hospital Italiano de Mendoza, 1Clinica Francesa de MendozaINTRODUCTION The Hydatid Liver cyst is a common disease in Argentina. The aim of this video is to present the alternative options of… Continue Reading
Hyperbaric sub-normothermic perfusion maintains tissue composites ex-vivo beyond the limits of cold ischemia.
Sharon D Lawson, MD, Lin Wang, MD, Anton Fries, MD, Michael Davis, MD. USA ISRAims: To evaluate the ability of a novel hyperbaric oxygen warm ex vivo perfusion device to extend ex vivo viability of composite tissues in a swine model of vascularized composite auto-transplantation. Methods: The Institutional Animal Care and Use Committee approved this protocol. Fourteen… Continue Reading
Iatrogenic biliary injuries: Multidisciplinary Management in a Major tertiary Referral center
Ibrahim A Salama, MDPhD. Department of Hepatobiliary Surgery,National Liver Institute, Menophyia University, EgyptBackground: Iatrogenic biliary injuries are considered as the most serious complications during cholecystectomy. Better outcome of such injuries have been shown in cases managed in a specialized center. Objective: Evaluatation of biliary injuries management in major referral hepatobiliary center. Patients& Methods Four hundred… Continue Reading