Are We Doing Too Many Exploratory Laparotomies in Trauma? An Analysis of National Trauma Data Bank
Adeel A Shamim, MD1, Suhail Zeineddin, MD2, Ahmad Zeineddin, MD1, Enrique De La Cruz, MD1, Olubode Olufajo, MD1, Terrance Fullum, MD, MBA1, Edward Cornwell III, MD1, Daniel Tran, MD1. 1Howard University Hospital, 2Mayo Clinic, RochesterBACKGROUND: Exploratory laparotomy (EL) has been widely regarded as the definitive diagnostic and therapeutic modality for abdominal trauma in the US. However,… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Acute Care Surgery
THE RESULT OF PER-ORAL ENDOSCOPIC MYOTOMY(POEM) FOR A SIGMOID TYPE OF ACHALASIA
Shota Maruyama1, Yusuke Taniyama2, Tadashi Sakurai2, Makoto Hikage2, Chiaki Sato2, Kai Takaya2, Takuro Konno2, Takeshi Naitoh2, Michiaki Unno2, Takashi Kamei2. 1Hachinohe City Hospital, 2Tohoku University Graduate School of MedicineIntroduction: Achalasia is a rare esophageal motility disorder and the treatment of this disease is directed at lowering the lower esophageal sphincter (LES) pressure, with the aim… Continue Reading
Comparing Colonoscopy Screening Quality Indicators between Surgeons and Gastroenterologists in a Rural Healthcare System
Hunaiz A Patel, MD, Asadulla Chaudhary, MD, Theodor Kaufman, MD, Nicholas Hellenthal, MD, Jose Monzon, MD, Stephanie Oceguera, MD, James Bordley IV, MD. Bassett Medical CenterIntroduction: There is a significant shortage of physicians providing colonoscopy, especially in rural areas. Rural general surgeons often claim endoscopy as one of the cornerstones of their practice and as a… Continue Reading
Effect of an Educational Intervention on Colonoscopy Quality Outcomes for Surgeons in St. John’s, NL
Bradley W Evans, MD, David Pace, MD, Mark Borgaonkar, MD, Matthew Miné-Goldring, Melissa Meng, Jane Brodie, Darryl Boone, Jerry Mcgrath. Memorial University of NewfoundlandIntroduction: We aimed to assess the effect of a colonoscopy skills improvement (CSI) course on quality indicators for surgeons at our institution. Methods: This retrospective cohort study was performed on nine surgeons… Continue Reading
OVER-THE-SCOPE CLIP MANAGEMENT OF NON-ACUTE, FULL-THICKNESS GASTROINTESTINAL DEFECTS
David J Morrell, MD1, Joshua S Winder, MD1, Ansh Johri, MS2, Vamsi V Alli, MD1, Eric M Pauli, MD1. 1Penn State Health Milton S. Hershey Medical Center, 2The Pennsylvania State University College of MedicineIntroduction: Given the morbidity of reoperation, endoscopic management of full-thickness gastrointestinal tract defects (FTGID) has become an attractive management strategy. We have… Continue Reading
Concomitant Laparoscopic Cholecystectomy and Antegrade Wire, Rendezvous Cannulation of the Biliary Tree May Reduce Post-ERCP Pancreatitis Events
Joshua S Winder, MD1, Ryan M Juza, MD2, Eric M Pauli, MD1. 1Penn State Milton S. Hershey Medical Center, 2University Hospitals Cleveland Medical CenterIntroduction: For patients with a gallbladder in situ, choledocholithiasis is a potentially challenging condition. Both two-session (Endoscopic Retrograde Cholangiopancreatography (ERCP) and subsequent cholecystectomy (CCY)) and single-stage (simultaneous CCY/ERCP) have been described. We… Continue Reading
Is increased BMI a contraindication for living kidney donation?
Lilli Schussler1, Prerna Khetan, MPH2, Edward Chin, MD2. 1Icahn School of Medicine at Mount Sinai, 2Mount SinaiIntroduction: To ensure safety in living donor nephrectomy, donor selection must be rigorous. Although reviews on evaluation of kidney donors have been published, there remains no established selection criteria [1]. To enlarge the donor pool, selection criteria for potential… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Minimally Invasive Other
Laparoscopic-assisted Totally-Extraperitoneal (Lap TEP) Harvest of the Deep Inferior Epigastric Vessels for 2-Stage Single Perforator Free Flap Autologous Breast Reconstruction
Suhail K Kanchwala, MD, Ian S Soriano, MD, FACS, FASMBS. Pennsylvania HospitalINTRODUCTION: Abdominally-based free-flap breast reconstruction has evolved to provide patients with an acceptable autologous reconstruction while minimizing morbidity at the abdominal donor site. To further reduce surgical morbidity of the abdominal wall, the authors introduced a laparoscopic-assisted totally-extraperitoneal (Lap TEP) harvest of the deep inferior… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Minimally Invasive Other
Using the platelet count as a predictor for venous thromboembolism in patients undergoing elective splenectomy
Peter Szasz, MD, PhD, Ali Ardestani, MD, Ali Tavakkoli, MD. Brigham and Women's HospitalBackground: Venous thromboembolic (VTE) events are an ongoing problem for patients undergoing splenectomy. Although the rates vary in the literature based on whether the case is performed in an open or laparoscopic manner, most of the studies to date have evaluated unselected… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Minimally Invasive Other
LAPAROSCOPIC CYSTOGASTROSTOMY: EXPERIENCE OF 134 CASES
Virinder Kumar Bansal, Om Prakash, Asuri Krishna, Subodh Kumar, Shardool V Gupta, Aditya Baksi, M. C. Misra, Pramod Garg. AIIMS, New DelhiIntroduction: Surgical drainage remains the cornerstone for management of symptomatic pseudocyst/ walled off necrosis of pancreas. With advancement in laparoscopic technique, laparoscopic cystogastrostomy has been attempted increasingly. We present our experience of laparoscopic cystogastrostomy at… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Minimally Invasive Other
Bariatric Surgery Reduces Long-Term Rates of Coronary Events: A Propensity-Matched Analysis
Alex D Michaels, MD, J. Hunter Mehaffey, MD, MSc, Robert B Hawkins, MD, MSc, John A Kern, MD, Bruce D Schirmer, MD, Peter T Hallowell, MD. University of VirginiaBackground: Obesity and obesity-related comorbidities are associated with increased risk of coronary artery disease (CAD). Bariatric surgery results in durable weight loss and improvement in numerous CAD… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Too Big to Breathe: Predictors of Respiratory Failure (RF) after Open Abdominal Wall Reconstruction (AWR)
Kathryn Ann Schlosser, Sean R Maloney, Tanushree Prasad, Paul D Colavita, Vedra A Augenstein, Brant T Heniford. Carolinas Medical CenterAims: Increased intra-abdominal pressure after AWR is hypothesized to contribute to postoperative RF. The impact of abdominal subcutaneous fat volume (SQFV), intra-abdominal volume (IAV), hernia volume (HV), and ratio of HV:IAV (loss of domain) is even… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Comparison of 5-year oncological outcomes between robotic and laparoscopic gastrectomy for gastric cancer, propensity-score matched analysis
Masaya Nakauchi, Koichi Suda, Kenji Kikuchi, Shinichi Kadoya, Kazuki Inaba, Ichiro Uyama. Fujita Health UniversityBackground: More than 4000 da Vinci Surgical Systems (DVSS) have been installed worldwide. However, robotic gastrectomy (RG) reportedly has the disadvantages of longer operative time and higher cost compared with laparoscopic gastrectomy (LG). We previously examined 3-year outcomes of RG and… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
A CONCEPTUAL FRAMEWORK OF RECOVERY AFTER ABDOMINAL SURGERY
Roshni Alam1,2, Joel Montanez3, Susan Law3, Lawrence Lee1,2, Nicolò Pecorelli4, Yusuke Watanabe5, Chiavegato D Luciana6, Massimo Falconi4, Hirano Satoshi5, Nancy E Mayo7,8,9, Liane S Feldman1,2,9, Julio F Fiore Jr1,2,9. 1Steinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, McGill University Health Centre, Montreal, QC, Canada, 2Department of Surgery, McGill University Health Centre, Montreal, QC, Canada, 3St.… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Minimally Invasive Other
PATIENT RECOVERY AFTER MAJOR GASTROINTESTINAL SURGERY: IS THERE A DIFFERENCE BETWEEN MINIMALLY INVASIVE AND OPEN APPROACHES?
Cornelius A Thiels, DO, MBA, Kristine T Hanson, MPH, Kellie L Mathis, MD, Paul J Novotny, MS, Mark J Truty, MD, MS, Jeff A Sloan, PhD, Juliane Bingener, MD. Mayo ClinicObjectives: Patients define recovery from surgery as return to normal function; however, little data exist about return to normal after major gastrointestinal surgery. We compared… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Minimally Invasive Other