Surgical Treatment of Perforated Duodenal Ulcer
Objective: This study aims to know which access is chosen to operate perforated duodenal ulcer and to evaluate the intra operative and postoperative complications.Technique: Prospective analysis including all patients admitted with perforated duodenal ulcer. Open treatment is undertaken through midline laparotomy. Laparoscopic treatment is undertaken through 4 trocars. Suture of the ulcer, vagotomy or distal… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
The Trans-Gastric Endoscopic Rendez-vous Technique (TGER) for Removal of Eroded Non-Adjustable Gastric Bands
Introduction:The application of the nonadjustable gastric band for the treatment of morbid obesity was common in the 1980s. Unfortunately, it was associated with an unacceptable re-operative rate with numerous post-operative complications such as gastric erosion. Removing an eroded gastric band is fraught with difficulty secondary to the extensive inflammatory response around the proximal stomach and… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Laparoscopic Vs Open Colon Resection for the Treatment of Perforated or Complicated Diverticular Disease ( Hinchey Stage I and II )
[Background]: Diverticular disease affects more than half the Western population over the age of 60. Diverticulosis of the right colon is rare among Western people, whereas reports from Asia conclude that the occurrence of diverticula of the right colon but not of the left colon, has been increasing in recent years. [Aim]: Elective laparoscopic surgery… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Initial results of omental pedicled shelf after rectal resection
Introduction: The incidence of bowel obstruction after rectal resection is approximately 6-10%. It may be an underestimate (detection bias). About half of them need laparotomy. We believe the dominant cause lies in pelvic incarceration of bowel loops. Greater omentum has been used for multiple indications in surgery however the data for its use in rectal… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Identification of factors affected by a learning curve for laparoscopic rectal resection
Objective: The aim of this study was to identify factors affected by surgeon’s experience of laparoscopic resection for rectal cancer.Methods: A total of 200 consecutive resections between June1995 and August 2007 were analyzed in an attempt to define a learning curve. These resections were divided into three groups, which were operated on by surgeons with… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Retrospective study comparing laparoscopic and open resection for transeverse colon cancer
BackgroundAlthough the large randomized trials are going about laparoscopic-assited colectomy(LAC) versus open colectomy(OC) for cancer, all of thease excluded patients with transverse colon cancer. Our study aimed to compare efficacy and safty of LAC and OC for treatment of transverse colon cancer in terms of morbidity and tumor recurrence and survivals.MethodsFrom February,1995,to March 2007, all… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
How should we divide the distal rectum in laparoscopic low anterior resection of the rectum?
INTRODUCTION: The risk of anastomotic leak in the laparoscopic colorectal resection with the Double Stapling Technique (DST) increases when the endo-linearstapler (ELS) is used more than three times in dividing the distal rectum. The anastomotic breakdown may be caused by the low blood perfusion at the site of gStaple on Stapleh. Therefore, it is important… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Laparoscopic suturing skills after five -day short practice using box trainer
OBJECTIVES: Currently, skills labs are becoming increasingly important in the field of medical education. The aims of this study are to objectively assess psychomotor skill acquisition for surgical residents and medical students by five-day training using a box trainer.MATERIALS AND METHODS: Twelve surgical residents (SR group) with minimum experience of laparoscopic surgery and 9 medical… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
VATS Vagotomy for the treatment of Chronic Marginal Ulcer
Background:Gastric Bypass is an increasingly common procedure. Associated rare complications have a related increased occurrence. Marginal ulceration at the gastrojejunal anastomosis has a reported incidence of 5 to 12%. In most instances these ulcers can be managed conservatively using acid suppression with proton pump inhibitors and sucralfate. There is a troublesome subset of this population,… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Laparoscopic reduction and three-point gastropexy may be a preferred technique for management of acute gastric volvulus in high-risk patients.
Introduction: Laparoscopic repair of a large hiatal hernia with fundoplication is a procedure that may have significant morbidity in an old and high-risk patient. High recurrence rates after laparoscopic repair have been reported. Intra-thoracic stomach complicated by gastric volvulus consist a surgical emergency that, if untreated, will lead to mortality. We propose an alternative, minimally… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Comparative Weight Loss Analysis of Laparoscopic Gastric Bypass and Adjustable Gastric Band
Introduction: Comparative weight loss analysis between the gastric bypass (GB) and the adjustable gastric bypass (AGB) is difficult due to the need for long-term follow-up the need to control for potential confounders (i.e. initial BMI).Methods: Longitudinal mixed-effects models were used to analyze weight loss after either the GB or AGB. The multivariable analysis included controls… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Preoperative self-Expandable Metalic Stent insertion for colon and rectum
Purpose: In the treatment of obstructive colorectal cancer, we should relieve ileus in the same time that we pursue improvement of operative curability and safety. To avoid emergency operation and to perform elective surgery without stoma creation after improvement of patientsf general condition, we use self-Expandable Metallic Stent (EMS) placement. We report the result of… Continue Reading
- Type:
- Posters
Laparoscopic approach to common gastric surgical problems: results and outcomes of 30 cases
Background: Despite large worldwide experience, laparoscopic gastric surgery in the US has been slow to gain acceptance into clinical practice because of a relative paucity of gastric surgical cases in general. Below we review the results and outcomes of 30 laparoscopic gastric operations performed at a large community hospital.Hypothesis: Laparoscopic gastric surgery for benign and… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
CT Mapping of Anterior Abdominal Wall Defects.
INTRODUCTION: Ventral hernia is a challenging surgical problem. Occult ventral hernia defects contribute to the relatively high recurrence rate after open surgical repair.METHODS: 44 patients underwent comprehensive physical examination, CT scan, and laparoscopy for ventral hernia. Hernia defects were mapped using all three methods and the results were compared. Descriptive statistics were used to analyze… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Audio-visual training system is simple and useful method for trainees with various skill levels in laparoscopically assisted surgery.
(BACKGROUND) Traditionally, surgical residents learn and master surgical skills while they are doing operation under the proper direction of senior staff or supervisors. In the case of laparoscopically assisted surgery, in which learning curve depends on efficient instruction due to the complicated procedures, both operator and director can share the same image as well as… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation