Role of Laparoscopy in managment of delayed small bowel obstruction in trauma patients
Background: Small bowel obstruction (SBO) after open abdominal exploration for trauma is associated with significant long-term morbidity. Open exploration may be required if conservative treatment is unsuccessful. Laparoscopy in these patients may decrease LOS and decrease the rate of complications associated with repeat open surgery. Most inner city trauma centers are not geared for advanced… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Specialist Intervention Improves Results Following Laparoscopic Acute Gallbladder Surgery
AIM: Laparoscopic cholecystectomy is increasingly being offered on index emergency admission. This study assessed whether the surgeon specialist interest influences the patient outcome following emergent laparoscopic cholecystectomy.METHODS: The study included all patients who underwent emergency cholecystectomy after an index emergency admission over an 18-month period. End-points studied were conversion rate, post-operative complications, time delay to… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
The Use of Esophageal Transit and Gastric Emptying Studies in the Evaluation of Patients Undergoing Laparoscopic Fundoplication
Background: Minimally-invasive gastric fundoplication represents an important therapeutic option in patients with refractory reflux and symptomatic hiatal hernias. Preservation of esophageal and gastric function is a hallmark principle in ensuring optimal surgical outcomes. In this study, we evaluate the impact of fundoplication on esophageal transit and gastric emptying scintigraphy studies, and relate these functional findings… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Benefits of Laparoscopic Repair of Perforated Peptic Ulcer Disease: A Prospective Study
AIM: To assess whether laparoscopic repair of perforated peptic ulcer disease offers patients an improved outcome.METHODS: Patients undergoing repair of perforated ulcer over a 12 month period were included in the study. Parameters studied were total operative time, urinary catheter and abdominal drain utilization, post-operative analgesia requirement, time to normal diet and time to mobilization.RESULTS:… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Laparascopic Appendectomy for Children with Acute Appendicitis Is Equally Safe and Effective Despite Hospital Type
Introduction: Currently only one-third of children with acute appendicitis undergo laparoscopic appendectomy. The reasons for this are unclear, but may include the perception that laparoscopic surgery may not be as safe or effective at all hospital types. Therefore, we retrospectively reviewed all children treated by one pediatric surgeon at two full-service institutions to determine if… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Single Port Access (spa) Surgery – Intracorporeal Liver Retractor for Spa Heller Myotomy
For optimal visualization during laparoscopic gastroesophageal procedures, the left lobe of the liver has to be mobilized superiorly to the anterior abdominal wall. To accomplish this task, we have traditionally utilized an externally placed stainless steel retractor. Retraction is either performed manually, or by a mechanical arm that is secured to the side rail of… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Single Port Laparoscopic Gastrostomy Tube Placement
Introduction: Percutaneous endoscopic gastrostomy (PEG) placement is commonly performed. The safety of this procedure is predicated on the ability to bring the anterior gastric wall in apposition to the abdominal wall, as confirmed by transillumination. Prior gastric resection, hepatomegaly, obesity, and intraabdominal adhesions can prohibit transillumination. The following reports the safety and efficacy of single… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Transanal Endoscopic Microsurgery (TEM) excision of locally advanced rectal cancers (pT2, pT3)
TEM is an accepted method of locally excising superficial (pT1) rectal cancers. It is controversial whether this technology is appropriate for cure of more advanced lesions. We retrospectively identified 35 patients (28 pT2, 7 pT3) with rectal cancer, treated with TEM +/- radiation and chemotherapy or radical surgery between 1991 and 2007. Of the pT2’s,… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Usefulness of real-time blood vessel detectable forceps for lymph node dissection for training qualified laparoscopic surgeons
Aims: In the clinical education of recently qualified laparoscopic surgeons who have been trained only with simulation models, it is important to make them precisely localize the blood vasculature when conducting lymph node dissection in laparoscopic colectomy and gastrectomy. We developed a Doppler forceps with a foot controller that allows the detection of the blood… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Establishing Anthropometrics: Abdominal Wall Thickness in Laparoscopic Patients
BACKGROUND: Understanding abdominal wall thickness (AWT) is a key to optimal trocar design and enhancing surgical workspace layout, with a view to developing low profile laparoscopic ports, reducing clutter, and improving operative workflow. In order to establish a knowledge base upon which design can build, we measured AWT at the point of trocar insertion. METHODS:… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Laparoscopic Ressection of a Large Retroperitoneal Mass
Schwannomas are usually benign tumors arising from Schwann cells of the peripheral nerve sheath. Most schwannomas are benign, although malignant cases are known to occur. Retroperitoneal schwannoma is a rare entity comprising only 0.5% to 12% of all retroperitoneal tumors. In the retroperitoneal position, they occur most commonly between 40 and 60 years of age,… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Laparoscopic versus open splenectomy: review of a single-center experience and analysis of costs.
Background: Laparoscopic splenectomy (LS) has become the preferred surgical procedure for the elective treatment of hematologic disorders. Compared to open splenectomy (OS), it results in shorter hospital stay, decreased postoperative pain and faster recovery. The cost-benefit analysis of both procedures has not been fully studied. We hypothesize that LS results in significant savings to all… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Laparoscopic resection of colorectal cancer in octogenarians
BACKGROUND: Laparoscopic colorectal resection is becoming a trend in modern surgery. Studies have shown the benefit of having less post-operative pain, shorter hospital stays and faster recovery when comparing to open surgery. At the same time, people are living longer and the proportion of colorectal cancer in the elderly is increasing. They are generally having… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Protect the Ureters
From 7/1/2006 to 6/30/2007 151 patients with complex pelvic pathology underwent placement of lighted ureteral stents by a general surgeon (JR) or gynecologist (SM). None of the patients had a ureteral injury that underwent pre-procedure ureteral stent placement. The procedures included laparoscopic colorectal surgery for diverticular disease(33 patients(pts), colon or rectal cancer(12pts), pelvic endometriosis(endo) with… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
The Extraperitoneal Laparoscopic TRAM Flap Delay Procedure: An Alternative Approach
Introduction: The transverse rectus abdominis musculocutaneous (TRAM) flap has become the standard and most popular method for autogenous breast reconstruction. Ligation of the deep inferior epigastric vessels prior to TRAM flap reconstruction (delay procedure) was introduced to augment vascularity to the island flap through improved superior epigastric flow, thus decreasing flap morbidity. Methods: A transverse… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other