Treatment of Femoral Hernias By a Single Surgeon: A Systematic Approach
Introduction: The high rate of coincident or missed femoral hernias while or after mesh herniorrhaphy suggest is systematic search. We present our findings and results using the laparoscopic preperitoneal approach (TEP). Methods: Between April 2001 and February 2007, patients undergoing inguinal hernia repair were entered into a prospective database. The nature of their hernias in… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Transgastric Endoscopic Peritoneoscopy Does Not Require Decontamination of the Stomach in Humans
Introduction: Natural Orifice Transluminal Endoscopic Surgery (NOTES) is a rapidly evolving field that provides endoscopic access to the peritoneum via a natural orifice. One important requirement of this technique is the need to minimize the risk of clinically significant peritoneal contamination. We report the bacterial load and contamination of the peritoneal cavity in patients undergoing… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Transanal endoscopic microsurgery (T.E.M) treatment of rectal cancer: A comparision of outcomes with and without neoadjuvant radiation therapy
Introduction: Improved tumor downstaging and complete response rates of rectal cancer treated with neoadjuvant therapy have been observed. There has been concern that the detrimental, local effect of radiation makes this approach unsuitable for excision. We compared 2 groups of patients undergoing comparable TEM surgery, with and without neoadjuvant radiation. Methods: All patients undergoing TEM… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Transabdominal Preperitoneal (tapp) Vs Lichtenstein Primary Hernia Repair: Long-term Results
Background: The surgical preference for inguinal hernia repair is still under debate and discussed controversial. Short- and long-term results are based on data of different surgical trials with diverse results. In this retrospective study the long-term results of the transabdominal preperitoneal (TAPP) hernia repair and the Lichtenstein technique were compared.Method: Between 2000 and 2005, the… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Trans Oral Endoscopic Stapled Esophago Diverticulostomy (toesed ) for Zenker’s Diverticulum
Introduction: Zenker's diverticulum is a known cause for dysphagia and is treated usually by resection or diverticulopexy through a neck incision. In recent years an endoscopic per-oral method has been described. A cohort of patients was treated and long-term follow up was obtained.Materials and Methods: All patients presented with the diagnosis of Zenker's diverticulum were… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Trans-gastric Ventral Abdominal Wall Placement of a Biologic Mesh
Introduction:We proposed a feasibility study to determine if biologic mesh may be safely placed in the abdomen in a transgastric fashion, as a precursor to attempting transgastric ventral hernia repair.Methods:Six swine underwent upper endoscopy after decontamination of the stomach with povidone-iodine (Betadine). Under endoscopic guidance the gastric wall was perforated. A plastic overtube was introduced… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Trans-esophageal Cardiomyotomy Utilizing Submucosal Dissection: An Acute Porcine Procedure
Background: Previous investigators have demonstrated the ability to perform an esophageal myotomy via a natural orifice translumenal endoscopic surgery (NOTES) approach. To date, no one has performed a NOTES myotomy including both gastric and esophageal musculature.Objective: Our objective was to perform a complete cardiomyotomy via a trans-esophageal route using the self-approximating translumenal access technique (STAT).Methods:… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Trangastric access to the chest: opening a new vista?
Introduction:The NOTES approach to the peritoneal cavity is well established today and procedures in humans have already been performed. The next question to be addressed is whether this access can be extended further. This video shows the feasibility of feasibility of transgastric access to the thoracic cavity in the porcine model.Materials and methods:A series of… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Totally Laparoscopic Right Hepatectomy
Laparoscopy is slowly becoming an established technique for liver resection. This procedure still is limited to centers with experience in both hepatic and laparoscopic surgery. Preliminary reports include mainly minor resections for benign liver conditions or hand assisted resections and show some advantage in terms of postoperative recovery. The authors present their video with laparoscopic… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
Thoracoscopic Treatment of Spontaneous Pneumothorax
Objective: Prospective study to evaluate thoracoscopic treatment of spontaneous pneumothorax by bulla resection with pleurectomy or with pleura coagulation.Patients: From 1991 to 2007, 255 patients were included in this study. Indications were persistent bubbling (45.3%), recurrence (42.9%), opposite side pleurectomy (11.4%), opposite side pneumothorax (5.5%), haemopneumothorax (2.3%), bands (3.2%), huge bulla (2.7%), double sided pneumothorax… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Thoracoscopy
There Is Best Time to Convert the Lap-band® to Another Kind of Bariatric Surgery.
This video shows a patient who had a LAGB for two years until then obtaining an excellent result. It was necessary the band removal due to an erosion. After this event, the patient had a considerable weight regain. This video presents the performance of a laparoscopic gastric bypass and the difficulties after such a complication.… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
The Use of a Multiple Instrument Guide to Facilitate Lcbde; Report on 119 Cases
Objective: To analyze a large LCBDE experience in a community hospital and determine the efficacy of using a new device, the Multi-channel Instrument Guide (MIG) to achieve safe, practical and effective LCBDE techniques that are applicable to virtually all cases of choledocholithiasis.Methods: All cases of choledocholithiasis that presented to our surgical team were analyzed. An… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
The role of narrow band imaging (NBI) during follow-up after endoscopic polypectomy
Narrow-band imaging is one of the latest technological achievements of the digital endoscopy. The technique is using interference filter to light surfaces in narrow bands of red, green, and blue colour that visualizes the differences in mucosa colouring and enhances contrast between the mucosa surface and submucosa vascular network. The NBI makes easier differentiating between… Continue Reading
The role of minimally invasive surgery in the forward combat hospital
Background: Most penetrating abdominal combat wounds are of high energy, with injury to multiple viscera, and require immediate open abdominal exploration for hemorrhage control. There is interest in advanced surgical systems for use in the forward combat environment, but minimally invasive surgery (MIS) has never been utilized in such setting. The authors hand-carried an MIS… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Minimally Invasive Other
The Paradox of the Pouch: Prompt Emptying Predicts Improved Weight Loss After Laparoscopic Roux-y Gastric Bypass
Introduction: The utility of routine upper gastrointestinal (UGI) evaluations after laparoscopic Roux-Y gastric bypass (LRYGB) has yet to be determined, primarily being used to rule out a gastrojejunal leak. Additional information can be assessed with these studies including the rate of contrast emptying from the pouch; some patients show no or very slow emptying while… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity