Recommended Timing for Surveillance Ultrasonagraphy to Diagnose Portal Vein Thrombosis After Laparoscopic Splenectomy
Introduction: Symptomatic portal or splenic vein thrombosis (PSVT) is a rare but potentially lethal complication of laparoscopic splenectomy (LS). Routine postoperative duplex ultrasound surveillance of asymptomatic patients can be used for early detection. The optimal timing for surveillance ultrasonography is unknown. The aim of this study was to estimate the incidence and progression of asymptomatic… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Outcomes and Quality
The Impact of Body Mass Index (bmi) and Intraperitoneal Fat Tissue on Laparoscopy Assisted Gastrectomy for Gastric Cancer
Introduction) After adopting preoperative assessment of the perigastric vessels using 3D-CT and standardization of the procedures, obesity still influences smooth laparoscopy assisted gastrectomy (LAG). We evaluated the impact of body mass index (BMI) and area of intraperitoneal fat tissue on the risks of LAG.Patients and methods) The 51 patients who performed LAG for gastric cancer… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Complications of the Mini-gastric Bypass: 10 Years Experience
The Mini-Gastric Bypass (MGB) is increasingly being adopted in countries around the world (England, France, Spain, Turkey, Lebanon, India, Australia, Taiwan, Columbia etc.) The purpose of this study is to report on the world's largest experience with the MGB and complications that can be expected following the MGB. Methods: Complications in over 4,584 patients followed… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Early Re-exploration Following Incisional Hernia with Biologic Graft
Introduction:Biologic grafts have been used for the repair of complex abdominal wall defects. Although much is known about the remodeling process, their propensity to form adhesions in humans has not been well studied yet. We present a case of early re-exploration after a complex incisional hernia repaired with bovine pericardium graft.Methods:A 61 year-old man with… Continue Reading
- Topic:
- Outcomes and Quality
5 Year National Audit of Bile Duct Injuries Following Laparoscopic Cholecystectomy
Introduction: Our aim was to determine the number of bile duct injuries requiring biliary reconstruction after laparoscopic cholecystectomy in England over a 5 year period, and to investigate factors associated with increased risk of bile duct injury. Methods: Hospital Episode Statistics (HES) Data were obtained from the UK Department of Health for a 5 year… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Laparoscopic Telementoring on a Shoestring Budget: Leveraging Free and Ubiquitous Technologies to Improve Surgical Patient Safety
Existing methods for remote guidance or mentoring of laparoscopic procedures is resource and capital intensive. With the intention of establishing a practical and cost-effective method of providing remote intraoperative consultation, we describe the design and operation of a highly versatile telecommunications system for the purpose of mentoring clinicians while improving patient safety. We wanted to… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Outcomes and Quality
Laparoscopic Management of Gastrogastric Fistulas Resulting From Open Undivided Gastric Bypass
Introduction: Before the era of laparoscopic gastric bypass, many bariatric surgeons performed open undivided gastric bypasses(OUGB). The inherent issue with not dividing the stomach is that these patients are prone to staple line failure and gastrogastric fistula formation. Gastrogastric fistulas can lead to reflux, pain, marginal ulceration of the gastrojejunostomy, and weight regain. Any of… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Laparoscopic Appendectomy for Acute Appendicitis Does Not Carry a Higher Risk of Postoperative Complications
Following a number of readmissions after laparoscopic appendectomy,we reviewed the procedures performed for acute appendicitis over 1 year. Excluding 64 cases of peritonitis, 237 emergency appendectomies were performed by a group of surgical associates at a single institution between August 2007 and August 2008. The procedure of choice was laparoscopy performed using 3 ports in… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Small Bowel Obstruction in a Postpartum Female Following Laparoscopic Roux-en-Y Gastric Bypass: A Case Report
Laparoscopic Roux-en-Y gastric bypass (LRYGB) is the most common bariatric surgical procedure performed in the United States. Small bowel obstruction following LRYGB is a common complication often caused by adhesions, internal hernias, or obstruction at the gastrojejunal or jejuno-jejunal anastomosis.We present a case report of a 38 year old Caucasian female, 36 week gestation, who… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Portal Vein Thrombosis After Laparoscopic Splenectomy for Massive Splenomegaly
Background Laparoscopic splenectomy has become the surgical procedure of choice in the therapy of various hematologic diseases. Portal vein thrombosis (PVT) is a well known complication of splenectomy, but the true incidence is not well established with several reports of up to 50% incidence. Massive splenomegaly is considered a risk factor for developing post operative… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality