A Novel Technique for Biomaterial Repair of Hiatal Hernias
Objective: Established recurrence rates after primary hiatal hernia repair are between 9 and 27%. Lightweight prosthetic mesh reinforcement is effective in reducing recurrence but carries the risk of esophageal erosion. Bioprosthetics may reduce recurrence rates but can be cumbersome to secure into position. We describe a technique to place GORE™ BIO-A™ tissue reinforcement that is… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
A Novel Technique for Laparoscopic Placement of Lumboperitoneal Shunts
Background: Lumboperitoneal (LP) shunts are effective in the treatment of intracranial hypertension but have traditionally been placed utilizing an open technique. This technique has been associated with migration of distal LP shunt catheters and can be especially difficult in the high proportion of obese patients, requiring a larger incision with greater associated morbidity and postoperative… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
A Pain in the Neck! the Relationship of Video Monitors to Surgeon’s Stress
Introduction: Surgeon-technology interfaces are a vital factor contributing to ergonomic risk. The display monitor is one such interface associated with physical eye and neck symptoms experienced by laparoscopic surgeons. The development of new technologies has permitted the traditional CRT display stationed on an instrument cart to be replaced by LCD system located on a boom.… Continue Reading
- Type:
- Posters
A Rigid Access Port for Transumbilical Surgery
Introduction: Several authors have reported laparoscopic procedures conducted through an umbilical incision, with the intention of further reducing trauma, hospitalization and recovery time compared to conventional laparoscopy. At least two access ports for such surgery are now available commercially, but developmental questions regarding the optimal design for this approach remain unanswered.Methods and Procedures: The authors’… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
A Simple and Efficient Technique for Natural Orifice Translumenal Endoscopic Surgery (notes) Gastrotomy Closure Utilizing Endoscopic Clips and Loops Facilitated By Temporary Transfascial Sutures
Background: A current limitation in utilizing the stomach as a primary point of access for NOTES is the availability and reliability of the closure devices. The majority of devices described in recent reports are at an investigative or prototype only stage. Here we describe a reliable closure technique using readily available on-shelf endoscopic tools with… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
A Tertiary Centre Experience in Laparoscopic Repair of Primay and Recurrent Hiatus Hernia in 1125 Cases
Title: Laparoscopic anti-reflux surgery for primary and recurrent hiatus hernia in a tertiary referral centre in 1125 casesMethod: Retrospective analysis of laparoscopic antireflux surgery performed under one consultant in an Upper GI tertiary referral centre. Referral pattern, learning curve, specialist training and late outcomes were analysed for all anti-reflux surgery from January 1996 to December… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Abdominal Hernias: Can We Determine Defect Size?
Introduction: To analyze ability to accurately determine abdominal wall hernia defect size by pre-operative versus intra-operative examinations. With the continuous growing number of abdominal hernias, more practicing surgeons are beginning to practice laparoscopic repair. The hernia defect is an important aspect of the surgery including mesh sizing for repair and operative planning that is needed… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Accessing the Gastric Remnant After Roux-en-Y Gastric Bypass
INTRODUCTION: A minimally invasive method for accessing the gastric remnant to intervene on the biliary and pancreatic system after Roux-en-Y gastric bypass (RYGB) has not been well described. This is a retrospective review describing two surgeons’ complete experience with laparoscopic trans-gastric (LaTG) ERCP for biliary and pancreatic duct management.METHODS AND PROCEDURES: Twelve patients underwent LaTG-ERCP.… Continue Reading
- Type:
- Posters
Accuracy of Colonoscopic Visualization
Introduction: The objective of this study is to evaluate the accuracy of pre-operative colonoscopic localization of colonic lesions. Localization of the colonic lesion plays a key role in determining the type of operation a patient may require. Inaccurate localization may result in removal of the wrong segment of colon and/or a change in the operation… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Accuracy of Preoperative Assessment and Clinical Outcome of T1 Colorectal Cancer
[Backgrounds] Since the first case of colon cancer surgery was reported, a laparoscopic treatment for colorectal cancer has become rapidly popular. A T1 colorectal cancer is thought to be a good indication for laparoscopic procedures because of the low risk of recurrence. However, since the lymph node metastasis rate of T1 colorectal cancer is around… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Accuracy of the Endoflip™ Functional Lumen Imaging Probe
Objective: Impedance Planimery has been demonstrated as a useful technique for assessing the cross sectional area of hollow lumens in the gastrointestinal tract. EndoFLIP™ represents the first commercial implementation of this technique, and provides cross sectional area/diameter measurements at mutiple points along the tract simultaneously. This study presents the first accuracy evaluation of the EndoFLIP™… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Achalasia Complicated By Epiphrenic Diverticulum Is Well Treated By Laparoscopic Diverticulectomy, Heller Myotomy, and Anterior Fundoplication
Introduction: An epiphrenic esophageal diverticulum is a consequence of severe long-standing achalasia and can further exacerbate the symptoms of achalasia. This study was undertaken to determine the operative complications and long-term outcomes after laparoscopic diverticulectomy, Heller myotomy, and anterior fundoplication for achalasia complicated by epiphrenic diverticulum. Methods: Of 440 laparoscopic Heller myotomies, 25 patients have… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Actinomycotic Meckel’s Diverticulitis – a Case Study and Review of Literature
Introduction: Actinomycosis is a rare inflammatory disease caused by anaerobic bacterium that can affect the abdomen, chest and neck. Meckel’s diverticulum is the most common congenital abnormality of the gastro intestinal tract. We present a rare case of Meckel’s diverticulitis due to actinomycosis and review of literature. Methods: 37 yr old diabetic lady presented with… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Adiponectin and Leptin in the Bariatric Patient
Background: Through relatively unknown mechanisms, bariatric surgery can resolve type 2 diabetes in morbidly obese patients. Potentially, pre- and post-operative changes in adiponectin and leptin expression are involved in this process. This study attempts to identify differences in gene expression in diabetic and non-diabetic patients undergoing bariatric surgery with regards to adiponectin and leptin. Methods:… Continue Reading
- Type:
- Posters
- Topic:
- Basic Science
Advances in Virtual Reality Fls (fundamentals of Laparoscopic Skills)
Objectives: The aim of our study was to evaluate the face and construct validity of VBLaST (Virtual Basic Laparoscopic Skills Trainer), a virtual reality simulator version of Fundamentals of Laparoscopic Surgery (FLS). Methods: 31 subjects were categorized into 2 groups: 14 experts (PGY 5/fellows/faculty) & 17 novices (PGY 1-4). Subjects were randomized to perform 3… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation