Day Case Laparoscopic Surgery: How Can We Improve ?
INTRODUCTION: The Irish Health Service Reform (DOH&C 2003) focuses on financial, professional and organizational accountability and responsibility. Utilizing more cost effective Day surgery therefore makes for prudent financial management. In the USA and Canada, day surgery accounts for nearly 90% of all surgery performed (Castoro et al. 2007) however in Ireland fewer than 30% of… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Deflectable Tip Laparoscope Decreases Operation Time and Blood Loss During Single Incision Laparoscopic Cholecystectomy.
Background: New endoscopic technologies are revolutionizing laparoscopic surgery. Single incision laparoscopic surgery (SILS) is an emerging approach to many abdominal surgeries, but is still in need of improved technology to become more efficient. A 5 mm flexible tip laparoscope may help to meet the surgeons’ viewing needs and prevent collision of instruments during SILS. The… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Development of a New Surgical Procedure, Two-step Total Laparoscopic Hysterectomy Combined Myomectomy(ttlh-cm), for Difficult Cases of Lh
(objective)When performing laparoscopic hysterectomy (LH) for benign uterine tumors, we currently employ two-step laparoscopic hysterectomy (LTSH), a two-step procedure in which the cervix is removed after amputation of the uterine body. We have already reported on the usefulness of this procedure at conferences of the Society. We conducted an analysis to determine the factors that… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Development of New Methods and Devices for Forming Minimally Invasive Anastomoses – Towards a Compression Enteral Anastomosis with Immediate Drainage
INTRODUCTION Minimally invasive surgery has allowed less abdominal wall trauma, but anastomoses are completed in a fashion similar to open surgery with staplers. Disadvantages to stapled anastomoses include requiring large port sites and large enterotomies for passage of staplers. An alternative is a compression anastomosis created by applying a constant pressure between adjacent bowel limbs… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Diagnostic Efficacy of Laparoscopic Biopsy for Intra-Abdominal Lymphadenopathy
IntroductionIsolatedintra-abdominal lymphadenopathy identified radiologically may be an incidental finding or discovered during a staging workup for a lymphoproliferative disorder. A pathological diagnosis requires tissue obtained either percutaneously or surgically. We hypothesize that laparoscopic lymph node biopsy is a safe and effective diagnostic procedure for solitary intra-abdominal lymphadenopathy. Methods All patients undergoing laparoscopic biopsy for CT-identified… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Diagnostic Laparoscopy Is Helpful in Peritoneal Dialysis Patients with Acute Scrotal Edema
Introduction: Acute scrotal edema is an infrequent but well-known complication in patients on continuous ambulatory peritoneal dialysis (CAPD), occurring in 4-10% of patients. It happens from peritoneal tears, leaks around the catheter or most commonly from an inguinal hernia or patent processus vaginalis. Due to the subclinical nature of these hernias, diagnosis is difficult. A… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Disparities in Access to Basic Laparoscopic Surgery At US Academic Centers
Background: Laparoscopy is the standard approach for basic gastrointestinal procedures such appendectomy and cholecystectomy. We determined the disparities in access to basic laparoscopic surgeryat U.S. academiccenters. Methods: A retrospective analysis of a large administrative, clinical, and financial database (University Health System Consortium) of US Academic Medical Centers was conducted.Using appropriate ICD-9-CM procedure codes and diagnosis… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Minimally Invasive Other
Does Speed Matter? the Impact of Operative Time on Outcomes in Laparoscopic Surgery
INTRODUCTION: Controversy exists over the importance of operative time on patient outcomes. It is unclear whether faster is better or haste makes waste or similarly whether slower procedures represent a safe meticulous approach or inexperienced dawdling. The objective of the present study was to determine the effect of operative time on 30-day outcomes in laparoscopic… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Minimally Invasive Other
Endocrine Comorbidities and Laparoscopic Surgery for Adrenal Pathology – Our Experience
The minimally invasive technique has radically changed adrenal surgery since this type of procedure became the gold standard treatment for this pathology but comorbidities still define various limits for this type of surgery. Method: In the past 6 years in General Surgery Department of Emergency Hospital Bucharest Romania over 150 laparoscopic adrenalectomies were performed, 21… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Endoscopic Management of Post Traumatic Hepatic Artery Aneurysm
Abstract : Post traumatic hepatic artery aneurysm is a rare cause of hemobilia especially in pediatric age group. A case of post traumatic hepatic artery aneurysm managed successfully by selective hepatic artery embolisation is reported. Case Summary: A 5 year old boy had history of fall while trying to ride the school bus. USG revealed… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Finding of Branches of the Recurrent Laryngeal Nerve in Endoscopic Thyroidectomy
Introduction: Recurrent laryngeal nerve palsy is a major obstacle in thyroid surgery. One promising way to ensure the integrity of the recurrent laryngeal nerve is to identify the nerve always. In endoscopic thyroidectomy, endoscopic magnified view allows us to identify the recurrent laryngeal nerve clearly. However, we should know that the finding of branches of… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
First Experience of Single Port Accessory Splenectomy in Patient with Autoimmune Hemolytic Anemia.
Laparoscopic splenectomy is widely accepted as a preferred surgical technique. Single port laparoscopic surgery further improves cosmesis, pain control and recovery compared to standard multi-port laparoscopy. We report on a single port accessory splenectomy in patient with symptomatic recurrence of autoimmune hemolytic anemia after prior splenectomy more that 30 years ago. Patient was maintained on… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Gallbladder Volvulus: Case Report and Review of the Literature
Gallbladder volvulus is a rare but well recognized entity with approximately 300 cases documented in the literature since 1898. Eighty-five percent of cases occur in the elderly with three times as many women being affected. It is characterized by a generous peritoneal investment of the gallbladder and long, tortuous cystic duct which allows for the… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Minimally Invasive Other
Geriatric Surgery: Impact of Age on the Operative Decision in Gallstone Disease
Introduction: Elderly patients with gallstone disease often present and are treated differently than their younger counterparts. We hypothesize that these differences also exist within age subgroups of elderly patients. The purpose of this study is to evaluate the relationship between age and disease severity and management of gallstone disease, and to identify the predictors of… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Minimally Invasive Other
Hybrid Needlescopic – SILS Cholecystectomy Vs Laparoscopic Cholecystectomy: A Preliminary Comparison in Acute Cholecystitis
Background: Pure SILS has been associated with limited traction, instrument clashing and suboptimal exposure of the critical view especially in difficult cases of acute cholecystitis. This may lead to increased operative time, compromised safety and higher complication rate. We therefore applied needlescopic instruments during SILS to improve gallbladder traction and exposure. We compare this new… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other