Laparoscopic Median Arcuate Ligament Release for Celiac Artery Decompression
Median arcuate ligament syndrome is a rare cause of abdominal pain that results from the celiac artery being narrowed by the insertion of the muscle fibers of the diaphragm or fibrous bands of the celiac nerve plexus. Patients typically have symptoms of weight loss, postprandial abdominal pain, and nausea or vomiting. Operative management, laparoscopic or… Continue Reading
- Topic:
- Minimally Invasive Other
Laparoscopic Nissen Fundoplication: It’s Role in the Treatment of a Failed Esophyx Procedure
This is a 52 year old male, 9/11 responder who developed GERD and respiratory related issues from 9/11. He had a NDO plicator in 2006 with no effect, and an Esophex in November, 2008. This was complicated by abdominal pain, free air, and mediastinal air. He was treated conservatively and eventually responded over one week… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Paraesophageal Hernia Repair with Biosynthetic Mesh and Collis Gastroplasty
Surgical treatment of paraesophageal hernias has changed significantly in the last decade. Laparoscopy has decrease the risk associated with open surgery and today a larger number of high risk cases are being performed. The minimally invasive surgeon is faced with many challenges and controversies during these procedures. One of the major issues is recognition of… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Repair of a Duodenal Atresia and Ladd’s Procedure in a Neonate
Purpose: To demonstrate current refinements of technique in performing a duodenal anastomosis in a neonate with duodenal atresia. Methods: A 33 week premature infant with a prenatal diagnosis of Duodenal atresia was explored laparoscopically on day two of life for repair. The patients weight was 2 Kg. Two 3mm ports and one 4mm port were… Continue Reading
- Topic:
- Minimally Invasive Other
Laparoscopic Repair of Acutely Incarcerated Paraesophageal Hernia
This is an 80 year old male who presented with acute incarceration of a known paraesophageal hernia. He was reduced by emergency endoscopy. The past history is significant for hypothyroidism and GERD, long standing. The video demostrates the amount of stomach that can necrose if this emergent condition is not operated quickly. The edema in… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Repair of Bochdalek Hernia
Bochdalek hernia develops from mal-development in the fusion of the cephalic fold of the pleuroperitoneal membrane. It was first described by Bochdalek in 1848. It is most frequently diagnosed in neonates or children, while its presence in adult is rare. Perforation or necrosis of the involved organ is a feared complication and surgical repair constitutes… Continue Reading
- Topic:
- Abdominal Wall Hernias
Laparoscopic Repair of Traumatic Flank Hernia
Introduction: Traumatic flank hernias are caused by a blunt abdominal trauma with resultant detachment of the oblique musculofascial complex at the iliac crest and/or costal margin. Given such proximity to the bony structures and essential absence of the healthy fascia to anchor the mesh, traumatic flank hernias represent a challenging surgical problem. Although laparoscopic repair… Continue Reading
- Topic:
- Abdominal Wall Hernias
Laparoscopic Resection of a Presacral Schwannoma.
Background:Benign shwannomas are tumors arising from the neural sheath of peripheral nerves (schwannoma cells).The Schwannoma is the most common benign retroperitoneal tumor in adults. Few cases have been reported in the presacral space. Complete resection is treatment of choice for these tumors. To our knowledge not many reports describe the laparoscopic approach for resection of… Continue Reading
- Topic:
- Metabolic / Obesity
Laparoscopic Resection of an Occluded Roux Limb
LAPAROSCOPICRESECTIONOF AN OCCLUDEDROUXLIMB Allocco, Frances MD; Reardon, Patrick MD; Dunkin, Brian MD; Saad, Mohamed MD The purpose of of our video is to present a patient who had a laparoscopic roux-en-Y gastric bypass, who years later developed occlusion of her roux limb. This is demonstrated endoscopically and was repaired laparoscopically. The patient is a 38… Continue Reading
- Topic:
- Metabolic / Obesity
Laparoscopic Sleeve Gastrectomy As a Treatment Option for Acute Gastric Fundus Necrosis After Laparoscopic Redo Paraesophageal Hernia Repair and Slipped Redo Nissen Fundoplication
Introduction: This video illustrates the use of laparoscopic techniques to resolve an acute gastric fundus necrosis after laparoscopic redo Paraesophageal Hernia Repair (PHR) and redo Nissen Fundoplication (NF) for a slipped NF. Case Report: A sixty six-year-old female 24 hours status post a redo procedure for recurrent paraesophageal hernia with slipped NF and high-grade dysphagia,… Continue Reading
- Topic:
- Metabolic / Obesity
Laparoscopic Splen-pancreatectomy, for Mucinous Pancreatic-cyst
BACKGROUND: Among pancreatic cysts, mucinous cystadenoma, and intraductal papillary mucinous neoplasms have the potential for malignant transformation. Differentiation between benign and potentially malignant cysts remains difficult at the preoperative time. Majority of these tumors must be resected and the laparoscopic approach is nowadays a valid option. OBJECTIVE of this presentation was to show in a… Continue Reading
- Topic:
- HPB
Laparoscopic Treatment of Rectocele By Anterior Rectopexy
The patient is a 53 yo F with stage III symptomatic rectocele. 1. Installation/ PositioningThe patient is in gynecological position. We used 4 trocars. 2. Exposure to/of the operative fieldThanks to a pronounced Trendelenburg position the sigmoid loop is retracted appropriately. The uterus is fixed on the anterior abdominal wall.Findings: Douglas pouch is enlarged. Excces… Continue Reading
- Topic:
- Colorectal
NOTES-Assisted Trasvaginal Splenectomy: The Next Step for the Minimal Invasive Approach to the Spleen
Laparoscopic splenectomy (LS) is the gold standard for treatment of normal-medium sized spleens, but spleen morcellation and removal requires an enlargement of the wound port, specially for extraction of the intact spleen. Transvaginal extraction of the resected spleen was described in early 90’, but rarely used, and it didn’t avoid the use of multiple large… Continue Reading
- Topic:
- Endolumenal / NOTES
Pneumoretroperitoneum: An Alternative Approach for Completion Adrenalectomy in a Hostile Abdomen
A 43-year-old woman developed morning headaches, sweating, palpitations and uncontrolled hypertension for 12 months. She was known to have Von Hippel-Lindau and had previously had a left adrenalectomy in 1995 (open anterior approach) and a partial right adrenalectomy in 2000 (open lateral approach). She required an exploratory laparotomy in 1991 for a gunshot wound to… Continue Reading
- Topic:
- Minimally Invasive Other
Reconstruction of the Anterior Abdominal Wall with Bilateral Endoscopic Component Separation, Laparoscopic Assisted Medialization of the Rectus and Laparoscopic Mesh Placement
Introduction:Standard laparoscopic repair of a large midline ventral hernia with mesh is frequently associated with seroma formation. In addition the rectus muscles cannot be medialized in large defects, thereby potentially leading to a less functional abdominal wall. We present a novel approach of repairing the midline abdominal wall defect while repairing the hernia laparoscopically with… Continue Reading
- Topic:
- Abdominal Wall Hernias