Laparoscopic Reduction of Paraduodenal Hernia in Adults
A Bernshteyn, I Fendrich, M Gianos, S Szomstein, R J Rosenthal. Cleveland Clinic Florida Background: Paraduodenal hernias in adults are rare. We present a case that underwent reduction via laparoscopy.Methods: A 39 year old male with new onset of severe abdominal pain presented to the ER with clinical signs and symptoms of bowel obstruction. The… Continue Reading
- Topic:
- Abdominal Wall Hernias
Laparoscopic Resection of Ge Junction Due to Stricture Post Hiatal Hernia Repair with Circumferential Biologic Mesh
A Bernshteyn, I Fendrich, S Szomstein, R J Rosenthal. Cleveland Clinic Florida Background: Esophageal strictures after repair of hiatal hernias with mesh are a rare but devastating complication. We present the case of a patient that developed a mesh erosion and distal esophageal stricture requiring laparoscopic resection of the GE junction Methods: A 70 year… Continue Reading
- Topic:
- Abdominal Wall Hernias
Laparoscopic Resection of a Pelvic Schwannoma with Intraoperative Electromyography Monitoring
I.Emre Gorgun, MD, Philip , Paty, MD, Mark Bilsky, MD. Memorial Sloan-Kettering Cancer Center Symptomatic neural tumors arising in the pelvis generally require large incisions and intraoperative electromyographic (EMG) monitoring for safe removal by laparotomy. Here we report laparoscopic removal of a 6cm schwannoma arising from the right S2 nerve root in a 40-year-old woman.… Continue Reading
- Topic:
- Colorectal
Transanal Specimen Retrieval Using the TEM System in Minimally Invasive Colon Resection
Konstantinos I Makris, MD, Erwin Rieder, MD, Andrew Kastenmeier, MD, Lee L Swanstrom, MD. Legacy Health The use of the TEM (Transanal Endoscopic Microsurgery) rectoscope facilitates the transanal removal of the specimen in minimally invasive colon resection. It allows gentle dilation of the anus, provides stability during the extraction and protects the edges of the… Continue Reading
- Topic:
- Colorectal
Laparoscopic Repair of a Penetrating Colonic Injury
Stan T Smith, MD, Cyrus A Kotwall, MD, Thomas V Clancy, MD, William W Hope, MD. New Hanover Regional Medical Center The role of laparoscopy for trauma, both diagnostic and therapeutic, continues to evolve. The safety and efficacy of laparoscopy in select trauma patients has been well described but its use has often been relegated… Continue Reading
- Topic:
- Colorectal
The Lateral Ligament of the Rectum: A Myth Or a Reality?
Joel Leroy, MD FRCS, Federico Costantino, MD, James Wu, MD, Jacques Marescaux, MD FACS FRCS. IRCAD-EITS, Department of Digestive and Endocrine Surgery, University Hospital of Strasbourg, France Introduction : The recent developments of 3-chip HD video laparoscopic cameras help the surgeon to have a better knowledge of the anatomy. Materials and Methods: In this movie,… Continue Reading
- Topic:
- Colorectal
Laparoscopic Transvaginal Right Colectomy with a Novel Vaginal Access Port
Andrew D Prather, MD, Manoel G Neto, MD, Almino Ramos, MD, Ricardo Zorron, MD, James J Mateka, Jorge E Marcet, MD. University of South Florida College of Medicine This video demonstrates a laparoscopic transvaginal right colectomy via novel transvaginal access port in a cadaveric model. There is increasing interest in transvaginal access into the peritoneal… Continue Reading
- Topic:
- Colorectal
Laparoscopic Sigmoid Colectomy with Transvaginal Specimen Extraction
Joshua A Waters, MD, Michael J Guzman, MD, Andrea L Jester, MD, Don J Selzer, MD, Bruce W Robb, MD, Virgilio V George, MD. Indiana University Department of Surgery INTRODUCTION: Laparoscopic colectomy has been widely adopted as an acceptable approach for both benign and malignant lesions of the sigmoid colon. A major limitation to reducing… Continue Reading
- Topic:
- Colorectal
New Method of Mobilization of Omentum and Splenic Flexure in Laparoscopic Sigmoidectomy: with the Transenterix Spider
Junjun Ma, MD, Parul J Shukla, MD FRCS, Raghava S Pavoor, MD, Yuko Tonohira, Jeffrey W Milsom, MD FACS. Division of Colon & Rectal Surgery, New York Presbyterian Hospital & Weill Cornell Medical College Introduction Mobilization of omentum and splenic flexure during laparoscopic sigmoidectomy remains a technically challenging step. TransEnterix SPIDER device is a new… Continue Reading
- Topic:
- Colorectal
Techniques for Complete Total Mesorectal Excision in Laparoscopic Low Anterior Resection: the Importance of Identifying Visceral Pelvic Fascia and Neurovascular Bundle
Ziqiang wang, Ziqiang wang, YuanChuan Zhang, YuanChuan Zhang, Zhongguang Zhou, Zhongguang Zhou. department of gastrointestinal and colorectal surgery, West China hospital, Due to better local control and survival provided by total mesorectal excision (TME) for treatment of rectal cancer, TME has wildly been accepted as the gold standard for surgery of middle or low rectal… Continue Reading
- Topic:
- Colorectal
Transanal, Video-Assisted Surgery (TAVAS) Utilizing a SILS™ Port for the Treatment of Complications Following Sigmoid Colon Resection and EEA Anastomosis
Patrick R Reardon, MD, Brian J Dunkin, MD, Eric M Haas, MD, Joanne Chung, MD, Vadim Sherman, MD, Vega Koss, MD, Luis Benavente-Chenals, MD. The Methodist Hospital Department of Surgery Methodist Institute for Technology, Innovation, and Education Houston, Texas 77030 Background Sigmoid diverticulosis with recurring sigmoid diverticulitis is a common disease entity likely to be… Continue Reading
- Topic:
- Colorectal
Laparoscopic Subtotal Colectomy with Transrectal Extraction of the Whole Colon and Ileorectal Anastomosis
Mark A Dobbertien, DO FACS, Ziad T Awad, MD FRCSI FACS, Michael Nussbaum, MD FACS, Sunil Sharma, MD. University of Florida College of Medicine at Jacksonville, Department of Surgery, Minimally Invasive Surgery Division The video presented is of a 22 year old female with multiple sclerosis and colonic inertia and biliary dyskinesia who underwent a… Continue Reading
- Topic:
- Colorectal
Single Incision Laparoscopic Total Abdominal Colectomy for Refractory Ulcerative Colitis
Alessandro Fichera, MD, Marco Zoccali, MD, Roberto Gullo, MD. Departement of Surgery - University of Chicago Medical Center - Chicago, IL Total abdominal colectomy (TAC) with ileal pouch-anal anastomosis (IPAA) is the intervention of choice for patients with medically uncontrolled ulcerative colitis (UC) and in debilitated patients it is our practice to offer a staged… Continue Reading
- Topic:
- Colorectal
Single Incision Laparoscopic Total Proctocolectomy with Ileal Pouch Anal Anastomosis Reconstruction
Michael J Guzman, MD, Joshua A Waters, MD, Andrea L Jester, MD, Don J Selzer, MD, Bruce W Robb, MD, Virgilio V George, MD. Indiana University School of Medicine Our video demonstrates a single incision laparoscopic total proctocolectomy with ileal pouch anal anastomosis via the ileostomy site. It was performed using all standard laparoscopic instrumentation… Continue Reading
- Topic:
- Colorectal
Single Incision Laparoscopic Rectosigmoid Resection and Rectopexy for Rectal Prolapse
Noelle L Bertelson, MD, Alexandre Bouchard, MD, Tonia Young-Fadok, MD MS. Mayo Clinic Arizona Introduction: Laparoscopic rectosigmoid resection with rectopexy has become our procedure of choice for rectal prolapse as it minimizes the morbidity of an abdominal procedure for a benign problem. The conventional laparoscopic approach requires an extraction site as well as 3 additional… Continue Reading
- Topic:
- Colorectal