A Meta-Analysis of Trials Comparing the Effectiveness of Use of Mesh in Laparoscopic Repair of Paraesophageal Hernias
Katherine G Lamond, MS MD, Miloslawa Stem, MS, Michael A Schweitzer, MD, Kimberley E Steele, MD, Anne O Lidor, MD MPH. Department of Surgery, Johns Hopkins Hospital OBJECTIVE: Hiatal hernias are commonly and safely repaired via a laparoscopic approach, typically with a posterior cruroplasty followed by an anti-reflux operation. Unfortunately, there is a relatively… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
A Modified Access Technique Combining Tapp and Tep to Facilitate Extraperitoneal Inguinal Hernia Repair Using Mini-instruments.
Gustavo L Carvalho, MD PhD, Marcelo P Loureiro, MD PhD, Eduardo A Bonim, MD MSc, Christiano P Claus, MD MSc, Frederico W Silva, MD, Antonio M Cury, MD, Flavio A Fernandes Jr., MD, Adriano C Sales, Student. Oswaldo Cruz University Hospital and UNIPECLIN, Faculty of Medical Sciences, University of Pernambuco - Recife and Positivo University… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
A Modified Buess Rectoscope for TEM
Objective of the technology. TEM (Transanal Endoscopic Microsurgery) is a minimally invasive endoscopic technique, which offers excellent access and visualization of the surgical field, improving the quality of local excision for rectal lesions with full-thickness excision of the rectal wall. We have modified the Buess rectoscope in order to improve the quality and versatility of… Continue Reading
A New Device for the Assessment of Minimally Invasive Surgical Performance – the Validity of Sequitor.
ObjectiveSeveral methods are currently used in the assessment of surgical performance. The majority depends on repeated expert review of an observed procedure. Sequitor allows identification of skilled motor behaviour using quantitative objective measures to provide additional performance characteristics, which may be advantageous during the acquisition of minimally invasive surgical skills. Description and MethodsA customized, novel… Continue Reading
A New Innovative Technique to Preserve Gallbladder for the Polypoid Lesions of the Gallbladder
Zhen-ling Ji, MD PhD. Department of General Surgery, Zhongda Hospital, Southeast Univerisity Medical College, Nanjing, China AbstractAIM: Gallbladder polyps are frequently discovered in recent year. If polyps are benign, and the gallbladder has a good function, it is not an absolute indication for cholecystectomy. For this reason percutaneous cholecystoscopic polypectomy of the gallbladder polyps… Continue Reading
A New Procedure of Esophagostomy for Endoscopic Surgeons
Hideto Oishi, MD PhD, Mina Miyashita, MD PhD, Takayuki Iino, MD, Takao Yamane, MD, Eiichi Hirai, MD PhD, Shingo Kameoka, MD PhD. Division of Gastroenterological Surgery, Yachiyo Medical Center, Tokyo Women's Medical University Introduction and objective;This is the first case report of a new remodeling procedure of percutaneous trans-esophageal gastro-tubing (PTEG) for endoscopic surgeons… Continue Reading
A New Robotic System for Single-incision Laparoscopic Surgery: Preliminary Experience
Introduction: The concept of single access procedures has gained a greater attention of general surgeons over the last four years. Despite such a wide momentum, these procedures pose several changes for the operating surgeon, such as impaired eye-hand coordination and restricted manipulation. In this context, robotic-assisted surgery represents a growing discipline designed to enhance the… Continue Reading
A Novel Anvil Grasper \”eagle\” Is Useful for Laparoscopic Intra-corporeal Circular Stapled Anastomosis
Yuen Nakase, MD PhD, Tsuyoshi Takagi, MD PhD, Kanehisa Fukumoto, MD PhD, Takuya Miyagaki, MD PhD. Department of Surgery, Nishijin Hospital, Kyoto, Japan 1. Objective of the Device: Traditional anvil graspers have a uniquely shaped jaw that enhances grip force. They grasp the anvil stem perfectly. Therefore the anvil head cannot be maneuvered delicately… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
A Novel Approach for Conversion of Roux-en-Y Gastric Bypass to Biliopancreatic Diversion With Duodenal Switch
Philippe Topart, MD, Guillaume Becouarn, MD, Carine Phocas, RN. Societe de Chirurgie Viscerale, Clinique de l'Anjou, Angers, FRANCE Objectives- Roux-en-Y gastric bypass (RYGB) is now one of the most used bariatric procedures. Although an efficient one, weight regain appears to be frequent and in approximately 20% of the cases will eventually lead to poor weight loss… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
A Novel Approach to Wound Healing and Hernia Prevention Following Laparoscopically Assisted Levator-cuff Abdominoperineal Resection (apr) of the Rectum
Christopher Wright, Mr, Matthew Tutton, Mr. Department of Colorectal Surgery, Colchester General Hospital Introduction This is the first description of primary use of biological mesh for both pelvic floor and parastomal region during APR. Poor perineal wound healing and parastomal hernias following abdominoperineal resection (APR) causes significant morbidity. The risk of parastomal hernias is… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
A Novel Biologic Mesh As Reinforcement of Hiatal Closure During Laparoscopic Paraesophageal Hernia Repair
Eelco B Wassenaar, MD PhD, Carlos A Pellegrini, MD, Brant K Oelschlager, MD. University of Washington INTRODUCTIONPrimary laparoscopic paraesophageal hernia repair (LPEHR) is associated with a very high recurrent hernia rate. Biologic mesh has been shown to reduce (but not eliminate) this recurrence rate in the short run (6 months) but its durability is… Continue Reading
A Novel Combined Endoscopic and Surgical Approach to Retrieve a Retained Foreign Body Causing a Rectovaginal Fistula
Faris M Murad, MD, Steven R Hunt, MD. Washington University in St. Louis A 45 year old obese female with menorrhagia undergoes robotic hysterectomy. The patient has a previous history of cellulitis after a C-section. During the operation, a piece of the bowel grasper was noted to be missing. The surgeons spent 2 hours searching… Continue Reading
- Topic:
- Endolumenal / NOTES
A Novel Flexible Over-tube for Advanced Endoscopic Intervention Under Stabilized Visualization With Adjustable Tissue Traction
Background: Advanced endoscopic interventions such as endoscopic submucosal dissection (ESD), full thickness resection, and ultimately NOTES, have yet to be clinically disseminated, mainly due to technical challenges in optimizing endoscopic visualization and tissue traction. A simple over-tube, compatible with current flexible GI endoscopes and instruments, has been newly developed to improve visualization and tissue traction.The… Continue Reading
A Novel Procedure for Introducing a Large Gauze Into the Corporeal Cavity With a Slim Trocar (tornado Procedure)
1. Objective of the technology: An intracorporeal gauze is used during laparoscopic procedures for hemostasis, blunt dissection, suction filtering, and organ retraction. The current laparoscopic technique involves an advanced, single-incision surgery or reduced port surgery that can be performed for certain organs. Small trocars are used during such surgeries. In such procedures, the gauze is… Continue Reading
A Novel Use of Flexible Wallstent in J Pouch Anastomotic Stricture
Amalia Stefanou, MD, John Park, MD, Slawomir Marecik, MD, Leela Prasad, MD. Advocate Lutheran General Hospital, University of Illinois Chicago Hospital, Cook County Hospital Objective We present a novel use of flexible stent for the treatment of small bowel stricture in a patient with inflammatory bowel disease. While the use of stents has been… Continue Reading
- Type:
- Posters