TEP repair for inguinal hernia under CSEA vs GA: A RCT
Naveen Sharma, Amit K Kundu, Medha Mohta. UCMS Delhi Introduction: Totally extraperitoneal repair (TEP) for inguinal hernia is usually performed under general anaesthesia (GA). Some reports have considered TEP to be feasible under locoregional anaesthesia.This study compared ease of surgery of performing TEP under GA versus combined spinal and epidural anaesthesia (CSEA). Objectives: To compare… Continue Reading
- Topic:
- Basic Science
Spontaneous perforation of jejunal GIST: Rare presentation of the rare tumor in a rural hospital
Sharvani Kanakraddi, Ajit Kanakraddi. venkatesh Hospital Introduction: GISTs are rare group of tumors originating from interstitial Cajal cells of digestive tract. They account for 0.1–3% of all gastrointestinal tumors and have a frequency of10- 20/1,000,000 population; they were previously identified as leiomyomas, leiomyosarcomas or leiomyoblastomas; and now are reclassified on immunohistochemical features, with a positive expression of… Continue Reading
- Topic:
- Basic Science
A novel methodology for in vivo endoscopic phenotyping of colorectal cancer based on real time analysis of the mucosal lipidome: A prospective observational study of the iknife
Jl Alexander1, J Balog1, A Scott1, L Gildea1, A Speller1, L Muirhead1, O Golf1, K Veselkov1, J Kinross1, S Rasheed2, J Teare1, P Tekkis2, A Darzi1, Z Takats1. 1Imperial College London, 2Royal Marsden Hospital Introduction Rapid Evaporative Ionization Mass Spectrometry (REIMS) provides the operating surgeon with tumour phenotypic data in near real time based on analysis… Continue Reading
- Topic:
- Basic Science
Laparoscopic Resection of Paracaval Functioning Paraganglioma
Aaron Lee, MD, Nisha Dhanabalsamy, MD, Rajmohan Rammohan, Lisandro Montorfano, MD, Federico Perez Quirante, MD, Alex Ordonez, MD, Emanuele Lo Menzo, MD, Samuel Szomstein, MD, Raul J Rosenthal, MD, FACS, FASMBS. Cleveland Clinic Florida Introduction: Pheochromocytoma is a rare but potentially devastating tumor. Although usually related to adrenal adenoma, extra-adrenal lesions can produce similar hormonal… Continue Reading
- Topic:
- Basic Science
Laparoscopic total gastrectomy, omentectomy, splenectomy for gastric adenocarcinoma
Gautam Sharma, MD, James Villamere, MD, Mena Boules, MD, John Rodriguez, MD, Matthew Kroh, MD. Cleveland Clinic Foundation Introduction: Laparoscopic Total Gastrectomy with D2 Lymphadenectomy is common in Eastern Asia, however it’s still underutilized in North America. Methods: We present the case of a 76 year old male who underwent Screening Upper GI Endoscopy for… Continue Reading
- Topic:
- Basic Science
Modern Surgery Meets an Old Procedure: Laparoscopic Surgery for Peptic Ulcer Disease
Omar Bellorin, MD, Ariel Shuchleib, MD, Eric Zimmerman, MD, Litong Du, MD, FACS, Talat Addasi, MD, FACS. New York Presbyterian Queens We present a case of laparoscopic treatment of peptic ulcer disease. The patient had history of peptic ulcer disease refractory to medical treatment with pyloric stenosis that required multiple endoscopic dilatations. She also had… Continue Reading
- Topic:
- Basic Science
Operative Repair of Sports Hernia
Benjamin Biteman, MD, Fredrick Brody, MD, FACS. The George Washington University Introduction: Sports hernia is a misnomer. The term Sports hernias, more appropriately called athletic pubalgia, is not the typical hernia involving a defect in the strength layer of the abdominal wall. Sports hernias are related to injury and/or inflammation of the tendonous attachments to… Continue Reading
- Topic:
- Basic Science
EndoStim(r) LES stimulation therapy improves GERD in patients with Laparoscopic Sleeve Gastrectomy (LSG)
Alejandro Nieponice, PhD1, Yves Borbely2, Leonardo Rodriguez3, Henning G Schulz4, Camilo Ortiz5, Michael Talbot6, David Martin7, Nicole Bouvy8. 1Fundacion Favaloro, 2Inselspital Bern University Hospital, 3Centro Clinico de Obesidad, Diabetes y Reflujo, 4Evangelisches Krankenhaus Castrop-Rauxel, 5Hospital El Tunal, 6St. George Hospital, 7Concord Hospital, 8Maastricht University Medical Center LSG is the most commonly performed bariatric procedure in… Continue Reading
- Topic:
- Basic Science
A Prospective Randomized Comparison of Testicular Function, Sexual Function and Quality of Life Following Laparoscopic Totally Extra Peritoneal (TEP) and Trans Abdominal Pre-Peritoneal (TAPP) Inguinal Hernia Repair
Mahesh C Misra, Prateek Manik, Virinder K Bansal, Krishna Asuri, Rajesh Sagar, Anand Kumar, Subodh Kumar, Atin Kumar, Rajeshwari Subramaniam. All India Institute of Medical Sciences Background: Testicular atrophy following groin hernia repair is a major concern for any male patient. There is very scant literature regarding the impact of inguinal hernia and its mesh… Continue Reading
- Topic:
- Basic Science
Effective stepwise training and procedure-standardization for young surgeons to perform laparoscopic left hepatectomy
Mitsuo Shimada, MD, Satoru Imura, MD, Yuji Morine, MD, Tetsuya Ikemoto, MD, Yu Saito, MD, Shinichiro Yamada, MD, Hiroki Teraoku, MD, Masato Yoshikawa, MD, Chie Takasu, MD. Tokushima University Introduction: Laparoscopic hepatectomy remains to be one of the most difficult procedures for young surgeons. We have recently developed a new training method and procedure-standardization for… Continue Reading
- Topic:
- Basic Science
Feasibility and functional outcomes of laparoscopic proximal gastrectomy with double tract reconstruction for proximal gastric cancer: comparative study with conventional laparoscopic total gastrectomy
Young Kyu Park, PhD, Mi Ran Jung, PhD, Seong Yeob Ryu, PhD, Oh Jeong, PhD. Chonnam National university Hwasun Hospital Introduction: Laparoscopic proximal gastrectomy (LPG) with double tract reconstruction (DTR) is an attractive treatment option for proximal gastric cancer when considering the advantages of a function preservation, including improved nutrition and a decreased incidence of… Continue Reading
- Topic:
- Basic Science
The effecting factors on the postop morbidity in patients who had gastric or CR resection due to GI cx: Does preop nutritional status affect postop morbidity?
Emine O Gur, Osman N Dilek, Oguzhan Ozsay, Turan Acar, Kemal Atahan, Erdinc Kamer, Haldun Kar, Mehmet Haciyanli. Katip Celebi Univercity Ataturk Research and Educational Hospital General Surgery Department Introduction: Preoperative nutritional status of the patients is an important factor for the postoperative morbidity. Preoperative evaluation of the nutritional status of the patients with gastric… Continue Reading
- Topic:
- Basic Science
Characterization of VHR using SWE
Joseph S Fernandez-Moure, MD, MS1, Anuj Chaudhry, PhD2, Jeffrey L Van Eps, MD1, P. S Shajudeen2, Fernando Cabrera, MD3, Rafaella Righetti, PhD2, Brian J Dunkin, MD, FACS1. 1Houston Methodist Hospital, Department of Surgery, 2Texas A&M, Department of Electrical and Computer Engineering, 3Houston Methodist Research Institute, Depart of Regenerative and Biomimetic Medicine Introduction: In the United… Continue Reading
- Topic:
- Basic Science
Should Surgeons Perform More Diagnostic and Screening Colonoscopies? A comparison of Endoscopic Localization Error Rate Between Operating Surgeons and Referring Endoscopists in Colorectal Cancer
Arash Azin, MD, Fady Saleh, MD, MPH, Andrew Yuen, MD, Michelle Cleghorn, MSc, Timothy Jackson, MD, MPH, Allan Okrainec, MDCM, MHPE, Fayez A Quereshy, MD, MBA. University of Toronto Introduction: Colonoscopy for colorectal cancer (CRC) has been shown to have a localization error rate as high as 21%. Such errors can have substantial clinical consequences… Continue Reading
- Topic:
- Basic Science
Robotic resection of a pancreatic tail tumor resulting in an intrapancreatic accessory spleen
Alexander Ramirez, MD, Wade G Douglas, MD, FACS. Tallahassee Memorial HealthCare, Florida State University College of Medicine Introduction: Accessory spleen has been reported in about 30 % of autopsy studies (1) and until 65% of patients after splenectomy (2). The tail of the pancreas is the second most common location of accessory spleen (1). It is very important to identify the… Continue Reading
- Topic:
- Basic Science