Quality control & credentialing guidelines in colonoscopy: Is the endoscopist success rate of caecal intubation the only factor?
Ahmed Hammad, Milda Jancauskaite, Haitham Aboudeep, Arjit Mukherjee. Hairmyres Hospital NHS Lanarkshire Aim: The aim of this study is to assess the colonoscopy results of a single Joint Advisory Group (JAG) UK accredited endoscopist and analysis of causes of failure of completion. Methods: A retrospective analysis of prospective annual colonoscopy data of a designated accredited… Continue Reading
- Topic:
- Basic Science
Prospective, randomized comparison of the use of the FloShield Air System vs Clearify Visualization System (D-HELP) during LS to evaluate the operative interruption for lens cleaning
Tayyab S Diwan, MD1, J-c Verdeja, MD2, Kenneth W Volker, MD3. 1University of Cincinnati, 2South Miami Hospital, 3Centennial Hills Medical Center OBJECTIVE OF THE DEVICE: When the laparoscope is removed for cleaning/defogging, it must be cleaned and either a defogging solution applied and/or be warmed before reinsertion. Otherwise fogging will reoccur instantly. Additionally, upon reinsertion… Continue Reading
- Topic:
- Basic Science
PCP & care of bariatric surgical patients survey
Gadbois Kyle, MD, FACS, Hwang Stephanie, MD, Takata Mark, MD, FACS, Fujioka Ken, MD, Fuller William, MD, FACS. Scripps Clinic Medical Group Introduction: Obesity is a significant problem in the United States, 34.9% of adults are obese1. Â With more than 100,000 patients undergoing bariatric surgery in the United States every year2, many post-operative patients are… Continue Reading
- Topic:
- Basic Science
Preliminary experience on surgical treatment of T2DM: SADI-S procedure
Erhun Eyuboglu, MD, Professor, Turgut Ipek, MD, Professor. Istanbul Kemerburgaz Univ. Medical Faculty In two years period (2013 - 2015) 22 patients with type II diabetes were operated on. 13 of them were male and 9 of them were female.Mean age was 40,9 (between 30 - 65 years of age) BMI was lower than 30… Continue Reading
- Topic:
- Basic Science
Predicting risk factors likely to cause early recurrence following laparoscopic ventral/IHR
Nehemiah Samuel, Mr, Fayyaz A Mazari, Mr, Muhammad H Shiwani, Mr. Barnsley Hospital NHS Foundation Trust AIM: To assess our experience in laparoscopic repair of ventral and incisional hernias (LRVIH) and predict risk factors likely to cause recurrence over early follow-up period. METHODS: Prospective single centre study of consecutive LRVIH performed by one Consultant Surgeon… Continue Reading
- Topic:
- Basic Science
PERFACT procedure: A new minimally invasive simple concept to treat highly complex anal fistula
Pankaj Garg, Dr1, Pratiksha Singh, Dr1, Devika Singh2, Mohinder K Garg, Prof3. 1Garg Fistula Research Institute, Panchkula, India, 2Boston University, Boston, 3BPS Government Medical College for women, Khanpur kalan, Haryana, India Introduction: To check the efficacy of PERFACT (Proximal superficial cauterization around the internal opening, emptying regularly of fistula tracts and curettage of tracts): Â procedure… 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
Open or endoscopic circular intra abdominal VH: A new technique in VHR
Sarkis Yeretsian, MD. Clinique Medic-Aide 1) Objective of the technology or device: Description of a new technique in ventral hernia repair from the peritoneal cavity (Circular Herniorrhaphy) without large raising/dissecting myocutaneous flaps without bilateral external oblique fasciotomy. 2) Description of the technology and method of the use or application: The old scar is not excised.… Continue Reading
- Topic:
- Basic Science
Omental-flap buttressing decreases anastomotic leaks in hybrid miniamlly-invasive Ivor-lewis esophagectomy
Siripong Cheewatanakornkul, MD. UCSF Background: Despite improved surgical technique and instrumentation, anastomotic leak rate following hybrid minimally-invasive esophagectomy can be as high as 10%, leading to increased hospital stay and mortality. We sought to determine if leak rates decreased with the use of an omental-flap to buttress the anastomosis. Method: A retrospective review was performed… Continue Reading
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- Basic Science
Negligence to nightmare: Gossypiboma
Dr Sreejoy Patnaik, MS. SHANTI MEMORIAL HOSPITAL PVT.LTD INTRODUCTION: Gossypiboma describes a mass within a patient's body comprising a cotton matrix surrounded by a foreign body granuloma due to retained pieces of gauze; is an infrequent surgical complication & serious surgical malpractice resulting from negligence. Either detected early due an exudative inflammatory reaction with the formation of an… Continue Reading
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- Basic Science
Needs analysis for developing a VR simulator for NOTES
Arun Nemani1, Woojin Ahn, PhD1, Denis Dorozhkin, PhD1, Steven Schwaitzberg, MD2, Daniel Jones, MD3, Suvranu De, ScD1. 1Rensselaer Polytechnic Institute, 2University at Buffalo School of Medicine and Biomedical Sciences, Harvard Medical School, 3Beth Israel Deaconess Medical Center, Harvard Medical School INTRODUCTION: A virtual translumenal endoscopic surgical trainer (VTESTTM) is being developed to provide a safe… Continue Reading
- Topic:
- Basic Science
Multi-center analysis of operative safety of surgery in patients with ALS: The diaphragm pacing experience
Raymond Onders, MD1, Arthur Carlin2, Brian Dunkin3, Gregg Jossart4, Michael Marohn5, Fabrice Menegaux6, John Morton7, C Daniel Smith8. 1University Hospitals Case Medical Center, 2Henry Ford health System, 3Methodist Hospital, 4California Pacific Medical Center, 5John Hopkins, 6Pitie Hospital, 7Stanford School of Medicine, 8Mayo Clinic INTRODUCTION: With the growing prevalence of patients with amyotrophic lateral sclerosis(ALS) there… 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
MICR is associated with elevated plasma levels of MMP2 during the 1st month after surgery which may promote tumor growth & metastasis
Hmc Shantha Kumara, PhD1, Hiromichi Miyagaki, MDPhD2, Charles Petrick, BS1, Xiaohong Yan, MDPhD1, Linda Njoh, PhD1, Vesna Cekic, RN1, Nipa D Gandhi, MD1, Richard L Whelan, MD1. 1Department of Surgery, Mount Sinai Roosvelt Hospital, New York, USA, 2Department of Gastroenterological surgery,Osaka University,Osaka,Japan, Introduction: Matrix Metalloproteinase -2(MMP-2) degrades type IV collagen, a major component of basement… Continue Reading
- Topic:
- Basic Science
Markedly elevated levels of VEGF, ANG-2 & MMP-2 in wound fluid after CR resection are likely responsible for elevated plasma levels of these proteins during the 1st postop month: Preliminary results
Hmc Shantha Kumara, PhD1, Hiromichi Miyagaki, MdPhD2, Charles Petrick, BS1, Xiaohong Yan, PhD1, Linda Njoh, PhD1, Vesna Cekic, RN1, Nipa D Gandhi, MD1, Richard L Whelan, MD1. 1Department of Surgery, Mount Sinai Roosvelt Hospital, New York, USA, 2Department of Gastroenterological surgery,Osaka University,Osaka,Japan Introduction: Persistently elevated plasma levels of proangiogenic proteins including VEGF, Angiopoietin 2 (ANG-2)… Continue Reading
- Topic:
- Basic Science