Video guided stapling for endoluminal applications: The next step in the evolution of the surgical stapler
Sam Atallah, FACS, FASCRS. FLORIDA HOSPITALObjective: The purpose of video stapling is to provide a method to precisely navigate the stapler arm to target and to provide direct evaluation of the anastomosis. Description: Using the technique of circular stapling in which the arm of the stapler is mated to an anvil to create an anastomosis,… Continue Reading
Video Case Report: Laparoscopic Common Bile Duct Exploration, Placement of a Trans-choledochal Biliary Stent, and Cholecystectomy
Benjamin J Foreman, DO, MS, B Fernando Santos, MD. Dartmouth HitchcockThe following is a video case report from our institution from May 2016. Our patient is an 82-year-old male who was admitted to the hospital with worsening confusion. He subsequently developed fever, a leukocytosis, and increasing abdominal discomfort. His workup revealed increasing total bilirubin to… Continue Reading
- Topic:
- Case Presentations
Video-Based Coaching for Endoscopy: Use of a Secure Mobile Phone Application for Procedural Video Analysis
Jeffrey D Hawel, MD, Jordan Eng, MD, James C Ellsmere, FRCSC, FACS. Dalhousie UniversityINTRODUCTION: We investigate the use of a mobile phone application as a platform for video-based coaching for endoscopic procedures. The educational landscape is ripe with opportunity to employ technology to facilitate continuing professional development and disseminate new techniques and ideas. Long utilized… Continue Reading
- Topic:
- Education / Simulation
Video-Assisted Retroperitoneal Debridment for Acute Necrotizing Pancreatitis: A Case Series
Brent D Bauman, MD, Victor Vakayil, MBBS, Steuart Amateau, MD, Malavika Chandrashekar, BS, Martin Freeman, MD, James V Harmon, MD, PhD. University of MinnesotaIntroduction: Acute pancreatitis affects over 280,000 patients annually in the United States and carries high morbidity and mortality. Up to 20% of patients will develop necrotizing pancreatitis. Mortality is highest in patients… Continue Reading
- Topic:
- Liver and Pancreas
Video Assessment of the Critical View of Safety: No Consensus Exists
Benjamin Carr, MD, Niki Matusko, BS, Gurjit Sandhu, PhD, Oliver Varban, MD. University of MichiganINTRODUCTION: Recent studies suggest that the critical view of safety (CVS) as originally defined by Strasberg and colleagues may be achieved in fewer than 20% of laparoscopic cholecystectomy (LC) cases. This implies high variability in surgeons’ understanding of the CVS, or… Continue Reading
- Topic:
- Biliary
Vertical Banded Gastroplasty Revision: Laparoscopic Roux-en-Y Gastric Bypass versus Endoscopic Assisted Stapled Gastroplasty
Wayne S Lee, MD, Daniel Shouhed, MD, Miguel Burch, MD, FACS. Cedars Sinai Medical CenterIntroduction: Vertical banded gastroplasty (VBG) was initially described in 1982 by Mason as a substitute to the gastric bypass. Over time, chronic complications became apparent – one of which is gastric outflow obstruction leading to dilation of the pouch, gastroesophageal reflux… Continue Reading
- Topic:
- Case Presentations
Vertical Banded Gastroplasty Converted to Sleeve Gastrectomy Secondary to Mesh Erosion.
Lisa Renee Hilton, MD, Geoffrey Nadzam, MD, FACS, FASMBS, Matthew Hubbard, MD, Saber Ghiassi, MD, FACS, FASMBS, Kurt Roberts, MD, FACS, FASMBS, Andrew J Duffy, MD, FACS, FASMBS. Yale UniversityThe patient is a 49 year old female who presented to the emergency department with forty eight hours of abdominal pain, nausea, vomiting, and leukocytosis. She… Continue Reading
- Topic:
- Case Presentations
Ventral Incisional Hernia Repair with Extraperitoneal Mesh Placement, Bilateral Posterior Rectus Release, and Unilateral Transversus Abdominis Release, via Single Dock Robotic Approach
Adam J Blau, MD. Albany Medical CenterIntroduction: Complex ventral incisional hernia repair (VIHR) continues to be performed via an open and laparoscopic approach. However, new robotic approaches allow for the primary closure of a fascial defect, with restoration of the abdominal wall in the midline, and with extraperitoneal mesh placement. Single dock robotic VIHR with… Continue Reading
- Topic:
- Abdominal Wall Hernias
Ventral Hernia Associated to Diastasis Recti: Laparoscopic Approach
Martin Galvarini, Maria Elena Peña, Jose Alvarez Gallesio, Francisco Schlottmann, Emmanuel Ezequiel Sadava. Hospital aleman de buenos airesBACKGROUND: The presence of midline abdominal hernias associated with diastasis of the rectus abdominis muscles (DRA) leads to the treatment of both conditions in order to decrease recurrence rate. However, there is little evidence of laparoscopic approach for… Continue Reading
- Topic:
- Abdominal Wall Hernias
Veno-Venous Extra Corporeal Membrane Oxygenation as Rescue Therapy for Severe Aspiration Pneumonitis after Bariatric Surgery
Aarthy Kannappan, MD, Peter A Walker, MD, John A Primomo, MD, Biswajit Kar, MD, Pranav Loyolka, MD, Igor Gregoric, MD, Sriram Nathan, MD, Rahat Hussain, MD, Bindu Akkanti, MD, Tanya Kajese, MD, Sheilendra Mehta, MD, Kulvinder S Bajwa, MD, Shinil K Shah, DO. University of Texas Medical School at HoustonIntroduction: Veno-venous extra corporeal membrane oxygenation… Continue Reading
- Topic:
- Case Presentations
Various fashions of laparoscopic resection for gastrointestinal stromal tumors in easophagogastric junction
Wenjun Xiong, Jin Wan. Guangdong Province Hospital of Chinese Medicine, the Second Affiliated Hospital of Guangzhou University of Chinese MedicineObjective: Laparoscopic surgery for small (<5 cm) gastric gastrointestinal stromal tumors (GIST) is now widely performed. However, laparoscopic resection of GIST in easophagogastric junction is technically difficult. Herein, we introduce various fashion of laparoscopic resection for… Continue Reading
- Topic:
- Minimally Invasive Other
Variation in psychological well-being and body image in patients before and after bariatric surgery
Alirio DeMeireles1, Ruth Cassidy, MS1, Rachel Ross, RN, MS1, Amanda Stricklen, RN, BS1, Arthur M Carlin, MD2, Jonathan F Finks, MD1, Amir A Ghaferi, MD, MS1. 1University of Michigan, 2Henry Ford Health SystemIntroduction: Massive weight loss with bariatric surgery has the potential to improve body image and psychological well-being. However, traditional instruments used to measure… Continue Reading
- Topic:
- Metabolic / Obesity
Value of Patient Education in Enhanced Recovery Program Satisfaction
Joanne Favuzza, DO1, Christine Tung2, Jennifer Poirier, PhD3, Marc Brand, MD1, Marc Singer, MD1, Bruce Orkin, MD1. 1Rush University Medical Center, Section of Colon and Rectal Surgery, 2Rush University Medical School, 3Rush University Medical Center, Department of General SurgeryINTRODUCTION: Enhanced recovery after surgery (ERAS) programs are known to provide significant clinical benefits for colorectal surgery… Continue Reading
- Topic:
- Outcomes and Quality
Validation of Simulator for Assessment of Newly Developed Suturing Skills
Munenori Uemura, PhD1, Noriyuki Matsuoka2, Morimasa Tomikawa, MD, PhD, FACS1, Makoto Hashizume, MD, PhD, FACS1, Yousuke Seki, MD, PhD3, Yoshimochi Kurokawa, MD, PhD3. 1Kyushu University, Japan, 2Kyoto Kagaku Company, Japan, 3Yotsuya Medical Cube, JapanINTRODUCTION: The purpose of this study was to evaluate the validity of a newly developed system for assessing suturing skills in laparoscopic… Continue Reading
- Topic:
- Education / Simulation
Validation of Newly Developed Physical Laparoscopy Simulator in Laparoscopic Inguinal Hernia Repair
Yuichi Nishihara, Takayuki Kondo, Yoshiki Kawaguchi, Jo Tokuyama, Koji Osumi, Hidejiro Urakami, Shiko Seki, Takashi Ohishi, Yoh Isobe. NHO Tokyo Medical CenterBackground: A realistic simulator for laparoscopic inguinal hernia repair (LIHR) would enhance surgeons’ training experience before they enter the operating theater. The purpose of this study was to create a novel physical simulator for… Continue Reading
- Topic:
- Education / Simulation