SMALL BOWEL OBSTRUCTION AND PERFORATION FROM INGESTED FISH BONE TREATED WITH LAPAROSCOPIC BOWEL RESECTION
Justin D Sargent, DO, Steven P Shikiar, MD, John Davis, MD. Hackensack Meridian Health PalisadesINTRODUCTION: There is a wide range of variability in presentation for patients whom ingest foreign bodies (IFB). Most commonly patients are asymptomatic as the foreign body passes through the gastrointestinal tract without any complications. Patients may also present with obstruction, hemorrhage or… Continue Reading
- Type:
- Posters
- Topic:
- Acute Care Surgery
Non-Elective Paraesophageal Hernia Repair: A Comparison of Surgical Approach and 30-day Outcomes using NSQIP
William C Sherrill, MD, Brent D Matthews, MD, Caroline E Reinke, MD, MSHP. Carolina Medical CenterBackground: Over the past decade with the continuing increase of minimally invasive surgery (MIS) techniques, complex MIS procedures such as laparoscopic paraesophageal hernia (PEH) repair are on the rise. The majority of these hernia repairs are being performed in the… Continue Reading
- Topic:
- Acute Care Surgery
The effect of the adoption of an Acute Care Surgery Service model on volumes of laparoscopic cholecystectomy at a tertiary care center
Maria S Altieri, MD, MS1, Suresh Yelika, MD2, Aurora Pryor, MD2, Jie Yang, PhD2, Lizhou Nie, MS2, Yiwei Fu, MS2, Mark Talamini, MD, MBA2, Samer Sbayi, MD2. 1Washington University School of Medicine, 2Stony Brook University HospitalIntroduction: The acute care surgery (ACS) model is a concept for provision of emergency general surgery, outside of trauma, which… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Acute Care Surgery
Use of Minimally Invasive Surgery in Emergency General Surgery Procedures in NSQIP 2007-2016
Michael R Arnold, MD, Lynnette Schiffern, MD, Beverly L Paton, MD, Brent D Matthews, MD, Caroline Reinke, MD. Carolinas Medical CenterBackground: Minimally invasive surgery (MIS) has demonstrated superior outcomes in many elective procedures. It’s use in emergency general surgery (EGS) procedures is not well characterized. This study examines trends in utilization and outcomes of MIS techniques… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Acute Care Surgery
Are We Doing Too Many Exploratory Laparotomies in Trauma? An Analysis of National Trauma Data Bank
Adeel A Shamim, MD1, Suhail Zeineddin, MD2, Ahmad Zeineddin, MD1, Enrique De La Cruz, MD1, Olubode Olufajo, MD1, Terrance Fullum, MD, MBA1, Edward Cornwell III, MD1, Daniel Tran, MD1. 1Howard University Hospital, 2Mayo Clinic, RochesterBACKGROUND: Exploratory laparotomy (EL) has been widely regarded as the definitive diagnostic and therapeutic modality for abdominal trauma in the US. However,… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Acute Care Surgery
COST CONTAINMENT: AN EXPERIENCE WITH SURGEON EDUCATION AND UNIVERSAL PREFERENCE CARDS AT TWO INSTITUTIONS
Elizabeth T Embick, MD1, Michael Bieri2, Tracy J Koehler, PhD1, Amanda Yang, MD1. 1Spectrum Health/Michigan State University General Surgery Residency, 2Spectrum HealthINTRODUCTION: As the cost of health care increases in the United States, increasing focus has been put on efficiency, cost reduction, and containment of spending. Operating room costs play a significant role in this… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Acute Care Surgery
CASE REPORT OF INTERNAL HERNIA AFTER ENDOSCOPIC REDUCTION OF GASTRIC VOLVULUS AND DUAL PEG
Katelin A Mirkin, MD, Samantha R Witte, MD, Vamsi V Alli, MD. Penn State Health Milton S. Hershey Medical CenterGastric volvulus in adults is a rare and potentially fatal condition. The use of dual percutaneous endoscopic gastrostomy has been described in the management of gastric volvulus. This technique involves endoscopic de-rotation of the stomach, and… Continue Reading
LAPAROSCOPIC RESECTION OF JEJUNAL DIVERTICULA
Tripurari Mishra, MD1, Shanu N Kothari, MD2. 1Gundersen Medical Foundation, 2Gundersen Health SystemJejunoileal diverticula are present in 1% of the population. The majority of diverticula (80%) occur in the jejunum along the mesenteric border of the small bowel. They generally lack a true muscular layer and are considered acquired. The cause is unknown but there… Continue Reading
- Topic:
- Acute Care Surgery
ROLE OF ENDOSCOPY IN THORACO ABDOMINAL IMPALEMENT INJURY
Ajay H Bhandarwar, MS, FMAS, FIAGES, FAIS, FICS, FBMS, FLCS, Shekhar A Jadhav, MS, FMAS, Amol N Wagh, MS, FMAS, FIAGES, FAIS, FICS, FBMS, Shirish R Bhagvat, MS, FMAS, Jalbaji P More, MS, Venkat A Gite, MS, DNB. Grant Govt.Medical College and Sir JJ Group of Hospitals, MumbaiBackground: Thoraco-abdominal impalement injuries are rare. Very few cases… Continue Reading
- Topic:
- Acute Care Surgery
Laparoscopic Resection of bleeding Meckel’s Diverticulum in a young adult, with negative Nuclear Scan and angiographic diagnosis of Persistent aberrant Omphalomesenteric artery
Indraneil Mukherjee, MD, Aleksandr Demin, DO, Aleksandra Ogrodnik, MD, Andrey Mironenko, MD, Ian Provancha, Karen E Gibbs, MD. Staten Island University HospitalIntroduction: Meckel's diverticula are the most common congenital anomaly of the GI tract which is seen in 2-3% of the population. The most common presentation of such diverticulum in the pediatric population is hemorrhage, however small bowel… Continue Reading
- Topic:
- Acute Care Surgery
Laparoscopic reduction of ileocolic intussusception
Gustavo Romero Velez, Sathyaprasad Burjonrappa, MD. Montefiore Medical CenterIntussusception is the most common cause of small bowel obstruction in infants. Ninety percent of the cases are treated non-operatively with air enema reduction. For those cases that fail non-operative management, surgery is warranted. Here we present a case of a 3 month old which was successfully… Continue Reading
- Topic:
- Acute Care Surgery
Laparoscopic Repair of Perforated Type V Gastric Ulcer in a Patient with Recurrent Paraesophageal Hernia
Georgios Orthopoulos, MD, PhD, Parth Sharma, MD, Mazen Al-Mansour, MD. Baystate Medical Center/University of Massachusetts Medical SchoolThis is a case of a 76 year old female with multiple medical comorbidities, abuse of Non-Steroidal Anti-Inflammatory Drugs due to chronic knee pain and remote history of laparoscopic paraesophageal hernia repair who presented with peritonitic signs and pneumoperitoneum.… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Acute Care Surgery
Laparoscopic surgery for mechanical small bowel obstruction due to appendicitis
Andrew Mueller, MD1, Carl Tadaki, MD2. 1University of Hawaii, 2Straub Medical CenterA 53 year old male with no prior history of abdominal surgery presented to the emergency department with a two day history of abdominal pain, nausea and vomiting, and absent flatus and bowel movements. During the initial physical exam the patient was found to… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Acute Care Surgery
Laparoscopic Small Bowel Resection
Marcoandrea Giorgi, MD, Todd Stafford, MD. Brown University - Rhode Island HospitalVideo illustration of laparoscopic small bowel resection with anastomosis. Patient is a 33 years old female with history of malrotation and sleeve gastrectomy who presented with acute onset epigastric pain and was found to have closed loop obstruction on CT scan, She was taken… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Acute Care Surgery
Jejunal Perforation by a Wire Grill-Cleaning Brush Bristle
Erin M Thompson, MD, John Romanelli, MD. Baystate Medical CenterInjuries from unintentional ingestion of wire grill-cleaning brush bristles have been increasingly reported in the literature over the past decade. Although a special report was published by the CDC in 2012 warning of this pattern of injury, case reports continue to appear in both the medical… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Acute Care Surgery