INTRA-OPERATIVE ENTEROSCOPIC POLYPECTOMY- AN INNOVATIVE APPROACH
Ajay Bhandarwar, MS, FMAS, FIAGES, FAIS, FICS, FBMS, FLCS1, Nidhisha Sadhwani, MBBS1, Waqar Ansari, MS, MRCS, DNB, FCPS, MNAMS, FMAS, FIAGES1, Amol Wagh, MS, FICS, FBMS, FALS, FMAS1, Shekhar Jadhav, MS, FMAS1, Eham Arora, MS1, Prashant Rahate, MS, FMAS, FALS2, Raj Gajbhiye, MS1, Shivang Shukla, MBBS2. 1Grant Government Medical College & Sir J.J. Group of… Continue Reading
- Topic:
- Minimally Invasive Other
A creative solution to a difficult colorectal anastomosis during TaTME
Allison J Pang, MSc, MD, FRCSC, Sender Liberman, MD, FRCSC, Lawrence Lee, MD, PhD, FRCSC. McGill UniversityObtaining a negative circumferential resection margin (CRM) in rectal cancer is crucial to the control of local recurrence. The adoption of a total mesocolic excision (TME) has greatly impacted oncologic outcomes by significantly decreasing local recurrence rates. Despite neoadjuvant… Continue Reading
- Topic:
- Colorectal
Laparoscopic Ventral Hernia Repair Utilizing Dermal Autologous Nonepithelial Graft
Michael W Cook, MD, FACS, Jude Barber. Louisiana State University Health Science CenterThere has been a lot of recent discussion regarding the optimal material for reinforcement of ventral hernia defects. Tissue repairs were commonplace prior to the advent of synthetic meshes. Synthetic meshes are cost effective and cut down on recurrence rates. However, when mesh… Continue Reading
- Topic:
- Abdominal Wall Hernias
Laparoscopic Retroperitoneal Triple Neurectomy for Chronic Post-operative Inguinal Pain
David M Krpata, MD. Cleveland ClinicChronic post-operative inguinal pain (CPIP) can be debilitating for patients and remains a challenge for surgeons to manage. This video demonstrates a laparoscopic retroperitoneal triple neurectomy for a patient with CPIP who has failed multiple prior interventions including nerve injections, medications, open exploration and laparoscopic tack removal following a total-extra… Continue Reading
- Topic:
- Abdominal Wall Hernias
Neurectomy with Hybrid Laparoscopic-Robotic Device for Chronic Groin Pain After Open Inguinal Hernia Repair
Kelly Haisley, MD, Michael Antiporda, MD, Richard Jamison, MD, Christy Dunst, MD, Lee Swanstrom, MD. Providence Portland Medical CenterIntroduction: In this video, we review a case of a minimally invasive neurectomy using a hybrid laparoscopic/robotic device for the treatment of chronic groin pain after open inguinal hernia repair. Background: The patient is a 38 year old… Continue Reading
- Topic:
- Abdominal Wall Hernias
Robotic Repair of Lumbar Hernia
Saeed Arefanian, MD, Margaret Frisella, RN, Jeffrey Blatnik, MD. Washington University in St. LouisBackground: Lumbar hernia is a rare type of hernia. Different methods have been used for surgical repair of this abdominal wall defect, including open and laparoscopic techniques. Here we present the robotic-assisted repair of a left side lumbar hernia. Description: A 59-year-old… Continue Reading
- Topic:
- Abdominal Wall Hernias
POEM complications with delayed Laparoscopic Heller Myotomy
Ann D Smith, MD, MPH, Jaroslav Zivny, MD, Christopher A Marshall, MD, John J Kelly, MD. University of MassachusettsTwo major treatment modalities are available for patients with achalasia: a Heller Myotomy or a Per Oral Endoscopic Myotomy (POEM). The POEM was first discussed in the literature in 2009 and the steps for performing it were… Continue Reading
Thoracoscopic Visualization of a Long Endoscopic Esophageal Myotomy for Spastic Achalasia
Kelly Haisley, Michael Antiporda, MD, Walaa Abdelmoaty, MD, MBA, Christy Dunst, MD, Lee Swanstrom, MD. Providence Portland Medical CenterIntroduction: In this video, we review a case showing the thoracoscopic visualization of a long esophageal myotomy done through a per-oral endoscopic approach (POEM). Background: The patient is a 55 year old woman with chronic pain and debilitating diffuse… Continue Reading
Endoscopic rescue of diverse surgical gastro-intestinal complications using the over-the-scope Padlock clip
Alfonso Lapergola, MD, Bernard Dallemagne, MD, Antonio D'urso, MD, Ludovica Guerriero, Didier Mutter, MD, PhD, FACS, Jacques Marescaux, MD, FACS, HonFRCS, HonFJSES, Silvana Perretta, MD, PhD. Department of Digestive and Endocrine Surgery, Nouvel Hôpital Civil, Strasbourg University Hospital; Institut de Recherche contre les Cancers de l’Appareil Digestif (IRCAD) - IHU, Institute of Image-Guided SurgeryIn recent… Continue Reading
Single Port Laparoscopic Trans-gastric Removal of Eroded Gastric Band
Amanda Roberts, MD, Abdelrahman Nimeri, MD, FACS, FASMBS, Keith Gersin, MD, FACS, FASMBS, Timothy Kuwada, MD, FACS, FASMBS. Carolinas Weight ManagementLap bands gained popularity and were very commonly used in the treatment of morbid obesity in the early 2000s. While it has been found to be a very safe procedure, the lap band has unique risks,… Continue Reading
- Topic:
- Metabolic / Obesity
Laparoscopic revision of RYGB complicated by large symptomatic gastrogastric fistula.
Matthew D Burstein, MD, PhD, Essa M Aleassa, MBBS, MSc, Philip R Schauer, MD. Cleveland Clinic FoundationA 32 YO F with prior LRYGB complicated by large symptomatic gastrogastric fistula, who underwent laparoscopic revision of her GJ anastomosis with GGF takedown.Presented at the SAGES 2017 Annual Meeting in Houston, TX.Abstract ID: 95603Program Number: V147Presentation Session: Revisional Bariatrics/Foregut… Continue Reading
- Topic:
- Metabolic / Obesity
Conversion of endoscopic sleeve gastroplasty to laparoscopic Roux-en-Y gastric bypass
Melissa M Beitner, MBBS, Jinlin Lin, MBBS, FRCS, George H Hopkins, MBBS, FRACS. Royal Brisbane and Women's Hospital, AustraliaThis video shows a conversion to laparoscopic Roux-en-Y gastric bypass with handsewn gastrojejunostomy and on table endoscopy in a patient with failed weight loss after endoscopic sleeve gastroplasty.Presented at the SAGES 2017 Annual Meeting in Houston, TX.Abstract… Continue Reading
- Topic:
- Metabolic / Obesity
REVISIONAL GASTRIC BYPASS
Ricardo Nascimento, MD, Darlan M Kestering Medeiros, MD, Jaime Cesar M Gelosa Souza, MD, Luiz Henrique M Locks Corrêa, MD, Matheus M Pacheco Dos Reis, MD. HNSCIt is now generally accepted that bariatric surgery is the most effective therapy for morbid obesity. During the last decade, there has been an accelerated growth in the number… Continue Reading
- Topic:
- Metabolic / Obesity
Laparoscopic Reversal of Single Anastomosis Gastric Bypass (Mini-Gastric Bypass / Omega Loop Gastric Bypass) to Sleeve Gastrectomy
Usah Khrucharoen, Ian T Macqueen, Yijun Chen, Erik Dutson. UCLAIn this video, we demonstrated laparoscopic reversal of Single Anastomosis Gastric Bypass (Mini-Gastric Bypass / Omega Loop Gastric Bypass) to sleeve gastrectomy in patient who was TPN dependent due to severe malnutrition and dysphagia. Patient had a history of undergoing sleeve gastrectomy followed by revisional procedure to single anastomosis… Continue Reading
- Topic:
- Metabolic / Obesity
Robotic-Assisted Laparoscopic Reversal of Silastic Ring Gastric Bypass (Fobi pouch)
Usah Khrucharoen, Yen-Yi Juo, Andrew Scott, Yijun Chen, Erik Dutson. UCLAStenosis of the gastrojejunal anastomosis is a rare complication of Silastic ring-reinforced gastric bypass, a highly effective weight-loss procedure with a low morbidity profile. The stenosis may be partly attributable to chronic inflammation of the non-expandable Silastic ring, which seeks to partly restore physiologic functions… Continue Reading
- Topic:
- Metabolic / Obesity