Revisional bariatric surgery: postoperative Bleeding after a Sleeve
Ana Otero, Ricard Corcelles, Salvadora Delgado, Antonio de Lacy. Hospital Clinic, BarcelonaLaparoscopic sleeve gastrectomy has gained worldwide popularity in recent years. The most common postoperative complications of sleeve gastrectomy are fistulas, but bleeding on the stapling line or into the abdominal cavity is also commonly reported and difficult to manage. Extraluminal hemorrhage often occurs dramatically,… Continue Reading
Revision Roux Limb
Ravi Kapadia, MD, Erin Moran-Atkin, MD. Montefiore Medical CenterOur patient is a 72 year old female who underwent an open roux-y-gastric bypass nine years ago at an outside hospital in a retrocolic, antegastric fashion. She underwent a diagnostic laparoscopy for nausa/vomitting 1 year ago and had an internal hernia repaired with a questionable twist in… Continue Reading
Revision of Gastric Bypass for GERD, Hiatal Hernia, & Weight Regain: A Standardized Technique
Edward Chau, MD, Kulmeet Sandhu, MD, Nikolai Bildzukewicz, MD, Kamran Samakar, MD, Peter Crookes, MD, John Lipham, MD, Namir Katkhouda, MD. Keck Medical Center of USCThe video Revision of Gastric Bypass for GERD, Hiatal Hernia, and Weight Regain: A Standardized Technique helps to show the pre-operative and intra-operative technical considerations of revisional surgery in a… Continue Reading
Retrospective Analysis of the Factors Affecting the Risk and Difficulty of the Laparoscopic Surgery for Acute Cholecystitis
Koetsu Inoue1, Tatsuya Ueno1, Orie Suzuki1, Masanobu Hayashi1, Kentarou Shima1, Ryouichi Anzai1, Shinji Gotou1, Michinaga Takahashi1, Takanori Morikawa2, Takeshi Naitoh2, Hiroo Naitoh1. 1South Miyagi Medical Center, Department of Surgery, 2Tohoku University Graduate School of Medicine, Department of SurgeryINTRODUCTION: According to the Tokyo guidelines, cholecystitis is classified into three categories (Grade I, II, III) depending on… Continue Reading
Retroperitoneal Bronchogenic Cyst: case report and review of literature
Ashish Padnani, MD, Rashmi Bawa, MD, Darshak Shah, MD, James Satterfield, MD. New York Presbyterian QueensBackground: Bronchogenic cysts (BC) are developmental anomalies derived from foregut, most commonly found in mediastinum but rarely in retroperitoneum. Very few cases have been reported in the literature. Most BCs are asymptomatic and are identified incidentally during imaging done for… Continue Reading
Restrictive Versus Malabsorptive Bariatric Procedures in Obese Women of Reproductive Age
Aaron Purser1, Sallie McSwain1, Angel Farinas, MD2, Christian Cruz, MD2, Angelina Postoev, MD2, Christopher Ibikunle, MD2, Aliu Sanni, MD2. 1GRU/UGA Medical Partnership, 2Georgia SurgicareINTRODUCTION: In 2011–2012 in the United States, 36% of adult women were obese, and the majority of women in early pregnancy were either overweight or obese. Increasing numbers of young women of… Continue Reading
Resolution of Diabetic Nephropathy Following Laparoscopic Ileal Interposition with Bmi-adjusted Sleeve Gastrectomy in Patients with Type-2 Diabetes: Multi-Center Study
Surendra Ugale, MD. Kirloskar Hospital & Asian BariatricsIntroduction: Diabetic nephropathy is the leading cause of chronic kidney disease, and associated with increased cardiovascular mortality. 30-40% of diabetics develop nephropathy. The aim of this study was to evaluate the regression of nephropathy in poorly controlled type-2 diabetics (T2DM), by laparoscopic ileal interposition with BMI-adjusted sleeve gastrectomy (IISG), through… Continue Reading
Resident Involvement Does Not Increase Complication Rates in Bariatric Surgery
Collin R Creange, MD, Bradley Schwack, MD, Marina Kurian, MD, George Fielding, MD, Christine Ren-Fielding, MD. New York University Medical CenterIntroduction: The impact of resident involvement on outcomes after bariatric procedures is not well understood. Prior studies have demonstrated increased complication rates with resident involvement in Roux-en-y gastric bypass (RYGB). These studies did not include… Continue Reading
Resident attitudes toward Robotic Surgery across surgical specialties
Abdul Q Alarhayem, MD, Michelle Savu, MD, Udit Jain, MS. UTHSCSABackground: The field of robotic surgery has undergone substantial growth and change over the last decade. The purpose of this survey was to study the current experiences, attitudes and opinions of residents across surgical subspecialties in the United States towards robotic surgery. Methods: Eighty five… Continue Reading
Report of the measurement of physical burden on surgeons’ upper limbs during laparoscopic surgery
Ryota Nakajima1, Hiroshi Kawahira2, Shimomura Yoshihiro3, Wataru Nishimoto1, Takeshi Saito4, Hisashi Gunji5, Chisato Mori6, Hisahiro Matsubara5. 1Graduate School of Medical and Pharmaceutical Science, Chiba University, 2Center for Frontier Medical Engineering, Chiba University, 3Division of Design Science, Graduate School of Engineering, Chiba University, 4Department of Pediatric Surgery, Graduate School of Medicine, Chiba University, 5Department of Frontier… Continue Reading
Replacement of Ventral Hernia Working Group Grading System with 3-level Grading System Results in 1 Million Dollar Cost Reduction
Rishi Megha, MD, Braden Pachall, Paul Szotek, MD. Indiana University HealthIntroduction: The choice of mesh for complex ventral hernia repair is a challenge faced by all general surgeons out of concerns for Surgical Site Occurrence (SSO). In an effort to guide pre-operative prediction of SSOs and mesh selection, the Ventral Hernia Working Group (VHWG) convened… Continue Reading
Repair of Symptomatic Paraesophageal Hernias in Elderly (>70 Years) Patients Results in Sustained Quality of Life at 5 or More Years
Oleg V Merzlikin, MD, Brian E Louie, MD, Alexander S Farivar, MD, Dale Shultz, Ralph W Aye, MD. Swedish Medical CenterIntroduction: Paraesophageal hernias (PEH) involve herniation of stomach and/or other viscera into the mediastinum resulting in symptoms that reduce quality of life (QOL). Surgical repair in the elderly has low morbidity and results in significant… Continue Reading
Reoperation following colorectal surgery: indications and operations
Alex D Michaels, Matthew G Mullen, Traci L Hedrick, Christopher A Guidry, Florence E Turrentine, Charles M Friel. University of Virginia Health SystemINTRODUCTION: Prior studies have shown a rate of reoperation ranging from 5.8% to 7.6% following colorectal surgery with associated increases in morbidity and mortality, however, the indications for returning to the operating room… Continue Reading
Remnant spleen causing recurrent idiopathic thrombocytopenic purpura
Tanya Castelino, MD, Amani Munshi, MD, Liane S Feldman, MD, FRCSC, FACS. Steinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, McGill University Health CentreIdiopathic thrombocytopenic purpura (ITP) occurs at a rate of 3.3 adults per 100,000. The incidence of accessory spleen is reported at anywhere from 5 to 44%, depending on the method of detection,… Continue Reading
Reinventing Management of Impacted Fetal Head in Cesarean Section
Daniel B Walk, Elizabeth Carstens, Anupama Atluru, Sandeep Ganji, PhD, Adam Harris, Scott Roberts, MD, Michael Choti, MD, MBA, FACS. The University of Texas Southwestern Medical CenterObjective of the technology or device: Cesarean section delivery (C-section) is now performed in about a third of births in the United States. One of the serious complications encountered… Continue Reading