Simulation Education: for TAPP and TEP Laparoscopic Inguinal Hernia Repair
Y Kurashima, MD PhD, P A Kaneva, MSc, L S Feldman, MD, G M Fried, MD, M C Vassiliou, MD MEd. Steinberg-Bernstein Centre for Minimally Invasive Surgery McGill University Laparoscopic inguinal hernia repair (LIHR) has been shown to be advantageous for bilateral or recurrent hernias, however, it has not gained widespread acceptance. One of the… Continue Reading
- Topic:
- Abdominal Wall Hernias
A Case of Laparoscopic Duodenal Diverticulectomy
Manish Singh, title, Sricharan Chalikonda, title, Roberto Ramirez, title, Matthew D Kroh, Bipan Chand. Bariatric and Metabolic Institute, Cleveland Clinic , Cleveland This a case of 36 year old male with longstanding history of epigastric discomfort and pain was diagnosed with 3rd portion duodenal diveticulum . Workup included endoscopy which showed wide mouthed diverticulum distal… Continue Reading
Laparoscopic Repair of Duodenal Ulcer Perforation in the Setting of Metastatic Disease
Alfredo C Cordova, MD, Kartik Logishetty, BSc, Bruce R Gibson, MD, Dmitry Nepomnayshy, MD. Lahey Clinic Medical Center. Burlington, MA. Johns Hopkins Medical Institutions. Baltimore, MD. The perforation of a duodenal ulcer is a surgical emergency that is most commonly repaired using the Graham patch technique via a laparatomy. We present a laparoscopic repair of… Continue Reading
- Topic:
- Foregut
Single Incision Transumbilical Gastric Banding with Intracorporeal Liver Retraction Hooks
Thomas B Roshek III, MD, Daniel J Scott, MD FACS. UT Southwestern Medical Center This video shows our technique for placing a single incision gastric band and primary repair of a hiatal hernia. One extra long 12mm port and two 5mm ports are placed through a single transumbilical incision. We used double armed retraction hooks… Continue Reading
- Topic:
- Metabolic / Obesity
Single Port Cholecystectomy: A Standard Technique
Michael Kia, DO, Christine Lee. Michigan State University, Mclaren Regional Med Ctr, Genesys Regional Med Ctr The video is a description of a novel technique in single port surgery. Using a four port single access trocar system, a methodology for single port cholecystectomy is described. The procedure is performed through a pre-measured 15mm fascial defect.… Continue Reading
Take Down of Nissen Fundoplication and Completion of Prior Sleeve Gastrectomy
Kelvin Higa, MD FACS, Saber Ghiassi, MD MPH, Ruby Gatschet, MD, Keith Boone, MD FACS. University of California, San Francisco, Fresno Patient is a 52 year-old woman with history of chronic abdominal pain and vomiting since laparoscopic sleeve gastrectomy at an outside hospital one year ago. That hospitalization was complicated by early postoperative small bowel… Continue Reading
- Topic:
- Metabolic / Obesity
Revision of Roux-En-Y Gastric Bypass for Gastrogastric Fistula, Subtotal Gastrectomy, and Roux-En-Y Esophagojejunostomy
Kelvin Higa, MD FACS, Saber Ghiassi, MD MPH, Ruby Gatschet, MD, Keith Boone, MD FACS. University of California, San Francisco, Fresno Patient is a 48 year-old woman with extensive past surgical history. She underwent adjustable gastric banding in Mexico in 2003, followed by attempted laparoscopic removal of the band in the United States, converted to… Continue Reading
- Topic:
- Metabolic / Obesity
Laparoscopic Resection of Ge Junction Due to Stricture Post Hiatal Hernia Repair with Circumferential Biologic Mesh
A Bernshteyn, I Fendrich, S Szomstein, R J Rosenthal. Cleveland Clinic Florida Background: Esophageal strictures after repair of hiatal hernias with mesh are a rare but devastating complication. We present the case of a patient that developed a mesh erosion and distal esophageal stricture requiring laparoscopic resection of the GE junction Methods: A 70 year… Continue Reading
- Topic:
- Abdominal Wall Hernias
Endoscopic Ampullectomy
Myron C Stokes, MD, Kirpal Singh, MD FACS. St. Vincent/Indiana University Fellowship of Advanced Laparoscopy, Endoscopy & Ultrasound Ampullary neoplasms account for approximately five percent of all gastrointestinal neoplasms. Local resection of the Ampulla of Vater was first described in 1899 by Halsted. It was not until the 1980's that the first endoscopic ampullectomy was… Continue Reading
- Topic:
- Endolumenal / NOTES
Transanal, Video-Assisted Surgery (TAVAS) Utilizing a SILS™ Port for the Treatment of Complications Following Sigmoid Colon Resection and EEA Anastomosis
Patrick R Reardon, MD, Brian J Dunkin, MD, Eric M Haas, MD, Joanne Chung, MD, Vadim Sherman, MD, Vega Koss, MD, Luis Benavente-Chenals, MD. The Methodist Hospital Department of Surgery Methodist Institute for Technology, Innovation, and Education Houston, Texas 77030 Background Sigmoid diverticulosis with recurring sigmoid diverticulitis is a common disease entity likely to be… Continue Reading
- Topic:
- Colorectal
Management of Linear Cutting Stapler Complications During Laparoscopic Sleeve Gastrectomy
Koji Park, MD, John N Afthinos, MD, David Lee, MD, Ninan Koshy, MBBS, Julio A Teixeira, MD FACS. St. Luke's-Roosevelt Hospital Center, NY We demonstrate and discuss the management of intraoperative complications of linear cutting staplers used during a sleeve gastrectomy. The first case demonstrates the management of a locked stapler which could not be… Continue Reading
- Topic:
- Metabolic / Obesity
Laparoscopic Cystogastrostomy Combined with Laparoscopic Gastric Bypass
Nestor de la Cruz-Munoz, MD, Steven E Rodgers, MD PhD, Shevonne S Satahoo, MD. University of Miami Miller School of Medicine A 55 year old male presented with severe pancreatitis complicated by a panceratic pseudocyst. The patient had recurrence of the cyst after percutaneous drainage and remained symptomatic. He was a candidate for bariatric surgery… Continue Reading
- Topic:
- HPB
Laparoscopic Inguinal Hernia Repair with Undescended Testes Removal
Rahul Singh, MD, Archana Ramaswamy, MD. University of Missouri In this video, we present a patient who was found to have an undescended testes during a laparoscopic TEP inguinal hernia repair. During the dissection a tubular structure attached to an ovoid soft mass was seen within the hernia sac. Following mobilization this mass was pushed… Continue Reading
- Topic:
- Abdominal Wall Hernias
Surgery for Type II Diabetes Mellitus: Laparoscopic Ileal Interposition (Type I)
C Palanivelu, MCH FACS FRCS, P Praveen Raj, MS, P Senthilnathan, MS DNB, C Chandramaliteeswaran, MS, R Parthasarathi, MS. GEM Hospital Background:Preliminary reports show type I ileal interposition is effective in control of type II Diabetes Mellitus in patients who are overweight and in patients of normal BMI. This video shows, type I ileal interposition… Continue Reading
- Topic:
- Metabolic / Obesity
Prevalence of Autoimmune Disease in Patients with Esophageal Achalasia
Jason D Booy, BSc, Julie Takata, George Tomlinson, David R Urbach, MD MSc. Division of General Surgery, University Health Network; and Departments of Surgery and Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada BackgroundAchalasia is a rare disease of the esophagus that has an unknown etiology. Genetic, infectious, and autoimmune mechanisms have… Continue Reading