Purely Endoscopic Jejuno-Ileal Side-to-Side Anastomosis Using Self-Assembling Magnets: Procedural Development in the Human Cadaveric Model
Marvin Ryou, MD1, David B Lautz, MD2, Christopher C Thompson, MD, MHES1. 1Brigham & Women's Hospital, 2Emerson HospitalIntroduction: A minimally invasive method of gastrointestinal bypass would be desirable for treatment of obstruction, obesity, or metabolic syndrome. We have developed a technology based on miniature self-assembling magnets which create large-caliber anastomoses (Incisionless Anastomosis System or IAS).… Continue Reading
Pure NOTES Total Mesorectal Excision (TME) for Patients with Rectal NeoplasiaIs it possible to go all the way up from the anus?
Elie K Chouillard. PARIS POISSY MEDICAL CENTERIntroduction: Pure Natural Orifice Transluminal Endoscopic Surgery (NOTES) has rare applications in routine abdominal surgery. Starting on 2009, we have developed a transanal, NOTES-inspired approach to TME (NOTESTME) in patients with rectal neoplasia. The aim was to further reduce or even avoid the abdominal wall invasiveness of laparoscopy in… Continue Reading
Pulmonary Embolism and Mortality after Laparoscopic Bariatric surgery in patients using NuvaRing(r)
Ashish Padnani, MD1, Koji Park, MD1, Ninan Koshy1, James McGinty, MD1, John Harvey, MD1, Darshak Shah2. 1Mount Sinai St. Luke's Hospital, 2Mount Sinai HospitalINTRODUCTION: Estrogen containing hormonal contraceptives have been known to have risk of venous thromboembolism (VTE). The risk is much higher in obese patients undergoing laparoscopic bariatric surgery. NuvaRing® is a contraceptive vaginal… Continue Reading
Pulmonary Abscess As a Rare Complication of Gastroesophageal Reflux Disease
Robert J Blue, DO, Jason Kempenich, MD. Keesler Medical CenterBackground: Gastroesophageal reflux disease (GERD) is quite common, and its presentation most often includes heartburn and regurgitation. Extraesophageal symptoms such as cough, laryngitis, and asthma have been associated with GERD. Occasional more rare complications, such as pulmonary abscess, have also been noted. Pulmonary abscess is typically… Continue Reading
Prospective Study Comparing Roux-en-Y Gastric Bypass and Sleeve Gastrectomy on the Resolution of Obesity and Diabetes in a Native Hawaiian Population
Eden S Koo1, Racquel S Bueno, MD, FACS2, Cedric S Lorenzo, MD2. 1University of Michigan, 2University of Hawaii Department of SurgeryIntroduction: Obesity and diabetes disproportionately affect Native Hawaiians (NH). Bariatric surgery, specifically the Roux-en-Y gastric bypass (RYGB), has been proven to be an effective treatment for both obesity and type 2 diabetes mellitus (T2DM) in… Continue Reading
Prospective, randomized comparison of the use of the FloShield Air System vs Clearify Visualization System (D-HELP) during LS to evaluate the operative interruption for lens cleaning
Tayyab S Diwan, MD1, J-c Verdeja, MD2, Kenneth W Volker, MD3. 1University of Cincinnati, 2South Miami Hospital, 3Centennial Hills Medical Center OBJECTIVE OF THE DEVICE: When the laparoscope is removed for cleaning/defogging, it must be cleaned and either a defogging solution applied and/or be warmed before reinsertion. Otherwise fogging will reoccur instantly. Additionally, upon reinsertion… Continue Reading
- Topic:
- Basic Science
Prospective FDA Feasibility Trial of Laparoscopically Placed Temporary Diaphragm Pacing Electrodes: A New Reversible Therapy to Treat Respiratory Failure
Raymond Onders, MD, MaryJo Elmo, Cindy Kaplan, Ajita S Prabhu, MD, Jeffrey M Hardacre, MD. University Hospitals Case Medical CenterIntroduction: Acute respiratory failure requiring mechanical ventilation (MV) is a common life-threatening result of varied diseases. MV comprises 30% of all Intensive Care Unit (ICU) admissions and 40% of MV time is spent weaning. MV patients… Continue Reading
Prophylactic mesh for prevention of parastomal hernia: A meta-analysis of randomized controlled trials
Sunil V Patel, MD, Msc1, Sami A Chadi, MD, MSc2, Steve D Wexner, MD2. 1Kingston General Hospital, 2Cleveland Clinic FloridaIntroduction: The purpose of this meta-analysis is to determine if prophylactic placement of mesh in those undergoing stoma creation reduces the odds of developing a parastomal hernia. Methods and Procedures: A meta-analysis was completed, after searching… Continue Reading
Propensity Score Analysis in Comparisons of Long-term Outcomes for Locally Advanced Colon Cancer Between Laparoscopic Colectomy and Open Colectomy
Kiichi Sugimoto, Kazuhiro Sakamoto, Yuichi Tomiki, Michitoshi Goto, Yutaka Kojima, Hiromitsu Komiyama, Makoto Takahashi, Hirohiko Kamiyama, Shun Ishiyama, Koichiro Niwa, Shingo Ito, Masaya Kawai, Shingo Kawano, Kazuhiro Takehara, Shinya Munakata, Jun Aoki, Yu Okazawa, Rina Takahashi, Kousuke Mizukoshi, Hisashi Ro, Ryosuke Ichikawa, Kazumasa Kure, Kumpei Honjo, Ryoichi Tsukamoto. Department of Coloproctological Surgery, Juntendo University Faculty… Continue Reading
Progressive preoperative pneumoperitoneum complementing chemical component relaxation in complex ventral hernia repair: benefits and complications
Kristen E Elstner, MBBS1, Anita S Jacombs, MBBS, PhD2, John W Read, FRANZCR3, Michael Edye, FRACS4, Nabeel Ibrahim, FRACS5. 1Macquarie University Hospital, Sydney, Australia, 2Faculty of Medicine & Health Sciences, Macquarie University, Australia, 3Castlereagh Imaging, St Leonards, Australia, 4Professor of Surgery and Chair, University of Western Sydney, 5Hernia Insitutue Australia, Edgecliff, AustraliaIntroduction: Repair of complex… Continue Reading
Proficiency-Based Simulation Training for FLS and FES: A Dedicated Two-Week Simulation Curriculum for Junior Surgery Residents
Yangseon Park, MD, Amy Cha, MD, FACS, Gary Korus, MD, FACS, Raghavendra Rao, MD, Christopher Neylan, BA, Jon Morris, MD, FACS, Daniel Dempsey, MD, FACS, Noel Williams, MB, BCh, MCh, FRCSI, FRCS, Kristoffel Dumon, MD, FACS. Perelman School of Medicine University of PennsylvaniaDeliberate learning through simulation training is an essential component of a surgical residency… Continue Reading
Probe based confocal laser endomicroscopy: the new standard for the surveillance of Barrett’s esophagus?
Thomas T Wang, MD, William F Buitrago, MD, PhD, Philip Leggett, MD. University of Texas Health Science Center at HoustonIntroduction: Probe-based confocal laser endomicroscopy (pCLE) is one of several emerging technologies that offers unique advantages over conventional endoscopy in the surveillance and treatment of Barrett's esophagus. The goal of this study is to validate the… Continue Reading
Primary epiploic appendagitis- the great imitator
Monica Laniado, MD, Ibrahim Matar, MD, Simona Croitero, MD, Gideon Sroka, MD, MSc. Bnai-Zion Medical CenterBackground: Primary epiploic appendigitis (PEA) is considered a rare cause of abdominal pain. With the increasing use of CT scan, the diagnosis of PEA is increasing, although its true prevalence is not known. Torsion of epiploic appendages resulting in local… Continue Reading
PCP & care of bariatric surgical patients survey
Gadbois Kyle, MD, FACS, Hwang Stephanie, MD, Takata Mark, MD, FACS, Fujioka Ken, MD, Fuller William, MD, FACS. Scripps Clinic Medical Group Introduction: Obesity is a significant problem in the United States, 34.9% of adults are obese1. With more than 100,000 patients undergoing bariatric surgery in the United States every year2, many post-operative patients are… Continue Reading
- Topic:
- Basic Science
Prevention of Postoperative Sleeve Gastrectomy Leaks Using a Medial to Lateral Technique and Pyloric Botox Injection
Aram E Jawed, MD, Amir H Moazzez, MD, FACS, FASMBS. INOVA Bariatric Surgery, INOVA Fair Oaks HospitalIn order to mitigate the dreadful complication of a sleeve gastrectomy leak we have altered the classic dissection to performing a medial to lateral technique whereby significantly decreasing the risk of devascularization and thermal injury to the proximal stomach… Continue Reading