Laparoscopic Repair of Paraesophageal Hernia with Volvulized Antrum and Duodenum
Bill R Luo, MD, Ezra N Teitelbaum, MD, Eric Hungness, MD. Northwestern Memorial HospitalThis video shows an emergent laparoscopic repair of a type IV paraesophageal hernia, which acutely volvulized, that contained the antrum and duodenum. Initial attempt at endoscopic decompression and PEG gastropexy images, axial CT imaging, barium upper GI esophagram, and video of the… Continue Reading
Laparoscopic Repair of Peritoneopericardial diaphragmatic Hernia Repair
Shintaro Chiba, MD, Jana Lewis, MD, Igor Brichkov, MD, Danny Sherwinter, MD. Maimonides Medical CenterThis is a case of a 60-year-old female with a significant surgical history of a trans-diaphragmatic cardiac ablation for atrial fibrillation 9 months prior, who presented to the emergency room with shortness of breath. A CT scan of the chest was… Continue Reading
Laparoscopic repair of Petersen’s defect for acute bowel obstruction with chylous ascites
Jennifer Kaplan, MD, Barbara Hamilton, MD, Samuel Schecter, MD, Matthew Lin, MD, Stanley Rogers, MD, Jonathan Carter, MD. University of California - San FranciscoWe present a video of an interesting case of acute small bowel obstruction from internal herniation at the Petersen's defect after a previous gastric bypass. The obstruction was unusual and interesting because… Continue Reading
Laparoscopic Repair of Strangulated Right Diaphragmatic Hernia
James P Byrne, MD, Fayez Quereshy, MD, MBA, Timothy Jackson, MD, MPH, Allan Okrainec, MD, MHPE. University of TorontoBACKGROUND Diaphragmatic hernia is a rare condition in adults, most often traumatic in origin. Diaphragmatic injury occurs in 2.5-5% of blunt abdominal trauma, less than 20% in the right hemidiaphragm. Difficult to diagnose, 30-50% of diaphragmatic injuries… Continue Reading
Laparoscopic Repair of Subxiphoid Hernias: A New Technique for Mesh Fixation
David Ryan, MD, Ibrahim M Daoud, MD. St. Francis HospitalObjective: Superior epigastric and subxiphoid hernias pose a difficult problem for repair. In an open repair the immobility of the tissues makes approximating the fascia difficult. In a laparoscopic repair, one often is unable to fix the superior or superior lateral aspect of the mesh to… Continue Reading
Laparoscopic Resection of a Brunner’s Gland Hamartoma of the Duodenum
Konrad Sarosiek, MD, John Stem, MD, Francesco Palazzo, MD, Michael Pucci, MD. Thomas Jefferson University HospitalOur team is presenting a video of a 49 yo male who originally presented to an outside hospital after an episode of syncope secondary to a bleeding duodenal mass. Using a laparoscopic approach, we demonstrate the mobilization of the duodenum,… Continue Reading
Laparoscopic resection of a mycotic superior mesenteric artery aneurysm
William S Eubanks, MD, Xuedong Xu, MD, Alicia Eubanks, Rebecca Rowen, MD, Alan Wladis, MD. Florida HospitalMycotic superior mesenteric artery aneurysms are extremely rare. Mycotic aneurysms represent approximately 50% of all superior mesenteric artery aneurysms (SMAAs). The majority of mycotic SMAAs are associated with recent infective endocarditis. Patients may present with fever, significant and progressive… Continue Reading
Laparoscopic Resection of a Retrorectal Presacral Schwannoma of the S2 Nerve Root
Stephanie L Koonce, MD, Mark A Pichelmann, MD, Ron G Landmann, MD. Mayo Clinic FloridaLaparoscopic resection of primary colon and rectal masses is well established. Retrorectal/presacral tumors are rare with schwannomas being the most common presacral neurogenic tumor. Surgical excision of these high tumors is traditionally performed via a midline laparotomy. Few reports of laparoscopic… Continue Reading
Laparoscopic Resection of Multiple Small Bowel Adenocarcinomas: A Case Report
Christina M Sanders, DO. Department of Surgery, Anna Jaques Hospital, Newburyport, MAIntroduction. Carcinomas of the small intestines are rare. Adenocarcinoma is the most common of the small bowel neoplasms and most commonly found in the duodenum, followed by the jejunum, and rarely the ileum. The following is a rare case report of a patient diagnosed… Continue Reading
Laparoscopic restorative proctocolectomy and ileal pouch anal anastomosis for familial adenomatous polyposis is safe in short-term outcomes compare with open surgery
Kiyoshi Tsukamoto, MD, PhD, Nagahide Matsubara, MdD, PhD, Masashi Takemura, MD, PhD, Masafumi Noda, MdD, PhD, Tomoki Yamano, MD, PhD, Naohito Beppu, MD, Mie Yoshimura, MD, Masayoshi Kobayashi, MD, Michiko Hamanaka, MD, Naohiro Tomita, MD, PhD. Department of Surgery, Hyogo College of MedicineINTRODUCTION- The aim of this study was to compare the short-term outcomes of… Continue Reading
Laparoscopic Retroperitoneal Schwannoma Resection
Horacio J Asbun, MD, Andres J Sosa, MD, Jorge Farell, MD, Jhon A Stauffer, MD, Steven Bowers, MD. Mayon ClinicA 36-year-old male with nonspecific abdominal symptoms and a 4.5 cm mass in left retroperitoneal position, incidentally found during work up. Paranganglioma was ruled out during the preoperative workup, and a percutaneous CT biopsy demonstrated a… Continue Reading
Laparoscopic Revision Billroth II for Recurrent Gastrojejunal Ulcer
Lisandro Montorfano, MD, Fernando Dip, MD, David Nguyen, MD, Joseph Melendez, MD, Emanuele Lo Menzo, MD, PhD, FACS, Samuel Szomstein, MD, FACS, Raul Rosenthal, MD, FACS. Cleveland Clinic FloridaIntroduction The incidence of marginal ulcers varies from 0.6% to 16% following a gastrectomy procedure and Billroth II reconstructions. The clinical presentation is unspecific in most cases.… Continue Reading
Laparoscopic revision of jejuno-jejunostomy for recurrent intussusception after Roux-en-Y gastric bypass.
Yulia Zak, MD, Denise W Gee, MD. Massachusetts General HospitalOBJECTIVES: Intussusception is a rare complication after laparoscopic Roux-en-Y gastric bypass that can manifest in recurrent small bowel obstruction. We present a 42-year-old female patient with prior laparoscopic retrocolic retrogastric Roux-en-Y gastric bypass who, after multiple hospital admissions with abdominal pain and obstructive symptoms, was demonstrated… Continue Reading
Laparoscopic Right Hemicolectomy: Short and Long Term Outcomes of Intracorporeal Versus Extracorporeal Anastomosis
Mark H Hanna, MD1, Grace S Hwang, MD2, Michael J Phelan, PhD3, Thanh-Lan Bui, BS1, Joseph C Carmichael, MD1, Steven D Mills, MD1, Michael J Stamos, MD1, Alessio Pigazzi, MD, PhD1. 1University Of California - Irvine, Dept of Surgery, 2University of Southern California, Dept of Surgery, 3University Of California - Irvine, Dept of StatisticsIntroduction: The… Continue Reading
Laparoscopic Roux-en-Y Fistulo-Jejunostomy (RYFJ) for Post Sleeve Gastrectomy Fistula
Salman K Al-Sabah, MD, MBA, FRCSC, FACS1, Elie Chouillard, PhD, MD2. 1Al-Amiri Hospital Kuwait, 2Poissy-Saint-Germain-En-Laye Medical Center Sleeve gastrectomy is a commonly used procedure in morbid obesity. However, leak is still the most common complication after sleeve gastrectomy and its management is difficult, long and challenging. Roux-En-Y Fistulo-Jejunostomy has been described as a salvage option.… Continue Reading