Outcome of pure laparoscopic hepatectomy for hepatocellular carcinoma in patient with cirrhosis and thrombocytopenia
Tan To Cheung, MS. The University of Hong Kong Queen Mary HospitalIntroduction Bleeding in the presence of thrombocytopenia has been a major issue in liver resection even in open procedures. Although laparoscopic liver resection has been reported to be a safe and effective treatment even in patients with liver cirrhosis, there is very little evidence… Continue Reading
Outcome of Laparoscopic Necrosectomy in 15 Patients with Infected Pancreatic Necrosis
Prabhdeep Nain, Prof, Satpal Virk. DAYANAND MEDICAL COLLEGE & HOSPITAL, LUDHIANAIntroduction: Infected pancreatic necrosis is a life-threatening complication of acute pancreatitis that has been traditionally managed with open surgical debridement. Treatment of pancreatic necrosis has evolved considerably over the past decade with respect to both the timing of intervention & the development of alternatives to… Continue Reading
Outcome of Laparoscopic Management for Patients Diagnosed with Acute Perforated Diverticulitis
Ahmad Mirza, Simon Galloway. The University Hospital of South Manchester, Manchester, UKIntroduction: Acute diverticulitis is associated with considerable morbidity and mortality. Management of this pathology has evolved in recent decades. Laparoscopic surgery has added new dimension to the management of this disease and has lead to avoidance of potential open surgery and faecal diversion. We… Continue Reading
Our Cases by whom Solitary Rectal Ulcer Syndrom was Determined
Sebahattin Destek, MD1, Vahit Onur Gul, MD2. 1Tuzla Hospital General Surgery Dept., Istanbul/Turkey, 2Edremit Military Hospital General Surgery DeptAim: Solitary rectal ulcer syndrom (SRUS) was defined in 1829 by Cruveilheir for the first time, however its real existence was understood in 1969 after the clinical study of Madigan and Morson. By 35 % of the… Continue Reading
Or Fire Virtual Training Simulator: Design and Face Validity
Denis Dorozhkin1, Daniel B Jones2, Steven D Schwaitzberg3, Stephanie B Jones4, Caroline L Cao5, Jaisa Olasky6, Marcos Molina2, Steven Henriques2, Jinling Wang5, Jeff Flinn5, Suvranu De1. 1Center for Modeling, Simulation and Imaging in Medicine (CeMSIM), Rensselaer Polytechnic Institute, Troy, NY, USA, 2Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA,… Continue Reading
Optimal timing for laparoscopic cholecystectomy after percutaneous transhepatic gallbladder drainage
Takeshi Gocho, MD, Takeyuki Misawa, MD, PhD, Yuichi Nakaseko, MD, Yuki Takano, MD, Koichiro Haruki, Kenei Furukawa, MD, PhD, Masaru Kanehira, MD, Shinji Onda, MD, Taro Sakamoto, MD, Ryota Saito, MD, PhD, Hiroaki Shiba, MD, PhD, Yasuro Futagawa, MD, PhD, Yuichi Ishida, MD, PhD, Katsuhiko Yanaga, MD, PhD. Jikei University School of MedicineBackground and Objective:… Continue Reading
Optimal perioperative glucose control in morbidly obese bariatric surgery patients does not improve outcomes but does predict type 2 diabetes resolution
Jessica A Zaman, MD, Neil Shah, Glen Leverson, PhD, Jacob Greenberg, MD, EdM, Luke Funk, MD, MPH. University of WisconsinIntroduction: Bariatric surgery is the most effective treatment for morbidly obese type 2 diabetics. However, guidelines for perioperative glucose control are not well established. We examined optimal glucose control as defined by the American Society for… Continue Reading
Optimal Management of Gall Stone Ileus. Diagnosing by CT Scan and a Limited Operative Approach.
Emil Bota, MBBCh1, Hesham M Souka, MD, FRCS, MBBCh2. 1Diana Princess of Wales Hospital, Grimsby, UK, 2Amina Hospital, Ajman, UAEAim: To establish a standard management protocol in the modern era of cross sectional imaging and targeted laparoscopic approach. Methods: We report 14 patients with gall stone ileus treated over the last 7 years. This is… Continue Reading
Optic nerve sheath ultrasound for bedside diagnosis of intracranial hypertension in the ICU: A single institution experience
Lisandro Montorfano, MD, Federico Perez Quirante, MD, Alejandro Cracco, MD, Hira Ahmad, MD, Rajmohan Rammohan, MD, Nisha Dhanabalsamy, MD, Alex Ordonez, MD, Emanuele Lo Menzo, MD, PhD, FACS, FASMBS, Samuel Szomstein, MD, FACS, FASMBS, Raul J Rosenthal, MD, FACS, FASMBS. Cleveland Clinic FloridaIntroduction: The aim of our study was to evaluate the ultrasonographic modifications observed… Continue Reading
Operative Time in Sleeve Gastrectomy: Influence of Preoperative Factors in Relation to Perioperative Complications
Luciano J Deluca, MD, Patricio J Cal, MD, Tomas C Jakob, MD, Ezequiel O Fernandez, MD. Centro de Rehabilitacion Quirurgica de la Obesidad (CRQO)INTRODUCTION: There is evidence that surgical time is directly related to perioperative morbidity and mortality. Bariatric surgeries are the most effective treatment for morbid obesity and its co morbidities. Among them, laparoscopic… Continue Reading
Operative Repair of Sports Hernia
Benjamin Biteman, MD, Fredrick Brody, MD, FACS. The George Washington University Introduction: Sports hernia is a misnomer. The term Sports hernias, more appropriately called athletic pubalgia, is not the typical hernia involving a defect in the strength layer of the abdominal wall. Sports hernias are related to injury and/or inflammation of the tendonous attachments to… Continue Reading
- Topic:
- Basic Science
Open or endoscopic circular intra abdominal VH: A new technique in VHR
Sarkis Yeretsian, MD. Clinique Medic-Aide 1) Objective of the technology or device: Description of a new technique in ventral hernia repair from the peritoneal cavity (Circular Herniorrhaphy) without large raising/dissecting myocutaneous flaps without bilateral external oblique fasciotomy. 2) Description of the technology and method of the use or application: The old scar is not excised.… Continue Reading
- Topic:
- Basic Science
One-step short-stay conversion from gastric banding to sleeve gastrectomy. Safety and feasibility.
Tomas C Jakob, MD, Patricio Cal, MD, Luciano J Deluca, MD, Ezequiel Fernandez, MD. CRQOIntroduction: Bariatric surgery is the most effective treatment for morbid obesity. Laparoscopic adjustable gastric banding (LAGB) has few perioperative complications. However, many patients require a long term revisional surgery, either for weight regain, reflux, esophageal dilation, slippage or band erosion. Laparoscopic… Continue Reading
Omental-flap buttressing decreases anastomotic leaks in hybrid miniamlly-invasive Ivor-lewis esophagectomy
Siripong Cheewatanakornkul, MD. UCSF Background: Despite improved surgical technique and instrumentation, anastomotic leak rate following hybrid minimally-invasive esophagectomy can be as high as 10%, leading to increased hospital stay and mortality. We sought to determine if leak rates decreased with the use of an omental-flap to buttress the anastomosis. Method: A retrospective review was performed… Continue Reading
- Topic:
- Basic Science
Offering robotic surgical education during general surgery residency
Ankit Patel, MD1, Jamil Stetler, MD1, Jay Singh, MD2, Jahnavi Srinivasan, MD1, Keith Delman, MD1, John Sweeney, MD1, S. Scott Davis, MD1, Edward Lin, DO1. 1EMORY UNIVERSITY, 2Piedmont Colorectal AssociatesBackground: There has been a significant growth in robotic surgery in the field of general surgery in the past few years. Many residency programs, especially in… Continue Reading