Unrecognized Adrenal Insufficiency in Patients Undergoing Laparoscopic Adrenalectomy
Introduction: There is scant data in the literature about unrecognized adrenal insufficiency (AI) in patients undergoing laparoscopic adrenalectomy (LapA). We hypothesized that postoperative day (POD) 1 AM cortisol levels could identify these patients after LapA. The aim of his study is to determine the incidence of AI after LapA and identify clinical predictors. Methods: One… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Solid Organ and Endocrine
Two layer closure of gastrotomy following transvaginal and transgastric peritoneoscopy in an animal model
BackgroundNatural orifice translumenal endoscopic surgery (NOTES) is a newly developing technology in the surgical field. Methods of gastrotomy closure are still far from satisfactory and pose a major hindrance to the development of NOTES. A new concept of transvaginal and transgastric peritoneoscopy followed by a two-layer endoclip closure of gastrotomy wound is presented.MethodsFour pigs were… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
True Single-Port Laparoscopic Appendectomy: First Experience with the “Puppeteer Technique”
Introduction: Our novel “puppeteer technique” using an intraabdominal pulley system enabled us to perform the first true single-port appendectomy. In this report, we describe our first experience with this innovative technique which allows us to remove the appendix safely and successfully through one single incision.Methods: Five consecutive patients were assigned prospectively to undergo a true… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Minimally Invasive Other
Trigger Based Evaluation of Laparoscopic Antireflux Surgery in Gastro-oesophageal Reflux Disease
AIM: It is well known that certain diet and posture can aggravate gastro-oesophageal reflux(GOR) symptoms. The alleviation of reflux symptoms precipitated by these specific triggers after surgery is usually evaluated by global satisfaction scores or grading systems. The aim of this study is to assess the effect of laparoscopic antireflux surgery(LARS) on selected precipitants of… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Treatment of Gastrogastric Fistula After Laparoscopic Roux En Y Gastric Bypass with Endoscopic Stenting: A Novel Approach.
INTRODUCTION: The formation of a gastrogastric fistula after laparoscopic roux en y gastric bypass is an infrequent but well documented complication, with an occurrence of 5-15%. These are reported to exist with marginal ulcers 53-100% of the time. Many treatments have been documented that focus on acid suppression with proton pump inhibitors (PPIs) and local… Continue Reading
- Type:
- Posters
Treatment of Gallbladder Disease During Operations Iraqi Freedom and Enduring Freedom
INTRODUCTION: We examined the outcome after treatment for gallbladder disease in deployed military service members and the impact of instituting a clinical pathway to expedite return to duty (RTD). METHODS AND PROCEDURES: A retrospective chart review of 97 medically evacuated patients with gallbladder disease was analyzed. These patients were evacuated from the field to Landstuhl… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
Treatment of Femoral Hernias By a Single Surgeon: A Systematic Approach
Introduction: The high rate of coincident or missed femoral hernias while or after mesh herniorrhaphy suggest is systematic search. We present our findings and results using the laparoscopic preperitoneal approach (TEP). Methods: Between April 2001 and February 2007, patients undergoing inguinal hernia repair were entered into a prospective database. The nature of their hernias in… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Transgastric Peritoneoscopy for Evaluation of the Abdominal Wall to Direct Laparoscopic Trocar Placement
Objective: Access to the peritoneal cavity to direct therapy is one of the initial steps in the evaluation of NOTES. We hypothesize the peritoneal cavity can be safely entered transgastrically without laparoscopic guidance to visualize the abdominal wall and guide laparoscopic port placement in morbidly obese patients undergoing Roux-en-y gastric bypass (RYGB) surgery.Methods: Abdominal trocar… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Transgastric Endoscopic Peritoneoscopy Does Not Require Decontamination of the Stomach in Humans
Introduction: Natural Orifice Transluminal Endoscopic Surgery (NOTES) is a rapidly evolving field that provides endoscopic access to the peritoneum via a natural orifice. One important requirement of this technique is the need to minimize the risk of clinically significant peritoneal contamination. We report the bacterial load and contamination of the peritoneal cavity in patients undergoing… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Transfer of Basic Skills Between Laparoscopy and Colonoscopy
INTRODUCTION: Skills needed for different image-based procedures appear to vary considerably, even though they often derive from the same underlying abilities. The aim of this study was to investigate the transfer of basic skills between colonoscopy and laparoscopy. METHODS: Twenty-nine medical trainees (no clinical experience in laparoscopy and colonoscopy) were stratified by scores on psychometric… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Transaxillary Endoscopic Periareolar Approach (tepa) to Total Thyroidectomy a Case Report
Introduction:The treatment of many thyroid disease entities remains total thyroidectomy. Although we have successfully performed near total thyroidectomy using an endoscopic transaxillary approach, use of this technique to perform total thyroidectomy has been challenging. We recently explored the feasibility of an approach combining the endoscopic transaxillary technique with a periareolar approach, using the contralateral areola… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Transanal Endoscopic Microsurgery (TEM) excision of locally advanced rectal cancers (pT2, pT3)
TEM is an accepted method of locally excising superficial (pT1) rectal cancers. It is controversial whether this technology is appropriate for cure of more advanced lesions. We retrospectively identified 35 patients (28 pT2, 7 pT3) with rectal cancer, treated with TEM +/- radiation and chemotherapy or radical surgery between 1991 and 2007. Of the pT2’s,… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Transanal endoscopic microsurgery (T.E.M) treatment of rectal cancer: A comparision of outcomes with and without neoadjuvant radiation therapy
Introduction: Improved tumor downstaging and complete response rates of rectal cancer treated with neoadjuvant therapy have been observed. There has been concern that the detrimental, local effect of radiation makes this approach unsuitable for excision. We compared 2 groups of patients undergoing comparable TEM surgery, with and without neoadjuvant radiation. Methods: All patients undergoing TEM… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Transabdominal Preperitoneal (tapp) Vs Lichtenstein Primary Hernia Repair: Long-term Results
Background: The surgical preference for inguinal hernia repair is still under debate and discussed controversial. Short- and long-term results are based on data of different surgical trials with diverse results. In this retrospective study the long-term results of the transabdominal preperitoneal (TAPP) hernia repair and the Lichtenstein technique were compared.Method: Between 2000 and 2005, the… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Trans-oral technique for gastrojejunostomy in laparoscopic Roux-en-Y gastric bypass can ease learning curve and reduce cost
TRANS ORAL TECHNIQUE FOR GASTROJEJUNOSTOMY IN LAPAROSCOPIC ROUX-EN-Y GASTRIC BYPASS CAN EASE LEARNING CURVE AND REDUCE COST Background: The stapled gastrojejunostomy of the laparoscopic Roux-en-Y gastric bypass (LRYGB) can be created by linear stapling techniques or by a circular stapler. In the circular stapling technique, the anvil of the stapler can be introduced into the… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation