Seconds from disaster: laparoscopic median arcuate ligament release and lessons learned
This video illustrates 2 cases of laparoscopic median arcuate ligament release. The first case was performed after reviewing a previously presented SAGES video on a similar patient (Carbonelle AM, et al Laparoscopic Management of Median Arcuate Ligament Syndrome, Surg Endosc 2005:19(5)-729.) The authors attempted a similar approach. Upon near completion of the case, a devastating… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Minimally Invasive Other
Single Incision Laparoscopic Cholecystectomy
Since the introduction of laparoscopic cholecystectomy in 1987, several modifications have been described to reduce the number and size of transabdominal ports. Recently, natural orifice transluminal transorgan cholecystectomy using endoscopes have been performed in animal models and in humans with laparoscopic assistance. We present the operative video of a laparoscopic cholecystectomy performed via a single… Continue Reading
- Topic:
- Minimally Invasive Other
Single Port Access (spa) Cholecystectomy – Initial Validation of a Single Incision Approach
The desire to continually improve our minimal access surgical approach to disease is clearly evidenced by the focus on reducing incisions required for laparoscopic cholecystectomy and other procedures. With this in mind, we have developed a Single Port Access (SPA) surgical procedure that has allowed us to perform a number of varying minimal access procedures… Continue Reading
- Topic:
- Minimally Invasive Other
Single Port Access (spa) Surgery – Initial Experience of a Novel Minimal Access Approach Applied Across Surgical Specialties
We have developed a minimal access surgical technique in which the entire procedure can be performed through a single incision within the umbilicus. This Single Port Access (SPA) surgical technique developed in May 2007 has been utilized for a number of general surgical procedures including cholecystectomy, gastric surgery, omental surgery and hernia surgery. Utilizing High… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Minimally Invasive Other
Single Port Access (spa) Surgery – Intracorporeal Liver Retractor for Spa Heller Myotomy
For optimal visualization during laparoscopic gastroesophageal procedures, the left lobe of the liver has to be mobilized superiorly to the anterior abdominal wall. To accomplish this task, we have traditionally utilized an externally placed stainless steel retractor. Retraction is either performed manually, or by a mechanical arm that is secured to the side rail of… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Single Port Laparoscopic Gastrostomy Tube Placement
Introduction: Percutaneous endoscopic gastrostomy (PEG) placement is commonly performed. The safety of this procedure is predicated on the ability to bring the anterior gastric wall in apposition to the abdominal wall, as confirmed by transillumination. Prior gastric resection, hepatomegaly, obesity, and intraabdominal adhesions can prohibit transillumination. The following reports the safety and efficacy of single… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Single Port Laparoscopic Ileal-Pouch Anal Anastomosis
The use of laparoscopy in the surgical management of inflammatory bowel disease has been increasing. Advantages include a decrease in postoperative pain and decreased adhesion formation. Many patients who undergo this procedure are young and very concerned with their appearance. Laparoscopic surgical procedures offer smaller, more cosmetically appealing incisions. In this video we describe our… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Minimally Invasive Other
Specialist Intervention Improves Results Following Laparoscopic Acute Gallbladder Surgery
AIM: Laparoscopic cholecystectomy is increasingly being offered on index emergency admission. This study assessed whether the surgeon specialist interest influences the patient outcome following emergent laparoscopic cholecystectomy.METHODS: The study included all patients who underwent emergency cholecystectomy after an index emergency admission over an 18-month period. End-points studied were conversion rate, post-operative complications, time delay to… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
The Effects of Laparoscopic Cholecystectomy, Hysterectomy, and Appendectomy on Nosocomial Infection Risks
Background: This paper presents precise estimates of nosocomial infection risks associated with laparoscopic as compared to open surgery in three procedures: cholecystectomy, appendectomy, and hysterectomy.Methods: A retrospective analysis was performed on 11,662 admissions from 22 hospitals that have a nosocomial infection monitoring system. The Nosocomial Infection Marker (NIM, patent-pending) was used to identify nosocomial infections… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Minimally Invasive Other
The Extraperitoneal Laparoscopic TRAM Flap Delay Procedure: An Alternative Approach
Introduction: The transverse rectus abdominis musculocutaneous (TRAM) flap has become the standard and most popular method for autogenous breast reconstruction. Ligation of the deep inferior epigastric vessels prior to TRAM flap reconstruction (delay procedure) was introduced to augment vascularity to the island flap through improved superior epigastric flow, thus decreasing flap morbidity. Methods: A transverse… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
The role of minimally invasive surgery in the forward combat hospital
Background: Most penetrating abdominal combat wounds are of high energy, with injury to multiple viscera, and require immediate open abdominal exploration for hemorrhage control. There is interest in advanced surgical systems for use in the forward combat environment, but minimally invasive surgery (MIS) has never been utilized in such setting. The authors hand-carried an MIS… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Minimally Invasive Other
The Use of Esophageal Transit and Gastric Emptying Studies in the Evaluation of Patients Undergoing Laparoscopic Fundoplication
Background: Minimally-invasive gastric fundoplication represents an important therapeutic option in patients with refractory reflux and symptomatic hiatal hernias. Preservation of esophageal and gastric function is a hallmark principle in ensuring optimal surgical outcomes. In this study, we evaluate the impact of fundoplication on esophageal transit and gastric emptying scintigraphy studies, and relate these functional findings… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Thermal spread, heat absorbance and device degradation during energised electrosurgery by open and laparoscopic surgery: randomised experimental study in pigs
Aim of study: to examine extent of thermal spread between open and laparoscopic energised dissection with bipolar electrosurgery (Atlas and Advance - ValleyLab). Methods: Experiments were performed in 8 Large White/Landrace pigs (average wt. 27 kg), 4 of which were randomised to open and 4 to laparoscopic multi-site surgical energised dissections. Thermal imaging was performed… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Totally extraperitoneal (TEP) bilateral varicocelectomy (BLV) – a comparative study of collateral venous channels in left and right varicocele and their accessibility by TEP route
Objective of Study :Results of bilateral varicocelectomy are sometimes a concern due to recurrence, hydrocele and no improvement in semen parameters specially when done for male infertility. Both Retroperitoneoscopic and Microvascular subinguinal approaches have these drawbacks. An anterior Extraperitoneal approach presented by us earlier enables visualization of venous collaterals from high retroperitoneum (HRP) till subinguinal… 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