Early reoperation – a quality parameter for monitoring laparoscopic surgery ?
Background:The science of surgical quality measurement is evolving!The need for unplanned early reoperation usually represents a major adverse event in the patient’s postoperative course. Unplanned early reoperations were suggested as a possible quality indicator in general surgery .There are only a small number of prospective studies concerning this issue in general surgery, and no reports… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Outcomes and Quality
Early US Outcomes after Laparoscopic Adjustable Gastric Banding in Patients with BMI <35
Introduction: Many mild-to-moderately obese individuals (BMI Session: Podium Presentation Program Number: S084 Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Effect of Yoga exercises on outcome of Stapled Hemorrhoidectomy: Results of a Prospective Randomized Controlled Study.
Objectives of study-The aim of this study was to evaluate the effect of yoga exercsies on outcome of stapled hemorrhoidectomy, a safe, popular, day care procedure for prolapsing hemorrhoids (PPH).Methods and Procedures-Consecutive patients with indications for PPH were randomized into Yoga exercises (YE) i.e. study group and no Yoga exercise (NYE) i.e. control group.PPH was… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
Endo-Laparoscopic Intragastric Tumor Excision (ELITE) of Intragastric GIST – Combined Endoscopic and Laparoscopic Technique
Introduction: Gastric GIST is a mesenchymal neoplasm of gastrointestinal tract with uncertain malignant potential. Complete surgical excision is usually recommended . However, local excision is difficult for GIST located at cardia or prepyloric region and partial gastrectomy may be necessary. Method: For small intragastric GIST ( Session: Podium Presentation Program Number: V028 Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Endolumenal Anastomosis Creation with Magnets
Objective: Creation of a safe endolumenal gastro-jejunal anastomosis with neodymium magnets.Background: This paper describes a new technique for performing an endolumenal gastro-jejunal anastomosis using neodymium magnets.Methods: An experimental survival study was conducted in seven swine with open translumenal placement of variable shaped magnets in the stomach and jejunum. An anastomosis was created between magnets in… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Endoscopic Endoluminal Radiofrequency Ablation of Barrett’s Esophagus: Initial Results and Lessons Learned
Background: Ablating Barrett’s epithelium may reduce the risk of developing esophageal adenocarcinoma. This study reports the initial experience of a single surgeon using an endoscopic endoluminal device delivering radiofrequency energy (the BARRx device) in ablating Barrett’s esophagus.Methods: All patients who underwent ablation of Barrett’s epithelium with the BARRx system were reviewed for length of Barrett’s… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Endoscopic Sclerotherapy Induces Additional Weight Loss Initial Roux-en-Y Gastric Bypass
Background: Weight gain (WG) following initial weight loss (WL) success or inadequate initial WL (IWL) from Roux-en-Y gastric bypass (RNYGB) is a problem for many patients. Often, this may due to dilation of the gastrojejunostomy (GJ). Effective endoscopic management would avoid the morbidity of surgical revision. We hypothesized that endoscopic sclerotherapy (ES) of the GJ… Continue Reading
Endoscopic therapy for esophageal perforation or anastomotic leakage with a self expandable metallic stent
IntroductionLeakage of the esophagus is associated with a high mortality rate and needs to be treated as soon as possible. Therapeutic options are either surgical or conservative. We evaluated the treatment of esophageal leaks with self expandable metallic stents (SEMS).MethodsBetween 2002 and 2005, we included 24 consecutive patients for iatrogenic esophageal perforation (n=11), intrathoracic anastomotic… Continue Reading
Endoscopic thyoridectomy by the axillary approach
Aim: Minimally invasive surgery is widely employed for the treatment of thyroid diseases. We have performed pure endoscopic thyroidectomy by the axillary approach from 1999. In this study, we evaluate the efficacy of this surgical procedure.Patients and Methods: The indications for this procedure included the presence of a follicular nodule or adenomatous goiter with a… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Minimally Invasive Other
Ergonomic Risk of Assisting in Minimally Invasive Surgery
Introduction: Ergonomic knowledge related to primary MIS surgeons has been well described. Similar studies making the camera assistant subject have not been undertaken. By simulating the assistant¡¯s role as a camera holder and retractor during a Nissen fundoplication, this study investigated how camera target locations and grip strategies, and fatigue affected the assistant¡¯s posture.Methods and… Continue Reading
Esophageal Manometric Characteristics and Outcomes for Laparoscopic Esophageal Diverticulectomy, Myotomy and Partial Fundoplication for Epiphrenic Diverticula
Introduction: The purpose of this study is to characterize the esophageal motor and lower esophageal sphincter (LES) abnormalities associated with epiphrenic esophageal diverticula and analyze outcomes for laparoscopic esophageal diverticulectomy, myotomy and partial fundoplication.Methods: Endoscopic, radiographic, manometric and perioperative records for patients undergoing laparoscopic esophageal diverticulectomy, anterior esophageal myotomy and partial fundoplication from 8/99-9/06 were… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Excess Roux-limb Hook Syndrome – a Preventable Cause of Disability After Laparoscopic Gastric Bypass.
Introduction: Laparoscopic Roux-en-Y Gastric Bypass (LGB) is associated with a complication rate of about 10% and early diagnosis and proper treatment leads to full recovery in virtually all patients. Strategies to prevent technique related complications are important and should decrease overall morbidity rate. The aim of this study is to describe a preventable cause of… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Feasibility of Self-Appraisal in Assessing Operative Performance in Advanced Laparoscopic Colorectal Surgery
AimsAssessing surgical technical skills (TS) in a structured manner is a topical issue in the current surgical environment. To date there has been no attempt to comprehensively assess both generic and operation specific TS in live advanced laparoscopic colorectal surgery, in this study we aim to develop and validate a new tool which can assesses… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
Fewer Gastrojejunostomy Strictures and Marginal Ulcers with Absorbable Suture
BACKGROUND: The upsurge of gastric bypass procedures has been accompanied by an increase in anastomotic strictures and marginal ulcers. In the reported literature, the gastrojejunostomy strictures in 3-27% and ulcerates in 1-16% of cases. Several anastomotic techniques are used; however, no study has specifically addressed whether choice of reinforcing suture affects rates of stricture or… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Full thickness excision of T1 rectal cancer with transanal endoscopic microsurgery
Background: Transanal endoscopic microsurgery is a useful method for the local excision of polyps and selected rectal cancers. The standardization of the technique for this procedure is likely to be important for preventing local recurrence. This video demonstrates the standard procedure of TEM in a patient with a 5cm rectal polyp. Methods: The patient was… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES