The Incidence of Occult Fascial Defects Discovered in Laparoscopic Ventral Hernia Repairs in 374 Patients
Objective: One aspect unique to the laparoscopic ventral hernia repair (LVHR) is the visualization and repair of occult fascial defects not recognized during open repairs. This recognition of occult fascial defects leads to wider mesh coverage of the areas that would likely go undetected (and un-repaired) at the time of open surgery. This study reviews… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
The impact of the liberal use of CT in the work up of acute appendicitis
Background:Acute appendicitis has historically been considered a clinical diagnosis, necessitating a CT scan only in the face of equivocal signs and symptoms. The purpose of this study is to determine whether or not the liberal use of CT in the work up of acute appendicitis results in a decreased negative appendectomy rate (NAR). Methods:The medical… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
The Impact of Proton Pump Inhibitors on Intra-peritoneal Sepsis:
Study Aim: Proton pump inhibitors (PPI) are commonly given for the treatment of GERD and ulcer disease. In many non-operative cases of perforated ulcer disease, it is standard of care. During transgastric NOTES procedures there is an iatrogenic perforation of the gastric wall with leakage of gastric contents into the peritoneal cavity. Our study aim… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
The immediate re- resection of T1 incidental gallbladder carcinoma- indication or over treatment
Introduction: The indication for an immediate re-resection (IRR) in T1b incidental gallbladder carcinoma (IGBC) is debated in the literature, and different recommendations are often drawn based on data collected from only small groups. But the management of IGBC is difficult, because there are no established guidelines.An IRR is recommended in cases of T2 tumours and… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
The First Human Abdominal Surgery in Prone Position: An Example of How NOTES Can Be Used to Perform Unique Procedures
NOTES has been touted as the next step in minimally invasive surgery. As such, most of the effort to perform NOTES has been focused on reproducing surgical procedures in a manner similar to how they are accomplished laparoscopically. It seems, however, that a potential advantage for NOTES is to allow surgeons to perform operations in… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
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 Effect of Laparoscopic Staplers on Porcine Small Bowel Perfusion.
Introduction: Few studies have been designed to assess the performance of laparoscopic surgical staplers. This study analyzes the effect of staples and staple height on tissue perfusion. Methods: Staple lines created on live porcine small bowel segments using laparoscopic surgical staplers were tested for perfusion using visible light spectroscopy to assess tissue oxygenation. Perfusion measurements… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Outcomes and Quality
Surgical Simulation in Africa: The Feasibility and Impact of a Three Day Fls Course
Introduction: Although simulation is now considered important for learning technical skills, there is very little literature assessing the use of simulation in resource restricted countries. The purpose of this study was to determine the feasibility and impact of a three day Fundamentals of Laparoscopic Surgery (FLS) course in Botswana, Africa. Methods: A total of 20… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Education / Simulation
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
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
Severe Complications after Double Balloon Enteroscopy
Introduction:Double balloon enteroscopy (DBE) is a relatively new endoscopic technique to diagnose and treat small bowel disease. While it is becoming widely used, there are relatively few data regarding potential complications. Methods: We reviewed all DBE cases at an academic medical center from 2006-2007. 39 DBEs were identified and three patients had severe complications (7.7%)… Continue Reading
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
Role of Early Thorocascopy in the Penetrating Wounds of the Chest
Non life-threatening penetrating wounds of the thorax(PCW) can be treated by tube thoracostomy(TT)alone, but incomplete removal of clots can delay recovery and lead to the development of empyema. We hypothesized that use of early thoracoscopy (TS), within 48 hours, will reduce empyema and missed diaphragmatic injuries(DI).Method: We performed a retrospective chart review of 82 stable… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Thoracoscopy
Robotic Pancreatic Surgery: A Single Institution Experience
The overall activity of robotic pancreatic surgery at Misericordia Hospital in Grosseto has been reviewed. From October 2000 to March 2007, has been performed 68 robotic pancreatic resections: 35 pancreatoduodenectomies (PD) (25Whipple, 10 Longmire procedures), 28distal pancreatectomies (DP) (13 spleen-preserving), 3 middle segment pancreatectomies and 2 insulinoma enucleations.The etiology of 35 PD were:11 ductal cancer,… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Robotics
Robotic Gastric Cancer Surgery using da Vinci system: Clinical results & lessons learned from 2-year experience.
Background: For gastric cancer, robotic surgery is still in its early years. This study is performed to evaluate the technical feasibility, effect, and safety of robot-assisted gastrectomy (RAG) with lymphadenectomy using da Vinci systemMethods: From July 2005 to April 2007, 80 RAG with lymphadenectomy were performed for patients with preoperative diagnosis of EGC. The clinicopathologic… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Robotics