DEVELOPMENT OF A CONCEPTUAL FRAMEWORK OF RECOVERY AFTER ABDOMINAL SURGERY: PRELIMINARY RESULTS
Roshni Alam1, Joel Montanez2, Susan Law2, Lawrence Lee1, Nancy Mayo3, Liane Feldman1, Julio Fiore Jr1. 1Department of Surgery, McGill University, 2St Mary's Research Centre, 3School of Physical and Occupational Therapy, McGill UniversityINTRODUCTION: Patient-reported outcome measures (PROMs) are central to determining the value of interventions that aim to improve surgical recovery. However, the evidence underpinning the… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Outcomes and Quality
Discrimination between arterial and venous bowel ischemia by computer-assisted analysis of the fluorescent signal
Giuseppe Quero, MD1, Alfonso Lapergola, MD2, Vincent Agnus, PhD2, Paola Saccomandi, PhD1, Ludovica Guerriero, MD1, Didier Mutter, MD, PhD, FACS2, Jacques Marescaux, MD, FACS, HonFRCS, HonFJSES2, Michele Diana, MD2. 1IHU-Strasbourg, Institute of Image-Guided Surgery, Strasbourg, France, 2IRCAD, Research Institute against Cancer of the Digestive System, Strasbourg, FranceBackground: The aim of this experimental study was to… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
Do mandated weight loss goals prior to bariatric surgery improve patient outcomes?
Sara Monfared, MD, Alvin Furiya, RD, Annabelle Butler, MD, Don Selzer, MD, William Hilgendorf, PhD, Ambar Banerjee, MD, Dimitrios Stefanidis, MD. Indiana UniversityBackground: Most obese patients pursuing bariatric surgery have to complete insurance mandated preoperative weight loss programs. This approach has been criticized as arbitrary and not supported by scientific data, and it contributes to… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Does adherence to perioperative enhanced recovery elements influence patient reported outcomes following colorectal resection?
Nicolò Pecorelli, MD, Saba Balvardi, A. Sender Liberman, MD, Patrick Charlebois, MD, Barry Stein, MD, Franco Carli, MD, MPhil, Liane Feldman, MD, Julio Flavio Fiore Jr., PT, MSc, PhD. McGill University Health CentreINTRODUCTION: Adherence to perioperative care elements is pivotal for the successful implementation of enhanced recovery programs(ERPs). In colorectal surgery, increased adherence is associated… Continue Reading
DOES BISMUTH SUBGALLATE (DEVROM) AFFECT SMELL AND STOOL CHARACTER? A RANDOMIZED DOUBLE BLINDED PLACEBO CONTROLLED TRIAL OF BISMUTH SUBGALLATE ON LOOP DUODENAL SWITCH PATIENTS WITH COMPLAINTS OF SMELLY STOOLS AND DIARRHEA
Hinali Zaveri, MD, Amit Surve, MD, Daniel Cottam, MD, Walter Medlin, MD, FACS, Austin Cottam, BS, Samuel Cottam. Bariatric Medicine InstituteIntroduction: Loop Duodenal Switch (LDS) is a modification of Roux en Y duodenal switch. This technique can result in fat and starch malabsorption. In a small percentage of patients’, a relevant qualitative and quantitative change… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
ECONOMIC IMPACT OF EMERGENCY DEPARTMENT USE FOLLOWING BARIATRIC SURGERY
Margaret E Smith, MD, Aaron Bonham, MSc, Amir Ghaferi, MD, MS. University of MichiganINTRODUCTION: Postoperative readmissions following bariatric surgery have declined over recent years; however, a concurrent reduction in postoperative emergency department (ED) visits has not occurred. The most common reasons for ED encounters include abdominal pain, dehydration and nausea. A large proportion of these… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Outcomes and Quality
EFFECT OF REVISIONAL BARIATRIC SURGERY ON TYPE 2 DIABETES MELLITUS
Essa M Aleassa, MD, Monique Hassan, MD, Kellen Hayes, MD, Stacy Brethauer, MD, Philip R Schauer, MD, Ali Aminian, MD. Bariatric and Metabolic Center, DDI, Cleveland Clinic OHIntroduction: Bariatric surgery significantly improves type 2 diabetes. However, a small percentage of patients after bariatric surgery either have persistent hyperglycemia, or relapse after initial remission of their… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
EFFECTS OF AURICULAR ACUPUNCTURE FOR THE MANAGEMENT OF NAUSEA AND VOMITING AFTER UNCOMPLICATED LAPAROSCOPIC CHOLECYSTECTOMY
Ana Carolina B de Siqueira1, Ana Clara G Miranda1, Bianca R Castelo Branco1, Ian Vitor P de Lima1, Luiz F Silva Filho1, Victor S Da Silva1, Diego L Lima, MD2, Luiz C Miranda, Md, phD1. 1University of Pernambuco, 2State Servers HospitalIntroduction: the high incidence of postoperative nausea and vomiting (PONV) makes the first postoperative hours of laparoscopic cholecystectomy (LC) unpleasant. Auriculoacupuncture (AA)… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Minimally Invasive Other
Effects of Dexamethasone on Post-Operative Urinary Retention in Laparoscopic Inguinal Hernia Repair
Merritt Denham, BS, Kara Donovan, BS, Nicole Wetoska, Kristine Kuchta, MS, JoAnn Carbray, BS, John G Linn, MD, Woody Denham, MD, Stephen P Haggerty, MD, FACS, Michael Ujiki, MD, FACS. NorthShore University Health SystemIntroduction: Post-operative urinary retention (POUR) is a complication of Laparoscopic Inguinal Hernia Repair (LIHR). Previous research has examined predictive perioperative factors of… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Outcomes and Quality
Endoluminal protection of colorectal anastomosis using a temporary non invasive bypass in pigs
Charam Khosrovani, MD. Clinique FonvertAims: Anastomotic leakage (AL) and its complication remain the main concern following colorectal surgery. A defunctioning ostomy is commonly used to protect patients but is fraught with its own complications. This study examined the feasibility, safety, usefulness of Colovac, an anastomosis protection device, alleviating the need for ostomies. Colovac consists of… Continue Reading
ENDOSCOPIC TECHNIQUE FOR CLOSURE OF ENTEROCUTANEOUS FISTULAS
James D Roy, MD, Paul Rider, MD, Leander Grimm, MD, John Hunter, MD, William Richards, MD. University of South AlabamaIntroduction: Enterocutaneous fistulae represent a spectrum of disease that offer plentiful challenges to surgeons. The mainstays of treatment are long term conservative management versus surgical management in typically malnourished patients with hostile abdomens. At our institution,… Continue Reading
ERAS PROTOCOL FOR BARIATRIC SURGERY: IS IT SAFE TO DISCHARGE ON POST-OPERATIVE DAY ONE?
Jenny Lam, MD, Toshiaki Suzuki, MD, Carlos T Maeda, MD, David Bernstein, MD, Thach Pham, MD, Bryan J Sandler, MD, Garth R Jacobsen, MD, FACS, Santiago Horgan, MD. University Of California - San DiegoObjective: To establish if an Enhanced recovery after surgery (ERAS) protocol can be performed safely in bariatric surgery. Background: Laparoscopic sleeve gastrectomy… Continue Reading
ERGONOMICS OF MINIMALLY INVASIVE SURGERY: AN ANALYSIS OF MUSCLE EFFORT AND FATIGUE IN THE OPERATING ROOM BETWEEN LAPAROSCOPIC AND ROBOTIC APPROACHES.
Priscila R Armijo, MD, Chun-Kai Huang, PhD, Ka-Chun Siu, PhD, Dmitry Oleynikov, MD. University of Nebraska Medical CenterIntroduction: The aim of this study was to determine how objectively-measured and self-reported muscle effort and fatigue of the upper-limb differ between laparoscopic (LAP) and robotic-assisted (RA) surgical approaches in the operating room. Methods: Surgeons (fellows or attending… Continue Reading
Esovac, an esophageal bypass device for the protection of esogastric anastomosis: preclinical results in pigs
Charam Khosrovani. Clinique FontvertIntroduction: Anastomotic leak is one of the most serious complications of esophageal surgery with a 30% post-operative death, reduced quality of life and negative outcome in cancer patients. Until now there is no efficient therapy to reduce the risks of esophageal anastomotic adverse events. Covered stents are routinely and successfully used in the… Continue Reading
Evaluating the effect of drainage on the incidence of hematoma and/or seroma after laparoscopic Transabdominal Preperitoneal Inguinal hernia repair
Mehdi Fesharakizadeh, MD1, P Haghighatjoo, MD2, Sh Dolatkhah3, Sh Fesharakizadeh4, H Saeedimotahar1. 1Iranmehr Hospital, Tehran, Iran, 2Kashani Hospital, Shahrekord, Iran, 3Isfahan University of Medical Sciences, Isfahan, Iran, 4San Francisco State University, CA, USABACKGROUND: Both hematoma and /or seroma are well known complications of laparoscopic inguinal hernia surgery, either TAPP or TEP techniques. Management is usually… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias