RECURRENT EPIPHRENIC DIVERTICULUM
Michael C Morell, MD1, Shanu N Kothari, MD2. 1Gundersen Medical Foundation, 2Gundersen Health SystemEpiphrenic diverticula are pulsion diverticula most commonly occurring on the right side, in the distal 10cm of the esophagus. Epiphrenic diverticula and their recurrence after surgical intervention is a rare esophageal pathology that occurs in the setting of increased intraluminal esophageal pressure.… Continue Reading
- Topic:
- Foregut
LINX in GERD. The evolution of the technique. From none to full dissection of the crura
Rebeca V Dominguez, MD, Arielle M Lee, MD, Tokio Matsuzaki, MD, Kai Neki, Ryan C Broderick, Robert Cubas, Joslin N Cheverie, Bryan J Sandler, MD, Garth R Jacobsen, MD, Karl-Hermann Fuchs, MD, Santiago Horgan, MD. UCSDWe present a video with 4 different scenarios, that represent the continuous evolution of this technique. Starting with the performing… Continue Reading
- Topic:
- Foregut
Robotic Living Donor Hepatectomy
Jaekeun Kim, MD, PhD, Yee Lee Cheah, MD, Caroline J Simon, MD, Mohamed E Akoad, MD. Lahey Hospital & Medical CenterRobotic living donor right hepatectomy is a technically challenging operation. Accepted benefits of minimally invasive surgery include less postoperative pain, enhanced postoperative recovery with faster return to pre-donation status, and reduced morbidity. Our tertiary academic transplant center performed… Continue Reading
- Topic:
- Robotics
Laparoscopic reduction of ileocolic intussusception
Gustavo Romero Velez, Sathyaprasad Burjonrappa, MD. Montefiore Medical CenterIntussusception is the most common cause of small bowel obstruction in infants. Ninety percent of the cases are treated non-operatively with air enema reduction. For those cases that fail non-operative management, surgery is warranted. Here we present a case of a 3 month old which was successfully… Continue Reading
- Topic:
- Acute Care Surgery
Utilization of Normal Saline injection in Tissue Planes to Facilitate Safe Tissue Dissection in Laparoscopic Surgery
Ghaith Khair, MD, FACS, Andrea Zaw, MD, Kuldeep Singh, MD, FACS, FASMBS, MBA. St agnes hospitalBackground: Lysis of adhesions though almost is routinely done in surgery, is neither routine nor benign procedures. It is fraught with injury to structures, intestines, infected wounds and fistula formation, with or without sepsis. Methods: A video clip describing normal saline injection… Continue Reading
- Topic:
- Minimally Invasive Other
Endoscopic Diverticulopexy for Recurrent Dysphagia After Myotomy
Stephanie Novak, MS, Zachary Callahan, MD, Michael Ujiki, MD, FACS. NorthShore University Health SystemWe present a video of two cases in which the patients undergo endoscopic intervention for recurrent diverticulum. The first patient is a 49-year-old male with a history of transoral endoscopic Zenker's diverticulostomy. He re-presented with dysphagia and was found to have a… Continue Reading
ENDOSCOPIC MANAGEMENT OF RECURRENT ANASTOMOTIC LEAK FOLLOWING CHEMOTHERAPY AFTER COLORECTAL SURGERY
David J Morrell, MD, Kevin J Mckenna, MD, Evangelos Messaris, MD, PhD, Eric M Pauli, MD. Penn State Health Milton S. Hershey Medical CenterIntroduction: The standard therapy for free intraperitoneal anastomotic leaks consists of surgical revision, diversion, and drainage. We present a patient managed endoscopically utilizing the same surgical techniques of source control and drainage. Methods: Patient… Continue Reading
Gastric Per Oral Pyloromyotomy for Post-Vagotomy Induced Gastroparesis Following Esophagectomy
Megan Sippey, MD, Mark Anderson, MD, Jeffrey Marks, MD, FASC, FASGE. Case Western Reserve UniversityIntroduction: Delayed gastric emptying occurs in approximately 15-30% of patients following thoracoabdominal esophagectomy. This is predominantly due to inherent vagotomy. Patients have a decreased quality of life secondary to persistent nausea and intolerance of oral intake. Management options include dietary modifications,… Continue Reading
The Endoscopic Management of a Chronic Gastric Leak: Surprising Fluoroscopic Findings
Samantha R Witte, MD, Amanda Lee, MD, Matthew Dixon, MD, Eric M Pauli, MD. Penn State HealthThis is a case presentation of the complex endoscopic management of a chronic gastric fistula. The real-time interpretation of fluoroscopic images directly impacted intraoperative decision making in this case, highlighting the importance of liberal use of fluoroscopy during these… Continue Reading
VIDEO LAPAROSCOPIC TOTAL GASTRECTOMY – STEP BY STEP
Bruno Zilberstein, MD, PHD, FACS, Leandro Barchi, MD, PHD, Maurice Youssef, MD, Thiago Manesco, MD, Willy Petrini Souza, MD. GastromedLaparoscopic surgery has been increasingly applied to gastric cancer surgery. Gastrointestinal tract reconstruction totally done by laparoscopy also has been a challenge for those who developed this procedure. After introduction of laparoscopic stapling methods, the reconstruction… Continue Reading
- Topic:
- Minimally Invasive Other
Laparoscopic Spleen Preserving Pancreatectomy: A Cognitive Task Analysis Approach to Teaching Technique, Tips and Tricks
Shanley B Deal, MD, George Baison, MD, Adnan A Alseidi, MD, EdM. Virginia Mason Medical CenterThis video presentation will review a laparoscopic spleen preserving distal pancreatectomy via a unique approach. We present the video using cognitive task analysis to break down the complex procedure into 9 specific modular components in order to simplify each task.… Continue Reading
- Topic:
- Education / Simulation
DUODENAL GIANT GIST RESECTION BY LAPAROSCOPY, USING A HAND ASSIST DEVICE
Yoelimar Guzman, MD, Dulce Momblan, MD, Ainitze Ibarzabal, MD, Victor Turrado, MD, Gerard Frigola, MD, Jaume Balust, MD, Antonio Lacy, MD, PhD. Hospital Clinic of BarcelonaCase summary: 48-year-old female affected by gastrointestinal stromal tumor (GIST), stage IIIA, located in the 3rd/4th duodenal part, diagnosed because a history of microcytic anemia and abdominal discomfort. After receiving… Continue Reading
- Topic:
- Minimally Invasive Other
Laparoscopic total pancreatectomy in a challenging case—-technique and tips
Xin Wang. West China Hospital, Sichuan UniversityThis is a 67 years old male, presenting with epigastric pain for over three years. Lab tests indicate significantly elevated oral glucose tolerance and blood glucose. ALT and AST are slightly elevated. CA19-9 is 38.2 U/ml. CT scan shows an enlarged pancreas with dilated duct, indicating chronic pancreatitis. Endoscopic… Continue Reading
- Topic:
- Minimally Invasive Other
Minimally Invasive Splenectomy For ITP During Pregnancy
David J Berler, MD, Jessica Gonzalez-Hernandez, MD, Sara A Hennessy, MD, FACS. UT Southwestern Medical CenterImmune thrombocytopenic purpura affects up to 2 in 10,000 pregnancies and can lead to devastating, potentially life-threatening peripartum hemorrhage. Treatment with corticosteroids and/or IV immunoglobulin is often effective. For those who fail medical therapy and are found to have significant… Continue Reading
- Topic:
- Minimally Invasive Other
Laparoscopic Resection of bleeding Meckel’s Diverticulum in a young adult, with negative Nuclear Scan and angiographic diagnosis of Persistent aberrant Omphalomesenteric artery
Indraneil Mukherjee, MD, Aleksandr Demin, DO, Aleksandra Ogrodnik, MD, Andrey Mironenko, MD, Ian Provancha, Karen E Gibbs, MD. Staten Island University HospitalIntroduction: Meckel's diverticula are the most common congenital anomaly of the GI tract which is seen in 2-3% of the population. The most common presentation of such diverticulum in the pediatric population is hemorrhage, however small bowel… Continue Reading
- Topic:
- Acute Care Surgery