Multiple Diagnostic Investigations Delay Appropriate Care in the Management of Bariatric Surgery-related Malnutrition
Introduction: The recent increase in primary bariatric surgery has been coupled with an increase in revisional bariatric surgery. While most revisional surgery is for inadequate weight loss, a small but significant number of malabsorptive complications require re-intervention. The requirement for revision is suggested by symptoms and signs of malabsorption and malnutrition. Multiple investigational studies are… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Multipurpose Surgical Robot As a Laparoscope Assistant
Introduction: This study demonstrates the effectiveness of a new, compact surgical robot at improving laparoscope guidance. Currently, the assistant guiding the laparoscope camera tends to be less experienced and requires physical and verbal direction from the surgeon. Human guidance has disadvantages of fatigue and shakiness leading to inconsistency in the field of view. This study… Continue Reading
N.o.t.e.s. Sentinel Node Biopsy Combined with Endoscopic Submucosal Dissection of the Sigmoid Colon
Background: Endoscopic submucosal dissection (ESD) is proving effective in the resection of selected early stage gastrointestinal cancers. Its application and appropriateness could be extended if a means of determining lymphatic dissemination could be provided without recourse to conventional operation. Here we demonstrate the performance of companion sentinel node biopsy (SNB) by Natural Orifice Translumenal Endoscopic… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Endolumenal / NOTES
National Study of Higher Surgical Trainees As Endoscopists –
IntroSurgical training in England is once again in the midst of a vast upheaval. The introduction of the European Working Time Directive (EWTD) combined with shortened training time poses problems with regards to sufficient exposure to procedures for surgical trainees. This clearly has implications with regards to the role of the surgeon as an endoscopist,… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Nationwide Trends in Incisional Hernias in the Era of Laparoscopic Surgery
NATIONWIDE TRENDS IN INCISIONAL HERNIAS IN THE ERA OF LAPAROSCOPIC SURGERY Authors: Usama Qumsieh, MD, Marek Rudnicki, MD, PhD, Wendy Weller, PhD.Institutions: Metropolitan Group Hospitals/Univ. of Illinois Surgery Residency Program, Chicago, Illinois and Univ. at Albany School of Public Health. OBJECTIVE: Incisional hernias (IH) are observed in 10-15% of patients after open abdominal procedures and… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Natural Orifice Surgery Using the Stomaphyx™ Endoplicator to Treat Pouch Dilitation and Gastrogastric Fistula After Open, Non-divided Rygb
Introduction: Natural orifice surgery using the StomaphyX™ endoplicator is an alternative approach to revisional gastric bypass surgery when post-op complications such as dilatation of the gastrojejunostomy, gastrogastric (GG) fistula, and gastric pouch dilation occur.Case Report: A 45-year-old white female presented 12 years after an open, non-divided RYGB. Over the past six months, she no longer… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Natural Orifice Transluminal Endoscopic Surgery (notes) in the Setting of Acute Abdomen:
OBJECTIVE:Laparoscopy has provided a means to assist in the decision-making process for patients with acute abdominal pain. Conditions such as appendicitis, diverticulitis, cholecystitis, small bowel obstruction, perforated viscous, endometriosis, and ovarian cysts can now be safely diagnosed and treated via laparoscopy. With Natural Orifice Transluminal Endoscopic Surgery(NOTES) considered as the next frontier in minimally invasive… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Needle Ingestion : Laparoscopic and Endoscopic Tailored Approach
IntroductionNeedle ingestion is extremly rare among the ingested foreign bodies.The longer, slender, sharp-ended foreign bodies such as needles, the chances of perforation are considerably greater. In most, foreign body ingestion cases are excreted per vias naturals, but in some cases, especially needles, the object does not pass naturally, and lead to perforation of the bowel.… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Needlescopic Lung Biopsy in Interstitila Lung Disease Using Two-lung Ventilation Anesthesia with Low Tidal Volume
IntroductionOne-lung ventilation plays a pivotal role in thoracoscopic lung biopsy. However, it has the disadvantages of causing hypoxemia, tracheobronchial trauma and oxidative stress caused by the pulmonary reexpansion, which could be harmful to the postoperative course of interstitial lung disease. We performed needlescopic surgery for interstitial lung disease using two-lung ventilation with low tidal volume… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Needlescopic Resection of Small Pulmonary Nodule After Preoperative Dual Localization with Hook Wire and Lipiodol
IntroductionThe needlescopic surgery using instruments with a diameter of 2-mm is devised to leave minimal scarring and reduce the need for postoperative analgesia. For needlescopic lung biopsy for small pulmonary nodule (< 20mm), accurate and convenient method for preoperative localization is necessary. The aim of this study is to evaluate the usefulness of combined mammographic… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Minimally Invasive Other
New Method of Rectal Irrigation and Cutting in Laparoscopic-low Anterior Resction for Rectal Cancer: Extracorporeal Hals method
(Aim) To evaluate a new method of rectal irrigation and cutting in laparoscopic-low anterior resection for rectal cancer(Apparatus) A clamp forceps for the rectal irrigation and the Y-shaped vinyl hood for the operation under airtight were made. The point of forceps is J character type, and the total length is 36cm. 22cm between the clamping… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
No Hemodynamic Difference Between NOTES and Endoscopy Over Short Time Period
Introduction: Natural Orifice Translumenal Endoscopic Surgery (NOTES) promises decreased invasiveness by performing intra-abdominal procedures while avoiding the abdominal wall. Data from a randomized blinded study showed significant divergence of heart rate and diastolic blood pressure for NOTES animals compared to laparoscopy animals. We compared animals undergoing diagnostic or interventional NOTES with animals undergoing standard endoscopy… Continue Reading
- Type:
- Posters
- Topic:
- Basic Science
Not Following the Trend: Slow Growth of Complex Laparoscopic Procedures in the United States
Laparoscopic (LAP) surgery has experienced significant growth since the early 1990s and is now considered the standard of care for many procedures like cholecystectomy. Increased expertise, training and technological advancements have allowed the development of more complex LAP procedures including removal of solid organs. Unlike LAP cholecystectomy, it is unclear whether complex LAP procedures are… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
NOTES Approach to Endoscopic Gastropexy: Feasibility Study in Dogs
NOTES procedures are more invasive than traditional endoscopy because they involve exiting the lumen of a hollow organ, tissue manipulation, and closure of the access site. We proposed that a novel endoscopic gastropexy utilizing a NOTES approach results in secure adhesions with few complications. To further study the impact of NOTES, we chose to evaluate… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
NOTES (natural Orifice Translumenal Endoscopic Surgery) Inguinal Hernia Repair: A Survival Model
Background: Many of the characteristics of inguinal hernia repair are especially well suited to the transgastric approach. The repair is inline with the transgastric scope vector, bilateral defects are adjacent and the intraperitoneal onlay mesh (IPOM) technique does not require significant manipulation or novel instrumentation. The purpose of this study was to evaluate the safety… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES