Median Arcuate Ligament Release: Global Improvement Score
Benjamin Biteman, MD, Fredrick Brody, MD. The George Washington UniversityIntroduction: Median arcuate ligament syndrome is a rare disorder resulting from compression of the celiac artery and associated nervous fibers by the insertion of the diaphragmatic muscle fibers. The first median arcuate ligament release was performed in 1963. The largest series gathered involving open operative intervention… Continue Reading
Measuring Intra-Operative Decision-Making During Laparoscopic Cholecystectomy: Validity Evidence for a Novel Interactive Web-Based Assessment Tool
Amin Madani, MD1, Yusuke Watanabe, MD1, Philip Pucher, MD, PhD2, Elif Bilgic, BSc1, Melina C Vassiliou1, Rajesh Aggarwal, MD, PhD1, Gerald M Fried, MD1, Liane S Feldman, MD1. 1McGill University, 2Imperial College LondonINTRODUCTION: Errors in judgment during laparoscopic cholecystectomy can lead to bile duct injuries. Despite the strong correlations between patient outcomes, expert performance and… Continue Reading
Markedly elevated levels of VEGF, ANG-2 & MMP-2 in wound fluid after CR resection are likely responsible for elevated plasma levels of these proteins during the 1st postop month: Preliminary results
Hmc Shantha Kumara, PhD1, Hiromichi Miyagaki, MdPhD2, Charles Petrick, BS1, Xiaohong Yan, PhD1, Linda Njoh, PhD1, Vesna Cekic, RN1, Nipa D Gandhi, MD1, Richard L Whelan, MD1. 1Department of Surgery, Mount Sinai Roosvelt Hospital, New York, USA, 2Department of Gastroenterological surgery,Osaka University,Osaka,Japan Introduction: Persistently elevated plasma levels of proangiogenic proteins including VEGF, Angiopoietin 2 (ANG-2)… Continue Reading
- Topic:
- Basic Science
Management options to tackle bleeding during laparoscopy
Darshak Shah, MD, MBBS, Subhash Kini, MD, Aida Taye, MD, Gustavo F Ranvier, MD, Ashish Padnani, MD, MBBS. The Mount Sinai HospitalAs the complexity of application of laparoscopic surgery increases, more complications are encountered. It is imperative to also gain laparoscopic skills that will allow the surgeon to manage complications such as bleeding. With the… Continue Reading
Management of the Hyperkinetic Gallbladder in Adults: A Case Series
Lawrence N Cetrulo, MD, Amit Joshi, MD, FACS, Albert Trang, MD. Einstein Healthcare NetworkThe primary indications for laparoscopic cholecystectomy are stone related diseases in adults. A subset of patients who require surgery carry a diagnosis of biliary dyskinesia, usually defined as an ejection fraction on Cholecystokinin hpeatobiliary iminodiacetic acid exam (CCK-HIDA). In children, the primary… Continue Reading
Management of Sleeve Gastrectomy Leaks with Endoluminal Vacuum Therapy
Steven G Leeds, MD, James S Burdick, MD. Baylor University Medical Center at DallasIntroduction: Sleeve gastrectomy has become a popular weight loss procedure with great success, but is associated with staple line leak that can result in high morbidity and mortality. Current management options range from endoscopic stent placement to surgical intervention. Endoluminal vacuum (E-Vac)… Continue Reading
Management of Refractory GERD after Sleeve Gastrectomy: Robot-Assisted Conversion to Bypass
Raquel Gonzalez-Heredia, Md, PhD, Pablo Quadri, Mario Masrur, MD, Lisa Sanchez-Johnsen, PhD, Enrique Elli, MD, FACS. UICIntroduction: Sleeve Gastrectomy (SG) distorts the gastroesophageal anatomy and it could lead to symptoms of gastroesophageal reflux disease (GERD) after the surgery. Medical management of GERD symptoms is the first choice of treatment. For patients with refractory GERD symptoms,… Continue Reading
Management of Postoperative Bile Leak: Tertiary Centers Experience
Mohammed Omar, Alaa Redwan. Sohag universityBackground: Bile duct leak is an infrequent but serious disorder. The great majority occurs after hepatobiliary surgery. Early recognition and adequate multidisciplinary approach is the cornerstone for the optimal final outcomes. Traditionally, surgery has been the gold standard for the management of bile leak, but it is associated with significant… Continue Reading
Management of PEG tube site erosion with NPWT
Tuong Nguyen, MD, Samudra Sanyal, Efrain Aguilar, Jay Strain, Pak Leung, Mark Kaplan. Einstein medical center Abstract: Background: Percutaneous endoscopic gastrostomy (PEG) tube has been in use for over 30 years with increased in rate of utilization. However, placement of PEG tube is associated with variety of complications. Several studies have reported complications ranging from… Continue Reading
- Topic:
- Basic Science
Management of MIS esophagectomy complications: A multidisciplinary ‘step-up approach’
Stylianos Tzedakis, Bernard Dallemagne, Emanuele Boatta, Marius Nedelcu, Didier Mutter, Silvana Perretta. Nouvel Hopital CivilINTRODUCTION: Minimally invasive (MI) esophagectomy presents proven benefits over the open approach. Nevertheless postoperative leaks and chylothorax still remain an important cause of morbidity and mortality. The optimal treatment for esophago-gastric anastomotic leaks is controversial with minimally invasive techniques, especially self-expandable… Continue Reading
Management of large pancreatic cystic tumor during laparoscopic distal pancreatectomy
Hodaka Moriyama, MD, Koji Asai, Manabu Watanabe, Hiroshi Matsukiyo, Tomoaki Saito, Tomotaka Ishii, Ryohei Watanabe, Toshiyuki Enomoto, Natsuya Katada, Yoshihisa Saida, Shinya Kusachi. Toho university Ohashi Medical CenterManagement of large pancreatic cystic tumor during laparoscopic surgery is mandatory due to the prevention of the cystic rupture. Herein, we present the usefulness of a double-balloon catheter… Continue Reading
Management of laparoscopic partial hepatectomy for cranial and dorsal lesions in our department
Sena Iwamura, Satoshi Kaihara, Yukiko Kumada, Shoichi Kitano, Kita Ryosuke, Hideyuki Masui, Hiromitsu Kinoshita, Yusuke Sakamoto, Motoko Mizumoto, Masato Kondo, Junji Komori, Hiroki Hashida, Hiroyuki Kobayashi, Kenji Uryuhara, Ryo Hosotani. Kobe City Medical Center General Hospital BACKGRAUND AND AIM:Although laparoscopic partial hepatectomy (LPH) is becoming popluar, resection of cranial and dorsal lesions has a high… Continue Reading
Management of Gastric Sleeve Obstruction: Conversion to Gastric Bypass
George S Ibrahim, MD, Anthony Maffei, MD, Ashutosh Kaul, MD, Yuriy Zhurov, MD, Jonathan Giannone, MD, Thomas Cerabona, MD. Westchester Medical CenterSleeve Gastrectomy has become the most performed bariatric intervention nationweide. More patient present now with sleeve strictures and twisting causing severe dysphagia and dietary intolerance. In this video we present a case of young female who… Continue Reading
Management of Distal Esophageal Injury in Penetrating Polytrauma
Farah Karipineni, MD, MPH, Lawrence Cetrulo, MD, Jay Strain, MD, FACS, Mark Kaplan, MD, FACS, Pak Leung, MD, FACS. Albert Einstein Healthcare NetworkWe report the case of a 22-year-old male who presented to our Level 1 trauma center after a gunshot wound to the right hemiabdomen. He was initially tachycardic and hypotensive, and was taken… Continue Reading
Management of chylothorax after minimally invasive esophagectomy: Description of case series
Stylianos Tzedakis, Silvana Perretta, Marius Nedelcu, Didier Mutter, Emanuele Boatta, Bernard Dallemagne. Nouvel Hopital CivilINTRODUCTION: Chylothorax after esophagectomy remains an uncommon but challenging clinical problem with an incidence of 0.4%- 4% and a mortality rate reaching 30-50% if untreated. Chylothorax may lead to acute cardiorespiratory distress via mechanical compression or long-term immunodepression and malnutrition due… Continue Reading