inusual cases of small bowel herniation through the falciform and triangular ligament
Andres Falla, MD1, Santiago Navas, MD2, Gustavo Aguirre, MD1. 1Hospital Militar Central, Bogota, 2Fundacion Cardioinfantil BucaramangaINTRODUCTION: Internal hernias account for a small percentage of small bowel obstruction, and the condition involves herniation of a viscus through a normal o abnormal opening within the peritoneal cavity. Paraduodenal hernias account for more than 50% of the cases.… Continue Reading
- Type:
- Posters
- Topic:
- Case Presentations
Investigating Rates of Reoperation or Postsurgical Gastroparesis Following Fundoplication or Paraesophageal Hernia Repair in New York State
Danni Lu, BS1, Maria Altieri, MD1, Jie Yang, PhD1, Nabeel Obeid, MD2, Donglei Yan, MS1, Konstantinos Spaniolas, MD1, Mark Talamini, MD, MBA1, Aurora Pryor, MD1. 1Stony Brook, 2Michigan MedicineINTRODUCTION: The development of postsurgical gastroparesis following Nissen fundoplication is poorly understood. In this study, we analyze the development of gastroparesis requiring intervention and other subsequent procedures… Continue Reading
Investigation of lymph node metastasis of laparoscopic splenic flexure colon cancer resection
Takuhisa Okada, MD, Shigeki Yamaguchi, Toshimasa Ishii, Hiroka Kondo, Kiyoka Hara, Hiroki Shimizu, Keniti Takemoto, Asami Suzuki, Shintaro Ishikawa. Saitama Medical University International Medical CenterIntroduction: The splenic flexure colon cancer is relatively small number, the anatomical characteristics and the dominant artery are complicated. It is essential to accurately identify the lymph node dissection range. The… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
IS A DIVERTING LOOP ILEOSTOMY PROTECTIVE FOR PERFORATED DIVERTICULITIS IN THE EMERGENCY SETTING? – AN ACS-NSQIP ANALYSIS
Nathalie Wong-Chong, MD, Maria Abou Khalil, MD, Nancy Morin, MD, Carol-Ann Vasilevsky, MD, Julio Faria, MD, Gabriela Ghitulescu, MD, Marylise Boutros, MD. Sir Mortimer B. Davis Jewish General HospitalINTRODUCTION: Diverticulitis with purulent or feculent peritonitis has been historically managed with a Hartmann’s procedure (HP). However, increasing evidence shows that resection and primary anastomosis (PA) with… Continue Reading
- Topic:
- Colorectal
Is Bariatric Surgery Effective for Comorbidity Resolution in Super Obese Patients?
Kamyar Hariri, MD, Matthew Dong, MD, MPH, Subhash Kini, MD, Daniel Herron, MD, Gustavo Fernandez-Ranvier, MD, PhD. The Garlock Division of General Surgery, Icahn School of Medicine at Mount Sinai, New YorkBackground: Type II Diabetes (T2DM), hypertension (HTN), obstructive sleep apnea (OSA), and hyperlipidemia (HLD) are common comorbidities that are strongly associated with obesity. Objective:… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Is discharge within 1 day after gastric bypass safe? Results of a propensity-matched analysis from the MBSAQIP Participant Use File.
Julietta H Chang, MD, Elan R Witkowski, MD, MS, Matthew M Hutter, MD, MPH. Massachusetts General HospitalIntroduction: As Roux-en-Y gastric bypass (RYGB) procedures have become safer, postoperative length of stay (LOS) has decreased. Reducing LOS must be balanced by the risks of developing or recognizing postoperative complications outside of a hospital setting, and the risks… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Is epiphrenic diverticulectomy necessary at time of Heller myotomy?
Joshua E Preiss, MD, Meredith Duke, MD, MBA, Timothy M Farrell, MD, FACS. University of North Carolina, Chapel HillBackground: Epiphrenic diverticula (ED) arise from increased intraluminal pressures, often secondary to achalasia or another underlying esophageal motility disorder which causes “pulsion” physiology. ED are traditionally thought to contribute to patients’ symptoms of regurgitation and dysphagia, and… Continue Reading
Is fistula risk score for postoperative pancreatic fistula still applicable in minimally invasive approach of PPPD?
Seoung Yoon Rho, MD, Jae Uk Jung, MD, Ho Kyoung Hwang, MD, Chang Moo Kang, MD, Woo Jung Lee, MD. Yonsei UniversityBackground: Despite the technological advancement of a minimally invasive approach to Pylorus –preserving pancreaticoduodenectomy (PPPD), the morbidity is still high. Among the many complications, postoperative pancreatic fistula (POPF) is reported in high incidence rate,… Continue Reading
- Type:
- Posters
- Topic:
- Liver and Pancreas
“IS HANDS-ON ENDOSCOPIC LAB TRAINING BENEFICIAL TO SURGICAL RESIDENTS? RESIDENTS PROSPECTIVE OF SURGICAL ENDOSCOPY”
Quang N Nguyen, MBA, Chanaka Kahathuduwa, PhD, Theophilus Pham, MBA, Sarah E Wilson, Amir Aryaie, MD. Texas Tech Health Science CenterIntroduction: Endoscopy is an important skill for general surgeons to possess. However, there is lack of training within surgery residency programs. We implemented a one-day endoscopic surgery course with the aim of improving the confidence… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Is high morbidity and cost associated with tube cholecystostomy worth it? A paradigm shift
Steven Schulberg, DO, Jonathan Gumer, DO, Matt Goldstein, Vadim Meytes, DO, George Ferzli, MD. NYU Langone Hospital - BrooklynIntroduction: Acute cholecystitis is a common surgical disease with roughly 500,000 cholecystectomies performed in the US annually. The current dogma revolves around the “72 hour rule” advocating early cholecystectomy if within the window, and if beyond 72… Continue Reading
Is Hyperkinetic Gallbladder an Indication for Cholecystectomy?
Shireesh Saurabh, MD, Benjamin Green, DO. Mercy Iowa CityINTRODUCTION: Most studies recommend cholecystectomy for patients with biliary dyskinesia, defined by gallbladder ejection fraction (GBEF) of less than 35 – 40% on HIDA scan. There are no recommendations regarding management of hyperkinetic gallbladder defined by GBEF of more than 80% on HIDA scan. The aim of… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Biliary
Is intra-operative Leak testing redundant in current Bariatric practice?
Matthew J Lyon, MD1, Victoria Hall2, Kamal Heer, MD3, Harish Kumar, MD1. 1University of Queensland, 2University of Perth, 3Monash UniversityIntroduction: There is a long-standing practice of testing anastamosis both in upper and Lower GI surgery. Post-operative leaks in bariatric surgery are an uncommon but serious compilation increasing morbidity and risk of mortality. The present study… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Is it possible to train a military surgeon in 21st century America?
Zsolt T Stockinger, MD1, Paul B Roach, MD2, Caryn A Turner, MPH1. 1Joint Trauma System, 2Lovell Federal Health Care CenterBackground: Published literature suggests that skills required by deployed US Military General Surgeons are dissimilar to their CONUS practices and skills training. Furthermore, that graduating general surgery residents may have a narrower breadth and depth of… Continue Reading
Is Robotic Cholecystectomy Too Expensive for an Acute Care Surgery Service?
Matthew S Surrusco, MD1, Joshua Farnsworth, BS2, Xian Luo-Owen, PhD2, Esther Wu, MD2, Daniel P Srikureja, MD2, Kaushik Mukherjee, MD, MSCI, FACS2. 1University of Florida School of Medicine, 2Loma Linda University School of MedicineOBJECTIVES: To determine if the use of the surgical robot can add value to the Acute Care Surgery service at a busy… Continue Reading
IS ROUTINE HISTOPATHOLOGY NECESSARY FOR ALL GALLBLADDER SPECIMENS?
Andrea Zaw, MD, Farrukh A Khan, MD, Prashanth Ramachandra, MD, Piotr Krecioch, MD, Leslie Anewenah, MD. Mercy Catholic Medical CenterIntroduction: Benign gallbladder disease is commonly treated with Laparoscopic cholecystectomy (LC). Gallbladder cancer (GBC) is a rare malignancy characterized by high invasiveness and poor survival. In our institution, all gallbladder specimens are routinely sent to pathology,… Continue Reading