The Extraperitoneal Laparoscopic TRAM Flap Delay Procedure: An Alternative Approach
Introduction: The transverse rectus abdominis musculocutaneous (TRAM) flap has become the standard and most popular method for autogenous breast reconstruction. Ligation of the deep inferior epigastric vessels prior to TRAM flap reconstruction (delay procedure) was introduced to augment vascularity to the island flap through improved superior epigastric flow, thus decreasing flap morbidity. Methods: A transverse… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
The First Human Abdominal Surgery in Prone Position: An Example of How NOTES Can Be Used to Perform Unique Procedures
NOTES has been touted as the next step in minimally invasive surgery. As such, most of the effort to perform NOTES has been focused on reproducing surgical procedures in a manner similar to how they are accomplished laparoscopically. It seems, however, that a potential advantage for NOTES is to allow surgeons to perform operations in… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
The immediate re- resection of T1 incidental gallbladder carcinoma- indication or over treatment
Introduction: The indication for an immediate re-resection (IRR) in T1b incidental gallbladder carcinoma (IGBC) is debated in the literature, and different recommendations are often drawn based on data collected from only small groups. But the management of IGBC is difficult, because there are no established guidelines.An IRR is recommended in cases of T2 tumours and… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
The Impact of bio-Absorbable Staple line Re-enforcement and Fibrin Glue on Complications of Laparoscopic Gastric Bypass
PURPOSE: Staple-line reinforcement sleeves and Fibrin glue sealant during Laparoscopic Gastric Bypass (LGBP) have suggested to the risk of perioperative anastomotic leakage and bleeding. The aim of our study was to compare patients undergoing LGBP with and without these reinforcement material and compare the staple line vs. GJ anastomosis leak rate, bleeding, and rate of… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
The impact of laparoscopy on infectious complications after bariatric surgery
Background: The incidence of infectious complications after open bariatric surgery is reportedly higher than in the laparoscopic approach, in some isolated series. Our objective was to determine the rate and pattern of postoperative infectious complications of the surgical wound, abdominal cavity, and urinary and respiratory tracts after laparoscopic bariatric surgery. Methods: After IRB approval, a… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
The Impact of Proton Pump Inhibitors on Intra-peritoneal Sepsis:
Study Aim: Proton pump inhibitors (PPI) are commonly given for the treatment of GERD and ulcer disease. In many non-operative cases of perforated ulcer disease, it is standard of care. During transgastric NOTES procedures there is an iatrogenic perforation of the gastric wall with leakage of gastric contents into the peritoneal cavity. Our study aim… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
The Impact of Surgical Team Size on Laparoscopic Surgical Performance
Introduction: The surgical team is a dynamic system with constant change in tasks and team composition. This study reviewed operation records retrospectively to describe the surgical team composition, and examine the impact of surgical size on performance. We aim to improve the OR efficiency by constructing optimal surgical teams.Methods: Cases preformed by an expert laparoscopic… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
The impact of the liberal use of CT in the work up of acute appendicitis
Background:Acute appendicitis has historically been considered a clinical diagnosis, necessitating a CT scan only in the face of equivocal signs and symptoms. The purpose of this study is to determine whether or not the liberal use of CT in the work up of acute appendicitis results in a decreased negative appendectomy rate (NAR). Methods:The medical… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
The Incidence of Occult Fascial Defects Discovered in Laparoscopic Ventral Hernia Repairs in 374 Patients
Objective: One aspect unique to the laparoscopic ventral hernia repair (LVHR) is the visualization and repair of occult fascial defects not recognized during open repairs. This recognition of occult fascial defects leads to wider mesh coverage of the areas that would likely go undetected (and un-repaired) at the time of open surgery. This study reviews… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
The outcome of laparoscopic ventral hernia repair using intraperitoneal polypropylene mesh
INTRUDUCTION:Compared to the open technique, laparoscopic ventral hernia repair (LVHR) has lower rates of complications, recurrence, greater patient acceptance, and shorter hospital stay. Although the choice of mesh material is still evolving, concern about the formation of intraperitoneal adhesions to the viscera has limited the use of polypropylene (PP) for laparoscopic ventral hernia repair. The… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
The Paradox of the Pouch: Prompt Emptying Predicts Improved Weight Loss After Laparoscopic Roux-y Gastric Bypass
Introduction: The utility of routine upper gastrointestinal (UGI) evaluations after laparoscopic Roux-Y gastric bypass (LRYGB) has yet to be determined, primarily being used to rule out a gastrojejunal leak. Additional information can be assessed with these studies including the rate of contrast emptying from the pouch; some patients show no or very slow emptying while… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
The Patient as Instrument Stand – A Time-Motion Study of Sub-optimal Instrument Placement
Background: When not in use, instruments are sometimes placed on top of the patient’s body during laparoscopic procedures. Such instrument “hoarding” has been previously mentioned as a non-optimal practice. Ergonomic design of surgical workplaces may improve efficiency while maintaining safety. However, no studies have been carried out to describe where instruments are placed during surgery.… Continue Reading
- Type:
- Posters
The perforation of the gallbladder in cases of incidental gallbladder cancer- And the indication for the use of isolation bags.
Introduction: The accidental intraoperative perforation of the gallbladder is a problem of the laparoscopic surgery, if an incidental gallbladder carcinoma exists at the time of operation.According to the literature this complication comes up to 30% of the laparoscopic operations.In order to prevent the dissemination of tumourcells the use of an isolation bag is proclaimed.The question… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
The ratio of metastic lymph nodes to total number of nodes resected is prognostic for survival after en bloc lymphadenectomy in oesophageal carcinoma
Introduction: The extent of lymphadenectomy in oesophageal cancer surgery may affect prognosis, and the role of the number of nodes affected by tumour is of interest. We assess predictors of survival with oesophagectomy and systematic 2-field lymphadenectomy for oesophageal and gastro-oesophageal junction malignancyMethods: Prospective data was collected for 178 consecutive patients with oesophageal malignancy undergoing… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
The Role of Laparoscopic colon resection for diverticulitis
Introduction: Laparoscopic treatment of diverticulitis is challenging because of its inflammatory nature. In the United States, many surgeons advocate a hand-assisted laparoscopic approach routinely for the treatment of these cases. We present the experience with a laparoscopic approach using hand-assisted surgery as needed, focusing on completion rate, morbidity, mortality and patient outcomes. Methods: Since 1996,… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal