Preoperative Exercise on Outcomes in Bariatric Surgery
INTRODUCTION: Exercise is thought to improve functional outcomes and weight loss. As little as thirty minutes of brisk exercise daily can increase weekly metabolic caloric expenditure to about 35000 Kcal. This study is designed to measure change in preoperative exercise activity and functional health status, and subsequent postoperative physical activity in bariatric surgical patients. METHODS… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Preoperative Pain Does Not Predict Postoperative Pain in Inguinal and Ventral Hernia Repair
.Introduction: Chronic pain is the most common complication following hernia repair. Thus far, the presence of preoperative pain has been of unclear significance as a predictor of postoperative pain. Methods: A query of the International Hernia Mesh Registry was performed to include all inguinal and ventral hernia repairs within the registry. Patients with preoperative pain… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Presentation, Demographics, and Surgical Management of Bochdalek Hernias in Adults.
Background: Bochdalek hernias are congenital diaphragmatic defects that have been well described in the pediatric literature. The first congenital diaphragmatic hernia was described in the 17th century by Lzarus Riverius and first described clinically by Vincent Alexander Bochdalek in 1848. Although treatment has progressed through the use of thoracoscopic repair in 1995 and laparoscopic repair… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Prospective Evaluation of Adhesion Characteristics to Intraperitoneal Mesh and Adhesiolysis-related Complications During Laparoscopic Re-exploration After Prior Ventral Hernia Repair
Introduction: The risks and operative complexity of reoperation after ventral hernia repair has not been defined for barrier meshes designed for intraperitoneal placement. The purpose of this study is to define the adhesion characteristics of absorbable and nonabsorbable barrier-coated meshes and to report adhesiolysis-related complications during laparoscopic re-exploration after prior ventral hernia repair with intraperitoneal… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Prospective Evaluation of Percutaneous Endoscopic Gastrostomy Related Peritonitis in the Surgical Intensive Care Unit (sicu) — A Preliminary Analysis
Introduction: The purpose of this study was to prospectively examine the impact of technical factors during percutaneous endoscopic gastrostomy (PEG) tube placement on the development of subsequent peritonitis. Determination of whether BMI or nutritional status were independent risk factors for the development of this complication were secondary endpoints.Methods: All patients undergoing PEG tube placement in… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Outcomes and Quality
Prospective Evaluation of the Oncologic Outcome After Laparoscopic Resection of Malignant Liver Tumors
BACKGROUND: Current literature on laparoscopic liver resection has focused on technical aspects and peri-operative morbidity. The aim of this study was to prospectively analyze oncologic outcome in a group of patients with malignant liver tumors.METHODS: Within a 2.5-year period, fifteen patients with malignant liver tumors underwent laparoscopic liver resection using a variety of techniques. These… Continue Reading
Prospective Monitoring of Surgical Trainee Endoscopy Volumes
Introduction: Despite a recent increase in endoscopic surgery requirements for graduate surgical trainees by the Residency Review Committee for Surgery (RRC-S), there is still a question of competence: is the endoscopic volume achieved by surgical trainees sufficient for the procedural competence needed by practicing surgeons in academic centers and community hospitals? Prospective monitoring of trainee… Continue Reading
Prospective Randomized Comparison of Conventional Lictenstein Versus Self-Adhesive Mesh Repair for Inguinal Hernia.
Inguinal hernia repair is one of the most common procedures performed during surgical practice. New methods and materials are introduced for a better outcome for this procedure as well as a better quality of life and postoperative period. This study compares conventional Lichtenstein hernia repair with sutureless self-adhesive mesh repair in terms of operative time,… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Prospective Randomized Double Blind Placebo Controlled Trial of Postoperative Elastomeric Pain Pump Devices Following Laparoscopic Ventral Hernia Repair.
Introduction: The laparoscopic repair of ventral hernias can result in significant postoperative pain resulting in prolonged length of hospital stay, increased narcotic utilization, and patient dissatisfaction. Elastomeric pain pump devices with local analgesics may result in a significant reduction in postoperative discomfort after laparoscopic ventral hernia repair. We evaluated the effect of continuous infusion of… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Pure NOTES Cholecystectomy
Initial excitement for Natural Orifice Transluminal Endoscopic Surgery (NOTES) has been partly tempered by the reality that a NOTES procedure without laparoscopic or needleoscopic-assistance has not been widely performed. After safely performing laparoscopically-assisted transvaginal cholecystectomy in an IACUC-approved porcine model, we embarked on an IRB-approved protocol to ultimately perform a pure NOTES cholecystectomy.We describe our… Continue Reading
- Topic:
- Endolumenal / NOTES
Pylephlebitis Following Infected Choledocholithiasis, Endoscopic Retrograde Cholangiopancreatography and Cholecystecomy.
TITLE CASE REPORT:PYELPHLEBITIS FOLLOWING INFECTED CHOLEDOCHOLITIASIS ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY AND OPEN CHOLECYSTECTOMY. WIEMAN E.A., MD; KOBBERMAN A., MD; KENNEY R., MD: ANDRESEN K., MD; MARGOLIN D., MD. UMKC Department of Surgery, Saint-Lukes Hospital, Kansas City. ObjectiveSuppurative pylephlebitis or chronic thrombophlebitis of the portal vein is an uncommon but serious complication of intra-abdominal infection. Once common… Continue Reading
Quantified Surgeon Spared Mental Resource in a Laparoscopic Suturing Task
Introduction: A surgeon’s level of mental workload is elevated in suturing, particularly during the learning phase. Training decreases the workload of the surgeon as movements become automatic and require less mental resources. To objectively quantify mental workload during learning, we developed a simple bench-top measurement tool to assess the spared mental resources that are available… Continue Reading
Randomized Controlled Trial: Comparing the Effect of Two High Fidelity Computer Games on the Learning Curve in Laparoscopic Surgery
INTRODUCTION: There is no clear consensus on the effect of computer games on laparoscopic surgical performance, this maybe due to the type of games used. This study aims to compare two high fidelity computer games, and their effect on the learning curve in laparoscopic surgery.METHODS AND PROCEDURES: 31 laparoscopic naïve subjects were randomly assigned to… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Reasons and Outcomes of Surgical Revision of Gastrojejunal Anastomotic Complications in Patients After Laparoscopic Rygbp for Morbid Obesity.
BACKGROUNDStenosis, ulceration and dilatation at the gastrojejunostomy (GJ) are recognized complications after Roux-en-Y gastric bypass (RYGBP). Treatment options for GJ complications include in most cases endoscopy; rarely, a surgical revision is needed. In this series we reviewed our experience with surgical revisions of the GJ in patients that did not respond to an endoscopic treatment… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Recommended Timing for Surveillance Ultrasonagraphy to Diagnose Portal Vein Thrombosis After Laparoscopic Splenectomy
Introduction: Symptomatic portal or splenic vein thrombosis (PSVT) is a rare but potentially lethal complication of laparoscopic splenectomy (LS). Routine postoperative duplex ultrasound surveillance of asymptomatic patients can be used for early detection. The optimal timing for surveillance ultrasonography is unknown. The aim of this study was to estimate the incidence and progression of asymptomatic… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Outcomes and Quality