Rectus Sheath Flap Closure of Persistent Enterocutaneous Fistula: A Novel Approach
Introduction: Enterocutaneous fistulas most commonly develop as a postoperative complication of bowel surgery, though in 15% to 20% of cases fistulas occur spontaneously. Management of a patient with enterocutaneous fistula is very difficult. Intraperitoneal surgical repair of these fistulae is very difficult. Coils of intestine are plastered together. Dissection is extremely difficult and time consuming.… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Reducing the Unexpectedly High Rate of Injuries Caused By NOTES Gastrotomy Creation
INTRODUCTION: This study was conducted to identify the incidence and types of complications related to gastrotomy creation with the needle knife puncture and balloon dilatation technique for NOTES access to the peritoneal cavity.METHODS AND PROCEDURES: Between May 2007 and August 2008, 113 NOTES experiments were performed at a single institution with transgastric endoscopic access achieved… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Reduction of Obesity Comorbidities: Laparoscopic Roux-en-Y Gastric Bypass Versus Laparoscopic Adjustable Gastric Banding
Introduction: Surgical weight loss has been shown to effectively lead to improvements of obesity associated comorbid conditions. The goal of our study was to compare the timing of comorbidity resolution between laparoscopic roux-en-y gastric bypass (LRYGB) and laparoscopic adjustable gastric banding (LAGB).Methods: All patients (n=476) undergoing LRYGB or LAGB at our institution over a 2… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Regression of Dyslipidemia in Type 2 Diabetic Patients with Bmi Below 30 Submitted to the Laparoscopic Ileal Interposition
Background: Lipid management aimed at lowering LDL cholesterol, raising HDL cholesterol, and lowering triglycerides reduces macrovascular disease and mortality in patients with T2DM, particularly in those who had prior cardiovascular events. The objective of this study is to evaluate the control of dyslipidemia in patients with Type 2 Diabetes (T2DM) with BMI below 30 that… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Regression of Nephropathy in Type 2 Diabetic Patients with Bmi Below 30 Submitted to the Laparoscopic Ileal Interposition
Introduction: Between 20 to 40% of type 2 diabetes mellitus patients (T2DM) develops nephropathy. It is considered the most common cause of end-stage renal disease. The objective of this study is to evaluate the regression of nephropathy in patients with T2DM with BMI below 30 that were submitted to the laparoscopic ileal interposition associated to… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Remote Robotic Telepresence Is Efficacious in the Mentoring of Residents and Students in the Fundamentals of Laparoscopic Surgery
Objective: To determine that remote robotic telepresence can be used to evaluate and train surgical residents and medical students in the fundamentals of laparoscopic surgery (FLS). This project is a precursor to providing real time intraoperative video tele-consultation to surgeons deployed in remote areas in support of the Global War on Terorism.Methods: A control group… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Resident Perceptions Regarding Current Methods to Teach Laparoscopic Suturing
Objective: To explore surgical residents’ perceptions regarding their current laparoscopic training, and to determine their opinions regarding the current methods of teaching laparoscopic suturing in a surgical skills laboratory.Methods: This study included 16 senior general surgery residents participating in a workshop in advanced laparoscopy. Four training tools were used in the course curriculum: the Fundamentals… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Resolution of Diabetes Mellitus Following Laparoscopic Gastric Bypass. a Prospective Analysis of 49 Patients.
Introduction: Morbid obesity is a chronic disease that reduces life expectancy and is a major risk factor for type II diabetes. Bariatric surgery is the only therapy that produces significant and sustained weight loss and has been reported to result in clinical and biochemical resolution of type II diabetes.Aim: Measure the effect of gastric bypass… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Retrograde Intussusception After Roux-en-Y Gastric Bypass Patients: A Case Series of 10 Patients
Introduction: The number of weight loss procedures is rising rapidly, so that complications which were previously considered rare are not uncommon now. Retrograde intussusception following roux-en-y gastric bypass surgery is an example of a surgical problem that was previously considered rare in adults, but which may become common enough to merit discussion in the overall… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Retrospective Analysis of Resected Primary Colorectal Cancer Revealed No Correlation Between Node Harvest and Node Involvement
Introduction: The study aims to analyze the correlation between lymph node harvest (LNH) and node involvement (LNI) in resected primary colorectal cancer specimens. Patients & methods: Retrospective analysis. The study period is Jan 2002 – Dec 2006 (5y). The data were obtained from medical records. The patient inclusion criteria were resection of primary CRC including… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Retrospectýve Analays of 12 Cases Polyps of the Gall Bladder
Objective: The nature of the polypoid lesions of the gallbladder is difficult to determine preoperatively and indications for surgical treatment still remain controversial. The aim of this study is to review the clinicopathological features of patients with gallbladder polyps.Material-Method: Patients with preoperative diagnosis of gallbladder polyp, between January 1995 and June 2003, were evaluated retrospectively… Continue Reading
Reversal Rather Than Revision of Failed Bariatric Operation
Reversal Rather Than Revision of Failed Bariatric OperationsOperative revision and reversal represent treatment alternatives for patients who fail primary bariatric operations. This review focuses on a small group of patients who had reversal rather than revision of their primary operation.METHODS: This study reviews 2532 primary and 238 revisional operations that were performed by one surgeon… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Reverse NOTES: Esophageal Canalization
Introduction: Traditional natural orifice translumenal endoscopic surgery (NOTES) involves entry through a pre-existing orifice such as the mouth, anus or vagina. A surgically created “orifice” such as a gastrostomy can also be used as an access site, performing a reverse NOTES surgery. This video describes such reverse access to treat a complete esophageal occlusion following… Continue Reading
- Topic:
- Endolumenal / NOTES
Rives-stoppa Incisional Hernia Repair Combined with Laparoscopic Separation of Abdominal Wall Components: A Novel Approach to Complex Abdominal Wall Closure
Introduction: The Rives-Stoppa hernia repair is the gold standard for mesh repair of complex incisional hernias. The rate of wound infection can be reduced if fascial closure is achievable between the skin and the prosthetic mesh. For larger defects, fascial closure is not often possible without raising large skin flaps for separation of the abdominal… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Robot-Assisted Biliary Reconstruction – Short-term Outcomes with Minimally-invasive Roux-en-Y Hepaticojejunostomy
Objective: A minimally invasive approach to hepatobiliary reconstruction can be technically difficult due to the need to suture a fine structure in an enclosed space, intimately related to critical vascular structures, often with significant adhesions or fibrosis. Using the da Vinci surgical system can aid in visualization and maneuverability, facilitating the dissection and anastomosis in… Continue Reading