Adult Incidental Intussusception – Single Institute Experience
INTRODUCTION: Intussusception occurs when a proximal segment of bowel telescopes into the lumen of an adjacent distal segment and can occur anywhere within the gastrointestinal tract. With the advent of multislice CT scanner, more cases of intussusception are reported. The purpose of this study was to determine the clinical presentation in cases of adult intussception… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Advanced Laparoendoscopic Single Site Procedures
Introduction: To report our experience with some advanced laparoendoscopic single-site (LESS) abdominal surgery. Methods: Between July 2008 and September 2009, we perform LESS abdominal procedures in 42 patients for various indications. This included acute appendicitis with peritonitis, acute cholecystitis, cystogastrojejunostomy for pancreatic pseudocyst, resection of giant mesenteric cyst, gastrojejunostomy, sleeve gastrectomy, splenectomy and a perforated… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Against Occam\’s Razor: Tap Repair of Recurrent Inguinal Hernia with Concomitant Inversion of Original Polypropylene Plug
Against Occam’s Razor: TAP Repair of Recurrent Inguinal Hernia with Concomitant Inversion of Original Polypropylene Plug The patient is a 42 year old female who had undergone an open left inguinal hernia repair 13 years ago. She presents to clinic with a 1 year history of a recurrent left groin mass in the area of… Continue Reading
- Topic:
- Abdominal Wall Hernias
Alvimopan Can Reduce Postoperative Ileus and Hospital Length Stay in Laparoscopic Colon Surgery
Introduction: Post-Operative Ileus (POI) is a common complication of abdominal surgeries leading to increased hospital stay and healthcare costs. Alvimopan is a novel agent in which competitively binds to peripheral mu-opioid receptor in the gastrointestinal tract. Following oral administration, alvimopan antagonizes the peripheral effects of opioids on gastrointestinal motility. Use of this drug during laparoscopic… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
An Ex Vivo Bacteriologic Study Comparing Antiseptic Techniques for Natural Orifice Translumenal Endoscopic Surgery (notes) Via the Gastrointestinal Tract
Introduction: NOTES represents a potentially less invasive alternative to conventional laparoscopy. By traversing the gastric or colonic wall to gain access to the peritoneal cavity, the traditional percutaneous route is avoided. However, breach of the gut wall raises the specter of intra-peritoneal infection. Various anti-microbial techniques have been employed—sterile saline rinse, intravenous and topical antibiotics,… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
An Experimental Study of the Efficacy of New Flexible Bipolar Forceps (bela) for Hemostasis and Cystic Duct Closure During Cholecysectomy
IntroductionFlexible bipolar forceps might offer advantages over flexible clips delivered during NOTES, SILS or conventional laparoscopic cholecystectomy. Bipolar forceps allow multiple applications of energy and might be cheaper and quicker than clips. A new bipolar coagulation device, the BELA, 3.7 mm diameter, with insulated jaws limiting thermal spread, has been shown to be effective at… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
An Unusual Case of Intussusception Masquerading As Rectal Prolapse.
Case: A 30-year old previously well, nulliparous woman presented to Emergency complaining of a mass intermittently protruding from her anus. After confirming her story with a self-taken cellular phone picture of the mass, a provisional diagnosis of rectal prolapse was made. She also described a one-month history of intermittent rectal bleeding, left lower quadrant abdominal… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Analysis of Standard Multi-port Vs. Single Site Access for Laparoscopic Skills Training and Acquisition
Introduction: Single site access (SSA) laparoscopy is gaining popularity but is more challenging to perform than laparoscopy using multiple separate port sites. This study examined the effect of standard multi-port (MP) laparoscopic skills training versus SSA training on laparoscopic skills acquisition and performance in surgically naive individuals. Methods: Forty end-of-first year medical students were randomized… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Education / Simulation
Analysis of Tissue Damage Caused By Ultrasonically Activated Device for Laparoscopic Surgeries
Introduction: It has been known that ultrasonically activated devices (USAD) cause tissue planes to separate ahead of the blade tip and described as “distal drilling” phenomenon of the device seen during surgeries. “Cavitational bubbles” generated under transient fluctuation of pressure within tissues have been thought to account for this phenomenon. Meanwhile, collapse of cavitation bubbles… Continue Reading
- Type:
- Posters
- Topic:
- Basic Science
Anastomotic Leaks After 899 Laparoscopic Colorectal Surgeries:way to an Optimal Intestinal Anastomosis
ABSTRACT BACKGROUD AND OBJECTIVE: Anastomotic leakage has been evidenced as one of the most formidable complications after laparoscopic colorectal surgeries. This prospective study was designed to analyze the potential causes of anastomotic leaks from the patients undergoing various laparoscopic colorectal surgeries at our institute in the past 15 years, and aimed to develop applicable ways… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Outcomes and Quality
Anatomic Thoracoscopic Lung Segmentectomy Simulated By Three-dimensional Computed Tomography Angiography
Objective: In lung resection, thoracoscopy has been mainly used for wedge resection and lobectomy. Several reports have discussed thoracoscopic segmentectomy. However, most of these reports are limited to describing the procedure for segments that can be excised easily, such as the lingual segment. We report the safety and efficacy of thoracoscopic pulmonary segmentectomy and the… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Anchorless, Sutureless Placement of Adjustable Gastric Band Port for Consistent, Reliable Easy Per-cutaneous Access.
Multiple port placement techniques for the Adjustable Gastric Band are currently being used. A novel, anchorless, suture-less technique using commercial, surgical bonding agents was introduced to provide consistent reliable easy percutaneous access even in the heaviest patients.Technique: A standard laparoscopic technique was used to insert the adjustable band in38 patients. The tubing is pulled via… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Antireflux Transoral Incisionless Fundoplication Using Esophyx: The New York Evidence
Introduction: The North American experience with EsophyX is limited. The aim of this study was to assess the efficacy, outcome and safety of EsophyX for endolumenal fundoplication for patients with gastroesophageal reflux disease (GERD) at a single institution. Methods: Data of consecutive patients who underwent transoral incisionless fundoplication using EsophyX was retrospectively analysed. All patients… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Application of Hem-o-lok Clip in Basic Laparoscopic Procedures: A Single Center Experience on 856 Cases and Review of Data From Food and Drug Administration
Introduction: There are several methods for ligation of structures during laparoscopic operations. Several studies have studied the efficacy, safety and cost of the various devices in different situations. Each technique has its own potential drawbacks. Applications of endoloop require dexterity and training. Endoscopic staplers are expensive instruments. Titanium clips may be slipped from its primary… Continue Reading
- Type:
- Posters
Are Colonoscopies By Colorectal Surgeons Adequate?
Background- Colorectal surgeons (CRSs) generally undergo more training in colonoscopy than do general surgeons. In practice, most CRSs do a lower volume than gastroenterologists. Competency has been cited as >90% cecal intubation. Expert endoscopist may reach 95%. Are colonoscopies by CRSs as good as high volumes gastroenterologists in terms of cecal intubation and polyp detection… Continue Reading
- Type:
- Posters