Accurate Real-Time Laparoscopic Instrument Tracking in Relation to the Surgical Surface using a Structured Light Pattern
Steen M Hansen, MD1, Michael S Hansen2, Peter Funch-Jensen, MD, DMSc, Professor3. 1Aalborg University Hospital, 2Vrinno, 3Department of Clinical Medicine, Aarhus University HospitalObjective: Instrument tracking of laparoscopic instruments offers an opportunity to provide supervision of junior surgeons during their training and give performance feedback during surgery. Current available technologies to track instruments include optical tracking,… Continue Reading
Achalasia in Morbid Obesity: Outcomes of Surgical Management and Patient Satisfaction after Long-term Follow-up
Jon M Harrison, MD1, Stephen M Doane, MD2, Michael J Pucci, MD, FACS2, Francesco Palazzo, MD, FACS2, Karen A Chojnacki, MD, FACS2. 1Massachusetts General Hospital, 2Thomas Jefferson University HospitalINTRODUCTION: We sought to describe outcomes related to symptom resolution and weight change following surgical intervention in obese patients suffering from achalasia. METHODS and PROCEDURES: A retrospective… Continue Reading
- Topic:
- Foregut
Acute Abdomen Secondary to Renal Artery Aneurysm Rupture
Mauricio Pasten, MD. Caja Petrolera de SaludMale Patient 44 years old, with sudden abdominal pain localize in right inferior quadrant and lumbar region, ultrasound was perform reported normal, WBC 14000 HB15, rest of the laboratory and vital signs normal. We decided to perform a CT scan that shows a liquid collection in retroperitoneum with no… Continue Reading
- Topic:
- Case Presentations
Acute Appendicitis Pathway: A Systemic Review
Haifaa Malaekah, MBBS, MSCE, Fahad Makhdom, MBBS, FRCSC, Aggarwal Rajesh, MBBS, MA, PHD, FRCS, FRCSC, FACS. Mcgill UniversityIntroduction: Despite the effectiveness of clinical pathways in reducing healthcare cost and minimizing variability in management of particular disease; there is no standardized pathways for common conditions such as appendicitis. This systematic review aimed to determine whether implementation… Continue Reading
Acute Gi Bleed and Small Bowel Obstruction Following a Roux En Y Gastric Bypass: A Case Report
John Bauman, MD, Adam Reid, MD. SIU School of MedicineINTRODUCTION: Small bowel obstructions are a complication following a number of procedures, and a known possibility following bariatric procedures. Etiologies include internal hernia, adhesive disease, ileus, improper surgical technique as well as strictures. Less common, however, is obstruction the result of an intraluminal hematoma. We present… Continue Reading
- Topic:
- Case Presentations
Acute Hemorrhagic Rectal Ulcer: An Experience in An Urban Emergency Hospital
Choichi Sugawa, MD, PhD, Mark Diebel, MD, Jennifer McLeod, MD, Andrew Hollenbeck, MD, Charles E Lucas, MD. Dept. of Surg. Wayne State UniversityINTRODUCTION: Acute hemorrhagic rectal ulcer (AHRU) is characterized by a sudden onset of painless and massive lower rectal bleeding in elderly, bedridden patients (pts) with major co-morbidities. AHRU, often reported in Japan and… Continue Reading
- Topic:
- Colorectal
Acute postoperative strangulated ventral hernia after a Video Assisted Lobectomy
Alexander Ramirez, MD, FACS1, Emanuele Lo Menzo, MD, PhD, FACS, FASMBS2. 1Tallahassee Memorial Hospital / Florida State University, 2Cleveland Clinic FloridaThis is a case of a 56 year old female admitted for surgical treatment of right lower lobe pulmonary nodule (Fig. 1). Her surgical history is remarkable for a vertical banded gastroplasty 33 years ago… Continue Reading
- Topic:
- Abdominal Wall Hernias
Adding fragility to the FLS tasks improves the accuracy of assessing laparoscopic skills
Yusuke Watanabe, MD1, Yo Kurashima, MD1, Elif Bilgic, MSc2, Saseem Poudel, MD1, Tomoko MIzota, MD1, Shinichiro Yokohama, MD1, Toshiaki Shichinohe, MD1, Satoshi Hiring, MD1. 1Department of Gastroenterological surgery II, Hokkaido University Graduate School of Medicine, 2Steinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, McGill University Health CentreIntroduction: The Fundamentals of Laparoscopic Surgery (FLS) program has… Continue Reading
- Topic:
- Education / Simulation
Advanced Laparoscopic yet Institutionally Low Volume Operations: Implementing a Longitudinal Curriculum to Address the Current Training Gap
Benjamin R Veenstra, MD2, Kristine U Makiewicz, MD2, Kunal H Patel, MD1, Jose M Velasco, MD, FACS2. 1MetroHealth Medical Center, 2Rush University Medical Center Mandated changes in traditional surgical training have resulted in less resident operative exposure and acquisition of technical skill, estimated at a year’s worth of clinical experience. Recent literature suggests that a… Continue Reading
- Topic:
- Education / Simulation
Advancing Resident Spatial Reasoning Strategies: Integration of Video Technology, Feedback Tools, and Learner Individualization
Melanie H Howell, MD, MS, Katherine MacCallum, MD, John Paul Bellistri, MD, Francis B Baccay, MD. Montefiore Medical CenterINTRODUCTION: Laparoscopic surgery poses unique challenges when it comes to resident education. Skills needed for learning laparoscopy are different than for open procedures, thus tools for training residents must be different. Video recording of an individual’s performance… Continue Reading
- Topic:
- Education / Simulation
Alleviation of Morbid Obesity and its Associated Comorbidities via Laparoscopic Sleeve Gastrectomy
Udai S Sibia, MD, Raquel Redondo, MD, Adam S Weltz, MD, Olmos Holmatova, MD, Paxton Paganelli, Hamid R Zahiri, DO, Timothy R Turner, PhD, Alejandro Gandsas, MD. Anne Arundel Medical CenterBackground: Laparoscopic Sleeve Gastrectomy (LSG) is a safe and effective operative treatment for morbid obesity. The purpose of this study was to analyze trends in… Continue Reading
- Topic:
- Metabolic / Obesity
Ambulatory Robotic Ventral Hernia Repair In Morbidly Obese Patients Using Completely Bio- Resorbable Mesh, A MIS Fellow’s Experience with the First 100 cases.
Ibrahim Azer, MD, Thomas Shaknovsky, DO, Frederick Sabido, MD, FACS. Richmond university medical center ,staten island ,New YorkINTRODUCTION: Robotic ventral hernia repair with a Bio-resorbable mesh has an equal or lower recurrence rate compared with permanent mesh at 18 months with no life time risk of mesh infection. Incidences of mesh-related infection after hernia repair… Continue Reading
- Topic:
- Abdominal Wall Hernias
Ambulatory Single Port Laparoscopic Cholecystectomy Using Standard Laparoscopic Instruments
Anibal Pimentel, MD, Hely Serrano, MD, Mariana Guerrero, MD, Juan Uribe, MD. CLINICA CHICAMOCHABackground: Single-port Laparoscopic Cholecystectomy (SPL-C) is a new minimally invasive technique, which has been developed to minimize the surgical access trauma, limiting to one incision which is needed for specimen extraction anyway. The aim of this study was to evaluate the feasibility… Continue Reading
- Topic:
- Biliary
Amylin (An Insulin Co-Secretor) Is Significantly Reduced at One Year after Laparoscopic Sleeve Gastrectomy in Both Morbidly Obese Diabetic and Non-diabetic Patients
Fahad Alasfar, MD, FACS1, Ebaa Al Ozairi, MD2, Eman Al Shawaf, PhD3, Shaima Al Beloushi3, Hossein Arefanian, PhD3. 1Department of Surgery, Faculty of Medicine, Kuwait University, 2Department of Medicine, Faculty of Medicine, Kuwait University, 3Dasman Diabetes Institute, KuwaitIntroduction: Both morbid obesity and Type 2 Diabetes are a growing health problem in Kuwait and worldwide. Bariatric… Continue Reading
- Topic:
- Metabolic / Obesity
An unusual case of colonic schwannoma with malignant degeneration
Mina Saeed, MD, Joaquin J Estrada, MD, FASCRS. Advocate Illinois Masonic MedicalCenterSchwannomas are tumors arising from Schwann cells in the peripheral nervous system. Their presence in the gastrointestinal system is rare. Colonic schwannomas are an extremely rare variant accounting for less than 6% of mesenchymal tumors of the colon and less than 1% of all… Continue Reading
- Topic:
- Case Presentations