Laparoscopic Heller Myotomy with Dor Fundoplication and Type III Hiatal Hernia Repair Can Be Performed Successfully in the Same Day Surgery Setting
Margaret Jackson, MD1, Farzaneh Banki2. 1McGovern Medical School at the University of Texas Health Science Center at Houston (UTHealth), 2McGovern Medical School at the University of Texas Health Science Center at Houston (UT Health). Memorial Hermann Southeast Esophageal Disease Center.Introduction: The reported length of stay after Heller myotomy is 1-4 days. The aim was to… Continue Reading
Transluminal Endoscopic Drain Repositioning for Postoperative Gastrointestinal Leaks: A Practical NOTES Application
Ryan M Juza, MD, Karima Fitzgerald, MD, Eric M Pauli, MD. Penn State Hershey Medical CenterBackground: Gastrointestinal leak is a serious complication following abdominal surgery. Consequences of persistent leak may necessitate formal surgical intervention in a hostile abdomen. In select situations, we have utilized natural orifice transluminal endoscopic surgery (NOTES) methods to enter the abdominal… Continue Reading
Laparoscopic Reduction and Repair of Left Paraduodenal Hernia
Herbert M Hedberg, MD1, Baddr Shakhsheer, MD2, Stephen Haggerty, MD3. 1University of Chicago Medical Center, 2St. Louis Children's Hospital, 3NorthShore University HealthSystemParaduodenal hernia accounts for 50% congenital internal hernias. These hernia defects are formed by anomalous rotation and fusion of the mesentery and peritoneum during embryological development. They are located near the root of the… Continue Reading
Robotic Repair of Incarcerated Morgagni Hernia in an Adult on the Acute Care Surgery Service
Manuel Garcia, MD, Esther Wu, MD, Robert F Cubas, MD, Daniel P Srikureja, MD, Kaushik Mukherjee, MD, MSCI, FACS. Loma Linda University Medical CenterIntroduction: Morgagni hernia is a relatively uncommon anterior diaphragmatic hernia, particularly in adults. Open, laparoscopic, and thoracoscopic approaches have been described in both adults and children. Only three cases have been reported… Continue Reading
- Topic:
- Robotics
HIATAL HERNIA CAUSING FAILURE TO THRIVE AFTER A SLEEVE GASTRECTOMY
Riley D Stewart, MD, MSc, FRCSC, James Ellsmere, MD, MSc, FRCSC. Dalhousie University Division of General SurgeryThe repair of small hiatal hernias at the time of laparoscopic sleeve gastrectomy is controversial. Proponents of routine hiatal hernia repair do so to reduce the risk of gastroesophageal reflux disease in the post-operative period. We present a video… Continue Reading
- Topic:
- Foregut
Endoscopic Sleeve Gastroplasty
Herbert M Hedberg, MD1, Michael B Ujiki, MD2. 1University of Chicago Medical Center, 2NorthShore University HealthSystemEndoscopic sleeve gastrectomy (ESG) utilizes an endoscopic suturing device to plicate the greater curve of the stomach. This results in a residual tube-like stomach that resembles the anatomy of a laparoscopic sleeve gastrectomy. The procedure begins by marking lines on… Continue Reading
Clinical application of indocyanine green (ICG) -fluorescence imaging during robot assisted laparoscopic right hepatectomy
Tadahiro Uemura, MD, PhD, Molly Vincent, PAC, Lorenzo Machado, MD, Kiumars Tabar, MD, Ngoc Thai, MD, PhD. Allegheny General HospitalBackground: Robot-assisted surgery is rapidly expanding in many surgical fields. However, robotic liver resections are still performed only in specialized centers. By utilizing advanced robotic technology, liver surgery can become safer and more effective than with… Continue Reading
EXPLORING SURGICAL OUTCOMES OR R4-5 THORACOSCOPIC SYMPATHECTOMY IN PRIMARY PALMAR HYPERHIDROSIS PATIENTS.
Isariya Jongekkasit, MD, Pornpeera Jitpratoom, MD, Angkoon Anuwong, MD, Soravith Vijitpornkul, MD, Warin Wachirapunyaukul, MD. Police General HospitalINTRODUCTION: Hyperhidrosis is a condition that result in body excessive and unpleasant sweating which mainly occurs on feet, hands, face, head, and underarms. Primary Hyperhidrosis (PH) carries serious implications for an individual’s quality of life. Thoracosopic Sympathectomy is… Continue Reading
Endoscopic Resection of an Esophageal Submucosal Leiomyoma
Patrick B Schwartz, MD, Jacob A Greenberg, MD, EdM, Amber L Shada, MD. University of Wisconsin Hospitals and ClinicsThis is a case of a 62-year-old female with dysphagia and regurgitation for 3 years, referred from gastroenterology with endoscopic and radiographic imaging findings concerning for a submucosal esophageal leiomyoma versus gastrointestinal stromal tumor. Endoscopic ultrasound with… Continue Reading
Saline Hydro-Flotation is Superior to Bioresorable Membranes in Decreasing Intra-Abdominal Adhesion Formation in a Rat Model
John Kuckelman, Morgan Barron, Kevin Kniery, Jeffrey Kay, Joseph Kononchik, Zachary Hoffer, Vance Sohn. Madigan Army Medical CenterINTRODUCTION: Adhesion formation after laparotomy remains a major cause of post-operative morbidity. Hyaluronate/carboxymethylcellulose membranes (HAC) are costly bioresorbable membranes that represent current anti-adhesion therapy. Alternatively, hydro-flotation using saline theoretically provides a transient barrier during adhesion formation. We sought… Continue Reading
EXTENDING THE GOLDEN HOUR FOR ZONE 1 REBOA: IMPROVED SURVIVAL AND REPERFUSION INJURY WITH INTERMITTENT VERSUS CONTINUOUS REBOA IN A PORCINE SEVERE TRUNCAL HEMORRHAGE MODEL
John Kuckelman, Morgan Barron, Donald Moe, Michael Derickson, Cody Phillips, Joseph Kononchik, Michael Lallemand, Shannon Marko, Matthew Eckert, Matthew Martin. Madigan Army Medical CenterINTRODUCTION: Non-compressible truncal hemorrhage can be temporarily controlled using resuscitative endovascular occlusion of the aorta (REBOA). Prolonged ischemia has limited REBOA application, but intermittent inflation schedules may be a strategy to mitigate… Continue Reading
Vasopressin Administration During Fluid Resuscitation Alters Expression of Epigenetic Enzymes of Renal Artery in a Pig Model of Hemorrhagic Shock
Jillian M Piaggione, MD1, Lee-Ann M Murata, MSc2, Catherine F Uyehara, PhD2, Dao H Ho, PhD2. 1Department of General Surgery, Tripler Army Medical Center, 2Department of Clinical Investigation, Tripler Army Medical CenterObjectives. Trauma accounts for ~50% of combat-related deaths. Rapid blood loss from trauma can lead to hemorrhagic shock resulting in organ damage. Renal function… Continue Reading
Final Report of a Randomized Phase 1b Trial to Assess Sequencing of the E39 and E39′ Vaccines to Optimize Long-term Antitumor Immunity in Folate Binding Protein (FBP)-Expressing Breast and Ovarian Tumors
John W Myers, MD1, Kaitlin M Peace, MD1, Timothy J Vreeland, MD2, Diane F Hale, MD1, Doreen O Jackson, MD1, Julia M Greene, MD1, Tommy A Brown, MD1, Guy T Clifton, MD1, George E Peoples, MD3, Elizabeth A Mittendorf, MD, PhD2. 1Department of Surgery, Brooke Army Medical Center, Ft. Sam Houston, TX, 2The University of… Continue Reading
AN EVALUATION OF NOVEL MEDICAL DEVICES AND OTHER INTERVENTIONS IN THE TREATMENT OF TENSION PNEUMOTHORAX IN A SWINE MODEL
Rowan R Sheldon, MD, Michael J Derickson, MD, Woo S Do, MD, Dominic M Forte, MD, Jessica B Weiss, MD, Matthew J Eckert, Matthew J Martin, MD. Madigan Army Medical Center, Tacoma, WAObjectives: Tension pneumothorax (tPTX) is the second most common cause of preventable death in trauma. Needle decompression is the first-line intervention but has… Continue Reading
A Novel Bioresorbable/Biointegratable/Biocompatible Dressing for Negative Pressure Wound Therapy
Samuel Tahk, MD, PhD1, Renford Cindass, MD1, Kevin Wu, MD2, Nicholas Robbins, DO3, Jian Ling, PhD4, Bijaya Parida, PhD2, Vijay Gorantla, MD, PhD5, Erik Weitzel, MD2, Michael Davis, MD2. 1San Antonio Military Medical Center, 259th Medical Wing United States Air Force, 3University of Texas Health Sciences Center, 4Southwest Research Institute at San Antonio, 5University of… Continue Reading