Non-operative Management of Delayed Esophagojejunostomy Anastomotic Leak With Endoscopically Placed Stent
Richard Y Greco, DO, Dennis Bordan, MD FACS, Sohail Shaikh, MD, Erwin Douyon, MD. St. Joseph's Regional Medical Center Introduction: Gastric ischemia secondary to volvulus is an uncommon entity that is a life-threatening surgical emergency and carries a high morbidity and mortality rate. It typically involves a hiatal hernia. The repair consists of operative… Continue Reading
Normokinetic Biliary Dyskinesia: A Novel Diagnosis
Christopher G Ducoin, MD MPH, Daryl D Wier, MD FACS. Orlando Health, Center for Digestive and Metabolic Surgery Background:Biliary dyskinesia diagnosed with CCK-HIDA scan and ejection fraction less than 35% has been successfully treated by laparoscopic cholecystectomy, with resolution of symptoms ranging from 77%-97%. However, there is a population of patients with symptomatic biliary… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
Notes Simulator : Qko Sajor
Sergio Rojas-ortega, MD, Gerardo Reed, MD, Octavio Gomez-escudero, MD, Eduardo Marin, MD. Hospital ANGELES / Puebla Surgery is always changing and the new technologies demands proper training before we can perform surgery in humans. Today it has become indispensable to retrain surgeons who are willing to embrace the new techniques. NOTES is becoming the… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Notes Total Colectomy in a Human Cadaver
Kyung Su Han, MD, Dae Kyung Sohn, MD PhD, David W Rattner, MD, Patricia Sylla, MD. Massachusetts General Hospital We describe NOTES total colectomy with transanal and transgastric assistance in a male cadaver. The distal rectum was occluded by placing a pursestring suture approximately 2 cm above the dentate line, above the sphincter complex.… Continue Reading
- Topic:
- Endolumenal / NOTES
Notes Transanal Endoscopic Rectosigmoid and Left Colon Resection Using an Innovative Sterile Sigmoid Access Platform With Integrated Endoscopic Overtube
Introduction: NOTES transanal endoscopic rectosigmoid resection was previously demonstrated using the TEM platform (Transanal Endoscopic Microsurgery). However, the length of left colonic mobilization has been limited due to difficulties with instrument reach and tissue manipulation using standard TEM and endoscopic instrumentation. Recently, a novel innovative sterile sigmoid access platform (ISSA, Storz, Tuttlingen, Germany) was developed… Continue Reading
Notes Transanal Rectosigmoid Resection With Total Mesorectal Excision in a Large Human Cadaver Series
Dana A Telem, MD, K S Han, MD, M C Kim, MD, I Ajari, MD, D K Sohn, MD, Kevin Woods, MD, V Kapur, MD, M A Sbeih, MD, S Perretta, MD, David W Rattner, MD, Patricia Sylla, MD. Massachusetts General Hospital Introduction: Our group has previously described successful natural orifice translumenal endoscopic surgery… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Novel Cmos Image Sensor Technology Improves Diagnostic Accuracy and Enables Economic Viability of Disposable Medical Imaging Devices
Objective/Background Image senor technologies such as charge-coupled devices (CCDs) image sensors have played a major role in digital medical imaging during past twenty years. With technological advancements such as backside illumination (BSI), CMOS image sensors began to take off in medical imaging applications. Novel CMOS-based image sensors offer enhanced image quality, low power consumption, improved… Continue Reading
Novel End-to-end Supra-And Infra-hepatic Caval Anstomosis for Orthotopic Liver Transplantation With a 21 Mm Circular Stapler.
Muhammad S Ikram, MD, John Ham, MD, Shawn Tsuda, MD. University of Nevada Las Vegas, University Medical Center,Las Vegas, Nevada Background: The potential advantages of using veno-veno bypass during recipient hepatectomy in orthotopic liver transplantation (OLT) are to reduced the amount of hemorrhage, improve cardiac stability, preserved renal perfusion, and avoid bowel edema during… Continue Reading
Novel Mesh Deployment Device Improves Efficiency of Laparoscopic Ventral Hernia Repair
Device Objective:Laparoscopic ventral hernia repair (VHR) is a well-accepted method for addressing abdominal wall hernia. The BARD ECHO mesh positioning system is a newly marketed device used to facilitate mesh placement and improve the efficiency of laparoscopic VHR. Description:The BARD ECHO device consists of a pre-attached inflatable balloon packaged with Ventralight ST polypropylene mesh and… Continue Reading
Novel Method for Comprehensively Assessing the Biomechanical Risks Associated With the Use of Minimally-invasive Surgical Instruments
OBJECTIVE OF THE TECHNOLOGYAs the incidence of neuromuscular disorders among laparoscopic surgeons increases, research to understand the biomechanical risks associated with the use of minimally-invasive surgical instruments has been underdeveloped. A method using detailed simultaneous biomechanical measurements was developed in order to analyze the quantities that are closely related to potential risks and to yield… Continue Reading
Novel Use of a Surgical Robot in Bilateral Cortical-sparing Retroperitoneoscopic Adrenalectomy for Pheochromocytoma
Nikolaos A Dallas, MD, Camilo Jimenez, MD, Steven G Waguespack, MD, Isabella M Iupe, Paxton V Dickson, MD, Elizabeth G Grubbs, MD, Nancy D Perrier, MD. UT MD Anderson Cancer Center OBJECTIVE: For patients with bilateral pheochromocytomas, adrenalectomy with cortical-sparing technique is a feasible option to reduce the need for lifelong steroid supplementation. The… Continue Reading
Obesity Increases Risk of Complications of Diverticular Disease in a Va Patient Population
Michelle K Savu, MD, G. Abourjaily, MD, A Logue, MD, J Mayoral, MD, Ej Ledesma, MD, W.b. Perry, MD, Kareem Eid, MD. South Texas VA HCS/University of Texas Health Science Center, San Antonio, TX Objective: Obesity has been implicated in some research studies to affect the severity of the presentation of diverticular disease. Our… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Omental Patch Repair Effectively Treats Perforated Marginal Ulcers Following Roux-en-Y Gastric Bypass
Mark R Wendling, MD, John G Linn, MD, Kara Keplinger, MD, Vimal K Narula, MD, Jeffrey W Hazey, MD, Dean J Mikami, MD, Kyle A Perry, MD, W. Scott Melvin, MD, Bradley J Needleman, MD. Center for Minimally Invasive Surgery, The Ohio State University, Columbus, OH INTRODUCTION: Roux-en-Y gastric bypass (RYGB) is the most… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Oncologic Safety of Laparoscopic Hepatectomy Versus Open Hepatectomy in Hepatocellular Carcinoma
Stephen Ky Chang, FRCS, Chee Wei Tay, MRCSEd, Wah Wah Hlaing, Ms, Iyer Shridhar Ganpathi, FRCS, Victor Tw Lee, FRCS, Krishnakumar Madhavan, FRCS. National University Health System, Singapore INTRODUCTIONLaparoscopic hepatectomy (LH) has increasingly become more established as a curative option for hepatocellular carcinoma (HCC), however, oncologic issues such as ability to achieve adequate margins,… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
One-stage Laparoscopic Cholecistectomy and Cbd Exploration With Primary Closure
Gintaras Antanavicius, MD FACS, Carlos A Cutini Cingozoglu, MD, Patricio E Donnelly, MD, Rodolfo H Scaravonati, MD, Rodrigo Moran Azzi, MD, Roberto P Munin, MD, Victor H Serafini, MD FACS. Sanatorio Güemes, Argentina. Abington Health, USA Introduction: There are several approaches for choledocolithiasis and current data do not suggest clear superiority of any approach;… Continue Reading