Single Port Access (spa) Technique
The Single Port Access (SPA) technique offers a novel approach to minimally invasive abdominal surgery. Using standard instrumentation, laparoscopic procedures can be performed entirely through the umbilicus in a similar fashion to standard multiport procedures.Utilizing subcutaneous flaps, low profile trocars and standard instruments, we have demonstrated a platform that allows “independence of motion” for each… Continue Reading
- Topic:
- Minimally Invasive Other
Single Port Access (spa) Ventral Hernia Repair: Initial Report of 15 Cases
Laparoscopic ventral hernia repair has been demonstrated to be an acceptable and successful technique. Aside from similar, albeit decreased complications compared to open hernia repair, the laparoscopic technique adds the additional complication of port site hernia to its follow up criteria. We originally described a two port repair technique in 2002. Now, we have applied… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Single Port Access (spatm) Cholecystectomy: Preservation of the Critical View
The Single Port Access (SPATM) technique utilizes the umbilicus as a single portal of entry into the abdominal cavity. The goal of this access technique is to maintain the current, safe dissection of standard multiport laparoscopic cholecystectomy while performing the entire operation through one incision concealed within the umbilicus.The critical view is a proven paradigm… Continue Reading
Single Port Cholecystectomy
Objective: As the paradigm of Single Incision Laparoscopic Surgery (SILS) and Natural Orifice Translumenal Endoscopic Surgery (NOTES) advances, novel techniques and equipment are necessary for its progress. There have been various techniques for SILS cholecystectomy. Specifically, there has been no description of a single fascial incision without the addition of other ports or instruments for… Continue Reading
Single Port Cholecystectomy with the Transenterix System: Simple and Safe
Introduction: Single port or single incision cholecystectomy with current devices is limited by in-line visualization and instrumentation. A single port access system with articulating arms and strong instrumentation should minimize these issues. The TransEnterix system may facilitate safe and straightforward single port surgery. Methods: The TransEnterix single port surgery system was used to complete laparoscopic… Continue Reading
Single Port Laparoscopic Cholecystectomy with the Triport: Initial Experience
Introduction: As surgeons embrace the concept of increasingly less invasive surgery, techniques using only a single incision have begun to gain traction. The TriPort system (Advanced Surgical Concepts, Wicklow, Ireland) is a single port device which allows the surgeon to perform laparoscopic surgery through a single periumbilical incision. We are attempting to ascertain if the… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Minimally Invasive Other
Single Port Surgery Made Easy with Internal Retractors
Achieving adequate retraction and exposure during abdominal surgery is a fundamental requirement. In traditional open surgery retraction is achieved by the surgeons’ hands and mechanical devices anchored to the operating table. During laparoscopy dedicated incisions are performed and instruments are inserted into the peritoneal cavity for this purpose alone. For example, during a standard laparoscopic… Continue Reading
- Topic:
- Minimally Invasive Other
Single Site Series Utilizing the Endosurgical Operating System (eos) for Revision of Post Roux-en-Y Gastric Bypass Stomal and Pouch Dilitation
SINGLE SITE SERIES UTILIZING THE ENDOSURGICAL OPERATING SYSTEM (EOS) FOR REVISION OF POST ROUX-EN-Y GASTRIC BYPASS STOMAL AND POUCH DILITATION. Michael Chaump, M.D., Roy M. Dressner, D.O., Steven A. Gorcey, M.D., Frank J. Borao, M.D., Monmouth Medical Center, Long Branch NJIntroduction: Interventional therapy for weight regain after Roux-en-Y gastric bypass surgery (RYGB) has been tempered… Continue Reading
Small Bowel Obstruction in a Postpartum Female Following Laparoscopic Roux-en-Y Gastric Bypass: A Case Report
Laparoscopic Roux-en-Y gastric bypass (LRYGB) is the most common bariatric surgical procedure performed in the United States. Small bowel obstruction following LRYGB is a common complication often caused by adhesions, internal hernias, or obstruction at the gastrojejunal or jejuno-jejunal anastomosis.We present a case report of a 38 year old Caucasian female, 36 week gestation, who… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Small Bowel Resection and Anastomosis Using \”notes\”: Lessons Learned in a Survival Model
INTRODUCTION: Natural orifice translumenal endoscopic surgery (NOTES) has been used for a number of technically straightforward surgical procedures. However, to date, no one has reported using NOTES technique for small bowel resection and anastomosis in a survival model.METHODS AND PROCEDURES: All studies were conducted in accordance with Institutional Animal Care and Use Committee (IACUC) protocols.… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Smaller Patients Do Better: The Rationale for Expanding the Criteria for Obesity Surgery
INTRODUCTION.The prevalence of Americans with a BMI >40 is 4.7% but over 25% of Americans have a BMI >30. The risks and benefits of weight loss surgery are well documented. The population of patients between a BMI of 30-35 may also benefit significantly from these surgeries; many centers are proposing investigations along these lines. We… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Splenic Injury After Therapeutic ERCP
INTRODUCTION: Endoscopic Retrograde Cholagiopancreatography (ERCP) is an invasive, but sensitive means of diagnosing and treating biliary disease. Complications range from 5-10%. The most common complications of ERCP are acute pancreatitis and duodenal perforation; but esophageal, splenic and hepatic injury have been reported. Here we report such a splenic injury after ERCP. CASE REPORT: A 29… Continue Reading
- Type:
- Posters
Splenic Upper Pole Ischemia Following Sleeve Gastrectomy: First Case Report
Introduction: Laparoscopic Sleeve gastrectomy is relatively new surgical therapy for morbid obesity. The spleen receives it blood supply from the splenic artery and the short gastric vessels. We are reporting a first case of splenic upper pole ischemia following resection of the short gastric arteries in laparoscopic sleeve gastrectomy. Material and method: Gastrectomy and related… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Starting Laparoscopic Sleeve Gastrectomy Program: Short Term Outcomes
IntroductionLaparoscopic sleeve gastrectomy has been shown to be a safe and effective primary weight loss procedure. With increasing international experience, more bariatric surgery centers are starting to offer sleeve gastrectomy. Our hypothesis is that laparoscopic sleeve gastrectomy as part of a multidisciplinary weight loss program can be safely introduced with acceptable short term results. MethodsThe… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Stress Impairs the Psychomotor Performance of Laparoscopic Novices
IntroductionEvidence suggests that surgical performance is impaired by stress although there is little to directly quantify its effects on surgeons’ technical ability. Moreover, surgeons’ individual differences in managing stress have not been examined. The present study aims to establish a direct empirical link between stress and surgical performance and explore the relationship between trait Emotional… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation