Transvaginal Repair of a Chronic Porcine Ventral Hernia Using Synthetic Mesh.
Background In the era of laparoscopic surgery ventral incisional hernias still remain a common surgical problem. Natural orifice transluminal endoscopic surgery (NOTES) may enable intraperitoneal access without the need for abdominal wall incisions with possible faster recovery and less complications. We tested the feasibility of transvaginal placement of a large synthetic mesh (Proceed, Ethicon Inc.)… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Treatment of Gastrojejunal Leaks Using Covered Metal Stents in a Porcine Model
Introduction:Placement of stents may be an alternative non-invasive option to treat gastrojejunal (GJ) anastomotic leaks after Roux en Y gastric bypass (RYGB) surgery. The aim was to evaluate the performance of a covered metal stent (Alveolus 18 x 100 mm), across a GJ leak in a porcine model.Methods and procedures:Eight pigs weighing 20-25 Kg were… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Treatment of Liver Tumors Using a Novel Bipolar Radiofrequency Ablation Device
Background: Laparoscopic ablation and resection of liver tumors is rapidly gaining momentum. Well over a decade ago, monopolar RFA devices were introduced and replaced cryoablation as the preferred modality for ablating liver tumors. Bipolar RFA technology which requires placement of two probes works fast and can be used for two distinct purposes. We describe our… Continue Reading
Treatment of Ultra-long Segment Barretts Using Focal and Balloon-based Radiofrequency Ablation
INTRODUCTION: Endoscopic radiofrequency ablation (ERFA) is being evaluated as definitive treatment for patients with Barrett’s esophagus (BE). Guidelines have yet to be developed for the application of this technology to patients with ultra-long segment BE (ULBE, > or = to 8cm). This study reports a single institution’s experience with ERFA of ULBE with various degrees… Continue Reading
True Day Case Laparoscopic Cholecystectomy in a Dgh: Outcomes and Factors Leading to Overnight Admisssion
Introduction: A prospective audit was undertaken of true day case laparoscopic cholecystectomies performed by a single surgeon in a DGH. The audit aims primarily to ascertain the outcome of the operation and patients’ satisfaction with the experience. Data was analysed to identify factors that led to overnight admissions. Methods: Data collected using audit proformas. Collected… Continue Reading
Two for One: A Crh and Acth Secreting Pheochromocytoma
Introduction: This is a unique case of a pheochromocytoma secreting both ACTH and CRH. Pheochromocytomas secreting either CRH or ACTH have been reported in the literature and are a rare cause of Cushing’s syndrome. To date, there are no reports of a pheochromocytoma producing both hormones. Background: A 38-yr-old previously healthy female presented with a… Continue Reading
- Type:
- Posters
- Topic:
- Solid Organ and Endocrine
Two Week Wait Colorectal Cancer Referrals – Its Compliance and Yield?
Introduction: The two-week rule in United Kingdom was introduced to ensure that all patients with a suspected colorectal cancer (CRC) saw a hospital specialist within 14 days of an urgent GP referral. The usefulness and practicality of such a decision has been questioned. The aims of this study were to measure the compliance to the… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Two Years Result on Glycemic Control of Obese Type 2 Diabetes Patients Following Intragastric Balloon Removal
Background: Intragastric Balloon (IGB) is an alternative endoscopic procedure to achieve weight loss and improve obesity related co-morbidities. The impact of IGB in type 2 diabetes mellitus (T2DM) after its removal is uncertain.Patients and Methods: 28 obese T2DM patients (20 female; mean age 43.5 ± 11.0 years, mean BW107.5 ± 24.5 kg; mean BMI 40.6±… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Ultrasound Guided Localization of Adjustable Gastric Banding Access Port
INTRODUCTION: Laparoscopic adjustable gastric banding (LAGB) has become one of the most popular bariatric surgeries performed today. Percutaneous access of the port for adjustment is required during follow-up but can be difficult in some patients with very thick abdominal wall. In these patients, fluoroscopic guidance has been used to localize the port and guide access.… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Unexpected and Unusual Findings During Laparoscopic Roux-en-Y Gastric Bypass. How to Proceed?
Introduction: Unexpected findings during laparoscopic Roux-en-Y gastric bypass (LRYGB) are frequent and consist mainly of peritoneal adhesions, hernias, organomegaly, gallstones and adnexal cysts. These findings are relatively frequent and their management remains a part of every day bariatric practice. Unexpected and unusual intraoperative findings are only sporadically encountered during LRYGB. Management and clinical decision making… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Updated Experience with Minimally Invasive Esophagectomy At an Academic Institution: Comparison Between Open and Laparoscopic Transhiatal Approaches
Objective: Minimally invasive esophagectomy (MIE) is increasingly being incorporated into armamentarium of different techniques for esophagectomy. We report our initial experience with MIE and compare the outcomes to patients who underwent traditional TH approach. Method: A retrospective review was conducted of 14 patients who underwent MIE at a single academic institution from January 2008 to… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Upper Gi Cancer Staging Practices Among Surgeons in Uk
BackgroundStaging of gastro-oesophageal cancer is crucial not only in deciding upon the management options but it can also decrease the number of non-curative laparotomies. Therefore it has been an area of much research and controversy. The current practices for gasto-oesophageal cancer staging prevalent among upper GI surgeons in United Kingdom were sought. MethodsWe conducted a… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Upper Gi Contrast Study As Preoperative Planning Tool in Fundoplication Patients
OBJECTIVE: To determine if esophageal manometry added information important for preoperative fundoplication planning compared to upper GI contrast studies (UGIS) METHODS: We retrospectively reviewed the records of 323 patients at a single institution who underwent a fundoplication (Nissen or Toupet) for GERD and/or paraesophageal hernia from 2003 to 2007. Of these, we excluded patients younger… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Use of a Low-cost, High Fidelity, Laparoscopic Ventral Hernia Simulator to Assess Intra-operative Decision Making
Objective – Previous studies using simulation technology have largely focused on technical skills. The objective of this study was to assess the usefulness of a newly developed laparoscopic ventral hernia (LVH) simulator to assess intra-operative decision making. Methods – Participants included fourth year surgical residents attending a two day laparoscopic hernia course. The materials included… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Use of a Novel Bedside Endoscopy Cart to Teach Surgery Residents
INTRODUCTION: Bronchscopy and laryngoscopy have become common bedside procedures in the ICU. Frequently, however, these modalities utilize non-video platforms which make it difficult for novices to perform the procedures independently. This study evaluated a novel ICU bedside procedure cart for performing video laryngoscopy and bronchoscopy to see if junior level residents could be mentored through… Continue Reading
- Type:
- Posters