Use of Alvarado Clinical Score for Acute Appendicitis to Direct Utilization of CT for Acute Appendicitis.
Introduction: CT is considered the ‘gold standard’ in the diagnosis of acute appendicitis (AA). The radiation dose associated with an abdominal CT has recently been revisited, leading to a reassessment of indications to perform CT for AA. The Alvarado score for AA, determined prior to CT, is compared to CT and pathology results and recommendations… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Use of Endoscopic Stents in the Treatment of Upper Gastrointestinal Leaks Following Bariatric Surgery
Introduction: Upper gastrointestinal (GI) leaks are one of the most important postoperative complications following bariatric surgery. Standard treatment has been a combination of surgical or percutaneous drainage, parenteral nutrition and antibiotics. The endoscopic approach using flexible stents has been recently proposed as an alternative of treatment. Methods and procedures: Restrospective analysis of all patients who… Continue Reading
- Type:
- Posters
Use of Flexible Retractor to Facilitate Vascular Length in Living Related Total Laparoscopic Donor Nephrectomies
Background Minimally invasive Laparoscopic Donor Nephrectomy (LDN) is the gold standard procedure for donor nephrectomy. Various techniques of donor neprectomy have been described and the utility of any one technique depends upon the skill of the surgeon. Donor vascular length facilitates adequate recipient anastomosis and prevents technical difficulties associated with short vessels. Our preference has… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Solid Organ and Endocrine
Use of Laparoscopic Intra-corporeal Suturing in Esophagojejonostomy for Re-establishing Gastrointestinal Continuity After Gastrectomy: Report of Two Consecutive Cases
Acute gastric volvulus secondary to paraesophageal hiatal hernia can be a life-threatening condition, causing gastric necrosis, perforation and sepsis. Emergency surgery with total or partial proximal gastrectomy, obligates the patient to a second challenging procedure to re-establish gastrointestinal continuity. Laparoscopic esophagojejunostomy is a technically demanding procedure; this is especially true when the procedure is the… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Usefulness of Balloon Push-out Method During Thoracoscopic Enucleation of Leiomyoma of the Esophagus
Thoracoscopic enucleation of leiomyoma of the esophagus was successfully performed in 5 cases. This paper mainly describes a 51-year-old man who was referred to our hospital in April 2008 for further examination and treatment, because submucosal tumor of the esophagus was increased in size in 3 years. Esophagoscopy showed a mass beneath normal mucosa located… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Usefulness of Co2 Gas Conditioner in Laparoscopic Surgery
Background:Cloudiness and dirt on a tip of endoscopy are one of the causes to stop an operation. An operator feels great stress from this trouble in order to perform a best operation. In this paper we present a new system to solve this problem. There are two kinds of problem on the tip of endoscope,… Continue Reading
- Type:
- Posters
Usefulness of Laparoscopic Hepatectomy for Extrahepatic Protruding-type Hepatocellular Carcinoma
Background: Hepatectomy is the treatment of choice for hepatocellular carcinoma, but liver function disorders in many cases limit the resectability. Recently, ablation therapy such as radio waves and microwaves are progressing, and the number of nonoperative cases are increasing. However, for protruding-type tumors, the risk of tumor rupture or dissemination has been pointed out. For… Continue Reading
Usefulness of Ultraflex Stents Setting for the Management of Tracheobronchial Stenoses in Esophageal Carcinnoma
Introduction: Airway stents have gained increasing popularity in the management of challenging tracheobronchial obstruction based on the simplicity of their placement and the lack of good alternative approaches. Careful and judicious stent placement has provided significant and life-saving airway improvement in many patients. We present our experience with the use of the ultraflex stents in… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Using a Flexible Robotic Endoscopic NOTES Platform Transgastrically in a Cadaver to Test Access, Navigation, Maneuverability and Stability
OBJECTIVE: The advancement of NOTES highly depends on the availability of suitable platforms and instruments. A NOSCAR working group has identified access, navigation, maneuverability and stability to withstand instrument forces as essential requirements for a successful NOTES platform. No platform used for NOTES to date can adequately achieve all four of these key capabilities. Here… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Using External Magnet Guidance and Endoscopically Placed Magnets to Create Suture-free Gastro-enteral Anastomoses
PURPOSE: To facilitate endolumenal and natural orifice procedures, we evaluated a novel technique using external and endoscopically placed magnets in forming suture-free gastro-enteral anastomoses. METHODS: Seven anesthetized adult swine underwent endoscopic placement of differently sized magnets into the small bowel and stomach. Using external magnets, the endoscopically placed internal magnets were brought into opposition under… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Using Vibration to Provide Force Information in Surgery
USING VIBRATION TO PROVIDE FORCE INFORMATION DURING SURGERYBell, A., *Schwaitzberg, S.D., Cao, C.G.L., Tufts University, Cambridge Health Alliance Laparoscopic surgeons receive distorted force feedback during tissue manipulation. Research shows that sensory augmentation using vibrotactile stimulation with amplitude modulation enhances performance in tissue differentiation tasks. It was hypothesized that the capacity of information transmission through vibration… Continue Reading
Vagotomy Vs Nonvagotomy in Gastric Bypass Surgery
Objective: Post bariatric symptoms related to dumping syndrome were compared in Nonvagotomized Laparoscopic Roux en Y Gastric Bypass (NVLGB) patients and Vagotomized Laparoscopic Roux en Y Gastric Bypass (VLGB) patients.Methods: A questionnaire was given to patients during follow up appointments at 24 to 30 months after LRYGB treated with both NVLGB and VLGB. 48 responses… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Validation of a Virtual Reality Trainer for the Endostitch Device
VALIDATION OF A VIRTUAL REALITY TRAINER FOR THE AUTOSUTURE ™ ENDOSTITCH™ DEVICE. Lee, C, Kurenov S, Punak S, Cendan J. University of Florida College of Medicine. Objective: The Endostitch ™ device (Covidien, CT) is difficult to learn. In particular, the handle requires the use of a toggle which is unique in this instrument. We have… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Validity of Using the Fundamentals of Laparoscopic Surgery (fls) Program to Assess Laparoscopic Competence Among Gynecologists
Introduction: The Fundamentals of Laparoscopic Surgery (FLS) program has been accepted as a valid tool for assessment of basic laparoscopic skills among general surgeons. This study is designed to investigate the validity of using the FLS program for assessing cognitive and psychomotor laparoscopic skills among gynecologists. Methods: A total of 45 gynecologists with variable surgical… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Education / Simulation
Venous Air Embolism: Preventing a Laparoscopic Phenomenon?
IntroductionVenous air embolism (VAE) is a rare but potentially devastating complication of laparoscopic surgery. The patient outcomes from VAE are poor with a reported 50% mortality and the event represents a significant risk of malpractice risk exposure for hospitals and physicians. The infrequent occurrence and severity of this event make it a perfect target for… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation