Analysis of True Attrition Rates in Military General Surgery Training Programs
Gabrielle Rolland, MD1, Eric P Ahnfeldt, DO2, Charles H Chestnut, DO3, Robert M Cromer, MD4, Byron J Faler, MD5, Andrew D Galusha, MD6, Romeo C Ignacio, MD7, Dwight C Kellicut, MD8, Daniel T Lammers, MD9, Timothy A Platz, DO10, Brandon W Propper, MD11, M Logan Rawlins, MD12, E Matthew Ritter, MD1. 1The Department of Surgery… Continue Reading
Limited Opioid ERAS-Bariatric Protocol Reduces Inpatient Length of Stay
Brooke A Pati, MD, Dylan M Russell, MD, Robert B Lim, MD, FACS. TAMCINTRODUCTION: Enhanced recovery after surgery (ERAS) protocols integrate evidence-based interventions and utilize multimodal perioperative interventions which are designed to reduce physiological stress and accelerate recovery in patients undergoing major surgery. Enhanced recovery after bariatric surgery (ERAS-B) protocols are becoming more prevalent and… Continue Reading
De Garengeot’s Hernia: A Report of Two Cases, Analysis of 177 Published Cases, and Proposed Classification System
Timothy M Guenther, MD1, Jim Becker, MD2, Nalani Grace, MD3, James Wiedeman, MD3. 1David Grant Medical Center, Travis AFB/UC Davis, 2UC Davis, 3Sacramento VA Medical Center - VA Northern California Health Care SystemIntroduction: A De Garengeot’s hernia is a femoral hernia that contains the appendix. This rare type of hernia was first described by René-Jacques… Continue Reading
Comparison of Outcomes Between the National Surgical Quality Improvement Program (NSQIP) and an Emergency General Surgery Registry at a Military Medical Center
Robert W Despain, MD1, William J Parker, MD1, Angela T Kindvall, BSN2, Peter A Learn, MD1, Eric A Elster, MD1, Elliot M Jessie, MD1, Carlos J Rodriguez, DO3, Matthew J Bradley, MD1. 1Department of Surgery, Uniformed Services University of Health Sciences and Walter Reed National Military Medical Center, 2Department of Surgery, Walter Reed National Military… Continue Reading
Postoperative Anastomotic Leak after Splenic Flexure Mobilization for Colectomy
Joshua Dilday, DO, Timothy Gilligan, DO, Clay Merritt, DO, Daniel Nelson, DO, Avery Walker, MD. William Beaumont Army Medical CenterObjective: Proponents of routine splenic flexure mobilization (SFM) during distal colon resection suggest this technique ensures a well-vascularized tension-free anastomosis and lowers the risk of anastomotic leak. Data supporting this practice are lacking. Therefore, we sought… Continue Reading
PUBLICATION PATTERNS AND THE IMPACT OF SELF-CITATION AMONGST DEPARTMENT OF SURGERY PROFESSORS IN THE MILITARY
Robert J Conrad, MD, Dylan M Russell, MD, Clark C Benjamin, MD, Mayo S John, MD, Lim B Robert, MD, FACS, Dwight C Kellicut, MD, FACS, Christopher G Yheulon, MD, FACS. Tripler Army Medical CenterIntroduction: For the few scientists who receive a Noble prize, the impact and relevance of their research is unquestionable. For the… Continue Reading
Declining Stage-at-Diagnosis of Pancreatic Adenocarcinoma
Samuel W Hoppe, MD, Byron Faler, MD, FACS, Mangieri Christopher, MD. Eisenhower Army Medical CenterN.B. Please be advised that this research is ongoing; a final version of this abstract will be submitted to [email protected] by the previously defined deadline of 07 December 2018. OBJECTIVES: Pancreatic adenocarcinoma carries a high mortality rate in part due to… Continue Reading
Mechanical needleless and punctureless high pressure endoscopic lift establishment method for ESD more reliably expands the submucosal layer vs. the standard sclerotherapy needle/catheter in an ex vivo bovine colon model.
Neil Mitra, MD1, Dasuni Niyagama Gamage, MD1, Sharabi Abdelsalam, MD1, Carl Winkler, MD1, Jaspreet Sandhu, MD2, Xiaohong Yan, PhD1, Vesna Cekic, RN1, HMC Shantha Kumara, PhD1, Richard Whelan, MD1. 1Mount Sinai West Hospital, 2Brookdale University Hospital Medical CenterIntroduction: Generating a mucosal lift is critical for Endoscopic Submucosal Dissection (ESD). The expanded submucosa (SM) provides a… Continue Reading
Standartisation of fluorescence guided perfusion assessment through a computer vision algorithm
AS Soares, MSc, S Bano, D Stoyanov, Professor, LB Lovat, Professor, M Chand, Ass Professor. Wellcome / EPSRC Centre Interventional and Surgical SciencesObjective of the technology This computer vision algorithm provides a standardisation of fluorescence-guided perfusion assessment in anterior resection of the rectum. Description of the technology Background - Assessment of perfusion of the left… Continue Reading
Exposure to Virtual Reality as a Psychosocial Intervention in Colorectal Surgery. Preliminary results of a Prospective Randomized Controlled Trial
Víctor Turrado, MD, Julio Jiménez-Lillo, MD, Eduardo Villegas, MD, Romina Pena, MD, Federico Llanos, MD, Silvia Valverde, MD, Ana M Otero, MD, PhD, Raquel Bravo-Infante, MD, PhD, Francisco de Borja De Lacy, MD, José M Balibrea, MD, PhD, Antonio M Lacy, MD, PhD. Hospital Clínic BarcelonaObjective: to create an individualized virtual reality program to start… Continue Reading
NEXT FRONTIER IN LAPAROSCOPIC SURGERY: MAGNETIC-ROBOTIC SURGERY (MAGNETOBOTICS) INITIAL CLINICAL RESULTS
Felipe Huidobro1, J Jensen1, D Guerron2, D Portenier2, R Luengas3, J Rodriguez4, M Kroh4. 1Hospital Padre Hurtado, Santiago, Chile, 2Duke University, Durham, NC, USA, 3Clinica Bicentenario, Santiago, Chile, 4Cleveland Clinic, Cleveland, OH, USAObjective: Surgery is constantly searching for ways to improve procedural outcomes, while also increasing OR efficiency. Magnetic Surgery has been developed to increase… Continue Reading
Feasibility of Robotically Assisted Cholecystectomy by the Versius® system
E Wilson1, A Jah2, J Morton2. 1Memorial Hermann / UT Health, 2Cambridge University HospitalsObjective: To discuss the feasibility of the Versius® robotic surgical system for use in the minimal access approach to cholecystectomy Description of the technology: The Versius® robotic surgical system is a newly developed system designed to carry out a range of minimal… Continue Reading
An Add-On Multi-Modal Haptic Feedback System for Robotic Surgical Systems
Yen-Yi Juo, MD, MPH, Ahmad Abiri, PhD, Jake Pensa, James Bisley, PhD, Warren Grundfest, Erik Dutson. UCLAOBJECTIVE: Most commercial robotic surgical systems lack haptic feedback or only provide rudimentary kinesthetic feedback. We developed an add-on multi-modal haptic feedback system that can be modified to fit on most existent master-slave robotic surgical systems and provide the… Continue Reading
Tomorrow’s Surgical Robots Promise New Options: Dual-Field Synchronous Transanal Total Mesorectal Excision (taTME) in a Preclinical Model Using the Versius Surgical System
Sam B Atallah1, Eduardo Parra-Davila2, Armando Melani3. 1HCA Oviedo Medical Center, 2Good Samaritan Hospital, 3IRCAD BrazilObjective: To evaluate the feasibility of the Versius surgical robotic system for transanal total mesorectal excision (taTME) in a preclinical setting. Application: Robotic, dual-field abdominal and transanal synchronous access was obtained using the modular configuration of the Versius surgical robotic… Continue Reading
Preclinical experience using a novel minimally-invasive surgical platform for transoral surgery
Emily K Funk, MD, Phillip Weissbrod, MD, Santiago Horgan, MD, FACS, Ryan Orosco, MD, Joseph Califano, MD. UC San DiegoObjective of the technology or device: We investigated a novel minimally-invasive surgical platform for its utility within the oropharynx and larynx for single-port natural orifice transoral surgery. Description of the technology and method of its use… Continue Reading