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SAGES 2016 Abstracts Archive

A Single Institution’s First 100 Patients Undergoing Laparoscopic Heller Myotomy: Do Long-Term Outcomes Justify Continued Application?

Alexander S Rosemurgy, MD, Janelle Spence, BS, Darrell J Downs, ATC, Mark Giorgi, Christian B Rodriguez, BS, Indraneil Mukherjee, MD, Sharona B Ross, MD. Florida Hospital TampaIntroduction: This study was undertaken to report long-term outcomes after laparoscopic Heller myotomies performed more than 15 years ago to determine if outcomes are salutary and durable, and support… Continue Reading

A smartwatch-based motion tracking application for the assessment of laparoscopic technical skills

Vivian E de Ruijter, MD, Genki Sugimoto, MSc, Sylvia Bereknyei, PhD, Laura M Mazer, MD, Edward S Shipper, MD, Dana T Lin, MD, FACS, James N Lau, MD, FACS. Stanford UniversityObjective of the technology: The objective of this study is to assess laparoscopic psychomotor skills  using a novel smartwatch motion-tracking application. Description of the technology:… Continue Reading

A specially devised needle kit for laparoscopic repair of inguinal hernias with patent processus vaginalis.

Masao Endo, MD1, Hirofumi Tomita, MD1, Fumiko Yoshida, MD1, Miwako Nakano, MD1, Leonardo Ryou Igarashi2. 1Saitama City Hospital, 2Cosmic M.E. Inc.Objective: We developed a unique technique to achieve completely extraperitoneal ligation of patent processus vaginalis (PPV) without any skip areas, sparing the spermatic cord and vessels (Surg Endosc, 2009), and the technique has been applied… Continue Reading

A structured, extended training program to facilitate adoption of new techniques for practicing surgeons

Jacob A Greenberg, MD, EdM, Sally Jolles, MA, Sarah Sullivan, PhD, Sudha P Quamme, MD, MS, Caprice C Greenberg, MD, MPH, Carla Pugh, MD, PhD. University of Wisconsin Introduction:  The project goal was to critically evaluate the implementation and development process for a newly designed Continuing Medical Education (CME) level course for laparoscopic Total Extraperitoneal… Continue Reading

A technique of laparoscopic lateral pelvic lymph node dissection based on vesicohypogastric fascia and ureterohypogastric nerve fascia for advanced low rectal cancer.

Akiyo Matsumoto, MD, Kaida Arita, MD. Tsuchiura Kyodo General HospitalBackground: Conventional open lateral pelvic lymph node dissection (LLND) has been performed along internal iliac vessels and their branches. But it was accompanied by increased bleeding and postoperative complications. We have developed laparoscopic autonomic preserving technique for LLND based on vesicohypogastric fascia (VF) and ureterohypogastric nerve… Continue Reading

A VA-Based Multidisciplinary Clinic Improves Follow-Up After Bariatric Surgery

Nalani Grace, MD, Eric Kubat, MD, Dan Eisenberg, MD, MS. VA Palo AltoIntroduction: Outpatient follow-up after bariatric surgery is associated with improved outcomes and patient satisfaction.  At our Veterans Affairs Medical Center (VAMC) we have established a unique multidisciplinary clinic.  We sought to examine whether 1-year postoperative follow-up would increase as a result. Methods: A… Continue Reading

A web-based platform for video assessments of operative performance

Alexandra M Moore1, Justin P Wagner1, Vivek Agrawal2, Charles J Filipi3, David C Chen1. 1David Geffen School of Medicine at UCLA, 2Comment Bubble, Inc., 3CHI HealthOBJECTIVE: Inguinal hernias represent a significant burden of surgically-treatable disease around the world. It has previously been shown that using web-based tools for long-term and remote surgical proctorship is feasible… Continue Reading

A Window Into the Mind: Preliminary Steps Towards the Development of a Hernia Management Assessment Tool for Surgeons

Mohammed AlRowais, MD, Amin Madani, MD, Yusuke Watanabe, MD, PhD, Mohammed Al Mahroos, MD, FRCSC, Elif Bilgic, Melina Vassiliou, MD, MEd, FRCSC, FACS. Steinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, McGill University Health Centre, Montreal, CanadaIntroduction: Expert surgeons organize knowledge into mental representations they draw from when caring for patients.  The richness of this… Continue Reading

Abdominal binders after ventral hernia repair: Do we need to measure its influence on intraabdominal pressure?

Kryspin Mitura, PhD1, Slawomir Koziel, PhD2. 1Siedlce Municipal Hospital, 2Beskid Oncology CenterVentral hernia repairs creates an increase in intra-abdominal pressure. In order to prevent hernia recurrence synthetic mesh is used. The optimal solution is the closure of fascial defect with or without component separation technique. However, after surgery there is concern that high intra-abdominal pressure,… Continue Reading

Abdominal cocoon: A rare cause of intestinal obstruction

Asem Ghasoup, MD, FACS, Ishaq Mudawi, MD, Ayman Al Tahan, MD, Mohammed Widinly, MD, MRCS. Security Forces Hospital Makkah INTRODUCTION: Abdominal cocoon syndrome or peritonitis chronica fibrosaincapsulata’ is a rare condition that refers to total or partial encapsulation of the small bowel by a fibro-collagenous membrane with local inflammatory infiltrate leading to acute or chronic… Continue Reading

Abdominal tuberculosis mimicking acute abdomen: the role of laparoscopy

Ernesto Miranda-Cervantes, MD, Jorge Carmona-Cantu, MD, Mauricio Castano-Eguia, MD, Aurora Guillen-Graf, Ulises Caballero-DelaPena, MD, Berenice Medina-Ortiz. Chistus Muguerza Hospital Alta Especialidad / UDEM  INTRODUCTION Tuberculosis remains a major global health problem, in 2012 it was estimated that there were 8.6 million new cases and 1.3 million deaths from the disease. In the past 2 decades… Continue Reading

Aberrant Vital Signs are Rare Following Laparoscopic Colectomy and are Indicative of an Anastomotic Leak

Ryan Hendrix, MD1, Larson Erb, MD2, Lucy Greenberg, BS2, Turner Osler, MD2, Neil Hyman, MD3, Edward Borrazzo, MD2. 1University of Massachusetts Medical Center, 2University of Vermont Medical Center, 3University of Chicago Medical CenterIntroduction: Anastomotic leak is a serious but uncommon complication of gastrointestinal surgery. Early diagnosis remains difficult as patients often fail to present with… Continue Reading

Accuracy and inter-operator variability of small bowel length measurement at laparoscopy

Benny Gazer, MD1, Avinoam Nevler, MD1, Barak Bar-Zakai, MD2, Udi Willentz, DVM3, Ofer Doron3, Mordechai Gutman, MD1, Danny Rosin, MD1. 1Chaim Sheba Medical Center, 2Kaplan Medical Center, 3Lahav CROIntroduction: Measurement and assessment of bowel length is a necessary surgical skill needed in various laparoscopic procedures to achieve good outcomes and avoid complications such as postoperative… Continue Reading

Accuracy of Confocal Laser Endomicroscopy for the characterization of peritoneal carcinosis.

Angelo Pierangelo1, David Fuks2, Abdelali Benali2, Pierre Validire2, Brice Gayet2. 1Ecole Polytechnique Paris, France, 2Institut Montsouris, Paris, FranceObjective of the technology/device: Characterization of peritoneal nodules is crucial to establish a precise evaluation of the cancer extension and to plan adequate therapy. Yet differentiating between inflammatory and malignant nodules may be challenging during laparoscopic assessment. Confocal… Continue Reading

Accuracy of preoperative tumor localization in large bowel using 3D magnetic endoscopic imaging

Miroslaw K Szura, PhD, Artur Pasternak, PhD, Rafal Solecki, PhD, Andrzej Matyja, PhD. Jagiellonian UniversityLaparoscopic surgery becomes the standard treatment for colorectal cancer. A tumor not investing serosa is invisible intraoperatively, while manual palpation of the tumor during laparoscopy is not possible. Therefore, accurate localization of neoplastic infiltrate remains one of the most important tasks… Continue Reading