Minimally Invasive Splenectomy For ITP During Pregnancy
David J Berler, MD, Jessica Gonzalez-Hernandez, MD, Sara A Hennessy, MD, FACS. UT Southwestern Medical CenterImmune thrombocytopenic purpura affects up to 2 in 10,000 pregnancies and can lead to devastating, potentially life-threatening peripartum hemorrhage. Treatment with corticosteroids and/or IV immunoglobulin is often effective. For those who fail medical therapy and are found to have significant… Continue Reading
- Topic:
- Minimally Invasive Other
NATURAL ORIFICE INTRACORPOREAL ANASTOMOSIS WITH EXTRACTION. THE NICE PROCEDURE
Bertha A Dimas, MD1,2, Ramon O Minjares-Granillo, MD1,2, Jillian Fleisher, DO1,3, Jean-Paul J Lefave, MD1,2,3, Eric M Haas, MD1,2,3. 1Department of Surgery, The University of Texas Medical School at Houston, Houston, Texas, 2Southeast Clinical Research Associates, Inc., Houston, Texas, 3Division of Colon and Rectal Surgery, Houston Methodist Hospital, Houston, TexasWe present video vignettes illustrating a… Continue Reading
- Topic:
- Robotics
Neurectomy with Hybrid Laparoscopic-Robotic Device for Chronic Groin Pain After Open Inguinal Hernia Repair
Kelly Haisley, MD, Michael Antiporda, MD, Richard Jamison, MD, Christy Dunst, MD, Lee Swanstrom, MD. Providence Portland Medical CenterIntroduction: In this video, we review a case of a minimally invasive neurectomy using a hybrid laparoscopic/robotic device for the treatment of chronic groin pain after open inguinal hernia repair. Background: The patient is a 38 year old… Continue Reading
- Topic:
- Abdominal Wall Hernias
Pancreaticojejunostomy reconstruction for small pancreatic duct in totally laparoscopic pancreaticoduodenectomy
Hariruk Yodying, MD. Department of surgery, HRH Princess Maha Chakri Sirindhorn Medical Center (MSMC) Hospital, Srinakharinwirot UniversityBACKGROUND: Laparoscopic pancreaticoduodenectomy (LPD) is a complex procedure that has been cautiously regarded as feasible and safe for resection and reconstruction. Postoperative pancreatic fistula (POPF) remains the major complication after pancreaticoduodenectomy. Risk factors commonly reported to increase the risk of… Continue Reading
- Topic:
- Biliary
Paraoesophageal Hernia Repair After Laparoscopic Sleeve Gastrectomy
Charlotte Horne, MD, Alisan Fathalizadeh, MD, John Rodriguez, MD, Kevin El-Hayek, MD, Jeffrey Ponsky, MD. Cleveland ClinicThis case presentation involves a 52-year-old female that underwent a laparoscopic sleeve gastrectomy in 2011. At this time, she was also noted to have a hiatal hernia but this was not repaired. Her medical comorbidities include diabetes mellitus, pulmonary… Continue Reading
- Topic:
- Foregut
POEM complications with delayed Laparoscopic Heller Myotomy
Ann D Smith, MD, MPH, Jaroslav Zivny, MD, Christopher A Marshall, MD, John J Kelly, MD. University of MassachusettsTwo major treatment modalities are available for patients with achalasia: a Heller Myotomy or a Per Oral Endoscopic Myotomy (POEM). The POEM was first discussed in the literature in 2009 and the steps for performing it were… Continue Reading
pure taTME procedure for rectal cancer
Liang Kang. the sixth affiliated hospital of Sun Yat-sen UniversityThis is an operation video of puretaTME completed in 2014. The patient was a middle-aged woman and diagnosed as low rectal cancer. We made purse-bag suture from the lower edge of the tumor about 1 cm, then followed by free perirectal mesenteric space, until the peritoneal… Continue Reading
- Topic:
- Colorectal
RECURRENT EPIPHRENIC DIVERTICULUM
Michael C Morell, MD1, Shanu N Kothari, MD2. 1Gundersen Medical Foundation, 2Gundersen Health SystemEpiphrenic diverticula are pulsion diverticula most commonly occurring on the right side, in the distal 10cm of the esophagus. Epiphrenic diverticula and their recurrence after surgical intervention is a rare esophageal pathology that occurs in the setting of increased intraluminal esophageal pressure.… Continue Reading
- Topic:
- Foregut
Remnant Cholecystectomy with ICG Infrared Cholangiography
Saeed Arefanian, MD, Margaret Frisella, RN, L. Michael Brunt, MD. Washington University in St. LouisBackground: subtotal cholecystectomy has been advocated for difficult operative situations for a long time in the surgery and different types of it have been described. Occasionally recurrence of symptomatic cholelithiasis and choledocholithiasis requieres the need for reoperation and completeion of the cholecystectomy. Presentation:… Continue Reading
- Topic:
- Biliary
REVISIONAL GASTRIC BYPASS
Ricardo Nascimento, MD, Darlan M Kestering Medeiros, MD, Jaime Cesar M Gelosa Souza, MD, Luiz Henrique M Locks Corrêa, MD, Matheus M Pacheco Dos Reis, MD. HNSCIt is now generally accepted that bariatric surgery is the most effective therapy for morbid obesity. During the last decade, there has been an accelerated growth in the number… Continue Reading
- Topic:
- Metabolic / Obesity
RoboTAR Made Easy: Distilling the Key Steps
Arielle M Lee, MD, Rebeca Dominguez, MD, Tokio Matsuzaki, MD, PhD, Kai Neki, MD, Ryan C Broderick, MD, Robert Cubas, MD, Joslin N Cheverie, MD, Bryan J Sandler, MD, Santiago Horgan, MD, Garth R Jacobsen, MD. UC San DiegoIncreasingly large numbers of patients have large and complex abdominal wall defects, often from multiple prior abdominal… Continue Reading
- Topic:
- Abdominal Wall Hernias
Robotic-Assisted Laparoscopic Reversal of Silastic Ring Gastric Bypass (Fobi pouch)
Usah Khrucharoen, Yen-Yi Juo, Andrew Scott, Yijun Chen, Erik Dutson. UCLAStenosis of the gastrojejunal anastomosis is a rare complication of Silastic ring-reinforced gastric bypass, a highly effective weight-loss procedure with a low morbidity profile. The stenosis may be partly attributable to chronic inflammation of the non-expandable Silastic ring, which seeks to partly restore physiologic functions… Continue Reading
- Topic:
- Metabolic / Obesity
Robotic Choledochoduodenostomy for Refractory Benign Biliary Stricture
Michael P Meara, MD, MBA, FACS, Andrei Manilchuk, MD, Cole Rodman, Sophia Roberts. The Ohio State University Wexner Medical CenterCholedochoduodenostomy remains a treatment option for individuals with benign biliary stricture either acquired secondary to intrinsic damage, secondary to previous instrumentation, or anastomosis. Exclusion of malignant causes is imperative prior to operative biliary bypass. Our patient is… Continue Reading
- Topic:
- Biliary
Robotic enblock Right Hepatectomy + Right Nephrectomy + Right Adrenalectomy + Diaphragm Resection with mesh reconstruction for Retroperitoneal Sarcoma
Ali Ahmad, MD, FACS. University of Kansas School of Medicine-WichitaWe present a case of a 57 year old male with a right retroperitoneal myxofibrosarcoma involving the right liver, right kidney and the diaphragm. Post neoadjuvant chemoradiation, the patient was deemed an appropriate surgical candidate after a multidisciplinary tumor board discussion. Due to the complex nature… Continue Reading
- Topic:
- Robotics
Robotic Living Donor Hepatectomy
Jaekeun Kim, MD, PhD, Yee Lee Cheah, MD, Caroline J Simon, MD, Mohamed E Akoad, MD. Lahey Hospital & Medical CenterRobotic living donor right hepatectomy is a technically challenging operation. Accepted benefits of minimally invasive surgery include less postoperative pain, enhanced postoperative recovery with faster return to pre-donation status, and reduced morbidity. Our tertiary academic transplant center performed… Continue Reading
- Topic:
- Robotics