Huge retrorectal cystic teratoma mimicking menengitis. A case report.
Osman Nuri Dilek1, Ahmet Hakan Halici2, Turan Acar2, Emine Ozlem Gur1, Oguzhan Ozsay2, Fulya Cakalagaoglu2, Sedat Altay2, Mehmet Haciyanli1. 1Izmir Katip Celebi University, School of Medicine, 2Ataturk Research and Education HospitalRetrorectal primary mature cystic teratomas are extremely rare and can be challenging to diagnose and treat in adults. These lesions are frequently clinically unrecognized and… Continue Reading
How to be impacted on exposing times and dissecting times in laparoscopic sigma resection by surgeon’s skills
Shigehiro Kojima1, Masaaki Ito2. 1Department of Surgery, Sainokuni Higashiomiya Medical Center, 2Department of Colorectal Surgery, National Cancer Center Hospital EastObjective: The aim of this study was to clarify how differences of surgical ability between experts and novices had impacts on exposing times and dissecting times in laparoscopic colectomy for sigmoid colon cancers. Methods: We made… Continue Reading
How Many Cases Do You Need to Achieve Competence and Proficiency in Total Extraperitoneal Groin Hernia Repair?
Hesham M Souka, MD, FRCS, MBBCh. Amina Hospital, Ajman, UAE Introduction: My aim is to present the learning curve of total extraperitoneal groin hernia repair in a prospective registry of 462 cases by a single surgeon over 9 years. Methods: Prospective data collection of age, gender, ASA status, occupation of patient, type of hernia found… Continue Reading
How Many Annual Colonoscopies Are Required to Maintain Competence for Surgeons?
David Pace, MD, Mark Borgaonkar, MD, Brad Evans, MD, Curtis Marcoux, Felicia Pickard, Vanessa Falk, Jerry McGrath, Darrell Boone, Chris Smith. Memorial UniversityIntroduction: To determine if the annual case volume of general surgeons (greater or less than 200 colonoscopies) is associated with quality outcomes. Methods: This retrospective cohort study involved all adults who underwent colonoscopy… Continue Reading
How do we value postoperative recovery? Systematic review of the measurement properties of patient-reported outcome instruments to measure recovery after abdominal surgery
Julio F Fiore Jr, PhD, Sabrina Figueiredo, MSc, Lawrence Lee, PhD, Benedicte Nauche, MLIS, Nancy Mayo, PhD, Liane S Feldman, MD. McGill University Health CentreIntroduction: Patients and caregivers actively seek information about how long it will take to recover or “get back to normal” after an operation. Surgical techniques (e.g. laparoscopy) and perioperative care programs… Continue Reading
Hospital Quality and the Cost of Bariatric Surgery in the United States
Andrew M Ibrahim, MD, Amir A Ghaferi, MD, MS, Jyothi Thumma, MPH, Justin B Dimick, MD, MPH. University of MichiganIntroduction: Efforts from payers, policy makers and professional organizations to improve outcomes after bariatric surgery have been widely implemented. In addition to improving quality, they also aim to reduce the associated healthcare costs. In this context, we… Continue Reading
Hospital Costs Associated with Patient Comorbid Risks, Operative Variables and Postoperative Complications in Ventral Hernia Repair: A Ventral Hernia Repair Hospital Cost Primer.
Margaret A Plymale, MSN, RN1, Ranjan Ragulojan, BSc2, Daniel L Davenport, PhD, MBA3, J. Scott Roth, MD1. 1University of Kentucky Division of General Surgery, 2University of Kentucky College of Medicine, 3University of Kentucky Department of SurgeryIntroduction: Ventral and incisional hernia repair (VHR) is a common general surgical procedure with a significant incidence of postoperative complications… Continue Reading
Hormonal Status and Post-Surgical Hair Loss in Female Bariatric Patients
Ami Rao-Zawadzki, Timothy M Farrell, MD, David W Overby, MD. UNC School of Medicine Introduction: Hair loss is a common complaint among women post-bariatric surgery; the degree and etiology are not well-studied. With previously reported data showing increased serum FSH, LH, SHBG, and decreased estradiol, testosterone, and DHEA-S after bariatric surgery [1], we hypothesized that… Continue Reading
- Topic:
- Basic Science
Histopathological examination of specimen following cholecystectomy: are we accepting resect and discard?
Sean M Wrenn, MD, Wasef Abu-Jaish, MD, FACS. University of Vermont Medical CenterIntroduction: Cholecystectomy is one of the most commonly performed general surgery procedures in the United States. It is most frequently performed for benign biliary disease such as biliary colic or cholecystitis, however resected specimens are frequently sent for histopathological analysis due to the… Continue Reading
High-Tech, or the Right-Tech? Development of a Mid-Tech, Physical Model for Endoscopic Training
Brenton R Franklin, MD1, Tiffany C Cox, MD1, Kristen D Trinca, MD2, Mercy D Wagner, MD1, Sarah B Placek, MD1, Mary T O'Donnell, MD1, Sarah M Haviland, BS3, Jonathan P Pearl, MD, FACS4, E. Matthew Ritter, MD, FACS1. 1Division of General Surgery, USU/Walter Reed Department of Surgery, Bethesda MD; National Capital Simulation Consortium, Bethesda MD,… Continue Reading
High Resolution Manometry – an underappreciated tool for examination of dysphagia in a surgical setting.
Jonas S Jensen, MD, Jan M Krzak, MD, Lars Stig Jorgensen, MD. Lillebaelt Hospital, Kolding, DenmarkIntroduction: Examination of dysphagia in Danish surgical departments, rely primarily on upper gastrointestinal endoscopy. When no visible or histological cause can be detected, esophageal motility disorders are important differential diagnosis. In examining these disorders and in evaluating gastroesophageal reflux disorder… Continue Reading
Hand and Wrist Ergonomic Analysis During Laparoscopy Using a Data Glove
Francisco M Sanchez-Margallo, PhD1, Juan A Sanchez-Margallo, PhD1, Thomas Lango, PhD2. 1Jesus Usón Minimally Invasive Surgery Centre, Caceres, Spain, 2SINTEF, Medical Technology, Trondheim, NorwayObjectives: The aim of this study is to analyze the ergonomics of the surgeon's hand during the use of two different instrument handles for laparoscopic instruments. The risk level for wrist disorders… Continue Reading
Gut Hormone Physiological Changes Before and After Sleeve Gastrectomy in Morbidly Obese Diabetic Indian Patients
Vivek Bindal, MS, MRCS, FNB, Parveen Bhatia, MS, FRCS, Sudhir Kalhan, MS, Mukund Khetan, MS, Suviraj John, MS, FNB, Sushant Wadhera, MS. Ganga Ram Institute of Post Graduate Medical Education & ResearchIntroduction: We propose to analyze and attempt to understand the gut physiology and its metabolic alteration in Type 2 Diabetes Mellitus (T2DM) after Laparoscopic… Continue Reading
Gut bacterial translocation is correlated with stimulated TLR-4 signaling pathways in a rat model of ACS
Adam Strier, MD3, Ibrahim Matter, MD3, Izhak Srugo, MD3, Nir Bitterman, MD3, Gideon Sroka, MD3, Tatiana Dorfman, MD1, Yulia Pollak, MD2, Igor Sukhotnik, MD3. 3Bnai Zion Medical Center, Haifa, ISRAEL, 1Rambam Healthcare Campus, Haifa, ISRAEL, 2Technion-Israel Institute of Technology, Haifa, Israel. Objective: Pneumoperitoneum is the basic step in every laparoscopic procedure, and has been established… Continue Reading
- Topic:
- Basic Science
Glove-Finger Extraction Technique for Laparoscopic Appendectomy: High-Quality Cost-Conscious Surgery
Sharique Nazir, MD1, Alex Bulanov, MS, DO2, Meghedy Shanazarian, BS3, Jordan K Magruder, BS3. 1NYU Lutheran Medical Center, 2NYIT College of Osteopathic Medicine, 3St. George's UniversityIntroduction Compared to an open appendectomy, the procedural costs of a laparoscopic appendectomy (LA) are significantly higher, mainly due to the specialized instrumentation required. Our goal was to investigate the… Continue Reading