Two-year Outcomes of Randomized Controlled Trial Comparing Laparoscopic Greater Curvature Plication Versus Laparoscopic Sleeve Gastrectomy
V.v. Grubnik, Prof1, O.b. Ospanov, Prof2, K.a. Namaeva2, V.p. Golliak1, M.s. Kresun1. 1Odessa national medical university, Ukraine, 2Medical university Astana, KazakhstanIntroduction. Laparoscopic greater curvature placation (LGCP) is a new restrictive bariatric procedure witch has a similar restrictive mechanism like laparoscopic sleeve gastrectomy (LSG) without potential risk of leak. Aim of the study was to compare… Continue Reading
Umbilical Hernias: The Cost of Waiting.
Matthew R Pittman, MD, Dean J Mikami, MD. The Ohio State Univeristy Medical CenterIntroduction: Umbilical hernias are well described in the literature but the impact on health care cost, work absenteeism, and resource utilization is less well understood. Often, asymptomatic or minimally symptomatic hernias are offered watchful waiting. The long term costs to both patients… Continue Reading
Understanding Pyloric Sphincter Activity Using a Distensibility Technique
Jorge Alberto Arroyo Vazquez, MD1, Per-Ola Park, MD, Professor1, Maria Bergstrom, MD, PhD1, Steven Bligh2, Barry P McMahon, PhD2. 1Dept of Surgery, South Alvsborg Hospital & Gothenburg University, 2Trinity Academic Gastroenterology Group, Trinity College & Tallaght Hospital, Dublin, IrelandBackground Limited data is available to fully describe the function of the pyloric sphincter. It is clear… Continue Reading
Unidirectional Barbed Sutures as a Novel Technique for Laparoscopic Ventral Hernia Repair
David Nguyen, MD, Samuel Szomstein, MD, FACS, FASMBS, Fernando Dip, MD, Meenakshi Rajan, MD, Emanuele Lo Menzo, MD, PhD, FACS, FASMBS, Raul J Rosenthal, MD, FACS, FASMBS. Cleveland Clinic FloridaBackground Incisional hernias remain a significant complication of abdominal surgeries. Laparoscopic repair of ventral hernias is widely accepted as feasible and cost-effective. Primary closure of the… Continue Reading
Unintended Stray Energy from the Monopolar Instrument: Beware of the Dispersive Electrode Cord
Nicole T Townsend, MD1, Nicole Nadlonek, MD1, Edward L Jones, MD, MPH2, Gregory V Stiegmann, MD1, Thomas N Robinson, MD1. 1University of Colorado, 2Ohio State UniversityBACKGROUND: The monopolar instrument emits stray energy from the active electrode’s cord (via a phenomenon termed “antenna coupling”) which is implicated in unintended thermal injury in laparoscopy. Stray energy emitted… Continue Reading
Upper gastro-intestinal endoscopy in Port Harcourt Nigeria: Update
Emeka Ray-Offor, MBBSFWACSFMASDMAS1, Ipalibo S Wokoma2, G Gbanador, FACS3, A E Ihekwaba2. 1University of Port Harcourt Teaching Hospital/Oak Endoscopy Centre Port Harcourt Nigeria, 2Dept of Internal Medicine University of Port Harcourt teaching Hospital Nigeria, 3Shawsand Medical Center Port Harcourt Rivers State NigeriaIntroduction Oesophagogastroduodenoscopy (OGD) is the gold standard for investigating disease conditions of the upper… Continue Reading
Usage of a soft-coagulation device for hemostasis of total laparoscopic hepatectomy: detachment and transection of blood vessels using a monopolar soft-coagulation device
Mitsuo Miyazawa, MD, FACS, Masayasu Aikawa, MD, Katsuya Okada, Yukihoro Watanabe, Kojun Okamoto, Shigeki Yamaguchi, Isamu Koyama. Saitama Medical University International Medical CenterAmong intraoperative complications of total laparoscopic hepatectomy (TLH), venous hemorrhage is the most frequent and difficult-to-treat complication. We developed hepatocyte crush method: (HeCM) using a monopolar soft-coagulation devices for not only hemostasis, but… Continue Reading
Use of 5-mm Stapler in Infants and Children
Bethany J Slater, MD, Kristen Shipman, MD, Saundra Kay, MD, Steven S Rothenberg. Rocky Mountain Hospital for ChildrenObjective: Staplers are used for a variety of purposes in surgical operations. For minimally invasive procedures, staplers have been designed requiring a 12-mm trocar for access. However, in infants and small children, using a 12-mm stapler not only… Continue Reading
Use of a low-cost telementoring solution for the introduction of a new surgical procedure; Preliminary results.
Etai M. Bogen, MD1, Petter F. Gjessin, MD, PhD1, Nicholas E. Bruns, MD2, Line L. Warth, PhD3, Hiten R.H. Patel, MD, PhD4, Rolv-Ole Lindsetmo, MD, PhD, MPH1, Todd A. Ponsky2. 1Department of Digestive Surgery, University Hospital of Northern Norway, Tromso, Norway, 2Department of Pediatric Surgery, Akron Children's Hospital Akron, Ohio, USA, 3Norwegian Center for Telemedicine… Continue Reading
Use of an Indocyanine Green Enhanced Fluorescence Optical System (the VITOM camera) for Early Recognition of Bile Leaks
Fernando Dip, MD, David Nguyen, MD, Lisandro Montorfano, MD, Emanuele Lo Menzo, MD, PhD, FACS, FASMBS, Samuel Szomstein, MD, FACS, FASMBS, Federico Aucejo, MD, Raul J Rosenthal, MD, FACS, FASMBS. Cleveland Clinic FloridaBackground In liver resections biliary leaks are the most common cause of morbidity and mortality. The near-infrared fluorescent system has been a useful… Continue Reading
Use of Biologic Keyhole Mesh in Large Paraesophageal Hernias: A Safe Technique With Low Rates of Dysphagia
Jeffrey R Watkins, MD, Houssam G Osman, MD, Ernest L Dunn, MD, Michael S Truitt, MD, Rohan Jeyarajah, MD. Methodist Dallas Medical CenterIntroduction - The purpose of our study is to identify the incidence of dysphagia in a series of patients who underwent laparoscopic paraesophageal hernia repair (LPEHR) with placement of keyhole biologic mesh. Improved… Continue Reading
Use of Biologic material for grade 2 ventral hernia repair, is it worth the cost?
Shoshana Hacker, MD, Bradley Putty, Bharti Jasra, Brian Holt. Saint Louis University HospitalIntroduction: Ventral hernias are one of the most common surgical complications general surgeons face today, with more than 1 million abdominal wall hernia repairs performed in the US each year. While mesh reinforcement of ventral hernia repair is accepted as the standard of… Continue Reading
Use of fluorescent angiography in mucosal advancement procedures: a small series
Jacquelyn S Turner, MD, Carolyn Moore, Clarence Clark. Morehouse School of MedicineBackground: Rectal mucosal advancement procedures are commonly used for perianal fistulas and in the setting of circumferential mucosal prolapse. These procedures can have up to a 30% early complication rate with flap separation likely attributed to poor profusion or technical error. Here, we describe… Continue Reading
Use of Stochastic Resonance Methods for Improving Laparoscopic Surgery Performance
Robert D Hoskins, MS, Katherine M Babbitt, MD, Jinling Wang, PhD, Emily Diller, BS, Caroline Cao, PhD. Wright State UniversityINTRODUCTION. Vibrotactile feedback has been shown to improve performance in manual control, teleoperation and during minimally invasive surgical tasks. Stochastic resonance (SR), introduced into the human control system as white noise at a sub-sensory level, has… Continue Reading
Use the Third Arm: A Reliable and Relevant Way To Teach Robotics
Jeffrey R Watkins, MD, Houssam G Osman, MD, Rohan Jeyarajah, MD. Methodist Dallas Medical CenterIntroduction - Transitioning from open to laparoscopic surgery involved trial and error as surgeons learned their boundaries of teaching in a remote environment. The transition to robotics has been more thoughtful, but not as intuitive to many. As faculty surgeons get… Continue Reading