Wandering Gallbladder: A Case Report With Literature Review
Miroslav Kopp, DO1, Nathan Cornish2, Sharique Nazir, MD1. 1Lutheran Medical Center, 2New York Institute of Technology - College of Osteopathic MedicineIntroduction: Several variations in the anatomy of the biliary tree have been described in the literature. One such variation is a wandering gallbladder that is typically attached to surrounding structures only by the cystic duct… Continue Reading
WBC and PLT trends after Splenectomy
Ali Ardestani, MD, MSc, Roger T Lis, Msc, Eric Sheu, MD, PHD, Ali Tavakkoli. Brigham and Women's HospitalBackground: The White Blood Cell (WBC) and Platelet (PLT) counts typically increase after a splenectomy. These changes make interpretation of postoperative lab values difficult and may unduly raise concerns for complications. Furthermore various thresholds for clinical intervention based… Continue Reading
WEIGHT-LOSS OUTCOMES OF SPIDER(r) SLEEVE GASTRECTOMY AT 6-MONTHS COMPARED TO TRADITIONAL LAPAROSCOPIC TECHNIQUE
Kathryn B Muir, MD, William V Rice, MD. William Beaumont Army Medical CenterIntroduction Laparoscopic sleeve gastrectomy (LSG) has become an acceptable primary stand-alone procedure for metabolic and weight-loss surgery. Traditional LSG involves multiple small abdominal incisions, similar to traditional laparoscopic cholecystectomy. Sleeve gastrectomy has also been performed using the single incision laparoscopic surgery (SILS) technique,… Continue Reading
What is the impact of co-morbidities in the outcomes of laparoscopic surgery for elderly patients with colorectal cancer
Yu Sato, MD, Giovanna DaSilva, MD, Eric G Weiss, Steven D Wexner, MD. Cleveland Clinic FloridaBackground: Laparoscopic surgery for colorectal cancer in elderly and high-risk patients has proven to be safe and beneficial, with more favorable short-term results. This study evaluated the impact of co-morbidities in the short-term outcomes of elderly patients undergoing laparoscopic resection… Continue Reading
Which causes more ergonomic stress: laparoscopic or open surgery?
Robert Wang, Zhe Liang, Ahmed M Zihni, MD, MPH, Shuddhadeb Ray, MD, Michael M Awad, MD, PhD. Washington University School of MedicineINTRODUCTION: As the number of procedures performed laparoscopically has increased dramatically over the last few decades, there is an increasing awareness of the unique ergonomic challenges experienced by the laparoscopic surgeon. Compared to similar… Continue Reading
Which symptoms are significant for the patients of a suspected acute appendicitis with right lower quadrant pain?
Ali Kagan Coskun, MD1, Oner Mentes, MD1, Rahman Senocak, MD1, Sahin Kaymak, MD1, Subutay Peker, MD1, Yasemin Yavuz2, Ali Harlak, MD1, Orhan Kozak, MD1. 1GATA, 2Ankara UniversityAny delay or incorrect management of acute appendicitis could cause an increase for morbidity and mortality with an elevation of healthcare costs. Therefore in order to diagnose acute appendicitis… Continue Reading
Why Surgeons Must Participate in Medical Supply Value Analysis
Jimmy Y Chung, MD. Providence Health & ServicesINTRODUCTION – Most hospitals utilize Value Analysis (VA) as a part of supply chain management for medical devices and products. Traditionally, these processes are run by nurse managers or directors without direct physician participation. This presentation will discuss the importance of physician leadership in the VA process, especially… Continue Reading
Wound Disruption Following Colorectal Operations
Zhobin Moghadamyeghaneh, MD, Joseph C Carmichael, MD, Steven D Mills, MD, Alessio Pigazzi, MD, Michael J Stamos, MD. University of California, IrvineObjectives Postoperative wound disruption is associated with high morbidity and mortality. We sought to identify risk factors and outcomes of wound disruption following colorectal resection. Methods The NSQIP database was used to examine the… Continue Reading