Eliminating Covered Self-Expanding Stent Migration with a Novel Fixation Procedure
Shanda H Blackmon, Assistant Professor. The Methodist Hospital BACKGROUND: Leakage from esophageal and gastric perforation carries a high morbidity and often requires surgical intervention. In spite of the promising early results from esophageal stenting, migration of the stent continues to plague the physician, and occurs twenty to sixty percent of the time. A new technique… Continue Reading
A Surgical Wound Drain Containing an Antimicrobial Coating
Todd Meyer, PhD, Melissa Kelsey, BS. Bacterin International, Inc. ObjectiveThe pronounced incidence of device-associated infections has numerous causes and many corresponding potential solutions. Among these solutions is the coating of externally communicating devices with antimicrobial agents, with the objective of slowing or stopping transfer of exogenous flora from the skin to the interior of a… Continue Reading
Compiling Provation MD – A Powerful Data Mining Tool Amenable to Statistical Analysis
Victor B Tsirline, MD MS, Igor Belyansky, MD, David A Klima, MD, Cynthia M Hlavacek, Kristian T Dacey, Amy E Lincourt, PhD, Ronald F Sing, DO FACS, B. Todd Heniford, MD FACS. Carolinas Medical Center, Charlotte, NC 28204 BackgroundClinical research is highly dependent on the availability of data, its accuracy, completeness, and suitability for analysis.… Continue Reading
From Social Networking to Surgical Education: A Novel Use of Web Based Video Conferencing Technology for Remote Laparoscopic Skills Training
Allan Okrainec, MD, Horacio Asbun, MD, Edgar Figueredo, MD, Oscar Henao, MD, Edmundo Dedios, MD, Jacqueline Narvaez, Ted Trus, MD. University of Toronto, ON, Canada; Mayo Clinic, Jacksonville, FL; University of Washington Medical Center, Seattle, WA; Universitario San Vicente de Paul, Colombia; Jorge Reategui Hospital, Peru; Dartmouth-Hitchcock Medical Center, Lebanon, NH Objective: The SAGES Global… Continue Reading
Laparoscopic Sphincter-Preserving Surgery for Low Rectal Cancer Using Intersphincteric Resection Technique and a Bulldog Clamp
Bo Feng, MD, Minhua Zheng, MD. Department of Surgery, Ruijin Hospital, Shanghai Jiaotong University, School of Medicine, Shanghai Minimally Invasive Surgery Center, Shanghai 200025, China Objective To assess the feasibility and outcome of laparoscopic sphincter-preserving surgery for low rectal cancer using intersphincteric resection technique and a bulldog clamp. Methods We applyed a new technique combination… Continue Reading
The Sealed Incision Multiport (SIM)- A Novel Access Device for Both Single and Multiport Laparoscopic Surgery
Ronan A Cahill, Dr. European Institute of Surgical Research and Innovation (EISRI) The potential of single port laparoscopic operating is at present greatly constrained by the currently available commercial devices in both their design and construction as well as their cost (which restricts their usefulness by both limiting the potential patient population and preventing their… Continue Reading
Endoscopic Submucosal Dissection for Malignancies of the Foregut: an Early North American Experience
Lorenzo E Ferri, MD PhD, Gerald Fried, MD. McGill University and The Steinberg-Bernstein Centre for Minimally Invasive Surgery Objective: Endoscopic resection of early malignancies of the GI tract is justified in patients with a negligible risk of lymph node metastasis. Endoscopic Submucosal Dissection (ESD) enables the organ-sparing and en-bloc resection of any size lesion, significantly… Continue Reading
Incidence and Extent of Enlargement of Umbilical Incision in Standard Laparoscopic Cholecystectomy: Benchmarking for Single Incision Laparoscopic Cholecystectomy
Christoph A Maurer, MD, Samuel A Käser, MD, Simeon Berov, Paolo Abitabile, MD, Daniela Müller, PhD, Philippe M Glauser, MD. Department of Surgery, Hospital of Liestal, Liestal, Switzerland Objective: Opponents of single incision laparoscopic cholecystectomy argue that the single incision at the umbilicus is much larger than in standard laparoscopic cholecystectomy. The primary aim of… Continue Reading
Augmented Reality in Laparoscopic and Robotic Surgery – Not Only a Matter of Fashion
Francesco Volonte, MD, François Pugin, MD, Nicolas Buchs, MD, Pascal Bucher, MD, Maki Sugimoto, MD, Osman Ratib, Prof, Philippe Morel, Prof. 1 Visceral and Transplantation Surgery, University Hospitals of Geneva, Switzerland 2 Department of Gastroenterology, Kobe University Graduate School of Medicine, Kobe, Japan 3 Department of Nuclear Medicine, University Hospitals of Geneva, Switzerland BackgroundNew technologies… Continue Reading
Ball/ Globe Diathermy Instrument an Essential Instrument in Laparoscopic Surgical Procedure
Md. Kamruzzaman Khan, FCPS, Md. Kamruzzaman Khan, FCPS, Md. Kamruzzaman Khan, FCPS. Bangabandhu Sheikh Mujib Medical University, Dhaka Title of the article: Ball/ Globe diathermy instrument an essential instrument in laparoscopic surgical procedure. Description of the technology and method of use or application In laparoscopic procedure diathermy play key role in homeostasis. Use of instrument… Continue Reading
Peritoneal Contamination Uncommon During Transvaginal Cholecystectomy
Pratibh Vemulapalli, MD, Harvey C Rainville, MD, Emanuel Agaba, MD, Diego Camacho, MD, Scott Chudnoff, MD. Montefiore Medical Center and Albert Einstein College of Medicine Background: The transvaginal laparoscopic approach to performing abdominal surgery requires the placement of a port in the vaginal canal. There is concern about intraabdominal contamination of the peritoneal cavity with… Continue Reading
The Use of a Novel Self Expanding Nitinol Hernia System for Natural Orifice (notes) Inguinal Herniorrhaphy
Danny A Sherwinter, MD, Matthew Dixon, MD. Maimonides Medical Center Department of Minimally Invasive Surgery Introduction: Development of a viable natural orifice (NOTES) technique for inguinal herniorrhaphy (IH) has been primarily hindered by the inadequacy of available endoscopic instrumentation to effect peritoneal dissection and mesh fixation. In this study we describe our initial preclinical experience… Continue Reading
Laparoscopic Sigmoid Resection with Transrectal Specimen Extraction for Bowel Endometriosis Has a Better Outcome Compared to Conventional Laparoscopic Sigmoid Resection
Albert M Wolthuis, MD, Christel Meuleman, MD, Carla Tomassetti, MD, Thomas D'Hooghe, MD PhD, Steffen Fieuws, PhD, Freddy Penninckx, MD PhD, André D'Hoore, MD PhD. Department of Abdominal Surgery, Leuven University Fertility Centre, Department of Obstetrics and Gynecology, Interuniversity Centre for Biostatistics and Statistical Bioinformatics Introduction Multidisciplinary laparoscopic treatment is the standard of care for… Continue Reading
Outcomes for Case-Matched Single Port Colectomy Are Comparable with Conventional Laparoscopic Colectomy
Albert M Wolthuis, MD, Steffen Fieuws, PhD, Freddy Penninckx, MD PhD, André D'Hoore, MD PhD. Department of Abdominal Surgery, Interuniversity Centre for Biostatistics and Statistical Bioinformatics, University Hospital Gasthuisberg, Leuven, Belgium BackgroundWith the introduction of single port surgery, the presumed advantages were improved cosmesis, decrease of pain and shorter length of stay. The aim of… Continue Reading
Endoscopic Tattooing to Mark Distal Margin for Laparoscopic Rectal Resection
Daniel D Kirchoff, MD, Joon Ho Jang, MD, Vesna Cekic, RN, Kathy Baxter, RN, Pranat Kumar, MD, Koji Park, MD, Kevin Holzman, MD, Richard L Whelan, MD. St. Luke's-Roosevelt Hospital Center Introduction: Colonic tattoos are routinely used to facilitate laparoscopic localization of colonic neoplasms. Tattoos are not commonly used for rectal cancers. Although it is… Continue Reading