New Simplified Technique for Closure of Hiatal Hernias Using Quill™ Suture
Angelica Garcia, Abraham Abdemur, Luciano Poggi, Samuel Szomstein, Raul J Rosenthal. Cleveland Clinic Florida Introduction: Closure of diaphragmatic hiatal defects in patients withParaesophageal hernias is one of the most demanding procedures inLaparoscopic surgery. The uses of non-absorbable suture in combination with pledgets, absorbable and non-absorbable mesh have been advocated to achieve low recurrence rates. We… Continue Reading
New Technique for Fascial Defect Approximation During Laparoscopic Ventral Hernia Repair with Mesh
Irving Jorge, MD, Victor Maciel, MD, Henry J Lujan, MD. Mount Sinai Hospital, Jackson South Community Hospital, Miami, FL Objective: Recently, some authors have advocated closure of the hernia defect prior to mesh placement so as to recreate the abdominal wall. Advantages cited include increased mesh overlap, more physiologic repair, improved functional results, better cosmesis,… Continue Reading
New Technology for Colorectal Surveys
Nathalie Mantilla, MD, Ariane Abcarian, MD, Jose Cintron, MD, Marc Singer, MD, Herand Abcarian, MD. University of Illinois at Chicago, Chicago, IL. Northshore Medical Group, Highland Park, IL. PURPOSESelf-administered patient questionnaires are available in colorectal surgery, and can provide useful information for better classification and understanding of patients’ conditions and can be helpful with clinical… Continue Reading
Novel Mesh for Laparoscopic Inguinal Hernia Repairs – Self-Gripping, Minimal Fixation
Kenric M Murayama, MD. University of Pennsylvania Medical School - Dept. of Surgery Objective: Demonstrate feasibility of using a new mesh for laparoscopic inguinal hernia repair that requires minimal fixation. Methods: A retrospective review of a single surgeon experience from March 2010-January 2011 with a novel monofilament polyester mesh with a resorbable polylactic acid (PLA)… Continue Reading
Novel Technique for Significant Cost Reduction in Laparoscopic Inguinal Hernia Repair
dmitry nepomnayshy, MD, anton galitsky, MD, desmond birkett, MD. lahey clinic OBJECTIVES: Growth in healthcare costs is a significant concern for sustainable healthcare delivery around the world. In our institution, we have seen a 50% -100% rise in the costs of operating room supplies over the last decade. For the first time, we were made… Continue Reading
Operational Skill Assessment for Robotic Surgery Training
Rajesh Kumar, PhD, Amod Jog, Balasz Vagvolgyi, Thomas Tantillo, Chi Chiung Grace Chen, MD, Hiep Nguyen, MD, Greg Hager, PhD, David Yuh, MD. Johns Hopkins University, Johns Hopkins Hospital, Children's Hospital, Boston Robotic surgery training methods are still in development, with increased recent interest with the introduction of simulators for training. However, published research in… 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
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
Positioning of Focused Ultrasound Transducer Using Mr Compatible Robotic Arm
Xu Xiao, Mr, Mengnan Li, Mr, Andreas Melzer, Prof. Institute for Medical Science and Technology, University of Dundee, UK Objective of the technology or device: In resent years Magnetic Resonance Imaging (MRI) has established itself as a leading imaging modality, boosting the development of MR guided interventional techniques and devices. MR guided Focused Ultrasound Surgery… Continue Reading
Preport Method for Evacuation in a Single-Incision Laparoscopic Surgery-Insufflation and Evacuation By a Single Port
Yusuke Watanabe, MD, Minoru Ishida, Syuji Kitashiro, PhD, Yo Kawarada, PhD, Syunichi Okushiba, PhD, Toshiaki Shichinohe, PhD, Hiroyuki Kato, PhD. KKR Tonan Hospital Objective:Smoke and mist evacuation in laparoscopic sugery improves the quality and safety of the procedure. However, it might be difficult to evacuate smoke and mist by energy devices and secure the route… Continue Reading
Pulleys Do Pull in Laparoscopic Surgery
Pradeep Subramanian, MS. Christian Medical College Vellore, Tamil Nadu, India Pulleys do pull in Laparoscopic Surgery Pradeep Subramanian MS, Surgical Tutor, Department of Colorectal Surgery, CMCH, Vellore, India The Field of Laparoscopic Surgery has advanced beginning from its cautious application on basic procedures using limited technology to bold new interventions and technological innovations which has… Continue Reading
Pure NOTES: Transvaginal Tubal Sterilization with a Flexible Endoscope
Jose G Mejias, MD, Pierina B Rosales, MD, Hector Almau, MD, Rafael De La Fuente, MD, Naydeli Garcia, MD, Carlos Bravo, MD. Clinica Briceno Rossi PURE NOTES: TRANSVAGINAL TUBAL STERILIZATION WITH FLEXIBLE ENDOSCOPE José Mejías, Pierina Rosales, Hector Almau, Rafael de la Fuente, Naydeli García, Carlos Bravo. Caracas, Venezuela OBJECTIVES: Tubal sterilization is a permanent… Continue Reading
Reconstruction of Human Anatomy Using 3-Dimensional Printing: Aorta and Liver Models
Rahul Gupta, MBBS MS DNB, Robert A Andrews, MD, Theodore Korelitz, Crispin Weinberg, PHD, Kung Justin, MD, Scott Johnson, MD, Daniel B Jones, MD MS FACS. Beth Israel Deaconess Medical Center ObjectiveTo create clinically relevant 3 dimensional models from CT Scans. MethodsWith IRB exemption, our group acquired various de-identified images of interesting anatomic pathology in… Continue Reading
Single-Incision Laparoscopic Choleystectomy (SIL-C) Using a Novel Technique for Retraction of the Gallbladder: Evaluation of the Initial Experience
Carlos A Galvani, MD, Rakesh Hegde, MD, Angela Echeverria, MD, Tim Rankin, MD, Behrooz Dehdashti, PhD. Section of Minimally Invasive Surgery, University of Arizona, Department of Surgery Objectives: SIL-C is evolving as an improved technique and an alternative to NOTES. The impossibility to use assistants impairs the the adequate retraction of gallbladder fundus. We have… Continue Reading
Single Incision Laparoscopic Liver Resection in Porcine Model
Toshio Katagiri, MD, Takayuki Dotai, MD, Anibal Rondan, MD, Sheetal Nijhawan, MD, Saniea Majid, MD, Michael Sedrak, MD, Bryan Sandler, MD, Garth R Jacobsen, MD, Santiago Horgan, MD, Mark A Talamini, MD. University of California San Diego Introduction: Single Incision Laparoscopic Surgery (SILS) is a rapidly evolving field. It is an important bridge between laparoscopic… Continue Reading