Single Incision Total Extra-Peritoneal Laparoscopic Inguinal Hernia Repair Using a New Device: A Case Report
David S Lee, MD, Tomasz Rogula, MD PhD. Cleveland Clinic Foundation, Bariatric Metabolic Institute Background: Laparoscopic inguinal hernia repair continues to gain acceptance and has become the preferred approach for bilateral and some recurrent inguinal hernias. Further advances in technology and instrumentation have allowed surgeons to now perform these operations through a single incision. We… Continue Reading
Strategizing for Pre-Operative Pelvic Adiposity Reduction in Patients Preparing for Resection of Rectal Cancer
E R Garwood, MD, K Kolli, MD, A S Kumar, MD MPH. Washington Hospital Center, George Washington University OBJECTIVE: The burden of visceral adipose tissue as opposed to subcutaneous adiposity is an independent risk factor for poor outcomes in oncologic resection for multiple cancer subtypes (hepatocellular carcinoma, renal cell carcinoma, pancreatic, colorectal, and gastric cancer).… Continue Reading
Suction On the Wrong End of the Instrument? It Does Work!
Pradeep Subramanian, MS. Christian Medical College Vellore, Tamil Nadu, India Suction at the wrong end of the instrument? It does work! 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… Continue Reading
SurgTrak: Affordable motion tracking & video capture for the da Vinci surgical robot
Lee W White, BSE, Timothy Kowalewski, PhC, Blake Hannaford, PhD, Thomas S Lendvay, MD FACS. University of Washington, Seattle Childrens Hospital OBJECTIVE Robotic surgery offers the potential to provide high resolution video and instrument movement data which capture the (technical) non-cognitive aspects of surgery. These data are critical in objectively assessing surgical skill performance and… Continue Reading
Tep with No Balloon, No Staples and with Thinner Instruments. Initial 50 Cases Experience
Marcelo Loureiro, Eduardo Bonin, Claus Christiano. Jacques Perissat Institut Laparoscopic repair of inguinal hernias is one of the best methods available to treat this so common disease. TEP is also probably the best laparoscopic option. Today there is a growing concern about chronic pain after hernia repairs as well as surgical costs. The authors present… Continue Reading
The Early Findings of the Use of Thromboelastometry in the Assessment of Coagulation in Acute Pancreatitis
S A Welchman, MBBS BSc MRCS, A Wilkins, MBBS MRCS, M J Wilson, MBBS, J George, A J Copplestone, MBBS MRCP MD, M J Midwinter, MBBS MD. Derriford Hospital, Plymouth Aims: Acute pancreatitis (AP) is a common condition. Local complications are associated with the development of pancreatic necrosis. It has been postulated that necrosis is… Continue Reading
The New Videoscopic Method of Presacral Space Exploration Allowing Removal of the Mesorectum Combined with Idenetification of the Innervation Using Cavermap Device
Piotr Walega, MD PhD, Jakob Kenig, MD, Piotr Richter, Prof, Wojciech Nowak, Prof. Jagiellonian University Collegium Medicum At present, local excision using TEM is accepted method of operation of T1 rectal cancer. However, it is connected with 7-10% risk of metastases in the regional lymph nodes. Endoscopic posterior mesorectal excision, firstly described by Zerz et… Continue Reading
The Routine Use of Newly Developed Miniscope for the Pediatric Microlaparoscopy – Solutions for the Technical and Mechanical Challenges
Salmai Turial, MD, Felix Schier, MD PhD. University Medical Center Mainz, Department of Pediatric Surgery Objective Since February 2009, serially manufactured micro-laparoscope was used routinely for minimally invasive pediatric surgery. Breakage of the scope shaft and mechanical instability of the scope were the main disadvantages compared to using conventional 5 mm scopes. The aim of… 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
The Summa SILS Inanimate Trainer Box Top
Christopher M Kriebel, BS, Bhavik Shah, BS, Michelle Evancho-Chapman, BS, Tristan L Ula, BS, Mark Pozsgay, DO, John G Zografakis, MD FACS. Summa Health System- Akron City Hospital, Akron OH, USA Moving from multiple ports in the abdomen to a central port in the umbilicus may in fact improve cosmesis and reduce post operative pain/length… Continue Reading
The Use of a Detachable Anvil in Stapled Hemorrhoidectomy
Rebekah Kim, MD, Ferrara Andrea, MD, Itriago Francisco, MD, Renee Mueller, MD, Joseph Gallagher, MD, Paul Williamson, MD, Samuel DeJesus, MD, Robert Stevens, MD, Heidi Bahna, MD, Mark Soliman, MD. Colon and Rectal Clinic of Orlando, Orlando Health Stapled hemorrhoidopexy was first introduced in the 1990’s as an approach to treat prolapsing internal hemorrhoids. The… 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
The Use of a Surgery Training Interface (sti) to Guide Optimal Gaze Control Strategies During the Acquisition of a Laparoscopic Skill
S J Vine, PhD, C Lin, PhD, J McGrath, FRCS MD, E Bright, MD, R Masters, DPhil, M R Wilson, PhD. The University of Exeter and The Royal Devon and Exeter Hospital, UK. Video trainer (VT) and Virtual reality (VR) simulators are becoming increasingly popular tools for the training of laparoscopic surgeons. However, the most… Continue Reading
Towards an Integrated Interventional Imaging and Operating Suite
Rachel J Toomey, PhD, Andreas Melzer, MD DDS. Institute for Medical Science and Technology, University of Dundee, Dundee, UK Imaging modalities and diagnostic tools such as magnetic resonance imaging (MRI), positron emission tomography (PET), Raman spectroscopy and optical coherence tomography (OCT) provide excellent anatomical and functional information. However, these cannot currently be readily combined and… Continue Reading
Transabdominal, Transcolonic Polypectomies in a Porcine Model: Avoiding Unnecessary Bowel Resections with the Use of the Minilap Device
Donald M Davis, MD, James JL Mateka, Jorge E Marcet, MD. University of South Florida Introduction: Many benign colorectal polyps cannot be positioned correctly or reached by the endoscope for polypectomy. Accordingly, patients undergo surgical resection of involved bowel. Due to this fact, we have attempted to develop minimally invasive techniques in porcine models to… Continue Reading