Day Case Laparoscopic Surgery: How Can We Improve ?
INTRODUCTION: The Irish Health Service Reform (DOH&C 2003) focuses on financial, professional and organizational accountability and responsibility. Utilizing more cost effective Day surgery therefore makes for prudent financial management. In the USA and Canada, day surgery accounts for nearly 90% of all surgery performed (Castoro et al. 2007) however in Ireland fewer than 30% of… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Day to Day Discrepancy in Bravo Capsule Ph Monitoring: The Impact of Manometric Placement and Status of Lower Esophageal Sphincter
Introduction: The wireless esophageal pH monitoring (Bravo Capsule) is better tolerated and allows longer period of recording (2 days or more) in patients evaluated for gastroesophageal reflux disease. The use of this system may result in day to day discrepancy in measurement of distal esophageal acid exposure. This variation is thought to be due to… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Basic Science
Defining Measurements of the Ileocolic and Inferior Mesenteric Vessels By Contrast-enhanced CT: Implications for Vascular Pedicle Ligation During Colectomy
Introduction: Recent technical refinements in laparoscopic colectomy include widespread use of energy devices to control the mesenteric vascular pedicle instead of sutures, clips or staplers. Available devices are approved to seal a variety of vessel sizes, but none is approved for vessels over 7mm, and the actual diameter of these vessels has not been well-defined… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Deflectable Tip Laparoscope Decreases Operation Time and Blood Loss During Single Incision Laparoscopic Cholecystectomy.
Background: New endoscopic technologies are revolutionizing laparoscopic surgery. Single incision laparoscopic surgery (SILS) is an emerging approach to many abdominal surgeries, but is still in need of improved technology to become more efficient. A 5 mm flexible tip laparoscope may help to meet the surgeons’ viewing needs and prevent collision of instruments during SILS. The… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Degarengeot\’s Hernia: Laparoscopic Reduction, Repair & Resection of an Incarcerated Appendiceal Mucocele
Overview: Our patient is a 69 year old female who presented for evaluation of rightthigh mass. Initially believed to represent a soft tissue malignancy, the mass waseventually found to be a femoral hernia containing incarcerated appendix. She underwent successful simultaneous laparoscopic TAPP herniorrhaphy and appendectomy. Background: Femoral hernia containing the appendix was first described in… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Abdominal Wall Hernias
Determinants of Resource Utilization in Laparoscopic Roux-en-Y Gastric Bypass: A Multicenter Analysis of 6322 Patients
Objective: Treatment of chronic diseases such as obesity by resource intensive therapy such as Laparoscopic Roux-en-Y Gastric Bypass surgery (LRYGB) is associated with early increases in healthcare costs. With the increasing frequency of LRYGB being performed and the rising cost of health care, preoperative optimization may reduce resource utilization and these early costs. We sought… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Development of a New Surgical Procedure, Two-step Total Laparoscopic Hysterectomy Combined Myomectomy(ttlh-cm), for Difficult Cases of Lh
(objective)When performing laparoscopic hysterectomy (LH) for benign uterine tumors, we currently employ two-step laparoscopic hysterectomy (LTSH), a two-step procedure in which the cervix is removed after amputation of the uterine body. We have already reported on the usefulness of this procedure at conferences of the Society. We conducted an analysis to determine the factors that… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Development of New Methods and Devices for Forming Minimally Invasive Anastomoses – Towards a Compression Enteral Anastomosis with Immediate Drainage
INTRODUCTION Minimally invasive surgery has allowed less abdominal wall trauma, but anastomoses are completed in a fashion similar to open surgery with staplers. Disadvantages to stapled anastomoses include requiring large port sites and large enterotomies for passage of staplers. An alternative is a compression anastomosis created by applying a constant pressure between adjacent bowel limbs… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Dghal with Recto-Anal-repair Modification: Functional Evaluation and Safety Assessment of a New Minimally-invasive Method of Treatment of Advanced Hemorrhoidal Disease.
PURPOSE: The aim of this paper is to present 12-month follow-up results of functional evaluation and safety assessment of an innovative modification of hemorrhoidal artery ligation (DGHAL) called Recto-Anal-Repair (RAR) in the treatment of IIIrd and IVth grade hemorrhoidal disease (HD), conducted in the 3rd Department of General Surgery, Jagiellonian University. METHODS: A total of… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Diagnosis and Treatment of Occult Gi Bleeding After Laparoscopic Roux-en- Y Gastric Bypass (LRYGB). A Case Report of a Gist As Bleeding Source.
Background: Gastrointestinal stromal tumor (GIST) is a rare stromal neoplasm that accounts 5% of all soft tissue sarcomas. It is the most common mesenchymal neoplasm of the gastrointestinal tract. Nearly one third of GISTs are asymptomatic, and even if symptomatic, symptoms are often vague and nonspecific. Case Presentation: We present a 60-year-old female patient who… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Diagnostic Efficacy of Laparoscopic Biopsy for Intra-Abdominal Lymphadenopathy
IntroductionIsolatedintra-abdominal lymphadenopathy identified radiologically may be an incidental finding or discovered during a staging workup for a lymphoproliferative disorder. A pathological diagnosis requires tissue obtained either percutaneously or surgically. We hypothesize that laparoscopic lymph node biopsy is a safe and effective diagnostic procedure for solitary intra-abdominal lymphadenopathy. Methods All patients undergoing laparoscopic biopsy for CT-identified… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Diagnostic Laparoscopy Is Helpful in Peritoneal Dialysis Patients with Acute Scrotal Edema
Introduction: Acute scrotal edema is an infrequent but well-known complication in patients on continuous ambulatory peritoneal dialysis (CAPD), occurring in 4-10% of patients. It happens from peritoneal tears, leaks around the catheter or most commonly from an inguinal hernia or patent processus vaginalis. Due to the subclinical nature of these hernias, diagnosis is difficult. A… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Diaphragmatic Herniation of Gastric Remnant: Rare Complication
Introduction: It has been estimated that overweight and obesity worldwide affects 1.7 billion people with LGBP being the most performed bariatric surgery worldwide. We are presenting a rare complication of laparoscopic gastric bypass surgery (LGBP); Herniation of gastric remnant into the left chest. Methods: Our patient is a 54 years old female who underwent a… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Disparities in Access to Basic Laparoscopic Surgery At US Academic Centers
Background: Laparoscopy is the standard approach for basic gastrointestinal procedures such appendectomy and cholecystectomy. We determined the disparities in access to basic laparoscopic surgeryat U.S. academiccenters. Methods: A retrospective analysis of a large administrative, clinical, and financial database (University Health System Consortium) of US Academic Medical Centers was conducted.Using appropriate ICD-9-CM procedure codes and diagnosis… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Minimally Invasive Other
Distal Gastrectomy with Laparoscopic Assistance for Non-overweight Patients with T1n0 Gastric Cancer
Background and Purpose: We began to perform distal gastrectomy via minilaparotomy with laparoscopic assistance in non-overweight patients with T1N0 gastric cancer as an alternative to the standard laparoscopic approach. This retrospective study was performed to evaluate our initial experiences treating cases by this procedure. Patients and Methods: The subjects were 16 patients with T1N0 gastric… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery