Laparoscopic Repair of Giant Bochdalek Hernia with Mesh Reinforcement
Indraneil Mukherjee, MD, Aleksandr Demin, DO, Andrey Mironenko, MD, Karen E Gibbs, MD, Zhuo-Qian Zhang, Aleksandra Ogrodnik, MD. Staten Island University HospitalIntroduction: Bochdalek hernias are a rare condition consisting of a postero-lateral diaphragmatic defect. The incidence is reported 0.08–0.45 per 1000 live births. With advent of fetal ultrasound and improvement of technologies, the majority of the cases are diagnosed prenatally or shortly… Continue Reading
Case Series of Laparoscopic Para-Hiatal Hernia Repairs
Victoria Lyo, MD, Thomas Knowles, Yalini Vigneswaran, James Dolan, MD, Andrea Stroud, Stephanie Wood. OHSUThis is a case series of two rare, para-hiatal hernias of different magnitude. Both para-hiatal hernia repairs were performed in the same week at our tertiary care, referral hospital. Our first patient had an elective laparoscopic sleeve gastrectomy, and was incidentally… Continue Reading
Sigmoid Mesocolon Hernia: A Rare Type of Internal Hernia
Lisa Zhang, MD, Boris Zevin, MD, PhD. Queen's UniversityIntersigmoid hernia is a rare type of congenital internal hernia and one of three subtypes of sigmoid mesocolon hernia. In this video, we describe the case of a 54 year old male with no prior abdominal surgeries who presented to our hospital with 24 hour history of… Continue Reading
Subcutaneous Onlay Laparoscopic Approach – SCOLA
David Weithorn, MD, Flavio Malcher, MD, David Pechman, MD, Diego Camacho, MD. Montefiore Medical CenterThis is a SCOLA (Subcutaneous Onlay Laparoscopic Approach) procedure: An emerging technique for treatment of concurrent ventral hernias and diastasis recti. Presented at the SAGES 2017 Annual Meeting in Houston, TX.Abstract ID: 95336Program Number: V105Presentation Session: Exhibit Hall Theater Video Session IVPresentation… Continue Reading
Management of Concomitant Vein Injury in the Setting of Military Popliteal Artery Trauma: Limb Outcomes Assessment
Jordan L Guice, MD, MPH, Shaun M Gifford, MD, Kai Hata, MD, Xiaoming Shi, Brandon W Propper, David S Kauvar. San Antonio Military Medical CenterObjectives: Despite aggressive limb salvage attempts, military popliteal artery injuries are associated with high amputation rates. Combined arterial and venous injuries present a management dilemma for military surgeons in austere settings… Continue Reading
OBESITY IN COMBAT-WOUNDED AMPUTEES
Kelli Ishihara, MD, Grant Sizemore, MD, Scott Nguyen, MD, Freeman Condon, MD, Bridgette Colgan, MD, John Mayo, Erik Criman, Dylan Russell, Mike Lustik, MS, Robert Lim, MD. Tripler Army Medical CenterIntroduction: The Joint Theater Trauma Registry (JTTR) has recorded 1239 individuals in the United States Armed Forces who sustained a combat-related amputation during the Global… Continue Reading
Nationwide Blunt Cerebrovascular Injury Outcomes in the Pediatric Population: Big Problems in Little Patients
Christoper W Marenco, MD1, Woo Do, MD1, Daniel Lammers, MD1, Matthew Eckert, MD1, Carly Eckert, MD1, Denis Bensard, MD2, Matthew J Martin, MD1. 1Madigan Army Medical Center, 2Children's Hospital ColoradoObjectives: Blunt cerebrovascular injury (BCVI) is an uncommon but potentially devastating injury with consequences including stroke and death. The epidemiology, outcomes, and screening criteria are well described… Continue Reading
Military Experience in the Management of Pelvic Fractures from OIF/OEF
William J Parker, MD, Robert Despain, MD, Jeffrey Bailey, MD, Eric Elster, MD, Carlos Rodriguez, MD, MBA, Matthew Bradley, MD. Walter Reed National Military Medical CenterIntroduction: Pelvic fractures are a common occurrence in combat trauma. However, the fracture pattern and management within the most recent conflicts has yet to be described, especially in the context… Continue Reading
Military Experience with Trauma Induced ARDS on the Battlefield
Sarah Thomas, MD1, Ryan Rhie, MPH1, Lydia Piper, MD1, James Aden, PhD1, Phillip Mason, MD1, Jennifer Gurney, MD2, James Lantry, MD3, Terry Lonergan, MD3, Brendan Beely, RRT4, Daniel Wendorff4, Andriy Batchinsky, MD4, Valerie Sams, MD1. 1SAMMC, 2ISR, 3Baltimore CSTARS, 4Geneva FoundationOBJECTIVES: Combat injury patterns in Operations Iraqi and Enduring Freedom have changed as a result… Continue Reading
Left Ventricular Partial Thickness Injury from Ballistic Injury to the Chest: Case Report
Colin D Brown, MD, MS1, Jonathan Nguyen2. 1Dwight D. Eisenhower Army Medical Center, 2Grady Memorial HospitalBackground: Penetrating cardiac injury has increased in frequency in recent years and is well defined both in its repair and prognosis. However, there is little data to guide the treatment and prognosis of a large partial thickness injury to the… Continue Reading
DELAY IN EMERGENCY HERNIA SURGERY IS ASSOCIATED WITH WORSE OUTCOMES
Ira L Leeds, MD, MBA, ScM, Christian D Jones, MD, MS, Elliott R Haut, MD, PhD, Joseph V Sakran, MD, MPA, MPH, Sandra R Dibrito, MD, PhD, Ryan Fransman, MD, Alistair J Kent, MD, MPH. Johns Hopkins University School of MedicineIntroduction: The purpose of this study was to determine if variation in the practice of deferring… Continue Reading
- Type:
- Posters
- Topic:
- Acute Care Surgery
Retroperitoneal duodenal foreign body perforation – A novel laparoscopic approach
Nicholette Goh, MBBS, Sunder Balasubramaniam, Wee Ming Tay, Mui Heng Goh. Tan Tock Seng HospitalInstroduction: Gastrointestinal perforation from foreign bodies can lead to life threatening sepsis, and pose a significant challenge given the need to drain the septic source as well as safely extract the offending object. Case Description: A 71-year-old Chinese lady presented with abdominal pain… Continue Reading
- Type:
- Posters
- Topic:
- Acute Care Surgery
PERFORATED APPENDICITIS WASH OR DRY ABDOMINAL CAVITY: MYTH OR REALITY
Carlos A Rosero, MDFACS, Andres G Moreno, MDFACS. Hospital Carlos Andrade Marín, Quito, EcuadorIntroduction: Seeking the best treatment of the peritoneal cavity in case of secondary peritonitis is a surgeons’ permanent concern and it is essential for the adequate management of the patient. Objective: To compare the results of thoroughly washing the peritoneal cavity vs… Continue Reading
- Type:
- Posters
- Topic:
- Acute Care Surgery
Guidelines for Acute Care Surgery Implementation are Necessary
Holly B Cunningham, Joshua J Weis, Luis R Taveras, Steven Boll, Tarik D Madni, Jonathan B Imran, Meaghan Colletti, Maryanne L Pickett, Joseph P Minei, Michael W Cripps. University of Texas SouthwesternIntroduction: The creation of an acute care surgery (ACS) service has been associated with improved hospital efficiency and clinical outcomes; however, specific guidelines for… Continue Reading
- Type:
- Posters
- Topic:
- Acute Care Surgery
The great imitator: Acute gangrenous Cholecystitis
Allyne Topaz, MD, Lauren Poliakin, MD, Luca Milone, MD. The Brooklyn Hospital CenterAcute gangrenous cholecystitis mimicking acute cardiovascular diseases may lead to a delay in surgical management of cholecystitis. Common symptoms associated with ischemic heart disease, such as chest pain and shortness of breath, may also be associated with noncardiac conditions, like cholecystitis. Acute cholecystitis… Continue Reading
- Type:
- Posters
- Topic:
- Acute Care Surgery