Purpose: Psychomotor skill is absolutely necessary for endoscopic surgeons. We devised tasks and parameters to evaluate psychomotor skills during endoscopic surgery and investigated their validity.Methods: Sixteen novice medical students (N) and ten expert surgeons (E) whohad performed over 50 endoscopic surgeries participated in the study. We evaluated psychomotor skill by asking the participants to move […]
OBJECTIVE: Patients with ventral hernia repairs risk mesh infection with subsequent surgeries, which can lead to serious morbidity. Such patients need an unorthodox approach to prevent serious complications such as mesh infection or recurrent hernias. METHODS: Patients who had large ventral hernia repairs and subsequently underwent laparoscopic procedures for various purposes were retrospectively reviewed. The […]
Underlying cardiac disease is a major risk factor for abdominal surgery. While laparoscopic colorectal surgery is gaining widespread acceptance, the physiologic effects of a pneumoperitoneum coupled with extreme position changes and a potentially longer operation raise concern regarding the safety and efficacy of a minimally invasive approach in this patient cohort. We examine all laparoscopic […]
INTRODUCTION A number of studies have identified predictors of perioperative mortality for open surgery and include variables such as ASA score, ascites, electrolyte abnormalities, and surgeon experience. In comparison, predictors of 30-day mortality in patients undergoing laparoscopy have yet to be defined. This study aims to identify factors predictive of 30-day mortality in patients undergoing […]
Introduction: As the field of natural orifice transluminal endoscopic surgery (NOTES) develops it remains important to determine the risk of clinically significant bacterial contamination and infectious complications of the peritoneal cavity. We report herein the bacterial contamination of the peritoneum in patients undergoing transgastric endoscopic peritoneoscopy (TEP) during laparoscopic roux-en-y gastric bypass (LRYGB) to perform […]