Introduction: The ideal procedure for the treatment of morbid obesity should be safe across a broad range of patients with equivalent weight loss results as the current standard, the Laparoscopic Roux-en-Y Gastric Bypass (LGB). Since its introduction, the Laparoscopic Vertical Sleeve Gastrectomy (LVG) has increased in popularity for the primary treatment of morbid obesity. The […]
Objectives: Standard laparoscopy requires general anesthesia for muscle paralysis to allow for adequate pneumoperitoneum. Our goal is to determine the effectiveness of diagnostic peritoneoscopy using a flexible endoscope under low pressure pneumoperitoneum. Methods: Three 25-kg female swine were subjected to general anesthesia. Pneumoperitoneum to 8mm Hg was achieved with a veress needle. Using a laparoscopic […]
Laparoscopic ventral hernia repair has been demonstrated to be an acceptable and successful technique. Aside from similar, albeit decreased complications compared to open hernia repair, the laparoscopic technique adds the additional complication of port site hernia to its follow up criteria. We originally described a two port repair technique in 2002. Now, we have applied […]
Objectives: Diagnostic laparoscopy is an established tool in oncologic evaluation. Standard rigid laparoscopy presents certain limitations in terms of access to various areas of the peritoneal cavity. Other authors have explored the utility of diagnostic laparoscopy with a flexible endoscope via a transgastric or transvaginal approach (NOTES). Our goal is to determine the effectiveness of […]
Introduction: We present a case of laparoscopic adjustable gastric banding (LAGB) in a patient with previous Roux -en- Y gastric bypass (RYGB).Methods: 39 year old morbidly obese woman (BMI 44 kg/m²) referred for evaluation for revisional bariatric surgery. She underwent open RYGB in 2000. She lost 250 lbs after her surgery but slowly she regained […]