Background: Advanced endoscopic interventions such as endoscopic submucosal dissection (ESD), full thickness resection, and ultimately NOTES, have yet to be clinically disseminated, mainly due to technical challenges in optimizing endoscopic visualization and tissue traction. A simple over-tube, compatible with current flexible GI endoscopes and instruments, has been newly developed to improve visualization and tissue traction.The […]
Background- Various sutures are employed during anastomotic closure in a RYGB, in an attempt to minimise anastomotic leak which is a major complication, and its consequences on the morbidity and mortality. There remains a concern regarding the efficacy of the sutures. V-loc, an absorbable, uni-directional, secure, barbed, knotless suture has been used in our institution […]
During partial hepatectomy, most commonly performed for the treatment of liver tumors, blood loss is a significant patient risk, as the liver is a highly vascular organ with blood flow rates on the order of 1500 ml/min., which is approximately 25% of total cardiac output. Excessive liver bed bleeding can also obscure the operative field, […]
Objective: Ablation of dysplastic Barrett’s has become the mainstay of therapy in many centers. The most common ablation method used is radiofrequency energy, and although effective, it has a number of drawbacks. One of the primary drawbacks is that it cannot be deployed through the endoscope, but is either attached to the endoscope or placed […]
Background: Laparoscopic bile duct exploration (LBDE) is now a standard procedure in many centers for the management of ductal stones in calcular GB patients. The lowest incidence of retained CBD stone after duct exploration is achieved only with the use of operative choledochoscopy. Available choledochoscopes are so fragile, with fine channels and minimal control of […]