Component separation is an important technique in the repair of ventral hernias because it allows restoration of the normal anatomic relationship of the rectus muscles while maintaining a tension-free repair. Our group has previously reported on fully laparoscopic component separation as an important tool in the repair of ventral hernias. This technique allows for protection […]
Background: Ablating Barrett’s epithelium may reduce the risk of developing esophageal adenocarcinoma. This study reports the initial experience of a single surgeon using an endoscopic endoluminal device delivering radiofrequency energy (the BARRx device) in ablating Barrett’s esophagus.Methods: All patients who underwent ablation of Barrett’s epithelium with the BARRx system were reviewed for length of Barrett’s […]
Objective: Colonoscopy training is recognized to be important for surgical resident training. This study aimed to determine if surgeon-endoscopists meet quality indicators in the performance of colonoscopy in a Veteran’s Medical Center.Methods: Retrospective review of prospective standardized computer endoscopic reporting database (ProVationMDR). All colonoscopies performed by two attending surgeons (one general and one colorectal) between […]
Purpose: To evaluate short term clinical and oncologic outcomes of hand-assisted laparoscopic (HAL) colectomy for cancer compared with case matched open colectomies.Methods: All 168 HAL colorectal procedures performed at out institution between August 2002 and August 2006 were review. Rectal procedures and colectomies performed for benign disease were excluded. Thirty-seven colon cancers remained for analysis. […]
Aim: To evaluate the safety of blind Lateral Port Entry (LPE) to achieve a pneumoperitoneum for laparoscopic surgery.Background: Surgeons are understandably concerned about obtaining pneuomoperitoneum due to the risks of bowel and vascular injury, particularly in patients who have had previous midline surgery with possible adhesions. Furthermore laparoscopic mesh repair of incisional hernais within midline […]