Median arcuate ligament syndrome is a rare cause of abdominal pain that results from the celiac artery being narrowed by the insertion of the muscle fibers of the diaphragm or fibrous bands of the celiac nerve plexus. Patients typically have symptoms of weight loss, postprandial abdominal pain, and nausea or vomiting. Operative management, laparoscopic or […]
Introduction: Traumatic flank hernias are caused by a blunt abdominal trauma with resultant detachment of the oblique musculofascial complex at the iliac crest and/or costal margin. Given such proximity to the bony structures and essential absence of the healthy fascia to anchor the mesh, traumatic flank hernias represent a challenging surgical problem. Although laparoscopic repair […]
Purpose The most difficult steps of Intersphincteric resection (ISR) are circular dissection and separation of the internal sphincter muscle from the external sphincter and puborectalis by the perineal approach. Further dissection of the intersphincteric space by the abdominal approach may reduce the problems associated with the perineal approach. We present our techniques of Laparoscopic ISR […]
Against Occam’s Razor: TAP Repair of Recurrent Inguinal Hernia with Concomitant Inversion of Original Polypropylene Plug The patient is a 42 year old female who had undergone an open left inguinal hernia repair 13 years ago. She presents to clinic with a 1 year history of a recurrent left groin mass in the area of […]
This video shows technical details for the surgical treatment of type 2 diabetes in a no-obese population . This surgery, sleeve gastrectomy with ileal interposition, was done under approved protocol in 20 patients. The principle used was the ileal-brake. Session: Podium Video Presentation Program Number: V029