Learning Theme: Acute Care

Emergency Laparoscopic Colectomy

Presented by Scott Russell Steele, MD at the SAGES 2013 Annual Meeting; SAGES/ISLCRS Panel: Colorectal Potpourri disclosures–4 sec consult–13 sec colonoscopy–1:25 diagnostic eval–1:51 lap approach in the emergent setting–2:25 total abdominal colectomy–2:54 lap colectomy–3:36 http://www.ncbi.nlm.nih. Keyword(s): 23-h hospital stay, abdominal distention, abdominal pain, abdominal wall, academic medical centers, ACS-NSQIP database, acute malignant colonic obstruction, adhesiolysis, […]

Developing a management protocol for the open abdomen and complex abdominal wall repair

Presented by Scott Cinelli, DO at the SAGES 2013 Annual Meeting: Optimizing Outcomes of Ventral & Inguinal Hernia Repairs Postgraduate Course management of the open ABD–43 sec the problem–3:08 acute care surgeons–4:39 open ABD closure–7:16 adjunct techniques–8:42 failed primary closure–10:09 late ventral hernia–11:11 strategy- Keyword(s): ABD mass, abdominal abscess, abdominal compartment syndrome, abdominal wall musculature, […]

Minimally Invasive Colectomy For Complicated Diverticular Disease In The Emergency Setting: A Safe C

S070 – François Letarte, MD, Hallet Julie, MD, Roger C Grégoire, MD, FRSCS, Jean-Pierre Gagné, MD, FRSCS, Alexandre Bouchard, MD, FRSCS, Drolet Sébastien, MD, FRSCS, Philippe Bouchard, MD, FRSCS, Claude Thibault, MD, FRSCS background–16 sec objective–51 sec methods–1:01 pt selection–1:24 demographics–1:48 discussion–4:04 conclusion–4:38 Q&A session–5:05 Keyword(s): CDD, conversion rates, CT, diverticulosis, drainage, dx lap, emergency […]

Laparoscopic Resection Of Meckel Diverticulum For Acute Diverticulitis

Radu Pescarus, MD, Luis C Zurita MV, MD, Lukas Wasserman, MD, Izabela Apriasz, MD, Margherita Cadeddu, MD, FRCSC, Scott Gmora, MD, FRCSC, Mehran Anvari, MB, BS, PhD, FRCSC, FACS, Dennis Hong, MD, FRCSC, FACS case presentation–9 sec abdominal CT–11 sec procedural video–18 sec Keyword(s): abdominal CT, afferent limb, diverticulitis, lap resection, meckel diverticulum, perf

Contemporary Flexible Endoscopic Management of Acute Esophageal Perforations

Ahmed Sharata, MD, Ashwin A Kurian, MD, Christy M Dunst, MD, Kevin M Reavis, MD, Lee L Swanstrom, MD esoph perf overview–10 sec case presentation–1:10 clinical issues–1:36 procedural video–2:10 discussion–7:16 Keyword(s): Bougie dilation, covered stents, endoscopic management, endoscopic mediastinal lavage, endoscopic suturing, esophageal diversion, esophageal perf, esophagectomy, flex endoscope, full-thickness clips, mediastinal debridement, mediastinitis, mucosal […]

Laparoscopic Lavage for Acute Perforated Diverrticulitis

Presented by Nieti J, Martinez T, Haas EM diverticulitis overview–9 sec http://www.ncbi.nlm.nih.gov/pubmed/?term=10733108 http://www.ncbi.nlm.nih.gov/pubmed/?term=10807280 case presentati Keyword(s): ABXs, acute perforated diverticulitis, Archives of Surgery, ASCRS, Blake drain, colonic perf, CT scan, DCR, DI, diverticular emergencies, fecal peritonitis, free fluid, Hinchey classification, HP, inclusion criteria, lavage, loculation, LPL, medical management, minimally invasive approach, nonoperative management, operative management, […]

SAGES Resident Webinar: Management of Acute Bariatric Surgical Complication for Nonbariatric Surgeon

Faculty includes: Valerie Halpin, MD (Chair); Matthew Goldblatt, MD; Sachin Kukreja, MD; Brandon Williams, MD Band complications for the non-bariatric surgeon by Dr. Valerie Halpin–2:22 2 things to know–2:44 common band complaints–3:56 band deflation–5:18 tools for band adjustment–5:37 Band ports–6 Keyword(s): acute ABD, alimentary limb, Allergan AP band, antecolic, antegastric, anterior slip, balloon dilatation, balloon […]

Cystic duct closure by stapling

In some cases of acute edematous large cystic ducts, closure of cystic duct by Endo-GIA stapler may be more secure.

Managing Bariatric Surgery Emergencies for the non-Bariatric Surgeon: Dysphagia and Food Intolerance

Benjamin Schneider, M.D. disclosures–56 sec readmission–1:32 initial considerations–2:03 weight loss procedures–4:44 VBG–5:05 SG–7:17 LAGB–9:15 acute stomal obstruction–9:51 RYGB–15:56 anastomotic stricture- Keyword(s): anastomotic stricture, aspiration, balloon dilation, band erosion, band stenosis, barium study, Carafate, contrast studies, differential dx, dumping syndrome, dysphagia, EEA stapler, endosocopy, fluoroscopy, food impaction, food intolerance, gastric fistula, gastrogastrostomy, GG fistula, glucose, Graham […]

Difficult Problems in Reasonable Patients Panel: Chronic Drainage From Wound with Mesh in Place

Bruce Schirmer, M.D. disclosures–24 sec chronic mesh drainage challenges–36 sec acute infection–2:47 chronic drainage–6:00 citation–7:53 http://www.ncbi.nlm.nih.gov/pubmed/12616130 advantages of component separa Keyword(s): acute infection, balloon dissector, cellulitis, chronic drainage, component separation, crosslinked biologic mesh, debridement, EC fistula, LOD, nectrotizing fasciitis, PTFE mesh, skin necrosis, stoma, VH