Robotic Repair of Lumbar Hernia
Saeed Arefanian, MD, Margaret Frisella, RN, Jeffrey Blatnik, MD. Washington University in St. LouisBackground: Lumbar hernia is a rare type of hernia. Different methods have been used for surgical repair of this abdominal wall defect, including open and laparoscopic techniques. Here we present the robotic-assisted repair of a left side lumbar hernia. Description: A 59-year-old… Continue Reading
- Topic:
- Abdominal Wall Hernias
Neurectomy with Hybrid Laparoscopic-Robotic Device for Chronic Groin Pain After Open Inguinal Hernia Repair
Kelly Haisley, MD, Michael Antiporda, MD, Richard Jamison, MD, Christy Dunst, MD, Lee Swanstrom, MD. Providence Portland Medical CenterIntroduction: In this video, we review a case of a minimally invasive neurectomy using a hybrid laparoscopic/robotic device for the treatment of chronic groin pain after open inguinal hernia repair. Background: The patient is a 38 year old… Continue Reading
- Topic:
- Abdominal Wall Hernias
Laparoscopic Retroperitoneal Triple Neurectomy for Chronic Post-operative Inguinal Pain
David M Krpata, MD. Cleveland ClinicChronic post-operative inguinal pain (CPIP) can be debilitating for patients and remains a challenge for surgeons to manage. This video demonstrates a laparoscopic retroperitoneal triple neurectomy for a patient with CPIP who has failed multiple prior interventions including nerve injections, medications, open exploration and laparoscopic tack removal following a total-extra… Continue Reading
- Topic:
- Abdominal Wall Hernias
RoboTAR Made Easy: Distilling the Key Steps
Arielle M Lee, MD, Rebeca Dominguez, MD, Tokio Matsuzaki, MD, PhD, Kai Neki, MD, Ryan C Broderick, MD, Robert Cubas, MD, Joslin N Cheverie, MD, Bryan J Sandler, MD, Santiago Horgan, MD, Garth R Jacobsen, MD. UC San DiegoIncreasingly large numbers of patients have large and complex abdominal wall defects, often from multiple prior abdominal… Continue Reading
- Topic:
- Abdominal Wall Hernias
Laparoscopic Ventral Hernia Repair Utilizing Dermal Autologous Nonepithelial Graft
Michael W Cook, MD, FACS, Jude Barber. Louisiana State University Health Science CenterThere has been a lot of recent discussion regarding the optimal material for reinforcement of ventral hernia defects. Tissue repairs were commonplace prior to the advent of synthetic meshes. Synthetic meshes are cost effective and cut down on recurrence rates. However, when mesh… Continue Reading
- Topic:
- Abdominal Wall Hernias
INVERTING THE Y-AXIS: THE FUTURE OF ABDOMINAL WALL RECONSTRUCTION IS UPSIDE DOWN
Noah B Zuker, MD, FACS, Michael R Oakley, MD. Claxton-Hepburn Medical CenterMinimally invasive abdominal wall reconstruction continues to evolve with technological advancement. This video describes a useful method for modified robotic retrorectus hernia repair with improved visualization and surgeon ergonomics. The use of an inverted camera image is demonstrated with reassignment of the surgical instruments… Continue Reading
- Topic:
- Abdominal Wall Hernias
Subcutaneous Onlay Laparoscopic Approach For Repair of Ventral Hernia and Diastasis Recti
David M Pechman, MD, David Weithorn, MD, Flavio Malcher, Diego Camacho. Montefiore Medical CenterIn this video, we perform a subcutaneous onlay laparoscopic approach (SCOLA) procedure for a young woman with venral hernia and diastasis recti following multiple pregnancies. Presented at the SAGES 2017 Annual Meeting in Houston, TX.Abstract ID: 94044Program Number: V010Presentation Session: Hernia / Miscellaneous… Continue Reading
- Topic:
- Abdominal Wall Hernias
Laparoscopic repair of large Morgagni hernia with mesh reinforcement
Voranaddha Vacharathit, MD, Jordan Apfeld, MD, Michael Rosen, MD, Ajita Prabhu, MD. Cleveland ClinicThis video abstract demonstrates the laparoscopic repair of a large congenital 7x6cm Morgagni hernia defect with incarcerated stomach, proximal duodenum, and transverse colon. The patient was symptomatic for prior obstructive symptoms, postprandial emesis and substernal chest pain, and severe GERD refractory to… Continue Reading
- Topic:
- Abdominal Wall Hernias
Acute Obstruction of Ileal Conduit After Ventral Hernia Repair
Jennifer A Minneman, Andrew Wright. UWThis is a case report of acute obstruction of an ileal conduit after laparoscopic ventral hernia repair with a Sugarbaker-style reinforcement of the ileal conduit.Presented at the SAGES 2017 Annual Meeting in Houston, TX.Abstract ID: 95728Program Number: V013Presentation Session: Hernia / Miscellaneous PotpourriPresentation Type: Video Continue Reading
- Topic:
- Abdominal Wall Hernias
Laparoscopic Resection of bleeding Meckel’s Diverticulum in a young adult, with negative Nuclear Scan and angiographic diagnosis of Persistent aberrant Omphalomesenteric artery
Indraneil Mukherjee, MD, Aleksandr Demin, DO, Aleksandra Ogrodnik, MD, Andrey Mironenko, MD, Ian Provancha, Karen E Gibbs, MD. Staten Island University HospitalIntroduction: Meckel's diverticula are the most common congenital anomaly of the GI tract which is seen in 2-3% of the population. The most common presentation of such diverticulum in the pediatric population is hemorrhage, however small bowel… Continue Reading
- Topic:
- Acute Care Surgery
ROLE OF ENDOSCOPY IN THORACO ABDOMINAL IMPALEMENT INJURY
Ajay H Bhandarwar, MS, FMAS, FIAGES, FAIS, FICS, FBMS, FLCS, Shekhar A Jadhav, MS, FMAS, Amol N Wagh, MS, FMAS, FIAGES, FAIS, FICS, FBMS, Shirish R Bhagvat, MS, FMAS, Jalbaji P More, MS, Venkat A Gite, MS, DNB. Grant Govt.Medical College and Sir JJ Group of Hospitals, MumbaiBackground: Thoraco-abdominal impalement injuries are rare. Very few cases… Continue Reading
- Topic:
- Acute Care Surgery
LAPAROSCOPIC RESECTION OF JEJUNAL DIVERTICULA
Tripurari Mishra, MD1, Shanu N Kothari, MD2. 1Gundersen Medical Foundation, 2Gundersen Health SystemJejunoileal diverticula are present in 1% of the population. The majority of diverticula (80%) occur in the jejunum along the mesenteric border of the small bowel. They generally lack a true muscular layer and are considered acquired. The cause is unknown but there… Continue Reading
- Topic:
- Acute Care Surgery
Laparoscopic reduction of ileocolic intussusception
Gustavo Romero Velez, Sathyaprasad Burjonrappa, MD. Montefiore Medical CenterIntussusception is the most common cause of small bowel obstruction in infants. Ninety percent of the cases are treated non-operatively with air enema reduction. For those cases that fail non-operative management, surgery is warranted. Here we present a case of a 3 month old which was successfully… Continue Reading
- Topic:
- Acute Care Surgery
Laparoscopic left lateral hepatic segmentectomy
Usah Khrucharoen, Yen-Yi Juo, Yijun Chen, Erik Dutson. UCLAIn this video, we present a patient with a 5-cm solid mass in liver segments 2 and 3. The patient had a history of oral contraceptive use and her tumor's MRI appearance was consistent with hepatocellular adenoma, hepatocyte nuclear factor (HNF) 1 alpha-inactivated subtype, the second most common… Continue Reading
- Topic:
- Biliary
ROBOTIC PANCREATICODUODENECTOMY AND CHOLECYSTECTOMY
Alexander S Rosemurgy, MD, Timothy Bourdeau, BS, Danielle K Craigg, MD, Sharona B Ross, MD, Jack Wecowski, MD, Iswanto Sucandy, MD. Digestive Health Institute Florida Hospital TampaThis video is of a robotic pancreaticoduodenectomy undertaken in a 61-year-old women who presented with a diagnosis of pancreatic adenocarcinoma treated with neoadjuvant therapy. Preoperative workup included a contrast… Continue Reading
- Topic:
- Biliary