COMBINED LAPAROSCOPIC AND ENDOSCOPIC TREATMENT OF GASTROGASTRIC FISTULA AFTER OPEN ROUX-EN-Y GASTRIC BYPASS WITH VASCULAR ASSESSMENT WITH INDOCYANINE GREEN.
Romina Pena, MD, Ainitze Ibarzábal, MD, Dulce Momblán, MD, Víctor Turrado, MD, Josep Llach, MD, PhD, Antonio M Lacy, MD, PhD, FASCRS, Hon. Hospital Clínic32-year old woman with history an open RYGB in 2006, complicated with anastomotic leak and stenosis. Patient had an initial and minimum weight of 170 Kg (BMI 60) and 73 Kg… Continue Reading
- Topic:
- Metabolic / Obesity
LAPAROSCOPIC REVERSAL OF VERTICAL BANDED GASTROPLASTY
Jin Sol Oh, MD, Saurabh Khandelwal, MD. University of Washington, Seattle, WAVertical banded gastroplasty (VBG) was first described by Mason in 1982. As a restrictive procedure, it consisted of creating a gastric pouch with vertical stapling and pouch outlet encircled with polypropylene mesh or silastic ring. Once popular in 80s and 90s, VBG has been… Continue Reading
- Topic:
- Metabolic / Obesity
Paraoesophageal Hernia Repair After Laparoscopic Sleeve Gastrectomy
Charlotte Horne, MD, Alisan Fathalizadeh, MD, John Rodriguez, MD, Kevin El-Hayek, MD, Jeffrey Ponsky, MD. Cleveland ClinicThis case presentation involves a 52-year-old female that underwent a laparoscopic sleeve gastrectomy in 2011. At this time, she was also noted to have a hiatal hernia but this was not repaired. Her medical comorbidities include diabetes mellitus, pulmonary… Continue Reading
- Topic:
- Foregut
Laparoscopic Redo Paraesophageal Hernia Repair, Takedown of Low Nissen Fundoplication with Conversion to Toupet, and Pyloroplasty
Amy L Holmstrom, MD, Ryan J Campagna, MD, Stephen F Chiu, MD, Ezra N Teitelbaum, MD, MEd. Northwestern Memorial HospitalThe patient is a 61 year old woman who had undergone a robotic converted to open paraesophageal hernia repair with Nissen fundoplication at an outside hospital in 2016. Following this surgery, she experienced severe epigastric pain,… Continue Reading
- Topic:
- Foregut
Crural Blowout Years After Laparoscopic Repair of Recurrent Paraesophageal Hernia
Michael A Antiporda, MD1, Kelly R Haisley, MD1, Walaa Abdelmoaty, MD1, Steven R Demeester, MD2, Christy M Dunst, MD2, Daniel Davila Bradley, MD2, Lee L Swanstrom, MD3, Kevin M Reavis, MD2. 1Providence Portland Medical Center, 2The Oregon Clinic, Portland, Oregon, 3Institute for Image Guided Surgery (IHU-Strasbourg), Strasbourg, FranceIntroduction: Paraesophageal hernia (PEH) repair is associated with… Continue Reading
- Topic:
- Foregut
Endoscopic Resection of a Large Mediastinal Esophageal Leiomyoma
Kelly R Haisley, MD, Kevin Reavs, MD, Michael Antiporda, MD, Walaa Abdelmoaty, MD, MBA, Missy Desouza, MD, Christy Dunst, MD, Lee Swanstrom. Providence Portland Medical CenterIntroduction: In this video, we review a case of the complex endoscopic removal of a large esophageal leiomyoma by a submucosal resection technique extending into the mediastinum. Background: The patient is a… Continue Reading
The Combined Bronchoscopic and Endoscopic Management of a Recurrent Tracheo-Esophageal Fistula
Samantha R Witte, MD1, Ryan M Juza, MD2, Mary C Santos, MD1, Peter W Dillon, MD1, Eric M Pauli, MD1. 1Penn State Health, 2Case WesternThis is a case presentation of the complex endoscopic and bronchoscopic management of a recurrent tracheoesophageal fistula in a pediatric patient. This case highlights the benefit of a multidisciplinary approach utilizing… Continue Reading
Endoscopic Diverticulopexy for Recurrent Dysphagia After Myotomy
Stephanie Novak, MS, Zachary Callahan, MD, Michael Ujiki, MD, FACS. NorthShore University Health SystemWe present a video of two cases in which the patients undergo endoscopic intervention for recurrent diverticulum. The first patient is a 49-year-old male with a history of transoral endoscopic Zenker's diverticulostomy. He re-presented with dysphagia and was found to have a… Continue Reading
Thoracoscopic Visualization of a Long Endoscopic Esophageal Myotomy for Spastic Achalasia
Kelly Haisley, Michael Antiporda, MD, Walaa Abdelmoaty, MD, MBA, Christy Dunst, MD, Lee Swanstrom, MD. Providence Portland Medical CenterIntroduction: In this video, we review a case showing the thoracoscopic visualization of a long esophageal myotomy done through a per-oral endoscopic approach (POEM). Background: The patient is a 55 year old woman with chronic pain and debilitating diffuse… Continue Reading
POEM complications with delayed Laparoscopic Heller Myotomy
Ann D Smith, MD, MPH, Jaroslav Zivny, MD, Christopher A Marshall, MD, John J Kelly, MD. University of MassachusettsTwo major treatment modalities are available for patients with achalasia: a Heller Myotomy or a Per Oral Endoscopic Myotomy (POEM). The POEM was first discussed in the literature in 2009 and the steps for performing it were… Continue Reading
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
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
A creative solution to a difficult colorectal anastomosis during TaTME
Allison J Pang, MSc, MD, FRCSC, Sender Liberman, MD, FRCSC, Lawrence Lee, MD, PhD, FRCSC. McGill UniversityObtaining a negative circumferential resection margin (CRM) in rectal cancer is crucial to the control of local recurrence. The adoption of a total mesocolic excision (TME) has greatly impacted oncologic outcomes by significantly decreasing local recurrence rates. Despite neoadjuvant… Continue Reading
- Topic:
- Colorectal