Laparoscopic Repair of a Chronic Traumatic Diaphragmatic Hernia
Alexandra Argiroff, MD, Dahlia Kenawy, BSE, John-Paul Bellistri, MD, Diego R Camacho, MD. Montefiore Medical CenterIntroduction: Traumatic diaphragmatic injuries (TDIs) represent 0.46 percent of traumas reported in the National Trauma Data Bank in 2012, two-thirds of which are a result of penetrating trauma.[1] Both penetrating and blunt trauma more commonly create left-sided TDIs, while penetrating… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Minimally Invasive Other
Laparoscopic Repair of Anterograde Jejunojejunostomy Intussusception after Roux-en-Y Gastrojejunostomy
Natalia S Kubicki, MD, Mark D Kligman, MD. University of Maryland Medical CenterWe present an interesting case of an anterograde jejunojejunostomy intussusception occurring 7 years after Roux-en-Y gastrojejunostomy for a peptic ulcer related gastric outlet obstruction. The patient presented with left upper quadrant abdominal pain and intermittent nausea and emesis. The point of intermittent intussusception… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Case Presentations
Endosuture Revision of Gastrojejunostomy for Weight Regain and Late Dumping Syndrome Following Roux-en-Y Gastric Bypass Surgery
Keith J King, MD, Ragui Sadek, MD, FACS, Andrew M Wassef, BS, Adam Rizkalla, BS. Rutgers Robert Wood Johnson Medical SchoolAlthough Roux-en-Y gastric bypass (RYGB) surgery results in an excess weight loss reported between 65% and 85%, many studies have noted weight regain outside of 18-24 months postoperatively. One possible explanation is dilation of the… Continue Reading
Robotic Sigmoid Colectomy with Intracorporeal Anastomosis for Recurrent Endometrial Cancer Within the Sigmoid Colon Mesentery
Jordan Wilkerson, MD, Kathryn Harris, MD, Timothy Glass, MD. St. Vincent HospitalThis is a video abstract submission detailing a robotic sigmoid colectomy with intracorporeal anastomosis that is done without the need for a pursestring suture. The surgery is performed for recurrent endometrial cancer within the sigmoid colon mesentery overlying the left ureter and left iliac… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Colorectal
Robotic-Assisted Median Arcuate Ligament Release
Yen-Yi Juo, MD, MPH, Usah Khrucharoen, MD, Michael W Robinson, MD, Erik Dutson, MD. UCLA Center for Advanced Surgical and Interventional Technology (CASIT) A robotic-assisted laparoscopic approach for release of median arcuate ligament has been described in small case series in the literature with comparable outcomes to conventional laparoscopic approaches. Surgeons may hesitate to adopt this… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Laparoscopic repair of anterior diaphragmatic hernia after Roux-en-Y gastric bypass
Jessica Ardila-Gatas, MD, Linden Karas, MD, Ali Aminian, MD. Cleveland ClinicIntroduction: Laparoscopic Roux-en-Y gastric bypass (LRYGB) is one of the most common bariatric procedure performed to date. Complications can develop early or late in the postoperative course. When patients present with symptoms of GI obstruction, the surgeon should have a high suspicion for internal hernia… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Laparoscopic Repair of Morgagni Hernia with Parietex Mesh
Jessica Marshall, DO, John A Primomo, MD, Shinil Shah, MD. UT Memorial HermannDescription of Procedure: Initial laparoscopic inspection confirmed a large anterior diaphragmatic hernia containing a segment of transverse colon and omentum. Gentle traction was used to reduce the hernia contents, taking special caution to prevent bowel injury or deserosalization. After inspection of the reduced… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Minimally Invasive Other
Surgical Management of Postprandial Hyperinsulinemic Hypoglycemia after Roux-en-Y Gastric Bypass
Jessica Ardila-Gatas, MD, Linden Karas, MD, Julia Simkowski, BS, M. Cecilia Lansang, MD, PhD, Ali Aminian. Cleveland ClinicIntroduction: Postprandial hyperinsulinemic hypoglycemia (PPH) usually occurs one year after Roux-en-Y gastric bypass surgery (RYGB), presenting with normal fasting glucose and insulin levels, inappropriately high postprandial insulin and C-peptide levels, and a low glucose level. Anatomical changes after… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Transabdominal Preperitoneal Reapair of Spigelian and Inguinal Hernias with Management of Giant Seroma
Matthew L Dong, MD, MPH, Daniel Herron, MD, Gustavo Fernandez-Ranvier, MD. Icahn School of Medicine at Mount SinaiIntroduction: Spigelian hernias are a rare hernia, generally resulting in a defect of the aponeurosis of the transversalis fascia along the semilunar line. They account for 1-2% of all hernias. Methods and Procedures: In this video, we demonstrate… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Abdominal Wall Hernias
MODIFIED DUNKING TECHNIQUE FOR TOTALLY INTRACORPOREAL PANCREATICO-JEJUNOSTOMY
Brij B Agarwal, MS, Neeraj Dhamija, DNB. Sir Ganga Ram HospitalPancreaticojejunostomy (PJ) is the most critical step of pancreaticoduodenectomy (PD), as any leak from PJ can lead to a pancreatic fistula. Clinically relevant pancreatic fistula is the index of PD outcomes. These depend upon patient factors & surgeon apart from the technique. Ischaemia at the anastomotic suture… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Liver and Pancreas
Surgical Management of Reflux After Sleeve Gastrectomy
Adel Alhaj Saleh, MD, MRCS, Rami Mustafa, MD, Adil Khan, MD, Mujjahid Abbas, MD, FACS, Leena Khaitan, MD, MPH. University Hospitals Cleveland Medical CenterThe Incidence of reflux after sleeve gastrectomy is high. There are multiple surgical options for treating the reflux, if persisted and didn't respond to PPI. These procedures are either, Conversion to bypass,… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Enteroscopic Polypectomy: An Innovative Approach
Raj Gajbhiye, MS1, Ajay Bhandarwar, MS, FMAS, FIAGES, FAIS, FICS, FBMS, FLCS2, Jasmine Agarwal2, Amol Wagh, MS, FMAS, FIAGES, FAIS, FICS, FBMS2, Prashant Rahate, MS, FMAS, FALS1, Chintan Patel, MS, FMAS, FBMS2, Eham Arora, MS2, Shubham Gupta, MS2, Gagandeep Talwar2. 1Government Medical College, Nagpur, India, 2Grant Government Medical College & Sir J.J. Group of Hospitals,… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Case Presentations
Recurrent Hiatal Hernia After Esophagogastrectomy: A Laparoscopic Approach
Ashley Tameron, Kevin Tymitz. TriHealthHere we describe a case of a 54 year old man with invasive esophageal adenocarcinoma who underwent appropriate neoadjuvant chemoradiation and laparoscopic assisted transhiatal esophagogastrectomy. Two years after his surgery, he presented to an outside hospital with a large, incarcerated paraoesophageal hiatal hernia for which he underwent reduction of the hiatal… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Minimally Invasive Other
FLUORESCENCE CHOLANGIOGRAPHY BY DIRECT GALLBLADDER INJECTION OF INDOCYANINE GREEN DURING LAPAROSCOPIC CHOLECYSTECTOMY
Sora Ely, MD1, Claire Graves, MD2, Olajire Idowu, MD3, Sunghoon Kim, MD3. 1UCSF East Bay, 2UCSF, 3UCSF Benioff Children's Hospital of OaklandOver the last several years, fluorescence cholangiogragraphy has been developed as an alternative method of intraoperative cholangiography (IOC), which was traditionally performed with radiocontrast fluid under fluoroscopy. This new method has utilized timed preoperative… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Biliary
Minimally Invasive Management of Gallstone Ileus
Amlish Gondal, MD, Vinod Gollapalli, MD, Abdul Khan, MD, Nabajit Chaudhury, MD, Iman Ghaderi, MD, Mac. University of ArizonaWe present a case of minimally invasive management of gallstone ileus. The patient is a 50 year old man presented with 3 day history of Epigastric and LLQ abdominal pain and bilious vomiting. He described the pain… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Case Presentations