Laparoscopic reduction of jejunojejunostomy intussusception after Roux-en-Y gastric bypass
Rana M Higgins, MD, Jon C Gould, MD, Tammy L Kindel, MD, PhD. Medical College of WisconsinA 36 year-old morbidly obese female underwent a laparoscopic Roux-en-Y gastric bypass. Her BMI at the time of surgery was 53 kg/m2. She continued smoking and subsequently developed a marginal ulcer, for which she had a revisional gastrojejunostomy performed… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Laparoscopic Release of Median Arcuate Ligament
James Parker, MD1, Eric Forney, MD1, Alex Sapp, MD1, Danny Vaughn, MD1, Eric Long, MD1, Gunnar Nelson2. 1Navicent Health Medical Center, 2Virginia TechMedian arcuate ligament syndrome (AKA celiac artery compression syndrome) is a disorder that remains near the bottom of most differential diagnoses. There is still much to learn about the pathophysiology of this disorder,… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Laparoscopic removal of gastric stimulator and sleeve gastrectomy in a patient with gastroparesis
Adel Alhaj Saleh, MD, MRCS, Amir H Aryaie, MD, FACS. Texas Tech University Health Sciences CenterCase Background A 44 year-old female with morbid obesity (BMI of 41 kg/m2 ) with multiple comorbidities including gastroparesis and history of gastric stimulator insertion. She underwent multiple unsuccessful trials of medical weight loss. After all the preoperative work up she… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Laparoscopic Repair of a Lumbar Hernia
Jessica Pries, MD, William Richardson, MD. Ochsner Clinical FoundationLumbar hernias are a rare and challenging entity. They are bordered by the 12th rib superiorly, the iliac crest inferiorly, and the erector spineae muscles and external oblique on either side. Their close proximity to bony and neurovascular structures limit a surgeon's options for repair. We present… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Abdominal Wall Hernias
Laparoscopic Repair of Giant Morgagni Hernia with mesh reinforcement
Indraneil Mukherjee, MD, Aleksandr Demin, DO, Andrey Mironenko, MD, Karen E Gibbs, MD, Aleksandra Ogrodnik, MD. Staten Island University HospitalIntroduction: Morgagni hernias are a rare congenital defect found in the anterior diaphragm between the costal margin and the sternum. The failure of fusion of the septum transverses during the 4th week of embryologic development produces the… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Abdominal Wall Hernias
Laparoscopic Repair of Giant Paraesophageal Hernia with Partial Gastrectomy for a Tumor
Andrey Vizhul, MD, FRCSC, Amer R Jarrar, MD, Amir Partovi, MD, FRCSC, Jean-Denis Yelle, MD, FRCSC, Amy Neville, MD, FRCSC, Joseph Mamazza, MD, FRCSC. The Ottawa Hospital, University of OttawaThis is a case of an 81 year old female presenting to The Ottawa Hospital found to have a massive para-esophageal hernia and Gastrointestinal Stromal tumour of the stomach,… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Abdominal Wall Hernias
Laparoscopic Repair of Hiatal Hernia after Esophagectomy
James Nguyen, MD, Luke Putnam, MD, Sahil Gambhir, MD, Brian Smith, MD, Ninh Nguyen, MD. University of California Irvine Medical CenterWe present a case of a laparoscopic repair of a hital hernia after prior esophagectomy. Our patient is a 61 year old male with stage III Esophageal Cancer who underwent neoadjuvant chemoradiation followed by laparoscopic… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
LAPAROSCOPIC REPAIR OF INCARCERATED MORGAGNI HERNIA
Derek Tessman, DO, Saad Shebrain, MD. Western Michigan University School of MedicineOBJECTIVE: The following video demonstrates a case presentation of incarcerated Morgagni hernia with successful laparoscopic transabdominal mesh repair. METHODS: A 34-year-old morbidly obese female with 18-months history of intermittent, sharp epigastric and chest pain, associated with episodes of SOB. The pain increases after eating and before… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Abdominal Wall Hernias
Laparoscopic repair of incarcerated paraesophageal hernia involving the Gastric pouch, Roux limb, and portion of the Remnant Stomach with mesenteroaxial volvulus
Erik Madden, MD, Patrick Roush, MD, Andrew Wheeler, MD, Rama Ganga, MD. University of MissouriRoux-en-Y gastric bypass is a long-standing option for management of morbid obesity but can present unique surgical challenges. This video highlights the presentation and management of an unusual complication: an acute paraesophageal hernia containing the gastric pouch & roux limb, and… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Laparoscopic Repair of Incarcerated Recurrent Parastomal Hernia
Stephanie Novak, MS, Zachary Callahan, MD, Stephen Haggerty, MD, FACS. NorthShore University Health SystemWe present the case of a patient who underwent a laparoscopic modified Sugarbaker technique for an incarcerated recurrent parastomal hernia. The patient is a 76-year-old male with multiple medical problems. He had a prior laparoscopic parastomal hernia repair in 2011, which was… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Abdominal Wall Hernias
Laparoscopic Repair of Interparietal Abdominal Wall Hernias
Christopher L Kalmar, MD, MBA, Curtis E Bower, MD, FACS. Virginia Tech CarilionBACKGROUND: Interparietal hernias are a rare form of abdominal defect where intraabdominal contents protrude between layers of the abdominal wall. Incidence is estimated to be about 0.1 to 1.6 % and more often seen in adult males. There is limited experience using laparoscopic technique… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Abdominal Wall Hernias
Laparoscopic Repair of J-pouch Appendage Leak after Loop Ileostomy Reversal
Stewart Whitney, MD, Philip George, MD, Justin George. Icahn School of Medicine at Mount SinaiBackground: This is a 29 year old female with past medical history of severe Ulcerative Colitis, refractory to medical therapy, who in the past underwent a laparoscopic subtotal colectomy with end ileostomy, subsequently followed by restorative proctocolectomywithileo-anal (“J-Pouch”) creation and diverting loop… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Colorectal
Laparoscopic repair of Paraesophageal Hernia
Alyssa Bellini, BS, Federico Serrot, MD, Maria Fonseca Mora, Cristian Milla Matute, MD, Emanuele Lo Menzo, MD, PhD, FACS, FASMBS, Samuel Szomstein, MD, FACS, FASMBS, Raul Rosenthal, MD, FACS, FASMBS. Cleveland Clinic FloridaLaparoscopic repair of an incarcerated Paraesophageal hernia Acute incarceration of hiatal hernias is rare. Laparoscopic paraesophageal hernia repair (LPEHR) is a feasible surgical… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Laparoscopic repair of parahiatal hernia with falciform ligament flap and left triangular ligament flap hiatoplasty
Adam S Weltz, MD, Nolan Marks, Javaneh Jabbari, MHS, Alex Addo, MD, Zachary Sanford, MD, Adrian Park, MD, FACS. Anne Arundel Medical CenterSummary of Surgical Case: We discuss a 67 year-old male presenting with presumed large paraesophageal hernia. CT demonstrated presumed Type IV paraesophageal hernia with acute gastric volvulus. He was medically optimized and taken… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Laparoscopic Repair of Perforated Type V Gastric Ulcer in a Patient with Recurrent Paraesophageal Hernia
Georgios Orthopoulos, MD, PhD, Parth Sharma, MD, Mazen Al-Mansour, MD. Baystate Medical Center/University of Massachusetts Medical SchoolThis is a case of a 76 year old female with multiple medical comorbidities, abuse of Non-Steroidal Anti-Inflammatory Drugs due to chronic knee pain and remote history of laparoscopic paraesophageal hernia repair who presented with peritonitic signs and pneumoperitoneum.… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Acute Care Surgery