We present a 57 year old female with a large paraesophageal hernia. A hital hernia repair was performed robotically using the da Vinci Xi System with placement of a keyhole mesh. Using an acellular human dermis keyhole mesh is a novel technique which offers the benefit of mesh about the hiatus with low rates of dysphagia.
A 38-year-old female patient presented to the clinic epigastric and Right upper abdominal pain for several years. She was morbidly obese (BMI: 45.2) and H/O HTN, Asthma, GERD and DJD. She had multiple imaging and procedures done. ERCP confirmed the diagnosis. But the stent migrated within 24 hours. MRI/MRCP showed: fusiform dilatation of the common biliary duct likely a type I choledochal cyst with small diverticular outpouching.
The gall bladder is grasped and pushed cephalad to retract the ri
Laparoscopic sleeve gastrectomy (LSG) is rapidly becoming one of the most commonly performed bariatric surgical procedures. With the increase in frequency of this procedure, surgeons should be knowledgeable about its complications and anesthesiologists need to be familiar with the intraoperative technique. This video presents the case of an intraoperative transection of an orogastric tube during LSG, and its subsequent operative and postoperative management.
This is a video case presentation of a sleeve gastrectomy leak. This shows the 3 operations that were required to control the leak, including a roux limb to leak anastomosis and endoscopic techiques. The video details the 122 day period that was required to finally control this leak and highlights some of pitfalls and techniques (surgical and endoscopic) that can be used to address this difficult complication.
We present the case of a 73-year-old lady with a history of diabetes, hypertension and hypercholesterolemia who presented to the Emergency Department with severe, epigastric post-prandial abdominal pain. The pain had been present for nearly a year. She experienced a 14 pound weight loss in the past month. Workup revealed no evidence of ulcer or gastroparesis. MRI and CT of the abdomen suggested compression of the celiac artery by the median arcuate ligament of the diaphragm. Doppler velocities o