GERD affects as many as 40% of Americans. Millions of pts could potentially be treated with PPI therapy expectantly without a definitive diagnosis. This study looked at actual cost in an integrated healthcare system to determine when GERD testing might become cost effective when pts are placed on high dose PPI therapy. The primary care […]
Introduction: Since the advent of Laparoscopic Surgery in the 1980’s, laparoscopic Cholecystectomy has rapidly become the gold standard for the treatment of symptomatic Cholelithiasis. In the last decade, surgeons have pushed the frontiers of technology to apply the laparoscopic technique to various abdominal surgeries. Standard laparoscopic techniques for cholecystectomy have consisted of the French and […]
(BACKGROUND) Traditionally, surgical residents learn and master surgical skills while they are doing operation under the proper direction of senior staff or supervisors. In the case of laparoscopically assisted surgery, in which learning curve depends on efficient instruction due to the complicated procedures, both operator and director can share the same image as well as […]
Background: Parastomal hernia is a common complication of stoma formation that has been reported in more than 50% of patients on long-term follow up. Multiple techniques have been described, but there is an absence of a consensus on the most advantageous method to repair parastomal hernia.We propose a modification of a laparoscopic technique, which combines […]
Background: Despite large worldwide experience, laparoscopic gastric surgery in the US has been slow to gain acceptance into clinical practice because of a relative paucity of gastric surgical cases in general. Below we review the results and outcomes of 30 laparoscopic gastric operations performed at a large community hospital.Hypothesis: Laparoscopic gastric surgery for benign and […]