Although less common than in previous eras, perforated gastric and duodenal ulcers can be a challenging problem for general surgeons. Multiple surgical options exist for treatment. While the role of omental patch using the laparoscopic approach is well established in the treatment of marginal ulcers, recent reports have touted its benefits in treating other gastric and duodenal perforated ulcers. The purpose of this study is to evaluate our community hospital’s approach, outcomes, and ut
Introduction: Antireflux surgery for GERD associated with failed peristalsis can be a challenge . Traditional antireflux surgery such as Nissen fundoplication is associated with high rates of dysphagia and Roux-en-y reconstruction is a significantly more invasive procedure. Partial fundoplications are traditionally employed but are not as effective in controlling reflux. Electrical stimulation of the LES (LES-EST) has emerged as a new alternative for the treatment of GERD. Briefly, the technolog
Introduction. The use of biologic mesh repair during laparoscopic paraesophageal hernia (PEH) repair has been associated with lower recurrence rate at 6 months but an increased recurrence rate up to 5 years after surgery. Few studies have correlated symptomatic outcomes and radiographic recurrences at or beyond one year follow-up. The purpose of this study was to evaluate patient centered outcomes and the rate of recurrent hiatal hernia ?1 year after PEH repair with biologic mesh.
Methods and P
Introduction
Single-incision total gastrectomy was reported first time in 2013 by our institution. However, it is difficult to perform intracoporeal esophagojejunostomy because of clashes between laparoscopic intruments and scope. Herein, we present the solo pure single-incision laparoscopic total gastrectomy (SITG) with D1+ lymph node dissection for early gastric cancer.
Methods
From Semptember 2013 to November 2013, 2 patients with early gastric cancer underwent solo SITG with D1+ lymph no
Introduction: The LINX® Reflux Management System was FDA approved for use in patients with objectively proven gastro-esophageal reflux disease (GERD) and who continue to suffer despite maximum medical therapy. While multiple reports of its successful introduction and use in academic settings exist, we report our experience in a high volume community based reflux center.
Methods & Procedures: The first 50 consecutive cases performed by a single surgeon were reviewed. Descriptive analysis was con