A 46 year-old man presented with acute onset hematemesis and a 10-pound unintended weight loss over a two-month period. Upper gastrointestinal endoscopy demonstrated a 3-cm ulcerated, hemorrhagic submucosal mass in the cardia of the stomach, suspicious for a gastrointestinal stromal tumor (GIST). A CT scan corroborated these findings. The patient was referred for surgical evaluation, […]
ABSTRACT BACKGROUD AND OBJECTIVE: Anastomotic leakage has been evidenced as one of the most formidable complications after laparoscopic colorectal surgeries. This prospective study was designed to analyze the potential causes of anastomotic leaks from the patients undergoing various laparoscopic colorectal surgeries at our institute in the past 15 years, and aimed to develop applicable ways […]
Laparoscopic inguinal hernia repair requires extensive preperitoneal dissection for placement of mesh prostheses. Identifying known and expected anatomy within this preperitoneal space is crucial to the successful repair of inguinal hernias without complications. Proper dissection involves confident recognition of major pelvic vasculature. When vascular structures lie within their anticipated anatomic locations they are easily left […]
Background: While most bariatric surgeons try to help patient achieve a realistic goal weight after surgery, patients are often disappointed that they have not reached “ideal” body weight. We propose that this is because patients begin the surgical process with inflated self expectations and set themselves up for disappointment.Methods and Procedures: At the University of […]
Introduction: Using a combination of autofluorescence from cells and second harmonic generation signal from collagen, multiphoton microscopy (MPM) imaging can provide detailed information on tissue architecture and cellular morphology. The purpose of this study was to evaluate the feasibility of using MPM to diagnose gastric cancer, compared with gold standard hematoxylin-eosin (H-E) stained histopathology.Methods: A […]