Laparoscopic resection of primary colon and rectal masses is well established. Retrorectal/presacral tumors are rare with schwannomas being the most common presacral neurogenic tumor. Surgical excision of these high tumors is traditionally performed via a midline laparotomy. Few reports of laparoscopic resection of such tumors are found in the literature. This is a video case presentation of a 70-year-old female with a symptomatic left S2 sacral nerve root schwannoma. This video presents a lapa
Tumors in the stomach have traditionally been treated with either subtotal gastrectomy or total gastrectomy, depending on the location. Rather than subjecting patients to a major, usually open, procedure, we explored multiple minimally invasive methods for the resection of benign gastric tumors. In this video, we highlight a wedge resection, a circumferential resection with transverse closure, a transgastric resection, and an endoscopic/laparoscopic submucosal resection.
Magnetic sphincter augmentation (MSA) is approved for the treatment for mild to moderate GERD with published results to date showing symptom resolution compareable to laparoscopic nissen fundoplication (LNF).
MSA involves placing a ring of magnetic titanium beads around the lower esophageal sphincter (LES) in order to augment the dysfunctional LES. It involves minimal dissection of the hiatus, preserving the native LES and just approximates the tissues so that it is noncompressive on the LES; e
Introduction:
Laparoscopic paraesophageal hernia repairs have been performed since the early 1990’s with a wide range of methods and recurrence rates. Multiple techniques are used to decrease recurrence rates, including buttressing the repair with synthetic and biological mesh. However, synthetic mesh is associated with erosions and dysphagia, and biologic buttresses are expensive and have not shown long-term decreases in recurrence rates. Therefore, a laparoscopic repair using the falciform li
We present a 21 year old female who presented to multiple academic institutions with a 3 year history of daily epigastric and right upper quadrant abdominal pain. The pain was exacerbated by vigorous physical activity and eating. At that time, her BMI was 20 and she required escalating amounts of narcotics to control her abdominal pain.
An extensive workup was performed and all of her tests were within normal limits. The patient underwent a diagnostic laparoscopy and a laparoscopic cholecystect