Background: Laparoscopic suprapubic hernia repair (LSHR) is technically challenging, requiring difficult, dissection in the superior pelvis. Obesity creates an added complexity to the repair itself, and to the complications and recurrences that may develop.Methods: We retrospectively reviewed 22 overweight and obese patients who underwent LSHR by one surgeon between the years of 2005 to 2007. […]
Background: The debate regarding the retrocolic or antecolic routing of the Roux limb with respect to gastric bypass for morbid obesity has centered on the incidence of internal hernias. Retrocolic proponents claim that complete closure of all mesenteric defects limits this complication. There have been no reports of complications attributable to the mesenteric closure itself. […]
Background: The rate of gallstone formation one year after gastric bypass is reportedly as high as 52.8%. One possible mechanism is the reduced cholecystokinin secretion due to diminished local enteric-endocrine reflex secondary to duodenal exclusion. Prophylactic cholecystectomy during Roux-en-Y gastric bypass (RYGBP) has been suggested to reduce the incidence of gallstone-related complications, but remains controversial. […]
Background & Aim: The treatment of pain in patients with pancreatic cancer is a difficult topic for the patients and their physicians. There are different treatment modalities with variable results. Celiac plexus neurolysis (CPN) is a technique with good previous results using fluoroscopy, CT guidance and recently, guided by endoscopic ultrasound (EUS). The aim of […]
PURPOSE: Means of anastomosis after laparoscopic colectomy may be extracorporeal(EC) or intracorporeal(IC). Since there is paucity of data reporting the effect of means of anastomosis on outcomes for patients undergoing laparoscopic left colectomy, we compare outcomes for patients undergoing EC and IC.METHODS: Patients undergoing anastomosis after laparoscopic left colectomy, sigmoidectomy and resection rectopexy, when either […]