Background:
Ventral hernias (VH) account for 25% of abdominal wall hernias with a greater prevalence in female patients. Being one of the most common procedures amongst general surgeons, laparoscopic repair of ventral hernias spurs quite the debate with respect to the topic of trocar placement. Trocar placement is seldom thought to be a function of a severely reduced rate of VH recurrence. Yet, placement of trocars ispilateral to the VH may lead to an increased rate of recurrence and pain post
Introduction
Weight loss and gain are due to an imbalance of energy consumption and utilization. The impact of RMR on weight loss following VSG is unknown. As a result we wanted to answer whether a morbidly obese cohort has higher or lower RMR, if VSG increases resting energy expenditure thus reducing the predicted reduction in RMR with weight loss and if those with a faster preoperative metabolic rate will loose more weight postoperatively.
Methods
Fifty patients who underwent a VSG had th
Introduction: A major complication of blunt thoracic trauma is arterial bleeding, often due to rib fracture and associated injury to an intercostal artery. Tube thoracostomy reliably adresses most bleeding, but many patients are left with retained hemothorax, adn are pron to re bleeding events. A variety of methods have been identified to deal with these injuries, including thoracotomy. Identification and ligation of a bleeding intercostal artery can be difficult during thoracotomy, particularly
Introduction: Osteopontin (OPN), also known as early T lymphocyte activation-1, is an integrin binding phosphorylated glycoprotein secreted by activated macrophages and leukocytes; it is found in extracellular fluids, sites of inflammation and in the bone marrow. Various forms of CD44 serve as receptors for OPN. OPN mediates cell-matrix and cell-cell communication to support adhesion and targeted migration. OPN, expressed by a number of cancers including colorectal cancer, enhances tumor progres
INTRODUCTION: Post-operative weight loss and resolution of obesity co-morbidities after LAGB are thoroughly understood. Previous reports have identified significant differences in weight and weight-related medical problems among morbidly obese subscribers to Medicaid, Medicare, Private insurance, and Self-Pay. Nevertheless, it is unknown whether or not outcomes after bariatric surgery vary by health insurance carrier. Knowing differential responses to bariatric operations according to health ins