In this video, we depict the use of laparoscopic wedge Collis gastroplasty to treat short esophagus encountered during a laparoscopic hiatal hernia repair and 360 degree fundoplication.
Critical details of the procedure are reviewed.
Peroral Endoscopic Myotomy (POEM) is a relatively new procedure, and the long term effects are still being studied. We present a short video detailing the laparoscopic management of a 56 year old man, who presented to the hospital for aspiration pneumonia from severe reflux 1 1/2 years following a POEM. In this video we note a lack of adhesions and the maintainence of the natural tissue planes in the region of the prior myotomy. Performance of an anti-reflux surgery following POEM has not been d
The case:
Female 44 years old. Open cholecystectomy with bile duct injury Strasberg E1 and end to side hepaticojejunostomy was performed three days after cholecystectomy.
Develops jaundice, fever, upper quadrant pain, itching and several cholangitis episodes one month after index surgery. She was referred to our center two years later.
At the pre-op workup CMR shows obstruction of the hepaticojejunostomy, intrahepatic stones and massive bile duct dilatation.
Laparoscopic approach was perform
INTRODUCTION: This is the case of a 58 year-old obese male patient with BMI of 38, who presented with rectal bleeding, and was found on screening colonoscopy to have a 2 cm rectal adenocarcinoma located 1-1.5 cm above the dentate line, with no evidence of metastases on staging CT scans.
METHODS: Tumor staging with pelvic MRI and endorectal ultrasound both demonstrated a uT2N0 with an intact internal anal sphincter. He was deemed to be a good surgical candidate for hybrid robotic and transanal e
Introduction
Laparoscopic hiatal hernia repair has a recurrence rate that can reach up to 66%. Mesh reinforcement for crural repair may reduce this risk. Complications related to prosthetic hiatoplasty for hiatal hernia repair are more common than previously reported. The use of prosthetic materials has been associated with esophageal stricture, erosion, and perforation. Contributing factors include infection, ischemia and ongoing friction between the mesh and the esophagus. The risk of erosion