BACKGROUND: Complex laparoscopic tasks are nearly impossible to complete when the telescope is pointed toward the operator (paradoxical image). Attempts at image manipulation have been reported, but altered monitor displays may introduce even more confusion. The availability of high-quality, lightweight head-mounted displays (HMD) now allows individualization of the laparoscopic image. We sought to demonstrate that […]
A 45 year old female underwent an uncomplicated laparoscopic (divided) gastric bypass with circular stapled gastro-jejunostomy. Two years later, she developed a marginal ulcer which perforated and was treated with open Graham patch repair. Within 2 weeks post operatively, she developed progressive dysphagia. EGD and UGIS revealed a tight anastamotic stricture not amenable to dilation. […]
Introduction:As a foundation for transgastric NOTES, we aimed to develop an easy and fast method to create and close a gastrotomy without the use of endoluminal suturing devices.Methods:Four pigs, mean weight 36 kg, were used for this survival study. Pigs were anesthetized and received preoperative IV antibiotics. The stomach was endoscopically irrigated with saline, followed […]
Tumors of the body or tail of the pancreas are uncommon. A large number of these lesions when they present may not be resectable. More recently, laparoscopic distal pancreatectomy and splenectomy has been performed using a hand assisted and less commonly a total laparoscopic resection. We report a total laparoscopic resection of a glucaganoma arising […]
INTRODUCTION: Previous studies have raised concern that morbid obesity is associated with a markedly increased risk of recurrence after repair of ventral hernias. This study compared the incidence of early post-operative recurrence after laparoscopic ventral hernia repair in morbidly obese patients and non-morbidly obese patients.METHODS: Case notes were reviewed for consecutive patients who underwent laparoscopic […]