AIM: Laparoscopic cholecystectomy is increasingly being offered on index emergency admission. This study assessed whether the surgeon specialist interest influences the patient outcome following emergent laparoscopic cholecystectomy.METHODS: The study included all patients who underwent emergency cholecystectomy after an index emergency admission over an 18-month period. End-points studied were conversion rate, post-operative complications, time delay to […]
Objective: Early experience with transgastric NOTES in animal models have demonstrated the consequences of inadvertent insufflation of the small and large bowel. The resultant crowding of the intestines increases the risk of ensnaring the bowel during transgastric suturing. A mechanism for limiting transpyloric insufflation but permitting the necessary intragastric working space is needed.Description: A NOTES […]
Introduction: The natural history of colostomies and end ileostomies for colonic disease is not well documented in the literature. The primary objective of this study is to identify factors which impact colostomy and ileostomy reversal among patients with colonic diseases Methods: A retrospective review of patients with end ileostomies and colostomies was performed at a […]
Objectives: Natural Orifice Translumenal Endoscopic Surgery (NOTES) utilizes resectional or anastomotic techniques. Anastomotic work to date is limited to suturing and stapling devices. Endoscopic gastrojejunostomy has been reported in two animal studies. The aim of our study is to assess feasibility of gastrojejunostomy with full thickness plications.Methods: Six ex vivo porcine stomachs were prepared with […]
Objective: One aspect unique to the laparoscopic ventral hernia repair (LVHR) is the visualization and repair of occult fascial defects not recognized during open repairs. This recognition of occult fascial defects leads to wider mesh coverage of the areas that would likely go undetected (and un-repaired) at the time of open surgery. This study reviews […]