Introduction: To report our experience with some advanced laparoendoscopic single-site (LESS) abdominal surgery. Methods: Between July 2008 and September 2009, we perform LESS abdominal procedures in 42 patients for various indications. This included acute appendicitis with peritonitis, acute cholecystitis, cystogastrojejunostomy for pancreatic pseudocyst, resection of giant mesenteric cyst, gastrojejunostomy, sleeve gastrectomy, splenectomy and a perforated […]
INTRODUCTION – Laparoscopic gastric bypass (LGB) is performed with relatively low mortality and short inpatient length of stay (LOS). This study evaluated regional and urban vs rural variations of inpatient mortality and LOS for LGB. METHODS AND PROCEDURES – Patients undergoing LGB for morbid obesity in the 2006 Nationwide Inpatient Sample (NIS) were identified. Cumulative […]
Purpose:The need for revisional surgery following Vertical Banded Gastroplasty (VBG) has ranged from 21-56% with approximately 46% of pre-operative diagnosis being food intolerance. Although the Roux-en-Y Gastric bypass addresses the late complications associated with VBG, it is accompanied by an increased rate of anastomotic leaks (18%), bleeding, internal hernias, and strictures (22%). In an attempt […]
Introduction: Although studies have examined the effects of video-game prowess on laparoscopic skills, there is little data showing a significant positive correlation. Prior studies were often performed on physicians and medical students, possibly confounding the results secondary to test subjects’ experience, enthusiasm and familiarity with laparoscopic techniques. To control for this, we performed a prospective […]
Introduction:Standard laparoscopic repair of a large midline ventral hernia with mesh is frequently associated with seroma formation. In addition the rectus muscles cannot be medialized in large defects, thereby potentially leading to a less functional abdominal wall. We present a novel approach of repairing the midline abdominal wall defect while repairing the hernia laparoscopically with […]