Background: The most successful long-term treatment of morbid obesity is surgical intervention. Many options exist, but the most popular is the Roux-en-Y gastric bypass (RYGB). The laparoscpic procedure is associated with a low complication rate and a short hospital stay. One challenge of the laparoscopic approach is the construction of the jejunojejunostomy. Many techniques exist […]
Introduction: The high rate of coincident or missed femoral hernias while or after mesh herniorrhaphy suggest is systematic search. We present our findings and results using the laparoscopic preperitoneal approach (TEP). Methods: Between April 2001 and February 2007, patients undergoing inguinal hernia repair were entered into a prospective database. The nature of their hernias in […]
TRANS ORAL TECHNIQUE FOR GASTROJEJUNOSTOMY IN LAPAROSCOPIC ROUX-EN-Y GASTRIC BYPASS CAN EASE LEARNING CURVE AND REDUCE COST Background: The stapled gastrojejunostomy of the laparoscopic Roux-en-Y gastric bypass (LRYGB) can be created by linear stapling techniques or by a circular stapler. In the circular stapling technique, the anvil of the stapler can be introduced into the […]
Introduction: TGF Beta regulates cell growth and proliferation. Although pro-apoptotic in general, in some cancers it promotes tumor angiogenesis via inactivation of the TGF signaling pathway. Some cancers express TGF Beta and it has been reported that elevated blood levels pre-resection are associated with advanced stage disease. Surgery’s impact on TGF Beta levels is unknown. […]
Background: Laparoscopic Cholecystectomy (LC) is performed by an astonishing variety of techniques, yet the frequency of biliary injury remains high, and up to 25% of urgent cholecystectomies are performed by open approach. Laparoscopic biliary intraoperative ultrasound (IOUS) allows for identification of biliary anatomy before division of or damage to any structure, but is underutilized. The […]