Background: Laparoscopic anti-reflux surgery has become firmly established in the management of gastro-oesophageal reflux in children. The Nissen remains the most widely used anti-reflux procedure, but its success is frequently compromised by mechanical complications. Several modifications, such as partial wraps, have been described. It is not known whether the advantages of partial fundoplication translate into […]
BACKGROUND: Although bariatric surgery is the fastest and most effective way to lose and control weight, some overweight patients are not eligible for this procedure. Endoscopic placement of a Silicone Intragastric Balloon (SIB) to restrict gastric intake in obese patients is a cheaper and less invasive alternative to bariatric surgery, bringing about significant weight loss. […]
Laparoscopic revision of a bariatric surgical procedure is a significant challenge for bariatric surgeons. Patients who undergo bariatric surgery will infrequently require a revision either for inadequate weight loss or for complications. Literature review revealed a substantially higher incidence of major postoperative complications as well as a less dramatic weight loss following revisional bariatric procedures […]
Introduction: Plasma VEGF levels are increased after minimally invasive colorectal resection (MICR) for both benign and malignant disease. VEGF, which is critical to both wound healing and tumor growth, induces angiogenesis by binding to endothelial cell bound VEGF-Receptor 1 (VEGFR1) and VEGF-Receptor 2 (VEGFR2). Soluble VEGF-Receptor-1 (sVEGFR1) and soluble VEGF-Receptor-2 (sVEGFR2), which are not capable […]
Introduction:The treatment of many thyroid disease entities remains total thyroidectomy. Although we have successfully performed near total thyroidectomy using an endoscopic transaxillary approach, use of this technique to perform total thyroidectomy has been challenging. We recently explored the feasibility of an approach combining the endoscopic transaxillary technique with a periareolar approach, using the contralateral areola […]