OBJECTIVE: The two basic techniquesavailable in which to perform the gastrojejunal (GJ) anastomosis during a laparoscopic Roux-en-Y gastric bypass are stapled and hand-sewn techniques. Few outcomes differences have been noted between the two in order to recommend one as a superior approach. We present our findings of stricture and leak as potential differences in outcome.METHODS: […]
Introduction: Laparoscopic Roux-en-Y-Gastric Bypass (LRYGB) and Laparoscopic Adjustable Gastric Banding (LAGB) are the two most commonly performed weight loss procedures in the United States. The reported percentage of excess weight loss (EWL) after weight loss surgery varies from 50-80%. It is well known that the weight loss achieved with LRYGB is more significant early on […]
INTRODUCTION: Radical rectal resection is associated with significant morbidity and mortality. Given this, in the setting of premalignant and early malignancies of the rectum increasing attention has turned to the transanal endoscopic microsurgery (TEM) technique. In this series, we examine a single institution experience with this approach. METHODS AND PROCEDURES: This is a retrospective analysis […]
Objective of StudyPost-operative pain, fatigue, circadian disturbances & well-being are cardinal patient reported outcome (PRO) measures indicating desired/ expected Health related Quality of Life (HrQoL) improvement after Laparoscopic Cholecystectomy (LC). These PROs result from a cascade of inflammatory and metabolic stress responses to surgery. Energised dissection (ED) in LC may excite these inflammatory & stress […]
Introduction: Soluble Vascular Adhesion Molecule-1 (sVCAM-1) is a circulatory glycoprotein shed from transmembrane cell bound VCAM-1 which is expressed in vascular endothelial cells (EC). Inflammatory cytokines induce expression of VCAM-1. The ligands, alpha-4 integrins, are found mainly on leucocytes; binding facilitates leukocyte extravasation of into inflamed tissues. sVCAM-1 promotes angiogenesis in wounds and tumors by […]