AIM: It is well known that certain diet and posture can aggravate gastro-oesophageal reflux(GOR) symptoms. The alleviation of reflux symptoms precipitated by these specific triggers after surgery is usually evaluated by global satisfaction scores or grading systems. The aim of this study is to assess the effect of laparoscopic antireflux surgery(LARS) on selected precipitants of […]
INTRODUCTION: Transoral incisionless fundoplication (TIF) may have improved outcomes over simple, single shot, endoscopic therapy because it allows the surgeon to tailor the fundoplication to the gastro-esophageal (GE) anatomy by placing transmural fastener sets in critical GE locations. How each successive fastener set impacts LES valve anatomy and physiology is unknown. METHODS & PROCEDURES: While […]
Introduction: Laparoscopy has become an invaluable part of the surgeon’s armamentarium. It has proven diagnostic and therapeutic benefits for a wide spectrum of disease. This video illustrates the role of laparoscopy for Superior Mesenteric Artery Syndrome. Methods: The aim of this video is to demonstrate key concepts associated with laparoscopic duodenojejunostomy. Management algorithms are discussed […]
OBJECTIVES: To define major risk factors for intraoperative complications (IOC) in laparoscopic colorectal surgery, and to assess whether surgeon experience influences the outcomes of complex cases.METHODS: Consecutive patients undergoing laparoscopic colorectal procedures from 1991-2005 were analyzed from a prospectively-collected database. All patients referred to the four surgeons involved in this study were offered a minimally […]
Introduction: Natural Orifice Transluminal Endoscopic Surgery (NOTES) is a rapidly evolving field that provides endoscopic access to the peritoneum via a natural orifice. One important requirement of this technique is the need to minimize the risk of clinically significant peritoneal contamination. We report the bacterial load and contamination of the peritoneal cavity in patients undergoing […]