Background:As Natural Orifice Transluminal Endoscopic Surgery (NOTES) approaches on the horizon, surgeons will need to develop the fundamental skills and spatial orientation needed to perform in this new perspective. The Natural Orifice Surgery Consortium for Assessment and Research (NOSCAR) has established several fundamental challenges to the safe introduction of NOTES. Our institutional experience with laparoscopic […]
BACKGROUND:The feasibility of using the endoscopic transgastric approach to perform an intra-abdominal surgical procedure has been well demonstrated in animal models. Factors that could possibly limit the successful closure of a gastrotomy include: (a). its anatomical location on the gastric surface; (b). its diameter size, and, (c). duration of the transgastric procedure. Our hypothesis is […]
Aim of study: to examine extent of thermal spread between open and laparoscopic energised dissection with bipolar electrosurgery (Atlas and Advance – ValleyLab). Methods: Experiments were performed in 8 Large White/Landrace pigs (average wt. 27 kg), 4 of which were randomised to open and 4 to laparoscopic multi-site surgical energised dissections. Thermal imaging was performed […]
Introduction: Morbid obesity is a chronic disease that reduces life expectancy and represents a major risk factor for other chronic illnesses.1,2 At the present time bariatric surgery remains the only therapy that produces significant and sustained weight loss in the morbidly obese. Surgical weight reduction can reverse or eliminate many obesity related comorbidities.3 Materials and […]
Introduction: Placement of retrievable inferior vena cava filters (IVCF) may be beneficial in high risk morbidly obese patients undergoing bariatric procedures. Bariatric surgery patients with a prior history of venous thromboembolism (VTE) are at high risk for postoperative recurrent deep venous thrombosis (DVT) and pulmonary embolism (PE). Methods: A prospective database of morbidly obese patients […]