Laparoscopic sleeve gastrectomy (LSG) is a restrictive bariatric procedure that is associated with GERD as a side affect. Because the fundus is removed during LSG, patients are not candidates for fundoplication and most patients undergo revision to a roux-en-Y gastric bypass. Here we present the placement of the MSA device for GERD in a patient with a previous LSG.
Introduction: Morgagni hernias are a defect in the anterior diaphragm within the sternocostal triangle. They are rare, comprising <5% of all diaphragmatic hernias. More than 50% of this type of diaphragmatic hernia are symptomatic. We present a small case series involving laparosopic repair of these diaphragmatic hernias with primary closure and underlay mesh. We present a video and radiographs of a 76yo male with a right diaphragmatic defect with multiple loops of small bowel protruding into th
HISTORY: A 60 year old female was found to have recurrent rectal cancer at the site of low pelvic anastomosis approximately 1 year after her initial surgery performed elsewhere. The patient underwent chemoradiation with Xeloda and 4500cGy + 540cGy boost completed in October 2013. During chemoradiation, the patient developed obstructive symptoms and underwent laparoscopic diversion in September 2013. The patient completed the chemoradiation and then underwent low anterior resection with low pe
This video shows a laparoscopic sleeve gastrectomy utilizing fluorescence angiography to delineate perfusion to the tubularized stomach. Indocyanine green (ICG) is a near infrared (NIR) fluorescence dye that has been used for decades, but only recently has laparoscopic camera technology allowed us to use it to its full potential. Staple-line leaks remain one of the most feared complications of sleeve gastrectomies. One possible etiology has been attributed to poor perfusion of the staple-line a
Superior Mesenteric Artery syndrome is rare condition that is traditionally approached through open and laparoscopic stapled techniques. We present a laparoscopic hand sewn two layer anastomosis to create a duodenojejunostomy. With edematous tissue, a handsewn anastomosis ensures good tissue approximation and this video demonstrates this can be done laparoscopically.