Objective: Treatment of chronic diseases such as obesity by resource intensive therapy such as Laparoscopic Roux-en-Y Gastric Bypass surgery (LRYGB) is associated with early increases in healthcare costs. With the increasing frequency of LRYGB being performed and the rising cost of health care, preoperative optimization may reduce resource utilization and these early costs. We sought […]
Introduction: Robot-assisted surgeries are widely adaptable in various medical fields, such as urology, cardiothoracic surgery and gynecology. However, training programs using actual surgical robots are costly. The development of Virtual Reality (VR) training platform alternatively provides an inexpensive and user-friendly interface. The learning effect of VR training system and the capability of skill transfer from […]
INTRODUCTION: As morbid obesity becomes an increasingly frequent medical problem, novel surgical treatments to induce weight loss are being developed. The laparoscopic adjustable gastric band (LAGB), well proven to be a safe and effective means of weight loss, is such an example. Many of the complications related to the LAGB involve an excessive amount of […]
Objective: We recently reported a novel technique for repairing paraesophageal hiatal hernias greater than 5cm, using primary non-pledgeted crural repair with onlay fixation of GORE™ BIO-A™ Tissue Reinforcement. The purpose of this report is to present one-year follow up data.Methods: Patients were evaluated at routine clinic follow up visits. Patients with recurrent symptoms of GERD […]
INTRODUCION: Rapid weight loss following bariatric surgery can result in cholelithiasis and related complications, including choledocholithiasis. Furthermore, a Roux-en-Y gastric bypass can complicate the management of choledocholithiasis. CASE HISTORY: Here, we present the case of a 72 year-old woman with a history of morbid obesity who underwent a Roux-en-Y gastric bypass and a cholecystectomy for […]