Introduction: Laparoscopic colon resection has been demonstrated to be safe and feasible. Despite proven patient benefits, adoption of the technique has been slow. A significant hurdle for adoption has been the technical challenge and need for 1 or 2 (highly) skilled assistants. We present our experience with a single surgeon, 3 trocar technique for colon […]
Introduction: Laparoscopic treatment of diverticulitis is challenging because of its inflammatory nature. In the United States, many surgeons advocate a hand-assisted laparoscopic approach routinely for the treatment of these cases. We present the experience with a laparoscopic approach using hand-assisted surgery as needed, focusing on completion rate, morbidity, mortality and patient outcomes. Methods: Since 1996, […]
The laparoscopic repair of rectal prolapse has been well described. Patients with rectal prolapse often, if properly evaluated, will have a concomitant anterior pelvic dysfunction. We present the video of a 69-year-old female with a history of rectal prolapse that underwent a perineal proctectomy only to recur within a year of surgery. On exam she […]
INTRODUCTION:Morbid obesity remains a strong risk factor limiting cardiac transplantation. Furthermore, numerous cardiac transplant databases have demonstrated that morbidly obese transplant recipients have nearly twice the 5-year mortality of normal-weight or overweight recipients. Hence, many morbidly obese transplant patients require ventricular assist devices to bridge them until they have lost sufficient weight to be considered […]
INTRODUCTION:Totally laparoscopic or laparoscopic-assisted (LA) right hemicolectomies (RHC) have been reported as acceptable procedures for both benign and malignant colon diseases. Laparoscopic RHC either with a totally intracorporeal or extracorporeal anastomosis has been performed for the treatment of ascending colon diseases including cancer, polyps, chronic inflammatory bowel diseases, AVM. However, research has not been conducted […]