Introduction: Natural orifice transluminal endoscopic surgery (NOTES) is a technique where an operation is performed across the lumen of a hollow viscus without the aid of an abdominal incision. Much of the early work in NOTES has utilized a transgastric approach due to ease of endoscope passage through the mouth. Pancreatic pseudocysts have long been […]
BACKGROUND: A leak at the gastrojejunal anastomosis (GJ) is a well recognized and occasionally fatal complication of obesity surgery. Closed suction drains have been routinely placed in the region of the GJ at the time of laparoscopic Roux-en-Y gastric bypass (LRYGBP) in order to aid in the recognition and treatment of such leaks. However, drains […]
Objectives: Adhesions after open abdominal operations cause >75% of cases of small bowel obstruction. We evaluated adhesions to the anterior abdominal wall and adnexae after laparoscopic ileal pouch anal anastamosis (IPAA).Methods: Patients who underwent laparoscopic proctocolectomy, IPAA and diverting loop ileostomy for Ulcerative Colitis had laparoscopic evaluation of adhesions at closure of ileostomy to assess […]
Background: A dose dependent relationship between obesity and asthma has been reported in several epidemiologic studies. It has been proposed that interventions targeting obesity may reduce the incidence of asthma. We hypothesize that surgically induced weight loss will decrease the prevalence of asthma in a large group of bariatric patients. Methods: We analyzed data on […]
Introduction: Ergonomic knowledge related to primary MIS surgeons has been well described. Similar studies making the camera assistant subject have not been undertaken. By simulating the assistant¡¯s role as a camera holder and retractor during a Nissen fundoplication, this study investigated how camera target locations and grip strategies, and fatigue affected the assistant¡¯s posture.Methods and […]