Surgical Spring Week SAGES 2017 Scientific Session & Postgraduate Courses SAGES Is Home: Collaborate, Communicate, Connect
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Laparoscopic Gastropexy As a Preventative Measure for Gastric Dilation Volvulus in Canines
Laparoscopic Gastropexy as a Preventative Measure for Gastric Dilation Volvulus in Canines By: Erin O’Brien Advisors: Dr. Kimberly Boswell Board Certified Surgeon Southwest Michigan Animal Emergency Hospital Kalamazoo, MI Dr. Diane R. Kiino Ph.D. Kalamazoo College Health Science A paper submitted in partial fulfillment of the requirements for the degree of Bachelor of Arts at Kalamazoo College. 2010 ii ACKNOWLEDGEMENTS Over the summer I was able to intern at the Southwest Michigan Animal Emergency Hospital in Kalamazoo, MI. It was there that I was exposed to the emergency setting in veterinary medicine but also had the chance to observe surgeries done by Board Certified Surgeon, Dr. Kimberly Boswell. I would like to thank the entire staff at SWMAEH for teaching me a tremendous amount about veterinary medicine and allowing me to get as much hands on experience as possible. It was such a privilege to complete my internship at a hospital where I was able to learn so much about veterinary medicine in only ten weeks. I would also like to thank Dr. Boswell in particular, it was a gastropexy surgery I saw her perform during my internship that inspired the topic of this paper. Additionally I would like to acknowledge my advisor Dr. Diane Kiino for providing the direction I needed in choosing my paper topic. iii ABSTRACT Gastric Dilation Volvulus (GDV) is a fatal condition in canines especially those that are large or giant breeds. GDV results from the stomach distending and twisting on itself which when left untreated causes shock and ultimately death. The only method of prevention for GDV is a gastropexy, a surgical procedure that sutures the stomach to the abdominal wall to prevent volvulus or twisting. -
Incarcerated Obturator Hernia
Case Report / Olgu Sunumu DOI: 10.4274/haseki.galenos.2018.4631 Med Bull Haseki 2019;57:332-335 A Rare Cause of Small Bowel Obstruction: Incarcerated Obturator Hernia İnce Barsak Obstrüksiyonunun Nadir Bir Nedeni: İnkarsere Obturator Herni Serkan Tayar, Mehmet Uluşahin, Arif Burak Çekiç, Ali Güner, Serdar Türkyılmaz Karadeniz Technical University, Farabi Hospital, Clinic of General Surgery, Trabzon, Turkey Abs tract Öz Obturator hernia (OH) is a rare type of hernia caused by Obturator herni (OH) intraabdominal organların obturator protrusion of the pelvic contents through the obturator foramen. foramenden pelvis içine girmesi sonucu oluşan bir herni çeşididir. It usually affects elderly, debilitated women. Patients may Genellikle kadınlarda görülür. Hastalar ileus semptomları ile present with the symptoms of mechanical intestinal obstruction. gelebilir. Ayırıcı tanıda bir çok farklı klinik durum mevcuttur; Delayed diagnosis or misdiagnosis is frequent due to non-specific bu nedenle tanıda gecikme veya yanlış tanı karşılaşılabilen signs and symptoms. In this paper, we present the case of OH durumlardır. Bu yazıda OH nedeni ile opere edilen iki hastaya in two patients. Both patients were admitted to the emergency ait bilgiler sunulmuştur. Her iki hasta da acil servise ileus department with the symptoms of ileus. Incarcerated OH semptomları ile başvurdu. Yapılan tetkiklerde inkarsere OH diagnosis was made after evaluations. One of the patients, who tanısı konuldu. Acil olarak opere edilen hastaların birinde nekroz underwent emergency surgery, had necrosis and small intestine mevcuttu ve ince barsak rezeksiyonu uygulandı. Her iki hastada resection was performed. OH, defect was repaired in both da OH defekti primer olarak tamir edildi. Postoperatif süreçte patients and serious postoperative complications developed. -
Laparoscopic Fundoplication with Double Sided Posterior Gastropexy: a Different Surgical Technique
View metadata, citation and similar papers at core.ac.uk ORIGINAL RESEARCH brought to you by CORE provided by Elsevier - Publisher Connector International Journal of Surgery 10 (2012) 532e536 Contents lists available at SciVerse ScienceDirect International Journal of Surgery journal homepage: www.theijs.com Original research Laparoscopic fundoplication with double sided posterior gastropexy: A different surgical technique Fahri Yetis¸ira,*, A. Ebru Salman b,Dogukan Durak a, Mehmet Kiliç c a Ataturk Research and Training Hospital, General Surgery Department, Turkey b Ataturk Research and Training Hospital, Anesthesiology and Reanimation Department, Turkey c Yildirim Beyazit University, General Surgery Department, Turkey article info abstract Article history: Background: Laparoscopic Nissen Fundoplication has become the gold standard surgical procedure for Received 18 April 2012 management of gastroesophageal reflux disease. Nissen fundoplication provides an effective barrier Received in revised form against reflux. The aim of this study was to evaluate early postoperative outcomes of a different surgical 3 August 2012 technique, laparoscopic fundoplication with double sided posterior gastropexy. Accepted 6 August 2012 Methods: Data of 46 patients who underwent laparoscopic fundoplication with double sided posterior Available online 21 August 2012 gastropexy between February 2010 and December 2011 were collected. Surgically, after Nissen fundoplication was completed, 2e4 sutures were passed through the uppermost parts of the posterior Keywords: Gastropexy and anterior wall of the gastric wrap and then passed gently 1 cm above the celiac artery from the denser fi Nissen fundoplication bers of uppermost part of the arcuate ligament. Demographic data, preoperative and postoperative Gastroesophageal reflux assesments of sympthomatic and functional outcomes of patients were recorded. -
Modified Heller´S Esophageal Myotomy Associated with Dor's
Crimson Publishers Research Article Wings to the Research Modified Heller´s Esophageal Myotomy Associated with Dor’s Fundoplication A Surgical Alternative for the Treatment of Dolico Megaesophagus Fernando Athayde Veloso Madureira*, Francisco Alberto Vela Cabrera, Vernaza ISSN: 2637-7632 Monsalve M, Moreno Cando J, Charuri Furtado L and Isis Wanderley De Sena Schramm Department of General Surgery, Brazil Abstracts The most performed surgery for the treatment of achalasia is Heller´s esophageal myotomy associated or no with anti-reflux fundoplication. We propose in cases of advanced megaesophagus, specifically in the dolico megaesophagus, a technical variation. The aim of this study was to describe Heller´s myotomy modified by Madureira associated with Dor´s fundoplication as an alternative for the treatment of dolico megaesophagus,Materials and methods: assessing its effectiveness at through dysphagia scores and quality of life questionnaires. *Corresponding author: proposes the dissection ofTechnical the esophagus Note describing intrathoracic, the withsurgical circumferential procedure and release presenting of it, in the the results most of three patients with advanced dolico megaesophagus, operated from 2014 to 2017. The technique A. V. Madureira F, MsC, Phd. Americas Medical City Department of General extensive possible by trans hiatal route. Then the esophagus is retracted and fixed circumferentially in the Surgery, Full Professor of General pillars of the diaphragm with six or seven point. The goal is at least on the third part of the esophagus, to achieveResults: its broad mobilization and rectification of it; then is added a traditional Heller myotomy. Submission:Surgery At UNIRIO and PUC- Rio, Brazil Published: The mean dysphagia score in pre-op was 10points and in the post- op was 1.3 points (maximum October 09, 2019 of 10 points being observed each between the pre and postoperative 8.67 points, 86.7%) The mean October 24, 2019 hospitalization time was one day. -
What Are the Influencing Factors for Chronic Pain Following TAPP Inguinal Hernia Repair: an Analysis of 20,004 Patients from the Herniamed Registry
Surg Endosc and Other Interventional Techniques DOI 10.1007/s00464-017-5893-2 What are the influencing factors for chronic pain following TAPP inguinal hernia repair: an analysis of 20,004 patients from the Herniamed Registry H. Niebuhr1 · F. Wegner1 · M. Hukauf2 · M. Lechner3 · R. Fortelny4 · R. Bittner5 · C. Schug‑Pass6 · F. Köckerling6 Received: 6 July 2017 / Accepted: 13 September 2017 © The Author(s) 2017. This article is an open access publication Abstract multivariable analyses. For all patients, 1-year follow-up Background In inguinal hernia repair, chronic pain must be data were available. expected in 10–12% of cases. Around one-quarter of patients Results Multivariable analysis revealed that onset of pain (2–4%) experience severe pain requiring treatment. The risk at rest, on exertion, and requiring treatment was highly factors for chronic pain reported in the literature include significantly influenced, in each case, by younger age young age, female gender, perioperative pain, postoperative (p < 0.001), preoperative pain (p < 0.001), smaller hernia pain, recurrent hernia, open hernia repair, perioperative defect (p < 0.001), and higher BMI (p < 0.001). Other influ- complications, and penetrating mesh fixation. This present encing factors were postoperative complications (pain at rest analysis of data from the Herniamed Hernia Registry now p = 0.004 and pain on exertion p = 0.023) and penetrating investigates the influencing factors for chronic pain in male compared with glue mesh fixation techniques (pain on exer- patients after primary, unilateral inguinal hernia repair in tion p = 0.037). TAPP technique. Conclusions The indication for inguinal hernia surgery Methods In total, 20,004 patients from the Her- should be very carefully considered in a young patient with niamed Hernia Registry were included in uni- and a small hernia and preoperative pain. -
Small Bowel Obstruction Due to Recurrent Obturator Hernia: a Case Report
J Case Rep Images Surg 2016;2:27–30. Arafat et al. 27 www.edoriumjournals.com/case-reports/jcrs/index.php CASE REPORT PEER REVIEWED OPE| OPEN NACCESS ACCESS Small bowel obstruction due to recurrent obturator hernia: A case report Yasser Arafat, Marianna Zukiwskyj ABSTRACT Keywords: Harnia, Obturator hernia, Small bowel obstruction Introduction: A diagnostic challenge, the obturator hernia is an uncommon cause for small How to cite this article bowel obstruction. It is classically described in thin elderly women. Delay to diagnosis may Arafat Y, Zukiwskyj M. Small bowel obstruction due result in strangulation and gangrenous bowel at to recurrent obturator hernia: A case report. J Case subsequent laparotomy. The classically described Rep Images Surg 2016;2:27–30. signs, whilst useful when present, are absent in greater than 50% of cases, and preoperative diagnosis is made on radiological imaging. Article ID: 100016Z12YA2016 Case Report: We report a case of small bowel obstruction secondary to a strangulated obturator hernia in an elderly female. Laparotomy, ********* bowel resection and suture hernia repair was undertaken. A subsequent presentation of small doi:10.5348/Z12-2016-16-CR-8 bowel obstruction was due to recurrence of the obturator hernia. However, resolved without operative management. Conclusion: A high index of suspicion is required to diagnose an obturator hernia clinically. Failure to do so INTRODUCTION results in greater mortality and morbidity. Early An obturator hernia is a result of weakening of the cross sectional imaging can make the diagnosis obturator membrane, allowing a hernial sac to pass and lead to earlier surgical repair. A diagnostic through the obturator foramen [1]. -
Concomitant Obturator Hernia and Midgut Volvulus in an Elderly Woman
IJCRI 201 3;4(8):423–426. Kwok-Wan et al. 423 www.ijcasereportsandimages.com CASE REPORT OPEN ACCESS Concomitant obturator hernia and midgut volvulus in an elderly woman Yeung KwokWan, Chang MingSung ABSTRACT emergent operation to reduce the mortality and morbidity of the patient. Introduction: Obturator hernia is a rare hernia of the pelvic floor and accounts for less than 1% Keywords: Obturator hernia, Midgut volvulus of all intraabdominal hernias. Midgut volvulus may be primary without an associated ********* underlying cause, or secondary to a congenital or acquired condition. Case Report: A 94year KwokWan Y, MingSung C. Concomitant obturator old female patient suffered from severe and hernia and midgut volvulus in an elderly woman. diffuse abdominal cramping pain and no stool International Journal of Case Reports and Images passage for 2 days and vomiting for a day. Blood 2013;4(8):423–426. analysis revealed leukocytosis. A history of constipation and chronic obstructive pulmonary ********* disease was noted and no intraabdominal operation was performed in the past. Contrast doi:10.5348/ijcri201308347CR6 enhanced computed tomography scan showed distention of the small bowel loop, a whirl sign of the superior mesenteric artery and vein, and a short segment of distal ileum incarcerated between the right external obturator and INTRODUCTION pectineus muscles. Computed tomography scan of concomitant right obturator hernia and Obturator hernia is a rare hernia of the pelvic floor midgut volvulus was made, which was and accounts for 0.05% to less than 1.4% of all intra confirmed by surgical exploration. -
Regenerative Surgery for Inguinal Hernia Repair
Clinical Research and Trials ` Research Article ISSN: 2059-0377 Regenerative surgery for inguinal hernia repair Valerio Di Nicola1,2* and Mauro Di Pietrantonio3 1West Sussex Hospitals NHS Foundation Trust, Worthing Hospital, BN112DH, UK 2Regenerative Surgery Unit, Villa Aurora Hospital-Foligno, Italy 3Clinic of Regenerative Surgery, Rome, Italy Abstract Inguinal hernia repair is the most frequently performed operation in General Surgery. Complications such as chronic inguinal pain (12%) and recurrence rate (11%) significantly influence the surgical results. The 4 main impacting factors affecting hernia repair results are: mesh material and integration biology; mesh fixation; tissue healing and regeneration and, the surgical technique. All these factors have been analysed in this article. Then a new procedure, L-PRF-Open Mesh Repair, has been introduced with the aim of improving both short and long term results. We are presenting in a case report the feasibility of the technique. Introduction Only 57% of all inguinal hernia recurrences occurred within 10 years after the hernia operation. Some of the remaining 43% of all Statistics show that the most common hernia site is inguinal (70- recurrences happened only much later, even after more than 50 years [7]. 75% cases) [1]. A further complication after inguinal hernia repair is chronic groin Hernia symptoms include local discomfort, numbness and pain pain lasting more than 3 months, occurring in 10-12% of all patients. which, sometimes can be severe and worsen during bowel straining, Approximately 1-6% of patients have severe chronic pain with long- urination and heavy lifting [2]. Occasionally, complications such as term disability, thus requiring treatment [5,8]. -
Amazon's Document
REQUEST FOR INFORMATION Project Clancy TALENT A. Big Questions and Big Ideas 1. Population Changes and Key Drivers. a. Population level - Specify the changes in total population in your community and state over the last five years and the major reasons for these changes. Please also identify the majority source of inbound migration. Ne Yok Cit’s populatio ge fo . illio to . illio oe the last fie eas ad is projected to surpass 9 million by 2030.1 New York City continues to attract a dynamic and diverse population of professionals, students, and families of all backgrounds, mainly from Latin America (including the Caribbean, Central America, and South America), China, and Eastern Europe.2 Estiate of Ne York City’s Populatio Year Population 2011 8,244,910 2012 8,336,697 2013 8,405,837 2014 8,491,079 2015 8,550,405 2016 8,537,673 Source: American Community Survey 1-Year Estimates Cumulative Estimates of the Components of Population Change for New York City and Counties Time period: April 1, 2010 - July 1, 2016 Total Natural Net Net Net Geographic Area Population Increase Migration: Migration: Migration: Change (Births-Deaths) Total Domestic International New York City Total 362,540 401,943 -24,467 -524,013 499,546 Bronx 70,612 75,607 -3,358 -103,923 100,565 Brooklyn 124,450 160,580 -32,277 -169,064 136,787 Manhattan 57,861 54,522 7,189 -91,811 99,000 1 New York City Population Projections by Age/Sex & Borough, 2010-2040 2 Place of Birth for the Foreign-Born Population in 2012-2016, American Community Survey PROJECT CLANCY PROPRIETARY AND CONFIDENTIAL 4840-0257-2381.3 1 Queens 102,332 99,703 7,203 -148,045 155,248 Staten Island 7,285 11,531 -3,224 -11,170 7,946 Source: Population Division, U.S. -
World Guidelines for Groin Hernia Management
Guidelines World Guidelines for Groin Hernia Management The HerniaSurge Group Key Questions, Statements and Recommendations (Key Statements for the Consensus vote in yellow) Endorsed by: 1 Members of the HerniaSurge Group Steering Committee: M.P. Simons (coordinator) M. Smietanski (European Hernia Society) Treasurer. H.J. Bonjer (European Association for Endoscopic Surgery) R. Bittner (International Endo Hernia Society) M. Miserez (Editor Hernia) Th.J. Aufenacker (Statistical expert) R.J. Fitzgibbons (Americas Hernia Society) P.K. Chowbey (Asia Pacific Hernia Society) H.M. Tran (Australasian Hernia Society) R. Sani (Afro Middle East Hernia Society) Working Group Th.J. Aufenacker Arnhem the Netherlands F. Berrevoet Ghent Belgium J. Bingener Rochester USA T. Bisgaard Copenhagen Denmark R. Bittner Stuttgart Germany H.J. Bonjer Amsterdam the Netherlands K. Bury Gdansk Poland G. Campanelli Milan Italy D.C. Chen Los Angeles USA P.K. Chowbey New Delhi India J. Conze Műnchen Germany D. Cuccurullo Naples Italy A.C. de Beaux Edinburgh United Kingdom H.H. Eker Amsterdam the Netherlands R.J. Fitzgibbons Creighton USA R.H. Fortelny Vienna Austria J.F. Gillion Antony France B.J. van den Heuvel Amsterdam the Netherlands W.W. Hope Wilmington USA L.N. Jorgensen Copenhagen Denmark U. Klinge Aachen Germany F. Köckerling Berlin Germany J.F. Kukleta Zurich Switserland I. Konate Saint Louis Senegal A.L. Liem Utrecht the Netherlands D. Lomanto Singapore Singapore M.J.A. Loos Veldhoven the Netherlands 2 M. Lopez-Cano Barcelona Spain M. Miserez Leuven Belgium M.C. Misra New Delhi India A. Montgomery Malmö Sweden S. Morales-Conde Sevilla Spain F.E. Muysoms Ghent Belgium H. -
IPEG's 25Th Annual Congress Forendosurgery in Children
IPEG’s 25th Annual Congress for Endosurgery in Children Held in conjunction with JSPS, AAPS, and WOFAPS May 24-28, 2016 Fukuoka, Japan HELD AT THE HILTON FUKUOKA SEA HAWK FINAL PROGRAM 2016 LY 3m ON m s ® s e d’ a rl le o r W YOU ASKED… JustRight Surgical delivered W r o e r l ld p ’s ta O s NL mm Y classic 5 IPEG…. Now it’s your turn RIGHT Come try these instruments in the Hands-On Lab: SIZE. High Fidelity Neonatal Course RIGHT for the Advanced Learner Tuesday May 24, 2016 FIT. 2:00pm - 6:00pm RIGHT 357 S. McCaslin, #120 | Louisville, CO 80027 CHOICE. 720-287-7130 | 866-683-1743 | www.justrightsurgical.com th IPEG’s 25 Annual Congress Welcome Message for Endosurgery in Children Dear Colleagues, May 24-28, 2016 Fukuoka, Japan On behalf of our IPEG family, I have the privilege to welcome you all to the 25th Congress of the THE HILTON FUKUOKA SEA HAWK International Pediatric Endosurgery Group (IPEG) in 810-8650, Fukuoka-shi, 2-2-3 Jigyohama, Fukuoka, Japan in May of 2016. Chuo-ku, Japan T: +81-92-844 8111 F: +81-92-844 7887 This will be a special Congress for IPEG. We have paired up with the Pacific Association of Pediatric Surgeons International Pediatric Endosurgery Group (IPEG) and the Japanese Society of Pediatric Surgeons to hold 11300 W. Olympic Blvd, Suite 600 a combined meeting that will add to our always-exciting Los Angeles, CA 90064 IPEG sessions a fantastic opportunity to interact and T: +1 310.437.0553 F: +1 310.437.0585 learn from the members of those two surgical societies. -
The Short Esophagus—Lengthening Techniques
10 Review Article Page 1 of 10 The short esophagus—lengthening techniques Reginald C. W. Bell, Katherine Freeman Institute of Esophageal and Reflux Surgery, Englewood, CO, USA Contributions: (I) Conception and design: RCW Bell; (II) Administrative support: RCW Bell; (III) Provision of the article study materials or patients: RCW Bell; (IV) Collection and assembly of data: RCW Bell; (V) Data analysis and interpretation: RCW Bell; (VI) Manuscript writing: All authors; (VII) Final approval of manuscript: All authors. Correspondence to: Reginald C. W. Bell. Institute of Esophageal and Reflux Surgery, 499 E Hampden Ave., Suite 400, Englewood, CO 80113, USA. Email: [email protected]. Abstract: Conditions resulting in esophageal damage and hiatal hernia may pull the esophagogastric junction up into the mediastinum. During surgery to treat gastroesophageal reflux or hiatal hernia, routine mobilization of the esophagus may not bring the esophagogastric junction sufficiently below the diaphragm to provide adequate repair of the hernia or to enable adequate control of gastroesophageal reflux. This ‘short esophagus’ was first described in 1900, gained attention in the 1950 where various methods to treat it were developed, and remains a potential challenge for the contemporary foregut surgeon. Despite frequent discussion in current literature of the need to obtain ‘3 or more centimeters of intra-abdominal esophageal length’, the normal anatomy of the phrenoesophageal membrane, the manner in which length of the mobilized esophagus is measured, as well as the degree to which additional length is required by the bulk of an antireflux procedure are rarely discussed. Understanding of these issues as well as the extent to which esophageal shortening is due to factors such as congenital abnormality, transmural fibrosis, fibrosis limited to the esophageal adventitia, and mediastinal fixation are needed to apply precise surgical technique.