Indocyanine green near-infrared fluorescence imaging guided surgery in laparoscopic complete mesocolic excision for splenic flexure cancer with accessory middle colic artery Finally, a laparoscopic TAP block was performed. The flap was closed with a barbed suture. Self-fixating mesh was placed in the preperitoneal space. The sac was reduced, and the round ligament divided. Intestinal perfusion was assessed with intravenous ICG and deemed adequate. The peritoneal flap was created bilaterally. Incision of the lateral aspect of the muscle and fascia along the medial aspect of the hernia defect allowed reduction of the small bowel. There was evidence of incarcerated small bowel in the left femoral space and an incidental right femoral hernia. Under general anesthesia, the abdomen was insufflated. George's University School of Medicine 2Rutgers New Jersey Medical School General Surgery Residency 3Hackensack University Medical Center. The Feasibility of Robotic Repair of an Incarcerated Femoral Herniaīianca Fischer 1 Jarot Guerra, MD 2 David Weithorn, MD 3 George Mazpule, MD 3 Adam Rosenstock, MD 3 Stephen Pereira, MD 3 1St. We aim to show the technical aspects related to the duodeno-antral resection, intraoperative management, pitfalls, and technical issues during that procedure. Weight regain appeared and the decision was made to convert the patient to a Gastric bypass. We herein, present a 57-year-old female who had a SG due to BMI 52.35 kg/m2 and a planned second stage SADI-S, suffered from severe malnutrition and required conversion to proximal SADJ-S (45 cm from the angle of Treitz). However, this procedure can encounter difficulties in the follow-up. SADI-SG (Single Anastomosis Duodeno-ileal gastric Bypass with Sleeve gastrectomy (SADJ-S) is an accepted option for patients to treat obesity. 2Endocrine, Metabolic and Bariatric Unit, Vall d'Hebron University Hospital, Universitat Autònoma de Barcelona. Vall d'Hebron University Hospital, Universitat Autònoma de Barcelona. Meritxell Pera Ferreruela, Resident 1 Ramon Vilallonga, MD, PhD 2 Amador Garcia Ruiz de Gordejuela 2 Marc Beisani 1 Elsa Garcia Möller, Resident 1 Enric Caubet, MD, PhD 2 Oscar Gonzalez, MD, PhD 2 Jose Manuel Fort 2 Manel Armengol 1 1General surgery Department. Laparoscopic conversion from Single Anastomosis Duodeno-Jejunal Bypass with Sleeve gastrectomy (SADJ-S) to Roux-En-Y Gastric Bypass (GBP). The gastric enterotomies were repaired with endostapler. The mass was found to have negative margins on frozen section. Laparoscopic endoscope was introduced and the mass was resected transluminally with an endostapler. Under endoscopic visualization, two 10 mm trochars and one 5 mm trochar were inserted into the greater curvature. After oncologic evaluation, patient underwent laparoendoscopic transgastric resection. EGD showed a 7.5 cm lesser curvature gastric mass, 1 cm from the gastroesophageal junction. Abdominal ultrasound showed a heterogeneously hypoechoic structure between the left hepatic lobe and pancreatic body. Patient is a 51-year-old-male with epigastric pain. Transgastric Laparoendoscopic R0 Resection of Large Gastrointestinal Stromal Tumor near the Gastroesophageal Junctionīethany Briggs, DO 1 Jeffrey J Kraft, MD 2 Toghrul Talishinskiy, MD, FASMBS, FACS 3 1Bayonne Medical Center, CarePoint Health 2Advance Laparoscopic Associates 3St Joseph's Regional Medical Center. It is a difficult surgery that requires an expert surgeon.
Conversion of paraesophageal hernia with gastric volvulus and necrosis areas to RYGB is a feasible option.
Acute paraesophageal herniation post fundoplication can be suspected by the history of a precipitating event accompanied by typical symptoms.
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We performed a Roux-en-Y Gastric Bypass plus partial gastrectomy. Laparoscopic revisional surgery, reduction of stomach, fundoplication dismantling, gastric necrosis with perforation. Diagnosis of paraesophageal hernia, intrathoracic migration of fundoplication and gastric volvulus. Two months later, presented gastroenteritis, vomiting, suddenly dysphagia, sialorrhea, retrosternal pain. Manuel Aceves, MD, FACS 1 Raul Perez, MD 2 Eric Barragan, MD, FACS 3 Natalia Mendoza, MD 1 1Obesidad y Laparoscopía Avanzada de Occidente 2Hospital Civil de Guadalajara 3IMSSħ3 year old male with GERD, Successful laparoscopic floppy Nissen fundoplication was performed. Revisional Surgery to LRYGB Plus Partial Gastrectomy Intrathoracic Gastric Volvulus Post Nissen Fundoplication.