We use cookies to offer you an optimal experience on our website. By browsing our website, you accept the use of cookies.

Mayilone ARUMUGASAMY

Beaumont Hospital
Dublin, Ireland
MCh, FRCSI
586 likes
11995 views
2 comments
Filter by
Clear filter Specialty
View more

Clear filter Media type
View more
Clear filter Category
View more
Minimally invasive management of an epiphrenic diverticulum
We present the case of a 65-year-old gentleman who was referred to our department with long standing symptoms of dysphagia, reflux, and regurgitation. An esophagogastroduodenoscopy (EGD) was initially performed to evaluate his symptoms and showed food residue in the esophagus and a wide-necked epiphrenic diverticulum extending from 38 to 41cm with superficial ulceration within it. The esophagogastric junction was at 45cm and appeared tight, which was consistent with the appearance of achalasia. A subsequent barium swallow and manometric studies confirmed the endoscopic findings. A minimally invasive laparoscopic approach was adopted for trans-hiatal dissection and diverticulectomy. Heller’s myotomy combined with an anti-reflux procedure was also performed to deal with the underlying achalasia as the cause of this pulsion diverticulum. The patient’s postoperative recovery was uneventful with complete resolution of his symptoms.
WT Butt, M Arumugasamy
Surgical intervention
1 year ago
978 views
60 likes
0 comments
08:19
Minimally invasive management of an epiphrenic diverticulum
We present the case of a 65-year-old gentleman who was referred to our department with long standing symptoms of dysphagia, reflux, and regurgitation. An esophagogastroduodenoscopy (EGD) was initially performed to evaluate his symptoms and showed food residue in the esophagus and a wide-necked epiphrenic diverticulum extending from 38 to 41cm with superficial ulceration within it. The esophagogastric junction was at 45cm and appeared tight, which was consistent with the appearance of achalasia. A subsequent barium swallow and manometric studies confirmed the endoscopic findings. A minimally invasive laparoscopic approach was adopted for trans-hiatal dissection and diverticulectomy. Heller’s myotomy combined with an anti-reflux procedure was also performed to deal with the underlying achalasia as the cause of this pulsion diverticulum. The patient’s postoperative recovery was uneventful with complete resolution of his symptoms.
Totally laparoscopic gastrectomy and D2 lymphadenectomy with repair of a positive leak test
The objective of this video is to demonstrate a laparoscopic total gastrectomy with D2 lymphadenectomy for antral gastric cancer. The patient we present is a 40 year-old gentleman who presented with epigastric pain. Endoscopy revealed a neoplastic lesion at the gastric antrum. Biopsies confirmed the presence of an adenocarcinoma. This was staged as a T2 lesion and there was no distant metastasis. A total gastrectomy was planned using a total laparoscopic approach. For reconstruction, the authors used a Roux En Y esophagojejunal anastomosis using the transoral delivery of the OrVil® device (Covidien, Mansfield, MA, USA). We also demonstrate how to deal with a positive intraoperative leak test at the end of the procedure.
AE Salih, S Smolarek, SA Naqi, M Arumugasamy
Surgical intervention
2 years ago
6406 views
402 likes
1 comment
12:35
Totally laparoscopic gastrectomy and D2 lymphadenectomy with repair of a positive leak test
The objective of this video is to demonstrate a laparoscopic total gastrectomy with D2 lymphadenectomy for antral gastric cancer. The patient we present is a 40 year-old gentleman who presented with epigastric pain. Endoscopy revealed a neoplastic lesion at the gastric antrum. Biopsies confirmed the presence of an adenocarcinoma. This was staged as a T2 lesion and there was no distant metastasis. A total gastrectomy was planned using a total laparoscopic approach. For reconstruction, the authors used a Roux En Y esophagojejunal anastomosis using the transoral delivery of the OrVil® device (Covidien, Mansfield, MA, USA). We also demonstrate how to deal with a positive intraoperative leak test at the end of the procedure.
Laparoscopic gastric pacing
We present the case of a 38-year-old woman with intractable gastroparesis. Her background history was significant for type I diabetes mellitus (DM), a pancreas kidney transplant in 2006, Nissen fundoplication, gastrotomy for bleeding Dieulafoy’s lesion, diabetic retinopathy, peripheral vascular disease, and gastroparesis which was diagnosed in 2007. She complained of daily vomiting, early satiety, abdominal discomfort, nocturnal diarrhea, and significant weight loss. In addition, she had required multiple hospital admissions with severe electrolyte derangement and repeat OGDs. Her symptoms were refractory to motility agents and to Botox therapy. Following a multidisciplinary discussion, she was offered a gastric stimulator. We present a laparoscopic approach to gastric stimulator insertion. The device that we use is the Medtronic Enterra® therapy system. The patient was discharged well after 48 hours. At a follow-up of 4 weeks, her symptoms had improved significantly: her vomiting had reduced to once per week, and she no longer suffered from nocturnal diarrhea. At a follow-up of 3 months, her vomiting had ceased completely and she was gaining weight. The patient returned to work and to normal daily activities.
D Joyce, S Patchett, D Hickey, M Arumugasamy
Surgical intervention
5 years ago
1178 views
33 likes
0 comments
07:01
Laparoscopic gastric pacing
We present the case of a 38-year-old woman with intractable gastroparesis. Her background history was significant for type I diabetes mellitus (DM), a pancreas kidney transplant in 2006, Nissen fundoplication, gastrotomy for bleeding Dieulafoy’s lesion, diabetic retinopathy, peripheral vascular disease, and gastroparesis which was diagnosed in 2007. She complained of daily vomiting, early satiety, abdominal discomfort, nocturnal diarrhea, and significant weight loss. In addition, she had required multiple hospital admissions with severe electrolyte derangement and repeat OGDs. Her symptoms were refractory to motility agents and to Botox therapy. Following a multidisciplinary discussion, she was offered a gastric stimulator. We present a laparoscopic approach to gastric stimulator insertion. The device that we use is the Medtronic Enterra® therapy system. The patient was discharged well after 48 hours. At a follow-up of 4 weeks, her symptoms had improved significantly: her vomiting had reduced to once per week, and she no longer suffered from nocturnal diarrhea. At a follow-up of 3 months, her vomiting had ceased completely and she was gaining weight. The patient returned to work and to normal daily activities.
Laparoscopic resection of gastric gastrointestinal stromal tumours
We demonstrate two minimally invasive approaches for the management of gastric gastrointestinal stromal tumours (GIST). GISTs are the most common mesenchymal neoplasms of the gastroinstestinal tract. About 50% of GISTs are located in the stomach which makes it the most frequent location. GISTs can be totally intraluminal or extraluminal. In this film, we demonstrate two approaches for the removal of gastric GIST, depending upon the site of tumour. The majority of patients are diagnosed incidentally or present with vague symptoms. GISTs can also present with upper gastrointestinal bleeding as in our first case. We demonstrate that laparoscopic GIST resection is safe and effective.
SA Naqi, S Rajendran, M Arumugasamy
Surgical intervention
5 years ago
3433 views
91 likes
1 comment
13:47
Laparoscopic resection of gastric gastrointestinal stromal tumours
We demonstrate two minimally invasive approaches for the management of gastric gastrointestinal stromal tumours (GIST). GISTs are the most common mesenchymal neoplasms of the gastroinstestinal tract. About 50% of GISTs are located in the stomach which makes it the most frequent location. GISTs can be totally intraluminal or extraluminal. In this film, we demonstrate two approaches for the removal of gastric GIST, depending upon the site of tumour. The majority of patients are diagnosed incidentally or present with vague symptoms. GISTs can also present with upper gastrointestinal bleeding as in our first case. We demonstrate that laparoscopic GIST resection is safe and effective.