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César LÉVANO LINARES

Fundación Jiménez Díaz
Madrid, Spain
MD
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Laparoscopic gastric bypass after open vertical banded gastroplasty
This video shows a laparoscopic reintervention after an open vertical banded gastroplasty in a 51-year-old woman presenting with untreatable gastroesophageal reflux disease (GERD). GERD originated from gastric remnant outlet obstruction. For that reason, we decided to perform a laparoscopic Roux-en-Y gastric bypass. First, very intense adhesions of the greater omentum and the stomach to the parietal peritoneum and the left lobe of the liver are dissected. The gastric remnant is dissected in order to transect it proximally to the stenotic, banded segment. A Roux-en-Y gastric bypass with a 50cm alimentary limb using the OrVil™ orogastric tube and the DST Series™ EEA™ 25mm circular stapling device is performed.
Surgical intervention
3 years ago
1629 views
36 likes
0 comments
12:54
Laparoscopic gastric bypass after open vertical banded gastroplasty
This video shows a laparoscopic reintervention after an open vertical banded gastroplasty in a 51-year-old woman presenting with untreatable gastroesophageal reflux disease (GERD). GERD originated from gastric remnant outlet obstruction. For that reason, we decided to perform a laparoscopic Roux-en-Y gastric bypass. First, very intense adhesions of the greater omentum and the stomach to the parietal peritoneum and the left lobe of the liver are dissected. The gastric remnant is dissected in order to transect it proximally to the stenotic, banded segment. A Roux-en-Y gastric bypass with a 50cm alimentary limb using the OrVil™ orogastric tube and the DST Series™ EEA™ 25mm circular stapling device is performed.
Relaxing incision for crural repair in type III paraesophageal hernia
This video shows the laparoscopic repair of a large type III paraesophageal hernia in a 55-year-old woman. After dissection of the hernia sac, partial resection is performed. Very high intramediastinal dissection of the esophagus is performed, taking special care not to injure the posterior and anterior vagal trunk. First, as the hiatal defect is very large, a right relaxing incision is performed. The crural repair is performed by interrupted Ethibond® 2/0 stitches buttressed with a polypropylene mesh. Finally, the diaphragmatic defect is covered with a non-reabsorbable mesh (Physiomesh™) and a 180-degree posterior fundoplication is performed.
Surgical intervention
3 years ago
2074 views
79 likes
0 comments
09:13
Relaxing incision for crural repair in type III paraesophageal hernia
This video shows the laparoscopic repair of a large type III paraesophageal hernia in a 55-year-old woman. After dissection of the hernia sac, partial resection is performed. Very high intramediastinal dissection of the esophagus is performed, taking special care not to injure the posterior and anterior vagal trunk. First, as the hiatal defect is very large, a right relaxing incision is performed. The crural repair is performed by interrupted Ethibond® 2/0 stitches buttressed with a polypropylene mesh. Finally, the diaphragmatic defect is covered with a non-reabsorbable mesh (Physiomesh™) and a 180-degree posterior fundoplication is performed.