Мы используем файлы cookies, чтобы улучшить работу сайта. Продолжая просматривать наш сайт, вы соглашаетесь на использование файлов cookie.

Michel VIX

Hôpitaux Universitaires de Strasbourg
Strasbourg, Франция
MD
6K лайков
271.1K просмотров
30 комментариев
Фильтр
Очистить Хирургические специальности
Подробнее

Очистить Рубрики
Подробнее
Очистить Категории
Подробнее
Расположение: Список Таблица
Staple line failure during NOTES sleeve gastrectomy
In current surgical practice, the majority of the anastomoses is performed using a stapling device. Despite correct usage, staple line failure might still occur.
Concerning surgical stapling devices, the United States Food and Drug Administration (FDA) received reports of 22,804 malfunctions, 2,180 injuries, and 112 deaths from 1992 to July 1, 2001. These numbers included all types of linear and circular stapling devices as well as clip appliers. The majority of operations reported were gastrointestinal. Failure of stapling devices to function resulted in suture line separation or leak as the most common problem. When interpreting these data, it should be borne in mind that besides the fact that staplers are used very frequently, surgeons have to know the appropriate surgical techniques to inspect and verify staple line defects, and the techniques to employ if issues occur especially when performing complex surgery such as in this case of NOTES sleeve gastrectomy.
Thanks to the high skills of the surgeon, the procedure was completed using only one further port.
M Vix, J Marescaux
Хирургические операции
10 лет назад
1103 просмотров
11 лайков
0 комментариев
06:35
Staple line failure during NOTES sleeve gastrectomy
In current surgical practice, the majority of the anastomoses is performed using a stapling device. Despite correct usage, staple line failure might still occur.
Concerning surgical stapling devices, the United States Food and Drug Administration (FDA) received reports of 22,804 malfunctions, 2,180 injuries, and 112 deaths from 1992 to July 1, 2001. These numbers included all types of linear and circular stapling devices as well as clip appliers. The majority of operations reported were gastrointestinal. Failure of stapling devices to function resulted in suture line separation or leak as the most common problem. When interpreting these data, it should be borne in mind that besides the fact that staplers are used very frequently, surgeons have to know the appropriate surgical techniques to inspect and verify staple line defects, and the techniques to employ if issues occur especially when performing complex surgery such as in this case of NOTES sleeve gastrectomy.
Thanks to the high skills of the surgeon, the procedure was completed using only one further port.
Transvaginal hybrid sleeve gastrectomy in a patient with a BMI of 40: live surgery during a NOTES course
Laparoscopic sleeve gastrectomy is a relatively new procedure, which is gaining popularity for the treatment of morbid obesity. In this live video demonstration from the March 2009 NOTES Advanced Course at IRCAD in Strasbourg, Dr. Michel Vix performs a hybrid natural orifice transluminal endoscopic sleeve gastrectomy using the vagina as the natural orifice and only two operative 5mm ports. It is a very interesting video demonstration showing that sleeve gastrectomy for the treatment of morbid obesity is feasible and safe in selected patients using the hybrid transvaginal mini-laparoscopic-assisted natural orifice surgery.
M Vix, B Dallemagne, D Coumaros, Gf Donatelli
Хирургические операции
10 лет назад
427 просмотров
9 лайков
0 комментариев
15:54
Transvaginal hybrid sleeve gastrectomy in a patient with a BMI of 40: live surgery during a NOTES course
Laparoscopic sleeve gastrectomy is a relatively new procedure, which is gaining popularity for the treatment of morbid obesity. In this live video demonstration from the March 2009 NOTES Advanced Course at IRCAD in Strasbourg, Dr. Michel Vix performs a hybrid natural orifice transluminal endoscopic sleeve gastrectomy using the vagina as the natural orifice and only two operative 5mm ports. It is a very interesting video demonstration showing that sleeve gastrectomy for the treatment of morbid obesity is feasible and safe in selected patients using the hybrid transvaginal mini-laparoscopic-assisted natural orifice surgery.
Gastric bypass: surgical treatment of morbid obesity
Morbid obesity is a major health concern in so many countries. It is associated with severe life-threatening co-morbidities. Unfortunately, many studies have proven that non-surgical approaches to lose weight are doomed to fail. There is good evidence that bariatric surgery is the most enduring and efficacious means of tackling morbid obesity with regards to long-term weight loss.

Roux-en-Y gastric bypass is today one of the gold standard surgeries. It is based on several mechanisms: restriction, malabsorption, and changes in gut hormones secretions.
In this chapter, all aspects of this bariatric procedure such as anatomical details, indications, contraindications, surgical setting and technical details are carefully presented.
M Vix
Операционные методы
10 лет назад
7208 просмотров
166 лайков
0 комментариев
Gastric bypass: surgical treatment of morbid obesity
Morbid obesity is a major health concern in so many countries. It is associated with severe life-threatening co-morbidities. Unfortunately, many studies have proven that non-surgical approaches to lose weight are doomed to fail. There is good evidence that bariatric surgery is the most enduring and efficacious means of tackling morbid obesity with regards to long-term weight loss.

Roux-en-Y gastric bypass is today one of the gold standard surgeries. It is based on several mechanisms: restriction, malabsorption, and changes in gut hormones secretions.
In this chapter, all aspects of this bariatric procedure such as anatomical details, indications, contraindications, surgical setting and technical details are carefully presented.
Laparoscopic Roux-en-Y gastric bypass after vertical banded gastroplasty
Patients who have undergone bariatric surgery and present with upper abdominal symptoms pose a diagnostic and management challenge.
Laparoscopic vertical banded gastroplasty (VBG) is associated with high revisional rates. In the case of failed VBG, repeat VBG seems to be a poor option and conversion to gastric bypass yields better results.
This is the case of a 35-year-old female patient who underwent a vertical banded gastroplasty by laparotomy 8 years ago and presents with dysphagia. A gastroscopy and a contrast swallow exam using radio-opaque markers do not show any fistulas, but peroperative surgical exploration discovers a gastro-gastric fistula. This video clearly shows all the technical aspects of a revisional bariatric procedure.
M Vix, F Costantino, J Marescaux
Хирургические операции
10 лет назад
703 просмотров
30 лайков
0 комментариев
12:17
Laparoscopic Roux-en-Y gastric bypass after vertical banded gastroplasty
Patients who have undergone bariatric surgery and present with upper abdominal symptoms pose a diagnostic and management challenge.
Laparoscopic vertical banded gastroplasty (VBG) is associated with high revisional rates. In the case of failed VBG, repeat VBG seems to be a poor option and conversion to gastric bypass yields better results.
This is the case of a 35-year-old female patient who underwent a vertical banded gastroplasty by laparotomy 8 years ago and presents with dysphagia. A gastroscopy and a contrast swallow exam using radio-opaque markers do not show any fistulas, but peroperative surgical exploration discovers a gastro-gastric fistula. This video clearly shows all the technical aspects of a revisional bariatric procedure.
Minimally invasive video-assisted parathyroidectomy for primary hyperparathyroidism
In recent years, the advances in preoperative localization studies, the availability of intraoperative parathyroid hormone (PTH) assay and the introduction of cervicoscopy revolutionized the surgical treatment of primary hyperparathyroidism (PHPT).
Minimally invasive video-assisted parathyroidectomy (MIVAP) is an efficacious and feasible procedure with the same complication rate as conventional surgery and has significant advantages in terms of cosmetic results, postoperative pain, recovery, and patient satisfaction. MIVAP should be considered a valid and validated option for the treatment of sporadic primary hyperparathyroidism, especially in case of a suspected single adenoma. This video demonstrates a minimally invasive approach for the excision of a right superior parathyroid adenoma in an inter-crico-thyroid position in a 65-year-old female patient.
M Vix, L Soler, J Marescaux
Хирургические операции
10 лет назад
1514 просмотров
29 лайков
0 комментариев
04:46
Minimally invasive video-assisted parathyroidectomy for primary hyperparathyroidism
In recent years, the advances in preoperative localization studies, the availability of intraoperative parathyroid hormone (PTH) assay and the introduction of cervicoscopy revolutionized the surgical treatment of primary hyperparathyroidism (PHPT).
Minimally invasive video-assisted parathyroidectomy (MIVAP) is an efficacious and feasible procedure with the same complication rate as conventional surgery and has significant advantages in terms of cosmetic results, postoperative pain, recovery, and patient satisfaction. MIVAP should be considered a valid and validated option for the treatment of sporadic primary hyperparathyroidism, especially in case of a suspected single adenoma. This video demonstrates a minimally invasive approach for the excision of a right superior parathyroid adenoma in an inter-crico-thyroid position in a 65-year-old female patient.
Laparoscopic gastric bypass in a super-obese male patient (BMI = 54)
Over the years, the Roux-en-Y gastric bypass has been successfully used as one of many surgical treatments to achieve significant long-term weight loss. Through a minimally invasive approach, a faster recovery time with less pain and prompt ambulation is possible. However, this procedure is not free of postoperative complications; pulmonary embolism and cardiac problems can make the recovery of these patients very difficult.
We show a video of a gastric bypass performed live showing all the preoperative and operative settings of the patient in order to avoid complications. The surgical technique is thoroughly explained.
M Vix, J Marescaux
Хирургические операции
10 лет назад
6290 просмотров
26 лайков
0 комментариев
24:36
Laparoscopic gastric bypass in a super-obese male patient (BMI = 54)
Over the years, the Roux-en-Y gastric bypass has been successfully used as one of many surgical treatments to achieve significant long-term weight loss. Through a minimally invasive approach, a faster recovery time with less pain and prompt ambulation is possible. However, this procedure is not free of postoperative complications; pulmonary embolism and cardiac problems can make the recovery of these patients very difficult.
We show a video of a gastric bypass performed live showing all the preoperative and operative settings of the patient in order to avoid complications. The surgical technique is thoroughly explained.