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Monthly publications

#December 2007
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Laparoscopic Collis-Nissen procedure for failed fundoplication
This video shows a laparoscopic Collis-Nissen gastroplasty in a patient with a previous Nissen fundoplication which was performed using an open approach.
Despite an extensive mobilization, it was not possible to achieve an adequate length of intra-abdominal esophagus. A short esophagus was diagnosed and the surgeon performs a Collis gastroplasty. The hiatus is repaired with interrupted non-absorbable sutures. A Nissen fundoplication is performed.
This patient had a previous Nissen fundoplication using an open approach. After extensive mobilization, the surgeons diagnose a short esophagus and perform a Collis gastroplasty. They repair the hiatus with interrupted non-absorbable sutures, and perform a Nissen fundoplication. Once they complete the dissection, the authors assess the length of the esophagus. The video shows the authors placing tape around the gastroesophageal junction at the level of the hiatus. The junction between the stomach and the esophagus is at the level of the hiatus, a sign evocative of a short esophagus.
B Dallemagne, C Solano
Surgical intervention
11 years ago
2270 views
11 likes
0 comments
14:36
Laparoscopic Collis-Nissen procedure for failed fundoplication
This video shows a laparoscopic Collis-Nissen gastroplasty in a patient with a previous Nissen fundoplication which was performed using an open approach.
Despite an extensive mobilization, it was not possible to achieve an adequate length of intra-abdominal esophagus. A short esophagus was diagnosed and the surgeon performs a Collis gastroplasty. The hiatus is repaired with interrupted non-absorbable sutures. A Nissen fundoplication is performed.
This patient had a previous Nissen fundoplication using an open approach. After extensive mobilization, the surgeons diagnose a short esophagus and perform a Collis gastroplasty. They repair the hiatus with interrupted non-absorbable sutures, and perform a Nissen fundoplication. Once they complete the dissection, the authors assess the length of the esophagus. The video shows the authors placing tape around the gastroesophageal junction at the level of the hiatus. The junction between the stomach and the esophagus is at the level of the hiatus, a sign evocative of a short esophagus.
Laparoscopic gastric bypass after failed Mason procedure
This video shows a redo gastric bypass in a patient who had previously failed to lose weight after a Mason procedure. The correction of the culprit gastrogastric fistula is demonstrated as well as the performance of the subsequent 'gold standard' operation.
This video shows a re-do gastric bypass in a patient who had previously failed to lose weight after a Mason procedure. The correction of the gastrogastric fistula is demonstrated as well as the performance of the subsequent “gold standard” operation. Once the fistula is fully isolated, the authors divide it using a 60mm Endo-GIA. The video shows the tract of the fistula has completely skeletonized. The gastrogastric fistula is clearly visible.
M Vix, D Varela, J Marescaux
Surgical intervention
11 years ago
1066 views
6 likes
0 comments
14:52
Laparoscopic gastric bypass after failed Mason procedure
This video shows a redo gastric bypass in a patient who had previously failed to lose weight after a Mason procedure. The correction of the culprit gastrogastric fistula is demonstrated as well as the performance of the subsequent 'gold standard' operation.
This video shows a re-do gastric bypass in a patient who had previously failed to lose weight after a Mason procedure. The correction of the gastrogastric fistula is demonstrated as well as the performance of the subsequent “gold standard” operation. Once the fistula is fully isolated, the authors divide it using a 60mm Endo-GIA. The video shows the tract of the fistula has completely skeletonized. The gastrogastric fistula is clearly visible.
Laparoscopic treatment of acute small bowel obstruction: multiple cases of laparoscopic adhesiolysis
The video shows the laparoscopic management of three separate cases of acute small bowel obstruction secondary to adhesions. The difficulties and advantages of such an approach in this emergency scenario are discussed.
The author begins by inserting a trocar in the umbilicus. Upon exploration of the abdominal cavity, intestinal obstruction becomes clearly evident from the presence of dilated loops and flattened, collapsed loops. The author follows the collapsed loops until the transition zone is identified. The adhesions appear between the greater omentum and the mesentery. This band is divided. Further exploration leads to the finding of a second adhesion. This area shows no signs of occlusion. The author divides this adhesion. Exploration of the remainder of the small bowel continues to rule out further adhesions.
F Costantino, J Marescaux
Surgical intervention
11 years ago
3869 views
44 likes
0 comments
09:41
Laparoscopic treatment of acute small bowel obstruction: multiple cases of laparoscopic adhesiolysis
The video shows the laparoscopic management of three separate cases of acute small bowel obstruction secondary to adhesions. The difficulties and advantages of such an approach in this emergency scenario are discussed.
The author begins by inserting a trocar in the umbilicus. Upon exploration of the abdominal cavity, intestinal obstruction becomes clearly evident from the presence of dilated loops and flattened, collapsed loops. The author follows the collapsed loops until the transition zone is identified. The adhesions appear between the greater omentum and the mesentery. This band is divided. Further exploration leads to the finding of a second adhesion. This area shows no signs of occlusion. The author divides this adhesion. Exploration of the remainder of the small bowel continues to rule out further adhesions.