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BACKGROUND AND OBJECTIVES Mesh fixation in laparoscopic ventral hernia repair typically involves the use of tacks, transabdominal permanent sutures, or both of these. We compared postoperative pain after repair with either of these 2 methods. METHODS Patients undergoing laparoscopic ventral hernia repair at the Mount Sinai Medical Center were… (More)
OBJECTIVES Elective laparoscopic surgery for recurrent, uncomplicated diverticular disease is considered safe and effective; however, little data exist on complicated cases. We investigated laparoscopic sigmoid resection for diverticulitis complicated by fistulae. METHODS We conducted a retrospective review of patients who underwent laparoscopic treatment… (More)
INTRODUCTION The optimal method of umbilical hernia repair (UHR) in the obese population, laparoscopic vs open, is not standardized. The purpose of this study was to determine the optimal surgical option for UHR in the obese population. METHODS A retrospective chart review was conducted on 123 obese patients (body mass index [BMI] >30) who underwent UHR… (More)
BACKGROUND Large adrenal tumors were initially believed to be a relative contraindication to laparoscopic adrenalectomy. METHODS Here we discuss the case of a 42-year-old female with a 12-cm adrenal mass. RESULTS The patient underwent successful laparoscopic resection, and pathology revealed a cavernous hemangioma, a rare benign tumor of the adrenal… (More)
Myelolipomas are rare, benign nonfunctioning tumors, most commonly found in the adrenal glands. At least 43 cases of extra adrenal myelolipomas have been reported, with at least 50% of these reported cases occurring in the presacral region. Herein we report a case of presacral myelolipoma managed laparoscopically.
BACKGROUND AND OBJECTIVES Gastrostomy tube insertion for enteral access may be performed through laparotomy (open) or through the laparoscopic approach. This study's purpose is to compare outcomes of these different approaches. METHODS A retrospective chart review of all patients (age >18 years) who underwent insertion of a gastrostomy tube as a single… (More)
We present the case of a 52-year-old female with recurrent symptomatic ascending colon diverticulitis who ultimately underwent elective laparoscopic right hemicolectomy. The following is a case report and literature review pertaining to right colonic diverticular disease.
INTRODUCTION Both polyester composite (POC) and polytetrafluoroethylene (PTFE) mesh are commonly used for laparoscopic ventral hernia repair. However, sparse information exists comparing perioperative and long-term outcome by mesh repair. METHODS A prospective database was utilized to identify 116 consecutive patients who underwent laparoscopic ventral… (More)
Intussusception after Roux-en-Y gastric bypass is more common than previously believed. It usually occurs between one and three years post-operatively, though we present a case that presented with a retrograde intussusception necessitating bowel resection seven years after a laparoscpic Roux-en-Y gastric bypass. The diagnosis and etiological theories are… (More)
BACKGROUND AND OBJECTIVES Laparoscopic gastrojejunostomy (LGJ) has been proposed as the technique preferred over open gastrojejunostomy for relieving gastric outlet obstruction (GOO) due to malignant and benign disease. This study investigates the feasibility and safety of LGJ for GOO. METHODS A retrospective review was performed of patients who underwent… (More)