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Journals JSLS : Journal of the Society ...

JSLS : Journal of the Society of Laparoendoscopic Surgeons

https://read.qxmd.com/read/38405217/early-experience-with-the-senhance-surgical-system-in-bariatric-surgery
#1
JOURNAL ARTICLE
Tuan Tran, Francisco Irizarry, Shreya Gunda, Denise Danos, Michael Cook
BACKGROUND AND OBJECTIVES: Robotic-assisted surgery advancements have paralleled growing bariatric surgery demands. The Senhance robotic platform offers an alternative to the da Vinci surgical system but there are limited studies evaluating the Senhance system in bariatric surgery. This study aims to review a single surgeon's experience comparing outcomes between traditional laparoscopic and Senhance-assisted sleeve gastrectomy. MATERIALS AND METHODS: All sleeve gastrectomies performed laparoscopically, Senhance-assisted, or da Vinci-assisted by a single surgeon at an academic center from January 2019 to July 2021 were retrospectively reviewed...
2024: JSLS: Journal of the Society of Laparoendoscopic Surgeons
https://read.qxmd.com/read/38405216/limitations-in-medical-research-recognition-influence-and-warning
#2
JOURNAL ARTICLE
Douglas E Ott
BACKGROUND: As the number of limitations increases in a medical research article, their consequences multiply and the validity of findings decreases. How often do limitations occur in a medical article? What are the implications of limitation interaction? How often are the conclusions hedged in their explanation? OBJECTIVE: To identify the number, type, and frequency of limitations and words used to describe conclusion(s) in medical research articles. METHODS: Search, analysis, and evaluation of open access research articles from 2021 and 2022 from the Journal of the Society of Laparoscopic and Robotic Surgery and 2022 Surgical Endoscopy for type(s) of limitation(s) admitted to by author(s) and the number of times they occurred...
2024: JSLS: Journal of the Society of Laparoendoscopic Surgeons
https://read.qxmd.com/read/38226337/spinal-anesthesia-prior-to-laparoscopic-hysterectomy-resulted-in-decreased-postoperative-pain-and-opioid-use
#3
JOURNAL ARTICLE
Kaitlin A Warta, Xiaoyin Lu, Tam D Nguyen, Robert M Shakar, Todd M Beste
STUDY OBJECTIVE: To determine if a pre-operative morphine/bupivacaine spinal injection prior to laparoscopic hysterectomy reduced postoperative pain and resulted in less opioid consumption during the hospital stay. METHODS: A retrospective cohort study (Canadian Task Force Classification II-2) was conducted at a single institution regional referral center (community hospital) in North Carolina. Three hundred nineteen patients met criteria for inclusion: 192 received spinal anesthesia and 127 did not...
2023: JSLS: Journal of the Society of Laparoendoscopic Surgeons
https://read.qxmd.com/read/38045820/propensity-score-matched-comparison-of-robotic-single-site-and-laparoscopic-cholecystectomy
#4
JOURNAL ARTICLE
Eun Jeong Jang, Sung Hwa Kang, Kwan Woo Kim
BACKGROUND AND OBJECTIVES: To demonstrate the feasibility and potential of robotic single-site cholecystectomy, the study aimed to compare it with conventional laparoscopic cholecystectomy. METHODS: In total, 791 consecutive patients underwent conventional laparoscopic cholecystectomy or robotic single-site cholecystectomy at our center between 2019 and 2022. After 1:1 propensity score matching, 117 patients for each group were selected. RESULTS: After propensity score matching, the only statistically significant difference between conventional laparoscopic cholecystectomy and robotic single-site cholecystectomy was operative time, which was 29...
2023: JSLS: Journal of the Society of Laparoendoscopic Surgeons
https://read.qxmd.com/read/38045819/energy-device-preferences-among-gynecologic-surgeons
#5
JOURNAL ARTICLE
Lulu Yu, Adaeze A Emeka, Princess Urbina, Linda C Yang, Susan C Tsai, Angela Chaudhari, Magdy P Milad
BACKGROUND AND OBJECTIVES: Multiple vessel-sealing devices are available for use during laparoscopy. The objective of this study is to determine what surgeon-level and device characteristics influence the choice of advanced energy device during gynecologic laparoscopy. METHODS: This is a national cross-sectional study of gynecologic surgeons conducted via social media, utilizing an online, publicly-available, anonymous survey. Gynecologic surgeons who had completed residency training were approached for participation in the survey...
2023: JSLS: Journal of the Society of Laparoendoscopic Surgeons
https://read.qxmd.com/read/38045818/modified-open-anterior-preperitoneal-repair
#6
RANDOMIZED CONTROLLED TRIAL
Rajeev Sinha, Albail S Yadav, Yasharth Sharma, Swarnava Chanda, Om Kumar Sharma, Nalin Srivastava
BACKGROUND AND OBJECTIVES: Modified anterior preperitoneal (mAPP) repair for inguinal hernia (IH) was compared with Lichtenstein repair (LR) and laparoscopic transabdominal preperitoneal (TAPP) repairs. METHODS: IH patients, after exclusions and subsequent matching for age, type, and extent of hernia, were assigned randomly for mAPP, LR or TAPP repair. The same surgical team performed all operations. Data of predefined endpoints for all the three groups were statistically compared...
2023: JSLS: Journal of the Society of Laparoendoscopic Surgeons
https://read.qxmd.com/read/38045817/uterine-weight-and-perioperative-morbidity-in-robotic-assisted-versus-conventional-laparoscopic-hysterectomy
#7
JOURNAL ARTICLE
Courtney K Pfeuti, Lianteng Zhi, Matthew K Hoffman
BACKGROUND AND OBJECTIVES: Minimally invasive approaches to benign hysterectomy are the current standard of care when feasible. Use of robotic-assisted laparoscopic hysterectomy (RA-LH) has been increasing; however, direct comparative data that accounts for uterine weight in conventional laparoscopic hysterectomy (CLH) and RA-LH is limited. We sought to examine the impact of uterine weight on immediate perioperative morbidity in CLH versus RA-LH. The primary outcome was a composite of complications including visceral injuries, conversions to abdominal procedures, and transfusions...
2023: JSLS: Journal of the Society of Laparoendoscopic Surgeons
https://read.qxmd.com/read/37936580/development-of-medical-shark-skin-forceps-improved-grasping-power-and-easy-manipulation
#8
JOURNAL ARTICLE
Yuma Takamura, Tetsuro Tominaga, Rui Zhu, Ikuo Yamamoto, Keitaro Matsumoto, Takeshi Nagayasu
BACKGROUND AND OBJECTIVES: Important safety requirements for forceps used in surgical procedures are the ability to stably grasp fine tissue and to cause minimal tissue damage. Shark skin has the structural feature of circumpolar scales, which increase the frictional force of the scales by roughening their surface. We have developed and patented medical forceps with a shark skin pattern placed on the tip surfaces. The aim of this study was to examine the safety and efficacy of the shark skin forceps compared with existing forceps, both fundamentally and clinically...
2023: JSLS: Journal of the Society of Laparoendoscopic Surgeons
https://read.qxmd.com/read/37829174/bariatric-surgery-in-the-elderly-population-a-multi-surgeon-single-institution-retrospective-review
#9
JOURNAL ARTICLE
Michael Kachmar, Isaac Soliman, Nicholas Mason, Christopher Sandifer, Charalampos Papachritou, Adam Goldstein, Adeshola Fakulujo, Louis Balsama, Marc Neff
BACKGROUND: As the population continues to age, the number of elderly patients affected by obesity is rising. Metabolic and bariatric surgery (MBS) can benefit elderly patients seeking treatment for obesity and its related diseases. We aimed to quantify percent excess weight loss (%EWL) for elderly patients (≥ 65) undergoing MBS at a single institution and compare our results to %EWL previously reported for general and elderly populations. Additionally, we believe the safety and effectiveness of MBS is repeatable in our community setting...
2023: JSLS: Journal of the Society of Laparoendoscopic Surgeons
https://read.qxmd.com/read/37829173/effectiveness-and-cost-of-stenting-in-ureteral-injury-in-colorectal-surgeries-in-the-us-2015-2019
#10
JOURNAL ARTICLE
Ana Filipa Alexandre, Tomomi Kimura, Qi Feng, Wei Han, Emily Shortridge, Jason Schwartz, Steven D Wexner
BACKGROUND: Intraoperative ureteral injury (IUI) during colorectal surgery can have devastating consequences. This study aimed to assess the clinical and economic impact of pre-operative ureteral stenting in colorectal surgeries. METHODS: A retrospective cohort study was conducted using United States hospital data (October 2015 - December 2019). IUI incidence was examined across selected inpatient surgery types (elective colectomy, enterectomy, proctectomy, enterostomy, other colorectal procedures; emergency colectomy)...
2023: JSLS: Journal of the Society of Laparoendoscopic Surgeons
https://read.qxmd.com/read/37746521/iatrogenic-thermal-energy-induced-distal-ureteric-injury-and-its-management-by-laparoscopy-ureteroureterostomy
#11
JOURNAL ARTICLE
Dipak Limbachiya, Rajnish Tiwari, Rashmi Kumari
BACKGROUND AND OBJECTIVES: Most thermal energy-induced distal ureter injuries are missed intraoperatively as they are caused by delayed ischemia-induced necrosis of the affected part leading to fistula, and a delayed presentation. The injuries of the distal ureter are commonly managed by ureteroneocystostomy, which has long-term complications related to vesico-ureteric reflux (VUR). We present our experience of management of distal ureter injury due to thermal energy by laparoscopy ureteroureterostomy and the role of various methodologies for its diagnosis...
2023: JSLS: Journal of the Society of Laparoendoscopic Surgeons
https://read.qxmd.com/read/37746520/implementation-of-a-robotic-gynecologic-surgery-program-in-a-rural-setting-impact-on-presence-of-assistant-surgeon-and-route-of-hysterectomy
#12
JOURNAL ARTICLE
Natasha R Alligood-Percoco, Angela D Huggler, Alexandra N McQuillen
BACKGROUND AND OBJECTIVES: Robotic surgical technology may obviate the need for an assistant surgeon when performing hysterectomy. In rural communities where physician shortages remain a major barrier to healthcare access, reducing the number of surgeons necessary to complete a hysterectomy would be of significant consequence. We sought to investigate the impact of robotic surgery on both the presence of an assistant surgeon and route of hysterectomy following implementation of a robotic surgery program at a single-site community hospital...
2023: JSLS: Journal of the Society of Laparoendoscopic Surgeons
https://read.qxmd.com/read/37746519/prospective-study-on-the-use-of-endo-stapler-for-enclosed-colpotomy-to-prevent-tumor-spillage-in-gynecologic-oncology-minimally-invasive-surgeries
#13
JOURNAL ARTICLE
Dipak Limbachiya, Rajnish Tiwari, Rashmi Kumari
BACKGROUND AND OBJECTIVES: This is a prospective trial of the endo-stapler application for vaginal closure before colpotomy in cases of carcinoma endometrium and carcinoma cervix, managed by minimally invasive surgery with due consideration of its surgical technique and short-term oncologic follow-up outcomes. METHODS: This was a prospective, single center study completed between March 1, 2020 and December 31, 2022. A total of 62 patients (43 cases of carcinoma endometrium and 19 cases of carcinoma cervix) were recruited for the study...
2023: JSLS: Journal of the Society of Laparoendoscopic Surgeons
https://read.qxmd.com/read/37663434/assessment-of-pre-operative-vaginal-preparation-for-laparoscopic-hysterectomy
#14
JOURNAL ARTICLE
Michelle Marinone, Jonathan Serino, Stephanie Stroever, Nicole Brzozowski, Andrea Kliss, David Doo, Linus Chuang
OBJECTIVE: Determine the difference in microbial growth from the vagina and uterine manipulator among patients undergoing laparoscopic hysterectomy after randomization to one of three vaginal preparation solutions (10% Povidone-iodine, 2% Chlorhexidine, or 4% Chlorhexidine). METHOD: This was a prospective randomized controlled trial in an academic community hospital. Patients were ≥ 18 years old and scheduled for laparoscopic hysterectomy for benign and malignant indications...
2023: JSLS: Journal of the Society of Laparoendoscopic Surgeons
https://read.qxmd.com/read/37663433/carbon-dioxide-emissions-and-environmental-impact-of-different-surgical-modalities-of-hysterectomies
#15
JOURNAL ARTICLE
Sangeeta Ramani, Josette Hartnett, Shweta Karki, Stephen M Gallousis, Mitchell Clark, Vaagn Andikyan
BACKGROUND AND OBJECTIVES: The objectives of this study were to determine carbon dioxide (CO2 ) emissions generated from nonreusable waste and compare across different types of hysterectomies for benign and malignant indications. Overall greenhouse gas emissions were not examined. METHODS: This is a prospective cohort study that identified women undergoing a robotic assisted, laparoscopic, vaginal, or abdominal hysterectomy for any indication. The amount of waste generated was collected for each case, along with patient demographics, and details of the procedure...
2023: JSLS: Journal of the Society of Laparoendoscopic Surgeons
https://read.qxmd.com/read/37663432/technical-tips-following-850-consecutive-one-anastomosis-gastric-bypass-oagb-patients
#16
JOURNAL ARTICLE
Mohit Bhatia, Sharmila Vijayan, Elia Azir, Shamsi El-Hasanii
BACKGROUND: The surgical procedure One Anastomosis Gastric Bypass (OAGB) has become widely used worldwide. Since its inception, many modifications have been introduced to improve results. OBJECTIVES: The primary aim of this study was to share the modifications that we have introduced to our OAGB technique after reflecting on the problems and complications we have faced during the evolution of this procedure in our unit. METHOD: A total of 850 patients who underwent OAGB under the same surgical team at two different hospitals in the United Kingdom were displayed according to demography and comorbidities...
2023: JSLS: Journal of the Society of Laparoendoscopic Surgeons
https://read.qxmd.com/read/37663431/robo-lap-approach-optimizes-intraoperative-outcomes-in-robotic-left-and-right-hepatectomy
#17
JOURNAL ARTICLE
Francesca Ratti, Rebecca Marino, Sara Ingallinella, Lucrezia Clocchiatti, Diletta Corallino, Marco Catena, Luca Aldrighetti
BACKGROUND: The aim of the present study is to evaluate the possible advantages of the Robo-Lap (parenchymal transection by laparoscopic ultrasonic dissector and robotic bipolar forceps and scissors) compared with pure robotic technique (parenchymal transection by use of robotic bipolar forceps and scissors) in major anatomical liver resections with specific focus on intraoperative outcomes. METHODS: Major liver resections performed by robotic approach between February 1, 2021 and March 31, 2023 were stratified into two groups according to the approach used to address the phase of liver transection; Pure Robotic Group (n = 21) versus Robo-Lap Group (n = 48)...
2023: JSLS: Journal of the Society of Laparoendoscopic Surgeons
https://read.qxmd.com/read/37522106/credentialing-and-patient-safety-in-robotic-gynecologic-surgery-changes-over-the-last-eight-years
#18
JOURNAL ARTICLE
R Gina Silverstein, Kristin J Moore, Erin T Carey, Lauren D Schiff
BACKGROUND AND OBJECTIVES: Robotic gynecologic surgery has outpaced data showing risks and benefits related to cost, quality outcomes, and patient safety. We aimed to assess how credentialing standards and perceptions of safe use of robotic gynecologic surgery have changed over time. METHODS: An anonymous, online survey was distributed in 2013 and in 2021 to attending surgeons and trainees in accredited obstetrics and gynecology residency programs. RESULTS: There were 367 respondents; 265 in 2013 and 102 in 2021...
2023: JSLS: Journal of the Society of Laparoendoscopic Surgeons
https://read.qxmd.com/read/37522105/gynecology-resident-experience-with-office-hysteroscopy-training
#19
JOURNAL ARTICLE
Lindsey Michel, Scott Chudnoff
BACKGROUND: Hysteroscopy is the gold standard for evaluating intrauterine pathology. The majority of physicians currently perform hysteroscopy in the operating room. Lack of training has been cited as a barrier to performing office hysteroscopy; however, resident training in office hysteroscopy has not yet been evaluated. METHODS: A prospective cross-sectional survey was performed. A validated 17 question survey tool was sent to 297 program directors of Accreditation Council for Graduate Medical Education accredited obstetrics and gynecology residency programs for distribution to their residents...
2023: JSLS: Journal of the Society of Laparoendoscopic Surgeons
https://read.qxmd.com/read/37519429/a-surgical-technique-for-closure-of-10-mm-and-larger-laparoscopic-port-fascial-defects-using-a-graham-s-nerve-hook
#20
JOURNAL ARTICLE
Francis Sangwon Lee, Alyxis Mah, Clare Hyunna Lee, Christina Wonna Lee
BACKGROUND AND OBJECTIVES: In order to avoid potential complications from incisional hernias in patients undergoing laparoscopic or robotic procedures with 10 mm or larger ports, a surgeon closes the fascial defects using various techniques. We compared several different techniques of port site closure, which uses the open technique that can be performed with or without laparoscopic visualization. We modified the technique initially described by Dr. H. Aziz. We are introducing a new surgical technique to close the larger port site using Graham's nerve-hook...
2023: JSLS: Journal of the Society of Laparoendoscopic Surgeons
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