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Felipe PIROZZI

Ospedale Monaldi
Naples, Italy
MD
659 likes
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Laparoscopic gastroesophageal resection after mesh migration
In this video, we describe a laparoscopic gastroesophageal resection after a mesh migration in a 47-year-old woman diagnosed with a giant paraesophageal hernia. Preoperatively, a barium esophagogram, an upper endoscopy and an esophageal manometry were performed to define the anatomy of the esophagus, stomach and gastroesophageal junction, the esophageal peristalsis and the function of the lower esophageal sphincter (LES) to confirm the diagnosis of paraesophageal hernia. Additionally, a 24-hour pH-monitoring was performed to determine the magnitude of gastroesophageal reflux.
Five months after the first operation, the patient presented with fever and dysphagia for solids with a 15 Kg weight loss.
She underwent a CT-scan of the thorax and the abdomen, a gastrografin X-ray examination and an upper endoscopy, which showed the presence of a mediastinal fistula secondary to mesh migration.
For that reason, the patient received a second surgical treatment consisting in a laparoscopic gastroesophageal resection.
Surgical intervention
6 years ago
2180 views
8 likes
0 comments
16:00
Laparoscopic gastroesophageal resection after mesh migration
In this video, we describe a laparoscopic gastroesophageal resection after a mesh migration in a 47-year-old woman diagnosed with a giant paraesophageal hernia. Preoperatively, a barium esophagogram, an upper endoscopy and an esophageal manometry were performed to define the anatomy of the esophagus, stomach and gastroesophageal junction, the esophageal peristalsis and the function of the lower esophageal sphincter (LES) to confirm the diagnosis of paraesophageal hernia. Additionally, a 24-hour pH-monitoring was performed to determine the magnitude of gastroesophageal reflux.
Five months after the first operation, the patient presented with fever and dysphagia for solids with a 15 Kg weight loss.
She underwent a CT-scan of the thorax and the abdomen, a gastrografin X-ray examination and an upper endoscopy, which showed the presence of a mediastinal fistula secondary to mesh migration.
For that reason, the patient received a second surgical treatment consisting in a laparoscopic gastroesophageal resection.
SILS single port splenectomy in a woman diagnosed with idiopathic thrombocytopenia
Laparoscopic splenectomy (LS) has become the technique of choice for surgical removal of the spleen since its first description in 1991. Indications for LS have rapidly increased and LS is now considered the standard approach for the treatment of benign and malignant hematologic disorders, especially by young patients who find small scars cosmetically preferable.
Single incision laparoscopic surgery (SILS) is a rapidly evolving field as a bridge between traditional laparoscopic surgery and natural orifice transluminal endoscopic surgery. In this video, we present an original technique of SILS splenectomy in a woman diagnosed with idiopathic thrombocytopenia. A 2.2cm left subcostal incision lateral to the rectus muscles was used for the placement of the single port device with conventional laparoscopic instruments, using a Veress needle covered by a small sponge to lift the spleen that was removed through the same incision.
Surgical intervention
6 years ago
2518 views
38 likes
0 comments
05:51
SILS single port splenectomy in a woman diagnosed with idiopathic thrombocytopenia
Laparoscopic splenectomy (LS) has become the technique of choice for surgical removal of the spleen since its first description in 1991. Indications for LS have rapidly increased and LS is now considered the standard approach for the treatment of benign and malignant hematologic disorders, especially by young patients who find small scars cosmetically preferable.
Single incision laparoscopic surgery (SILS) is a rapidly evolving field as a bridge between traditional laparoscopic surgery and natural orifice transluminal endoscopic surgery. In this video, we present an original technique of SILS splenectomy in a woman diagnosed with idiopathic thrombocytopenia. A 2.2cm left subcostal incision lateral to the rectus muscles was used for the placement of the single port device with conventional laparoscopic instruments, using a Veress needle covered by a small sponge to lift the spleen that was removed through the same incision.