Title: Robotic Abdominal Wall Reconstruction
The field of abdominal wall reconstruction has experienced the progression of minimally invasive techniques including the robotic approach, which enables surgeons to perform the most advanced operations with minimal tissue trauma, decreased risk of complications, and improved ergonomics which mimic the human hand movements with enhanced visualization. The robotic applications in complex abdominal wall reconstruction surgery for ventral, incisional, and umbilical hernia repair in high-risk patients have revolutionized the way in which surgery is performed in the United States and other countries. This highly dynamic and technically difficult subspecialty of General Surgery has witnessed the production of high-quality randomized controlled trials, meta analyses, prospective and retrospective cohort studies which have established, in many instances, superior results to those of laparoscopy and at least non-inferior outcomes. The following lecture will present an abbreviated yet thorough overview of the current status of robotic abdominal wall reconstruction surgery. It will also illustrate the advances that have been achieved to date as a product of perseverance, determination, and the pursuit of innovation with patient safety as the priority.
Rodolfo J. Oviedo, MD, FACS, FASMBS graduated from medical school at The University of Texas at San Antonio in 2007, and from Houston Methodist General Surgery Residency Program in 2013. He decided to pursue an Advanced Minimally Invasive Gastrointestinal and Bariatric Surgery Fellowship at Baptist Hospital of Miami from 2017 to 2018. He is a board-certified and fellowship-trained metabolic and bariatric surgeon, robotic advanced gastrointestinal and general surgeon, and flexible endoscopic surgeon. He is a Diplomate of the American Board of Surgery, a Fellow of the American College of Surgeons, and a Fellow of the American Society for Metabolic and Bariatric Surgery.
Title: NISSEN SLEEVE GASTRECTOMY A improvement for Sleeve Gastrectomy
The procedure of Nissen Sleeeve gastrectomy started at the University Hospital of Montpellier in the 2013. The indication were reserved for obese patient with Hiatal hernia, Severe GERD and Barret’s. At the end of the year 2018 the technical aspects of the surgery was done and the learning curve was satisfying. Since the year 2019 the Nissen Sleeve was proposed for all the patients. The contra-indications of this type of surgery was: BMI > 50, previous bariatric surgery and gastritis. In this presentation we will show you some videos of the technical aspects of the new surgery, the complications that may occur, and finally we will present for you some of the preliminary data and results for the study that we are working on (Bareval cohort / Clinical trials).
Saadeddine JOUMAA is a Genaral and Bariatric Surgeon at MONTPELLIER UNIVERSITY HOSPITAL working as a Attending Surgeon from November 2021 to now.
Title: Challenges of elderly patients with short bowel syndrome
Objective: This is a case report presenting two elderly patients; one with mesenteric ischemia and the second with gallstone ileus, in which their operative management has resulted in short bowel syndrome (SBS).
Case: This pathology required prolonged post-operative care and monitoring with the management of different related complications.
Conclusion: This case report will cover the pathophysiology, medical and operative management in addition to the acute and chronic complications of SBS.
Dr. Maryam Al Hashmi, Consultant in General and Colorectal surgery, MD graduated from Sultan Qaboos University 2004 then underwent through residency program in general surgery in Oman (Oman Medical specialty Board-OMSB) and graduated on 2012, then finished fellowship in colorectal surgery from Singapore. Currently practicing as consultant in Khoula hospital, Oman.
Title: Neonatal Diabetes Mellitus: An Update on Diagnosis and Management
Neonatal diabetes mellitus (DM) is defined by the onset of persistent hyperglycemia within the first six months of life but may present up to 12 months of life. A gene mutation affecting pancreatic beta cells or synthesis/secretion of insulin is present in more than 80%of the children with neonatal diabetes. Neonatal DM can be transient, permanent, or be a component of a syndrome. Genetic testing is important as a specific genetic mutation can significantly alter the treatment and outcome. Patients with mutations of either KCNJ11 or ABCC8 that encode subunits of the KATP channel gene mutation can be managed with sulfonylurea oral therapy while patients with other genetic mutations require insulin treatment.
Dr. Mahmoud Metwaly Taha has a master degree in paediatrics and neonatology awarded from Zagazig university, Zagazig, Egypt. Currently working as senior neonatologist at Saudi German Hospital, Aseer, KSA.
Title: Calcitonin gene-related peptide in temporomandibular inflammation
To investigate changes in calcitonin gene-related peptide (CGRP)-like immunoreactivity (CGRP-LI) in the rat masseter muscle and brain after the unilateral experimental induction of masseter myositis. Ipsilateral and contralateral changes of the CGRP were examined in rat masseter muscle after the induction of unilateral myositis on the right side with an intramuscular injection of 0.01 mL Freund's adjuvant. The left masseter, and left and right masseters of control rats, were injected with 0.01 mL saline (0.9%). After 21 days, tissue samples from the masseter muscles and the hypothalamic-pituitary-adrenal (HPA) axis were analyzed for the presence of CGRP by immunohistochemistry, radioactive immunoassay, and high-performance liquid chromatography. Hematoxylin-eosin staining was used to confirm an inflammation in the masseter muscles. Elevated CGRP-LI was detected bilaterally in the masseter muscles (P < .001) in the myositis group. CGRP-immunoreactive nerve fibers were mainly detected in close proximity to muscle cells and in the walls of the blood vessels. Compared to the control rats, a significant difference in scratching behavior was seen in the myositis group from day 9 until day 21. In the myositis group, CGRP-LI was increased in the pituitary gland concomitant with the increase in CGRP-LI in the masseter muscles but was decreased in the hypothalamus. A possible explanation for these changes could be that rats with chronic myositis develop an abnormal function of the HPA axis triggered by masseter muscle inflammation. The results of this study demonstrate that CGRP may play an important role both peripherally and centrally in masseter muscle myositis in association with presumed nociceptive behavior.
Dr. Waldemarson DDS PhD DMD, has done research since 1994, started at the Karolinska Institutet, and then continued at the Semmelweis Egyetem. Dr. Waldemarson has published 11 papers and has about 9 more abstracts from different conferences. Dr. Waldemarson is CEO for Waldemarson KATA in Hungary and works a Dental Surgeon in Budapest.
Title: Rupture from cavernous internal carotid artery pseudoaneurysm 11 years after transsphenoidal surgery
Carotid artery pseudoaneurysm is a rare complication of transsphenoidal surgery, usually diagnosed within 90 days post procedure. Pseudoaneurysm rupture may present with severe epistaxis or carotid cavernous fistula (CCF) with significant morbidity and mortality. We present a case of epistaxis from pseudoaneurysm rupture over a decade after transsphenoidal surgery. The pseudoaneurysm was treated with staged balloon-assisted coiling, endonasal mucosal flap repair and interval flow-diverting stent insertion. This case illustrates that pseudoaneurysms develop and rupture regardless of postoperative time course after transsphenoidal surgery, and the treatment complexities involving combined endovascular and endonasal techniques.
Dr Morrison completed his Doctor of Medicine at the University of New South Wales in 2017. He is currently a neurosurgery registrar at Royal Prince Alfred Hospital in Sydney. In 2019 he was awarded NSW Junior Medical Officer of the Year.
Title: In adult patients with symptomatic cholelithiasis, does operative management with single-incision laparoscopic cholecystectomy lead to decreased postoperative complications, pain, operative time, length of hospital stay, and cosmesis
Approximately 300,000 cholecystectomies are performed annually in the U.S, making it one of the 10 most common surgical procedures. In the last 10 years, new operative techniques, particularly the single-incision approach has emerged as an alternative to the current gold-standard, the laparoscopic cholecystectomy.
The purpose of this analysis is to evaluate the post-operative complications, pain, operative time, length of hospital stay and cosmesis in patients undergoing a single-incision laparoscopic cholecystectomy (SILC) compared to the multi-port laparoscopic cholecystectomy (MPLC).
Materials and Methods:
Our research search utilized: PubMed, OVID, and Google Scholar. Search terms used were “single-port laparoscopic cholecystectomy”, “single-incision laparoscopic cholecystectomy”, and “cholelithiasis”. Studies were limited to those written in English language, human participants, randomized control trials, and comparative studies. All meta-analysis, systemic reviews, and publications older than 10 years were excluded. Of the 51 articles found, 20 met inclusion criteria. In total, data from 2,777 patients between ages 18 and 85, all with symptomatic cholelithiasis, was reviewed.
Most studies showed no significant difference in post-operative pain, length of hospital stay, or postoperative complications between both surgical techniques. Single-incision laparoscopic cholecystectomy was found to have overall significantly longer operative times while also having more favorable aesthetic outcomes when compared to multi-port laparoscopic cholecystectomy.
The single-incision laparoscopic cholecystectomy offers superior cosmesis at the expense of longer operative times. Although most of the analyzed studies showed no significant difference in postoperative pain, hospital stay, and postoperative complications between the two groups, there is still conflicting data. Further research utilizing wider populations and larger sample sizes are needed in order to confirm both an equal safety profile as well as feasibility between both surgical approaches in treating symptomatic cholelithiasis.
Title: Acupuncture for depression and psychological disorders
Acupuncture therapy has been known as a practice related to oriental medicine, and recently has been detected as a potential therapeutic tool for which there is good scientific evidence. Depression and anxiety are usually classified as mental illnesses and it is more useful to think of them as disturbances in brain health, which is directly related to the physical makeup and brain mechanisms and emotional and relational issues. The ancient Chinese practice of acupuncture could be used for the treatment of depression and anxiety, instead of drugs. The purpose of this review was to summarize the existing evidence on acupuncture as a treatment for anxiety and depression. Search of the literature on acupuncture treatment was limited to specific mental health conditions: depression and anxiety disorder. The literature review focused on systematic reviews. Search focused on the latest versions. The available resources provide some evidence that acupuncture is an effective treatment for these conditions. The findings of the studies show that acupuncture can play an important Role in the treatment of depression and anxiety.
Dalamagka M is from Anaesthesiology Department, General Hospital of Edessa, Edessa, Greece.