Stapled Ileoanal Reservoir for Restorative Ileal Pouch Anal Anastomosis

Contributors: Roger Hurst and Neil Hyman

This video demonstrates the approach to stapled ileoanal reservoir (Ileal pouch anal anastomosis (IPAA)) construction initiated utilizing enterotomy at the future reservoir inlet.  This approach has the advantage of permitting reservoir eversion during construction to ensure hemostasis and limiting the apical enterotomy to a stab puncture for the sharp anvil trochar.  Dr. F. Michelassi and Dr. G.E. Block originally described this technique in 1993, and the authors have made minor adaptations (1)

DOI: http://dx.doi.org/10.17797/4gf38v9mw2

Editor Recruited By: Jeffrey B. Matthews, MD

Endoscopic Assisted Laparoscopic Transgastric Resection of GE Junction Gastrointestinal Stromal Tumor (GIST)

Contributors: Irving Waxman and John C. Alverdy

Laparoscopic intragastric resection of a gastrointestinal stromal tumor 0.5cm distal to the gastroesophageal junction performed with oral endoscopic assistance.

Related External Links: http://www.wjgnet.com/1948-5190/full/v7/i1/53.htm

http://www.ncbi.nlm.nih.gov/pubmed/21224608

DOI: http://dx.doi.org/10.17797/5v0bdou315

Editor Recruited By: Jeffrey Matthews, MD

Laparoscopic Extracorporeal Repair of a Morgagni Diaphragmatic Hernia

Contributors: Anahita Jalilvand  and Marco P. Fisichella

This video describes a laparoscopic-extracorporeal repair with mesh of a Morgagni diaphragmatic hernia in an 81 year old female.

We used Ventralight™ ST Mesh which is an uncoated lightweight monofilament polypropylene mesh on the anterior side with an absorbable hydrogel barrier based on Sepra® Technology on the posterior side for laparoscopic ventral hernia repair. The posterior side mesh does not cause adhesion with the abdominal organs.

DOI: https://doi.org/10.17797/k8ktfjncgn

A quick review of the literature of laparoscopic cases has shown that in a substantial amount of cases the hernia was reduced and the defect repaired with mesh placement without hernia sac resection . Therefore, non-resecting the sac is an acceptable option.

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