Enhanced-view totally extraperitoneal approach in emergency ventral incision hernia repair: a case report.

The rate of emergency operations for incarcerated and strangulated ventral hernias is about 10-15% with worse outcomes than elective surgery. A recent laparoscopic technique called Enhanced view totally extra peritoneal approach (eTEP) was shown to be indicated in elective repair of ventral and incisional hernias and it has been shown to have lower rate of postoperative morbidity compared to the Rives-Stoppa technique, while having the same indications. However the eTEP laparoscopic technique has not been yet reported in emergency ventral hernia repair.

Correlation of postoperative fluid balance and weight and their impact on outcomes.

Introduction: Normovolemia after major surgery is critical to avoid complications. The aim of the present study was to analyze correlation between fluid balance, weight gain, and postoperative outcomes.

Methods: All consecutive patients undergoing elective or emergency major abdominal surgery needing intermediate care unit (IMC) admission from September 2017 to January 2018 were included.

Interobserver reliability of the Tile classification system for pelvic fractures among radiologists and surgeons.

Objectives: To assess the interobserver reliability (IOR) of the Tile classification system, and its potential influence on outcomes, for the interpretation of CT images of pelvic fractures by radiologists and surgeons.

Methods: Retrospective data (1/2008-12/2016) from 238 patients with pelvic fractures were analyzed. Mean patient age was 44 years (SD 20); 66% were male.

Roux-en-Y Gastric Bypass with Manual Intracorporeal Anastomoses in 3D Laparoscopy: Operative Technique.

Bariatric surgery is the only treatment for severe obesity recognized as truly effective, and Roux-en-Y gastric bypass is one of the most frequent procedures. The aim of this study is to present a 3D laparoscopic bypass technique with intracorporal anastomosis, performed completely by hand. After positioning the patient and creating the 20 mL gastric pouch, the gastrojejunal anastomosis is performed with two continuous sutures of resorbable V-Lock 3.

Gastroesophageal Reflux Disease Following Roux-en-Y Gastric Bypass.

Gastroesophageal reflux disease (GERD) is one of the most important obesity-related comorbidity, with prevalence >50% in obese population. Roux-en-Y gastric bypass (RYGB) is considered the gold standard for metabolic surgery in obese patients with GERD, but in a subgroup of patients this pathological GERD may be not really controlled after this technique. Aims of this article are to discuss surgical and endoscopic options to manage refractory GERD after RYGB.