Is Indocyanine Green the New Gold Standard for Checking Completion of Laparoscopic Heller's Cardiomyotomy?

Achalasia cardia is a primary motility disorder of the esophagus marked by the absence of peristalsis and the failure of the lower esophageal sphincter (LES) to relax during swallowing. The preferred surgical approach is laparoscopic Heller's cardiomyotomy with Dor's fundoplication. Given the significant risks of mucosal perforation and the possibility of incomplete myotomy, which can lead to symptom recurrence, it is essential to ensure both the completeness of the myotomy and the preservation of the mucosal integrity.

Computed tomography roadmap for post-operative fundoplication imaging with a novel structured reporting checklist.

Introduction: With increasing numbers and acceptability of laparoscopic anti-reflux surgery (LARS) procedures over long-term medical treatment in the past decade, it follows that the complications of fundoplication wrap are seen intermittently with recurrent symptoms of heartburn and dysphagia. Endoscopy and barium swallow are the initial investigations performed for suspected fundoplication wrap failures. However, with easy availability of multislice computed tomography (CT) and the multiplanar reconstructions along with reduction in familiarity with barium examinations, it would be prudent for the surgeons to familiarise themselves with various appearances of wrap failure.

Indigenously modified endoluminal vacuum-assisted closure therapy for post-operative gastrointestinal transmural defects: Case series and review of literature.

A gastrointestinal (GI) transmural defect is defined as a total rupture of the GI wall and these defects can be divided into three main categories, including perforation, leaks and fistulae. Recognition of the specific classification of the defect is important for choosing the best therapeutic modality. We present a case series of patients with gastrointestinal transmural defects which were managed with indigenously modified endoluminal vacuum-assisted closure.

Ruptured Diaphragmatic Eventration: Lessons Learned.

Diaphragmatic eventration (DE) is characterized by abnormal diaphragm elevation resulting from muscle weakness or thinning. It may be congenital or acquired, affecting both pediatric and adult populations, and is associated with symptoms such as dyspnea and chest pain. Although DE is infrequent, with a higher incidence on the left side, it has traditionally been managed through invasive surgical techniques.

A novel optimization-assisted multi-scale and dilated adaptive hybrid deep learning network with feature fusion for event detection from social media.

Social media networks become an active communication medium for connecting people and delivering new messages. Social media can perform as the primary channel, where the globalized events or instances can be explored. Earlier models are facing the pitfall of noticing the temporal and spatial resolution for enhancing the efficacy.