Indocyanine green does not decrease the need for bail-out operation in an acute care surgery population.

Background: The use of indocyanine green during laparoscopic cholecystectomy has been postulated to help to define anatomy. Studies have not specifically evaluated patients with acute cholecystitis. We sought to assess whether use of indocyanine green can decrease the rate of bail-out operation (subtotal cholecystectomy or conversion to an open operation) in an acute care surgery population where acute cholecystitis is more frequent.

Primary versus redo paraesophageal hiatal hernia repair: a comparative analysis of operative and quality of life outcomes.

Introduction: We compared patient outcomes after initial versus redo paraesophageal hernia (PEH) repair at two high-volume GI surgery centers.

Materials And Methods: Retrospective review analyzed one-year outcomes after initial versus redo elective laparoscopic PEH repair, including wound/non-wound-related complications and quality of life benefits as measured by four validated instruments: reflux symptom index, gastroesophageal reflux disease health-related, laryngopharyngeal reflux, and swallowing scales.

Results: Three hundred and seventeen patients (271 initial and 46 redo) underwent laparoscopic PEH repair.