Laparoscopic revision of failed fundoplication and hiatal herniorraphy.

Objective: The aim of this study was to evaluate the mechanisms of failure after laparoscopic fundoplication and the results of revision laparoscopic fundoplication.

Background: Laparoscopic Nissen fundoplication has become the most commonly performed antireflux procedure for the treatment of gastroesophageal reflux disease, with success rates from 90 to 95%. Persistent or new symptoms often warrant endoscopic and radiographic studies to find the cause of surgical failure.

Laparoscopic peritoneal dialysis catheter insertion using a Quinton percutaneous insertion kit.

Objective: We assessed a unique technique of laparoscopic peritoneal dialysis (PD) catheter insertion which can minimize catheter dysfunction.

Methods: We performed a retrospective review of patients undergoing laparoscopic PD catheter placement with a Quinton percutaneous insertion kit between July 2000 and December 2004.

Results: Thirty-one catheters were placed laparoscopically.

L5-S1 laparoscopic anterior interbody fusion.

Objective: We evaluated our experience with laparoscopic L5-S1 anterior lumbar interbody fusion (ALIF).

Methods: This represents a retrospective analysis of consecutive patients who underwent L5-S1 laparoscopic ALIF between February 1998 and August 2003.

Results: Twenty-eight patients underwent L5-S1 LAIF (15 males and 13 females).

Laparoscopic Roux-en-Y Gastric bypass utilizing the triple stapling technique.

Objective: To evaluate the outcomes of a single surgeon's experience with laparoscopic Roux-en-Y gastric bypass (LRYGB) utilizing the triple stapling technique for creation of the jejunojejunostomy.

Methods: A retrospective review of patients who underwent LRYGB utilizing the triple stapling technique for creation of the jejunojejunostomy (JJ) between 10/01 and 12/04 was performed.

Results: LRYGB was performed in 435 consecutive patients.

Value of preoperative upper endoscopy in patients undergoing laparoscopic gastric bypass.

Background: Preoperative evaluation of patients undergoing laparoscopic Roux-en-Y gastric bypass (LRYGBP) has included esophagogastroduodenoscopy (EGD) with little data to substantiate its use.

Methods: A retrospective analysis was conducted of patients from Feb 04 to Mar 05 who underwent preoperative EGD and subsequently LRYGBP.

Results: 169 patients underwent EGD prior to surgery.