The Experts below are selected from a list of 1050 Experts worldwide ranked by ideXlab platform
Connie L Klein - One of the best experts on this subject based on the ideXlab platform.
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Trocar site closure with a novel anchor-based (neoClose®) system versus standard Suture closure: a prospective randomized controlled trial.
Surgical endoscopy, 2019Co-Authors: Pouya Iranmanesh, Angielyn R Rivera, Kulvinder S Bajwa, Mustafa Alibhai, Brad E Snyder, Todd D Wilson, Melissa M Felinski, Sheilendra S Mehta, Kavita D Chandwani, Connie L KleinAbstract:Patients with obesity have a higher risk of trocar site hernia. The objective of the present study was to compare a standard Suture Passer versus the neoClose® device for port site fascial closure in patients with obesity undergoing laparoscopic bariatric surgery. This is a randomized, controlled trial with two parallel arms. Thirty five patients with BMI ≥ 35 kg/m2 and undergoing laparoscopic sleeve gastrectomy or Roux-en-Y gastric bypass were randomized to each group. Port site fascial closure for trocars ≥ 10 mm was performed with the neoClose® device in the study group and the standard Suture Passer in the control group. Primary outcomes were time required to complete closure and intensity of postoperative pain at the fascial closure sites. Secondary outcomes were intraabdominal needle depth and incidence of trocar site hernia. The use of the neoClose® device resulted in shorter closure times (20.2 vs 30.0 s, p = 0.0002), less pain (0.3 vs 0.9, p = 0.002) at port closure sites, and decreased needle depth (3.3 cm vs 5.2 cm, p < 0.0001) compared to the standard Suture Passer. There was no trocar site hernia at the one-year follow-up in either group. Use of the neoClose® device resulted in faster fascial closure times, decreased intraoperative needle depth, and decreased postoperative abdominal pain at 1 week as compared to the standard Suture Passer. These data need to be confirmed on larger cohorts of patients with longer follow-up.
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Correction to: Trocar site closure with a novel anchor-based (neoClose®) system versus standard Suture closure: a prospective randomized controlled trial.
Surgical Endoscopy, 2019Co-Authors: Pouya Iranmanesh, Angielyn R Rivera, Kulvinder S Bajwa, Mustafa Alibhai, Melissa M Felinski, Kavita D Chandwani, Brad Snyder, Todd Wilson, Sheilendra Mehta, Connie L KleinAbstract:Patients with obesity have a higher risk of trocar site hernia. The objective of the present study was to compare a standard Suture Passer versus the neoClose® device for port site fascial closure in patients with obesity undergoing laparoscopic bariatric surgery. This is a randomized, controlled trial with two parallel arms. Thirty five patients with BMI ≥ 35 kg/m2 and undergoing laparoscopic sleeve gastrectomy or Roux-en-Y gastric bypass were randomized to each group. Port site fascial closure for trocars ≥ 10 mm was performed with the neoClose® device in the study group and the standard Suture Passer in the control group. Primary outcomes were time required to complete closure and intensity of postoperative pain at the fascial closure sites. Secondary outcomes were intraabdominal needle depth and incidence of trocar site hernia. The use of the neoClose® device resulted in shorter closure times (20.2 vs 30.0 s, p = 0.0002), less pain (0.3 vs 0.9, p = 0.002) at port closure sites, and decreased needle depth (3.3 cm vs 5.2 cm, p
Jacques Marescaux - One of the best experts on this subject based on the ideXlab platform.
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Novel method for hybrid endo-laparoscopic full-thickness gastric resection using laparoscopic transgastric Suture Passer device
Surgical Endoscopy, 2016Co-Authors: Seong-ho Kong, Michele Diana, Andras Legner, Renato Soares, Lee Swanström, Bernard Dallemagne, Han-kwang Yang, Jacques MarescauxAbstract:Background Current surgical methods for partial gastric full-thickness resections (FTRs) are limited by long operative times and risk of gastric content spillage, especially for lesions located at the posterior wall. We propose a simplified hybrid approach to FTR with reduced risk of spillage. Methods Resection margins were marked by endoscopic electrocautery to simulate a gastric lesion in the upper third of the posterior wall in eight pigs. A custom-made laparoscopic “Suture Passer” was made of a sharpened bendable dissecting forceps. Full-thickness Sutures were alternatively passed from the serosa side with the Suture Passer through the gastric wall and grabbed endoluminally using an endoscopic grasper and vice versa. These transgastric Sutures formed either a purse string (PS; n = 4) or a continuous horizontal mattress (HM; n = 4). Sutures were then fastened from the laparoscopic side, resulting in external outpouching of the lesion. The pouch was transected using 45-mm linear staplers. Operative time, resection margins, and number of staplers were evaluated. Results The combined approach allowed one to precisely place the Sutures around the pseudo lesions, despite the inflated stomach, and it included all target markings. PS and HM methods were similar regarding time for transgastric Suture (780 s ± 219.1 s vs. 765 s ± 179.2 s, p = .885), resection margins (1.3 ± 1.0 cm vs. 0.8 ± 0.6 cm, p = .248), and number of staplers (3.8 ± 1.0 vs 3.3 ± 0.5, p = .405). Stapling time (600 s ± 189.7 s vs. 330 s ± 24.5 s, p = .028) was significantly shorter in the HM technique. Conclusion FTR with laparo-endoscopic transgastric Suture application was feasible in the animal model. This technique allows one to achieve accurate resection margins with minimal risk of spillage.
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Novel method for hybrid endo-laparoscopic full-thickness gastric resection using laparoscopic transgastric Suture Passer device
Surgical endoscopy, 2015Co-Authors: Seong-ho Kong, Michele Diana, Andras Legner, Lee Swanström, Bernard Dallemagne, Han-kwang Yang, Yu Yin Liu, Hyun Jik Lee, Renato V. Soares, Jacques MarescauxAbstract:Background Current surgical methods for partial gastric full-thickness resections (FTRs) are limited by long operative times and risk of gastric content spillage, especially for lesions located at the posterior wall. We propose a simplified hybrid approach to FTR with reduced risk of spillage.
Pouya Iranmanesh - One of the best experts on this subject based on the ideXlab platform.
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Trocar site closure with a novel anchor-based (neoClose®) system versus standard Suture closure: a prospective randomized controlled trial.
Surgical endoscopy, 2019Co-Authors: Pouya Iranmanesh, Angielyn R Rivera, Kulvinder S Bajwa, Mustafa Alibhai, Brad E Snyder, Todd D Wilson, Melissa M Felinski, Sheilendra S Mehta, Kavita D Chandwani, Connie L KleinAbstract:Patients with obesity have a higher risk of trocar site hernia. The objective of the present study was to compare a standard Suture Passer versus the neoClose® device for port site fascial closure in patients with obesity undergoing laparoscopic bariatric surgery. This is a randomized, controlled trial with two parallel arms. Thirty five patients with BMI ≥ 35 kg/m2 and undergoing laparoscopic sleeve gastrectomy or Roux-en-Y gastric bypass were randomized to each group. Port site fascial closure for trocars ≥ 10 mm was performed with the neoClose® device in the study group and the standard Suture Passer in the control group. Primary outcomes were time required to complete closure and intensity of postoperative pain at the fascial closure sites. Secondary outcomes were intraabdominal needle depth and incidence of trocar site hernia. The use of the neoClose® device resulted in shorter closure times (20.2 vs 30.0 s, p = 0.0002), less pain (0.3 vs 0.9, p = 0.002) at port closure sites, and decreased needle depth (3.3 cm vs 5.2 cm, p < 0.0001) compared to the standard Suture Passer. There was no trocar site hernia at the one-year follow-up in either group. Use of the neoClose® device resulted in faster fascial closure times, decreased intraoperative needle depth, and decreased postoperative abdominal pain at 1 week as compared to the standard Suture Passer. These data need to be confirmed on larger cohorts of patients with longer follow-up.
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Correction to: Trocar site closure with a novel anchor-based (neoClose®) system versus standard Suture closure: a prospective randomized controlled trial.
Surgical Endoscopy, 2019Co-Authors: Pouya Iranmanesh, Angielyn R Rivera, Kulvinder S Bajwa, Mustafa Alibhai, Melissa M Felinski, Kavita D Chandwani, Brad Snyder, Todd Wilson, Sheilendra Mehta, Connie L KleinAbstract:Patients with obesity have a higher risk of trocar site hernia. The objective of the present study was to compare a standard Suture Passer versus the neoClose® device for port site fascial closure in patients with obesity undergoing laparoscopic bariatric surgery. This is a randomized, controlled trial with two parallel arms. Thirty five patients with BMI ≥ 35 kg/m2 and undergoing laparoscopic sleeve gastrectomy or Roux-en-Y gastric bypass were randomized to each group. Port site fascial closure for trocars ≥ 10 mm was performed with the neoClose® device in the study group and the standard Suture Passer in the control group. Primary outcomes were time required to complete closure and intensity of postoperative pain at the fascial closure sites. Secondary outcomes were intraabdominal needle depth and incidence of trocar site hernia. The use of the neoClose® device resulted in shorter closure times (20.2 vs 30.0 s, p = 0.0002), less pain (0.3 vs 0.9, p = 0.002) at port closure sites, and decreased needle depth (3.3 cm vs 5.2 cm, p
Seong-ho Kong - One of the best experts on this subject based on the ideXlab platform.
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Novel method for hybrid endo-laparoscopic full-thickness gastric resection using laparoscopic transgastric Suture Passer device
Surgical Endoscopy, 2016Co-Authors: Seong-ho Kong, Michele Diana, Andras Legner, Renato Soares, Lee Swanström, Bernard Dallemagne, Han-kwang Yang, Jacques MarescauxAbstract:Background Current surgical methods for partial gastric full-thickness resections (FTRs) are limited by long operative times and risk of gastric content spillage, especially for lesions located at the posterior wall. We propose a simplified hybrid approach to FTR with reduced risk of spillage. Methods Resection margins were marked by endoscopic electrocautery to simulate a gastric lesion in the upper third of the posterior wall in eight pigs. A custom-made laparoscopic “Suture Passer” was made of a sharpened bendable dissecting forceps. Full-thickness Sutures were alternatively passed from the serosa side with the Suture Passer through the gastric wall and grabbed endoluminally using an endoscopic grasper and vice versa. These transgastric Sutures formed either a purse string (PS; n = 4) or a continuous horizontal mattress (HM; n = 4). Sutures were then fastened from the laparoscopic side, resulting in external outpouching of the lesion. The pouch was transected using 45-mm linear staplers. Operative time, resection margins, and number of staplers were evaluated. Results The combined approach allowed one to precisely place the Sutures around the pseudo lesions, despite the inflated stomach, and it included all target markings. PS and HM methods were similar regarding time for transgastric Suture (780 s ± 219.1 s vs. 765 s ± 179.2 s, p = .885), resection margins (1.3 ± 1.0 cm vs. 0.8 ± 0.6 cm, p = .248), and number of staplers (3.8 ± 1.0 vs 3.3 ± 0.5, p = .405). Stapling time (600 s ± 189.7 s vs. 330 s ± 24.5 s, p = .028) was significantly shorter in the HM technique. Conclusion FTR with laparo-endoscopic transgastric Suture application was feasible in the animal model. This technique allows one to achieve accurate resection margins with minimal risk of spillage.
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Novel method for hybrid endo-laparoscopic full-thickness gastric resection using laparoscopic transgastric Suture Passer device
Surgical endoscopy, 2015Co-Authors: Seong-ho Kong, Michele Diana, Andras Legner, Lee Swanström, Bernard Dallemagne, Han-kwang Yang, Yu Yin Liu, Hyun Jik Lee, Renato V. Soares, Jacques MarescauxAbstract:Background Current surgical methods for partial gastric full-thickness resections (FTRs) are limited by long operative times and risk of gastric content spillage, especially for lesions located at the posterior wall. We propose a simplified hybrid approach to FTR with reduced risk of spillage.
Mustafa Alibhai - One of the best experts on this subject based on the ideXlab platform.
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Trocar site closure with a novel anchor-based (neoClose®) system versus standard Suture closure: a prospective randomized controlled trial.
Surgical endoscopy, 2019Co-Authors: Pouya Iranmanesh, Angielyn R Rivera, Kulvinder S Bajwa, Mustafa Alibhai, Brad E Snyder, Todd D Wilson, Melissa M Felinski, Sheilendra S Mehta, Kavita D Chandwani, Connie L KleinAbstract:Patients with obesity have a higher risk of trocar site hernia. The objective of the present study was to compare a standard Suture Passer versus the neoClose® device for port site fascial closure in patients with obesity undergoing laparoscopic bariatric surgery. This is a randomized, controlled trial with two parallel arms. Thirty five patients with BMI ≥ 35 kg/m2 and undergoing laparoscopic sleeve gastrectomy or Roux-en-Y gastric bypass were randomized to each group. Port site fascial closure for trocars ≥ 10 mm was performed with the neoClose® device in the study group and the standard Suture Passer in the control group. Primary outcomes were time required to complete closure and intensity of postoperative pain at the fascial closure sites. Secondary outcomes were intraabdominal needle depth and incidence of trocar site hernia. The use of the neoClose® device resulted in shorter closure times (20.2 vs 30.0 s, p = 0.0002), less pain (0.3 vs 0.9, p = 0.002) at port closure sites, and decreased needle depth (3.3 cm vs 5.2 cm, p < 0.0001) compared to the standard Suture Passer. There was no trocar site hernia at the one-year follow-up in either group. Use of the neoClose® device resulted in faster fascial closure times, decreased intraoperative needle depth, and decreased postoperative abdominal pain at 1 week as compared to the standard Suture Passer. These data need to be confirmed on larger cohorts of patients with longer follow-up.
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Correction to: Trocar site closure with a novel anchor-based (neoClose®) system versus standard Suture closure: a prospective randomized controlled trial.
Surgical Endoscopy, 2019Co-Authors: Pouya Iranmanesh, Angielyn R Rivera, Kulvinder S Bajwa, Mustafa Alibhai, Melissa M Felinski, Kavita D Chandwani, Brad Snyder, Todd Wilson, Sheilendra Mehta, Connie L KleinAbstract:Patients with obesity have a higher risk of trocar site hernia. The objective of the present study was to compare a standard Suture Passer versus the neoClose® device for port site fascial closure in patients with obesity undergoing laparoscopic bariatric surgery. This is a randomized, controlled trial with two parallel arms. Thirty five patients with BMI ≥ 35 kg/m2 and undergoing laparoscopic sleeve gastrectomy or Roux-en-Y gastric bypass were randomized to each group. Port site fascial closure for trocars ≥ 10 mm was performed with the neoClose® device in the study group and the standard Suture Passer in the control group. Primary outcomes were time required to complete closure and intensity of postoperative pain at the fascial closure sites. Secondary outcomes were intraabdominal needle depth and incidence of trocar site hernia. The use of the neoClose® device resulted in shorter closure times (20.2 vs 30.0 s, p = 0.0002), less pain (0.3 vs 0.9, p = 0.002) at port closure sites, and decreased needle depth (3.3 cm vs 5.2 cm, p
