Plication of Perforated Duodenal Ulcer Small anterior perforations of duodenal ulcers are treated by Graham patch plication, which may sometimes be performed laparoscopically (see Chapter 52). Larger perforations may require…
Laparoscopic Gastrostomy and Jejunostomy These procedures are useful either as incidental procedures during other laparoscopic operations (e.g., gastrostomy performed in association with laparoscopic repair of paraesophageal hernia) or when other…
Gastrostomy and Jejunostomy Gastrostomy may be performed for feeding or for decompression. The simplest open technique for creation of a gastrostomy is the Stamm procedure. Percutaneous endoscopic gastrostomy, an alternative…
Laparoscopic Esophagomyotomy Laparoscopic esophagomyotomy uses the magnification and precise dissection of minimally invasive surgery to divide the hypertrophied distal esophagus associated with esophageal achalasia. This operation has largely supplanted the…
Laparoscopic Hiatal Hernia Repair Isaac Samuel Patients with gastroesophageal reflux disease who have failed 8 to 12 weeks of medical therapy or have developed complications of gastroesophageal reflux disease are…
Hiatal Hernia Repair The purpose of hiatal hernia repair is to generate a functional lower esophageal sphincter mechanism that will effectively prevent reflux of gastric contents into the esophagus but…
Upper Gastrointestinal Endoscopy Upper gastrointestinal endoscopy is performed for diagnostic and therapeutic purposes. In this chapter, the endoscopic anatomy and the technical maneuvers necessary for safe visualization of the upper…
Introduction It is evident that if the abdomen is divided into quadrants, the left upper quadrant includes more than the upper gastrointestinal tract and spleen (such as the pancreas) and…
Repair of Ventral and Umbilical Hernias Most ventral hernias occur through previous laparotomy incisions. Small defects may be closed by reopening the incision, clearing the fascia, and then closing as…
Laparoscopic Repair of Ventral Hernias The theory behind laparoscopic ventral hernia repair is that because the problem is a defect in the fascia, an approach from inside the abdomen makes…
