ARTHREX, a global medical device company and leader in new product development and medical education within orthopedics and general surgery. With a corporate mission of Helping Surgeons Treat Their Patients Better™, Arthrex continues to experience unprecedented growth and demand for our products throughout the world; however, we remain a privately held company with a family business culture committed to delivering uncompromising quality to the health care professionals who use our products, and ultimately, the millions of patients whose lives we impact.
This surgical video demonstrates a comprehensive laparoscopic approach for the removal of a gastric band followed by sleeve gastrectomy, indicated in patients with failed gastric banding and persistent obesity or associated complications. Welcome and Introduction Overview of the session and learning objectives. Case Presentation Patient: 53-year-old woman. Clinical Background: History of alcoholism, dyslipidemia, smoking, and gastroesophageal reflux disease (GERD). Current weight: 187 lbs. BMI: 32.9 Surgical Procedure – Steps Patient Preparation and Port Placement Modified lithotomy position. Aseptic preparation. Supraumbilical 20 mm transverse incision to access and remove gastric band port and capsule. Peritoneal entry and placement of 12 mm trocar; creation of pneumoperitoneum (12 mmHg CO₂). Placement of additional trocars: one 12 mm (right flank), two 5 mm (left flank), and Nathanson liver retractor. Band Identification and Removal Identification of gastric band with thickened capsule. Dissection and mobilization of capsule using harmonic scalpel. Sectioning of connecting tube and complete removal of the band without complications. Gastric Capsule Dissection Continued dissection of perigastric capsule from inferior border in cephalad, lateral, and posterior directions to fully expose the gastric wall and gastroesophageal junction. Greater Curvature Mobilization Creation of window through gastrocolic omentum at lower greater curvature. Dissection with harmonic scalpel towards short gastric vessels, which were divided to mobilize gastric fundus and body up to angle of His. Mobilization continued distally up to 3 cm from pylorus. Posterior Gastric Dissection Lysis of posterior adhesions with laparoscopic scissors to achieve complete gastric mobilization. No hiatal hernia identified. Sleeve Gastrectomy and Stapling Insertion of 32 Fr orogastric calibration tube. Stapler positioned 5 cm from pylorus along greater curvature. Initial stapling with 60 mm GI cartridge (1.6 mm), followed by sequential firings with 60 mm GI cartridges (1.4 mm) toward angle of His, maintaining calibration. Final Staple Line and Reinforcement Final stapling completed 1.5 cm distal to angle of His using blue cartridge. Continuous seromuscular Lembert suture (2-0 polypropylene) applied along staple line for reinforcement and hemostasis. Leak Test and Hemostasis Trendelenburg position. Submersion of gastric sleeve in saline and insufflation with oxygen (2 L/min). No air leaks detected. Irrigation and aspiration performed. Specimen Retrieval and Closure Insertion of specimen bag. Removal of resected stomach through initial incision without spillage. Trocar and CO₂ removal. Fascial closure with 0 polypropylene sutures; skin closure with subcuticular 3-0 poliglecaprone 25 and Dermabond adhesive. Closing remarks
Published
Jul 2025
Dr. Luigi Boni (Italy) and his team at Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico di Milano (Italy) will perform a Lap Right Colectomy with CME + Cholecystectomy with Fluorescence and answer all your questions. Clinical History: Recurrent biliary colics, colic abdominal pain at the right iliac fossa for a few months. Procedure steps: Laparoscopic cholecystectomy using the same port for right colectomy Dissection of the superior mesenteric vein High ligation of the vessels Dissection of Henle’s trunk Complete mesocolic excision Intracorporeal anastomosis Trainings Objectives: Describing the use of fluorescences Describing the technique for complete mesocolic excision
Published
Jul 2022
London CRS returns in 2022 with a top-notch faculty from around the globe showcasing the latest innovative technologies in Digital Surgery. This is a 2- part event, including Advanced Tools and Imaging with a lively discussion between our diverse panelists. Leading surgeons and researchers will describe cutting-edge techniques and provide their personal insights on the future of surgery. Don't miss one of the highlights of the surgical calendar - LondonCRS22! PROGRAM Welcome & Introduction - Dr. Manish Chand and Dr. Steven D. Wexner (USA) 3D Imaging Support – Dr. Salvador Morales-Conde (Spain) Analyzing Surgeon Performance and Automated Tools – Dr. Debby Keller (USA) Intraoperative Decision Support – Dr. OZ Meireles (USA) Using AI to Standardize Fluorescence – Dr. Ronan Cahill (Ireland) Advanced imaging in Surgery – Dr. Alex Vahrmeijer (Netherlands) Discussion – All faculty moderated by Dr. Manish Chand (UK)
Published
Apr 2022
LondonCRS returns in 2022 with a blockbuster faculty from around the globe showcasing the latest innovative technologies in Digital Surgery. This is a 2-part event including Advanced Tools and Imaging with lively discussion between our diverse panelists. Leading surgeons and researchers will describe cutting edge techniques and provide their personal insights on the future of surgery. Don't miss one of the highlights of the surgical calendar - LondonCRS22! PROGRAM Welcome & Introduction - Dr. Manish Chand, Dr. Antonio Lacy (Spain) and Dr. Steven D. Wexner (USA) Pushing the boundaries of endoscopy - Dr. Silvana Perretta (France) Fluorescence and beyond - Dr. Luigi Boni (Italy) Radioisotope imaging in laparoscopy and robotics - Dr. Manish Chand (UK) The rise of the robots - Dr. Venky Munikrishnan (India) Developing Clinical Insights through Augmented Intelligence in Robotic Surgery - Dr. Amit Trivedi (USA) Telementoring in Surgery - Dr. Antonio M. Lacy (Spain) Discussion - All faculty moderated by Dr. Manish Chand (UK)
Published
Apr 2022
Bariatric Surgery
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General Surgery
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