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26 results on '"Wagner, Oliver J."'

2. Morbid Obesity with Achalasia: A Surgical Challenge

Author

Hagen, Monika E., Sedrak, Micheal, Wagner, Oliver J., Jacobsen, Garth, Talamini, Mark, and Horgan, Santiago

Subjects
Medicine & Public Health, Surgery, Obesity, Achalasia, Myotomy, Gastric sleeve resection, Robotic surgery
Abstract

Achalasia is a relatively rare medical condition that is classically not associated with obesity. The surgical treatment of a simultaneous occurrence of these two diseases requires careful consideration, and only a few reports can be found in the literature combining a Heller myotomy with gastric bypass, duodenal switch, or gastric banding. We report the case of a 69-year-old female patient with early achalasia and obesity who underwent simultaneous laparoscopic gastric sleeve resection and robotic Heller myotomy. No intra- or postoperative complications occurred. A follow-up at 6 weeks showed a significant weight loss and resolved symptoms of achalasia. The case illustrates that a simultaneous gastric sleeve resection and robotic Heller myotomy might be an option for the treatment of concurrent obesity and achalasia.

Published
2010

3. Supra-Pubic Single Incision Cholecystectomy

Author

Hagen, Monika E., Wagner, Oliver J., Thompson, Kari, Jacobsen, Garth, Spivack, Adam, Wong, Brian, Talamini, Mark, and Horgan, Santiago

Subjects
Medicine & Public Health, Gastroenterology, Surgery, Single access surgery, Minimally invasive surgery, Laparoscopy, NOTES, Single incision laparoscopic surgery
Abstract

Surgery is moving towards less invasive and cosmetically superior approaches such as single incision laparoscopy (SIL). While trans-umbilical SIL is gaining popularity, incisions may lead to post-operative deformations of the umbilicus and the possibility of an increased rate of incisional hernias. Access within the pubic hairline allows preservation of the umbilicus and results in a scar which is concealed within the pubic hair.Supra-pubic single incision cholecystectomy was performed in a 30-year-old patient with symptomatic gallstones. A 2.5-cm transverse incision was placed within the pubic hairline and a subcutaneous tunnel was formed. Three 5-mm ports were introduced into the tunnel and perforated the anterior rectus sheath superior to the skin incision. The surgical procedure was then undertaken with conventional laparoscopic instrumentation. The adjacent 5-mm incisions were merged for gallbladder removal. The entry site was closed under direct vision.The above procedure was technically feasible and without complication. Operative time was 45 min, and the patient was discharged 5 h post-operatively.Supra-pubic single incision laparoscopic cholecystectomy may offer a more cosmetically appealing result than standard umbilical access. The operation can be performed by surgeons skilled in single incision techniques with good result.

Published
2010

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