Indications Following its introduction in 1991, multiple reviews in the literature have shown numerous advantages of the minimally invasive laparoscopic approach to colectomy. Although the rates of utilization of minimally invasive techniques have continued to increase over time, more than…
Introduction Approximately 18,000 people in the US have developed esophageal cancer in 2019. Over the past 35 years, there has been tremendous increase in the incidence of adenocarcinoma of the esophagus. While squamous cell carcinoma has increased three-fold in incidence,…
Indications Achalasia, although rare, is one of the most common motility disorders of the esophagus. It is characterized by aperistalsis of the esophagus and failure of receptive relaxation of the lower esophageal sphincter (LES). Both features are required for diagnosis.…
Introduction Hiatal hernias are a common condition that can be classified into four anatomical types ( Fig. 21.1 ). Type I or sliding hernias comprise over 95% of all hiatal hernias. Paraesophageal hernias (PEH) include types II-IV, which are defined…
Introduction Gastroesophageal reflux disease (GERD) is one of the most common chronic diseases, affecting 18%–28% of the population in North America, and its prevalence has been increasing steadily with time. Nissen fundoplication is a safe and effective therapy for controlling…
Indications Bariatric surgery continues to be the most effective treatment available for the treatment of obesity and its associated medical problems. In the USA, it is indicated for patients with body mass index (BMI) 40 and above or those with…
Indications In the last decade, sleeve gastrectomy has been accepted as a surgical treatment option for morbid obesity and currently accounts for almost 60% of bariatric procedures. It is considered safe and technically less demanding in comparison to the Roux-en-Y…
Introduction The application of laparoscopic techniques to gastric operations has become the preferred approach whenever feasible because of the known advantages of minimally invasive surgery. However, laparoscopy for advanced operations, such as gastric surgery, is beyond the technical abilities of…
Introduction Parastomal hernia is one of the most common complications following ostomy creation and may be unavoidable considering the mechanics of the abdominal wall and the need to keep a functioning loop of intestine coming through the dynamic abdominal wall.…
Indications Ventral hernia (VH) repair with onlay mesh placement after anterior component separation is a safe alternative to sublay mesh placement after posterior component separation in low-risk patients. Onlay open VH repair is still one of the most common surgeries…