TroClose1200 Trocar With Built-In Sutures for Rapid Closure of Abdominal Wall
  Gordian Surgical, an Israeli company, won the European CE mark for its TroClose1200 laparoscopy trocar that has a built-in suturing system to close the abdominal wall once you’re done with the procedure. The sutures are placed internally around the puncture once the trocar is positioned and are brought together by simply pulling on the lines once the laparoscopic instruments are removed. The company hopes the device will save surgeons time over manual suturing or introducing additional devices just to close the incision. Moreover, it believes that a good deal of ports will be able to be closed with its system ...
Source: Medgadget - September 7, 2016 Category: Medical Equipment Authors: Editors Tags: Ob/Gyn Surgery Thoracic Surgery Urology Vascular Surgery Source Type: blogs

Teleflex 2nd Generation Percuvance Uses 5mm Laparoscopic Tools on 2.9mm Shaft
Teleflex (Morrisville, NC) is releasing the second generation of its Percuvance Percutaneous Surgical System, which allows surgeons to attach 5mm-wide laparoscopic tools while using only a 2.9mm shaft. The Percuvance shaft is inserted directly through the skin, requiring no trocar through which to operate. In order to attach tools that are wider than the shaft, the shaft is pushed through an already existing trocar on the opposite side of the abdominal wall. Once the tip peeks out, the existing instrument can be screwed off and another screwed on. Simply pull back into the abdomen to continue the procedure. Below...
Source: Medgadget - August 23, 2016 Category: Medical Equipment Authors: Editors Tags: Ob/Gyn Surgery Urology Source Type: blogs

MKSAP: 68-year-old woman with dyspepsia
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 68-year-old woman undergoes upper endoscopy for evaluation of dyspepsia. She has a history of pernicious anemia. She has no other medical problems and her only medication is oral vitamin B12. On physical examination, vital signs are normal, as is the remainder of the physical examination. Upper endoscopy discloses a 6-mm polyp in the body of the stomach, which is removed by polypectomy. Other endoscopic findings, including biopsy of the duodenum to evaluate for celiac disease, are normal. Pathologic ex...
Source: Kevin, M.D. - Medical Weblog - June 18, 2016 Category: Journals (General) Authors: Tags: Conditions Cancer GI Source Type: blogs

Obesity Is Not Like Being "Addicted to Food"
Credit: Image courtesy of Aalto UniversityIs it possible to be “addicted” to food, much like an addiction to substances (e.g., alcohol, cocaine, opiates) or behaviors (gambling, shopping, Facebook)? An extensive and growing literature uses this terminology in the context of the “obesity epidemic”, and looks for the root genetic and neurobiological causes (Carlier et al., 2015; Volkow & Bailer, 2015).Fig. 1 (Meule, 2015). Number of scientific publications on food addiction (1990-2014). Web of Science search term “food addiction”. Figure 1 might lead you to believe that the term &ldquo...
Source: The Neurocritic - November 9, 2015 Category: Neuroscience Authors: The Neurocritic Source Type: blogs

Treatment or mutilation?
I have been sitting with the following image from Dr. Sharma's Obesity Notes for a coupe of weeks now. The image is an illustration of a procedure known as sleeve gastrectomy, defined in Wikipedia as "a surgical weight-loss procedure in which the stomach is reduced to about 25% of its original size, by surgical removal of a large portion of the stomach along the greater curvature." This is not a procedure done on a diseased organ but on a healthy functioning one. When an adult chooses this procedure in order to lose weight, I understand that, though I ...
Source: Jung At Heart - October 8, 2013 Category: Psychiatrists and Psychologists Source Type: blogs

Study Quantifies Whether Weight Loss Surgery Cures Diabetes
A study recently published in the Annals of Surgery gives much more insight into oft-repeated claims that weight loss surgery cures diabetes.The study can be found here:Can Diabetes Be Surgically Cured? Long-Term Metabolic Effects of Bariatric Surgery in Obese Patients with Type 2 Diabetes Mellitus.   Brethauer, Stacy A. et al. Annals of Sugery, 10/13/2013. doi: 10.1097/SLA.0b013e3182a5034bThe study followed  217 people with Type 2 Diabetes who had had weight loss surgery for a period lasting between 5 and 9 years. One hundred and sixty-two had the radical Roux-en-Y gastric bypass operation, which irreversib...
Source: Diabetes Update - October 1, 2013 Category: Diabetes Authors: Jenny Source Type: blogs

Gastric Banding vs. Bypass
By Quinn Phillips Last week, Governor Chris Christie of New Jersey revealed to the public that he underwent bariatric (weight-loss) surgery earlier this year. Rather than opting for the more popular gastric bypass procedure, Christie went for gastric banding. Originally approved by the US Food and Drug Administration (FDA) in 2001, gastric banding involves constricting the top of the stomach with an adjustable band, creating a small pouch that heavily restricts food intake. In 2011, the FDA approved the procedure for adults with a body-mass index less than 40, the previously approved threshold for the surgery. Gastric band...
Source: Diabetes Self-Management - May 15, 2013 Category: Diabetes Authors: Quinn Phillips Source Type: blogs