B. Salky - Academia.edu (original) (raw)
Papers by B. Salky
Seminars in Laparoscopic Surgery, Mar 1, 2002
Seminars in Laparoscopic Surgery, Mar 1, 2002
Seminars in Liver Disease, 1994
Surgical Endoscopy, 1998
Background: We compared the incidence of early hernia recurrence in nonrandomized but consecutive... more Background: We compared the incidence of early hernia recurrence in nonrandomized but consecutive patients undergoing laparoscopic repair of paraesophageal hernia (LRPH) without and with excision of the hernia sac. Methods: LRPH was completed in 55 of 58 patients. In the first 25 patients, the sac was not excised. Total sac excision was performed in the subsequent 30 patients. All patients had crural repair with or without fundoplication, or gastropexy. Results: Mean age of patients was 68 years (range, 34-95). There were three conversions; one patient died postoperatively. Mean operative time was 225 min in the first group and 190 min in the sac excision group. Median length of stay was 2 days (range, 1-15) for both groups. Conclusions: A precise method of total sac excision simplified dissection. It also ensured complete reduction of the hernia and availability of adequate esophageal length. Operative time was not increased, and no subsequent early recurrences were observed (p < 0.05).
Surgical Endoscopy, 1998
Background: We compared the incidence of early hernia recurrence in nonrandomized but consecutive... more Background: We compared the incidence of early hernia recurrence in nonrandomized but consecutive patients undergoing laparoscopic repair of paraesophageal hernia (LRPH) without and with excision of the hernia sac. Methods: LRPH was completed in 55 of 58 patients. In the first 25 patients, the sac was not excised. Total sac excision was performed in the subsequent 30 patients. All patients had crural repair with or without fundoplication, or gastropexy. Results: Mean age of patients was 68 years (range, 34-95). There were three conversions; one patient died postoperatively. Mean operative time was 225 min in the first group and 190 min in the sac excision group. Median length of stay was 2 days (range, 1-15) for both groups. Conclusions: A precise method of total sac excision simplified dissection. It also ensured complete reduction of the hernia and availability of adequate esophageal length. Operative time was not increased, and no subsequent early recurrences were observed (p < 0.05).
The Mount Sinai journal of medicine, New York, 1982
The American Journal of Surgery, 1982
Although esophageal reflux of gastrostomy feeds is an uncommon problem, severe pulmonary complica... more Although esophageal reflux of gastrostomy feeds is an uncommon problem, severe pulmonary complications can arise. If implementation in an upright position and use of continuous infusion does not prevent reflux, an alternative method of providing adequate nutrition must be used. This nonoperative technique of converting a tube gastrostomy to a feeding jejunostomy is simple to perform, atraumatic and extremely useful.
Surgical Endoscopy, 2002
Intraoperative cholangiography (IOC) is frequently omitted in patients undergoing laparoscopic ch... more Intraoperative cholangiography (IOC) is frequently omitted in patients undergoing laparoscopic cholecystectomy (LC) if they have had successful preoperative endoscopic retrograde cholangiography (ERC). A prospectively maintained divisional laparoscopic cholecystectomy database was searched from 1991 to 1997 for patients who had IOC after preoperative ERC. The presence of recurrent or residual common duct stones seen on IOC and their impact on subsequent management were evaluated. We identified a group of 127 patients who underwent preoperative ERC. Thirty-one patients (31/127, or 24%) went on to receive an IOC during cholecystectomy. In 15 patients whose preoperative ERC was reported normal, five (33%) had an abnormal IOC. In 16 patients whose ERC was reported as having cleared the duct, eight (50%) had an IOC abnormality. Eight of these 31 patients required a further procedure to clear the duct. Retained or recurrent common duct stones at cholecystectomy following diagnostic or therapeutic ERC were more common than expected. Therefore, IOC is recommended during LC regardless of the findings yielded by the preoperative ERC.
Surgical Clinics of North America, 2001
Laparoscopic surgeons attempting to treat Crohn's disease must have experience working wi... more Laparoscopic surgeons attempting to treat Crohn's disease must have experience working with inflammatory bowel disease and advanced laparoscopic skills. Nonetheless, laparoscopy is dramatically changing all aspects of gastrointestinal surgery and inflammatory bowel disease, including Crohn's disease, is likely to benefit, as well. This article defines the role of laparoscopy in treating Crohn's disease and outlines surgical therapy.
Inflammatory Bowel Diseases, 2007
Frontiers in General Surgery, 1981
European Surgery, 2007
Zusammenfassung GRUNDLAGEN: Bei der Therapie der paraösophagealen Hernien (PEH) hat die laparosk... more Zusammenfassung GRUNDLAGEN: Bei der Therapie der paraösophagealen Hernien (PEH) hat die laparoskopische Technik die offenen Operationen verdrängt. Gewisse Aspekte der operativen Therapie haben sich, unabhängig von der Methodik, bewährt. Andere wiederum werden weiterhin kontrovers diskutiert. METHODIK: Literaturanalyse. ERGEBNISSE: Die chirurgische Therapie der paraösophagealen Hernien (PEH) stellt den goldenen Standard bei symptomatischen Patienten dar. Bei asymptomatischen Patienten jedoch bleibt die Rolle der
Operative Strategies in Laparoscopic Surgery, 1995
Seminars in laparoscopic surgery, 1999
Gastric outlet obstruction continues to be an indication for drainage despite the common use of p... more Gastric outlet obstruction continues to be an indication for drainage despite the common use of powerful proton pump inhibitors. Minimal invasive surgery techniques now play a significant role in the treatment of this pathology. Complicated peptic ulcer disease and cancer are the two most common causes. To accomplish drainage, advanced laparoscopic techniques are required. A variety of procedures are possible, and these are discussed in detail in this report. The advantages of the laparoscopic approach have been realized in this group of patients.
Gastrointestinal endoscopy clinics of North America, 1998
Surgical problems in the patient with HIV and AIDS are becoming more commonplace as the incidence... more Surgical problems in the patient with HIV and AIDS are becoming more commonplace as the incidence of HIV seropositivity increases and patients with AIDS are living longer. Laparoscopic surgery is being applied more frequently in the diagnosis and therapy of these patients' problems as more surgeons become familiar with the techniques. Although no prospectively randomized trials exist, the benefits of the laparoscopic approach clearly have had an impact on the morbidity associated with surgery. The decreased perioperative immune depression may benefit these patients, and risks to the operative teams probably are lessened if basic tenets of laparoscopic surgery are observed.
Surgical laparoscopy & endoscopy, 1993
Diagnostic laparoscopy is rapidly becoming a procedure used by general surgeons in increasing num... more Diagnostic laparoscopy is rapidly becoming a procedure used by general surgeons in increasing numbers. Its use will follow the therapeutic procedures now being used by many fellow surgeons. As the procedure is generally performed under local anesthesia, new techniques must be learned. The indications include abdominal pain (acute and chronic), focal liver disease, ascites, preoperative evaluation of malignant disease, and second-look evaluations after medical therapy for malignant disease. The overall diagnostic rate is 99% for acute abdominal pain, 70% for chronic pain syndromes, 95% for focal liver disease, 95% for abdominal masses, 97% for ascites, and greater than 80% for retroperitoneal disease. Diagnostic laparoscopy should be used with increasing frequency when a tissue diagnosis is needed.
Gastroenterology, 1980
We describe two cases of universal ulcerative colitis in which toxic megacolon was complicated by... more We describe two cases of universal ulcerative colitis in which toxic megacolon was complicated by the unusual occurrence of air tracking retroperitoneally through the diaphragm and the mediastinum, without signs of free intraperitoneal air, and ultimately presenting as subcutaneous emphysema in the neck. Physicians should remain alert to this unusual presentation of air leakage from the colon in toxic ulcerative colitis, in order to appreciate the potential gravity of the situation.
The American journal of gastroenterology, 1982
A 68-yr-old woman who developed an acute abdomen with clinical and radiological evidence of pneum... more A 68-yr-old woman who developed an acute abdomen with clinical and radiological evidence of pneumoperitoneum is is described. At surgery, multiple left lobe hepatic abscesses were identified. Perforation of one abscess was apparent. Bacteriological studies revealed Streptococcus faecalis and gas-producing Klebsiella pneumoniae from the abscess cavities. Spontaneous pneumoperitoneum secondary to a ruptured hepatic abscess has to our knowledge never been reported.
Seminars in Laparoscopic Surgery, Mar 1, 2002
Seminars in Laparoscopic Surgery, Mar 1, 2002
Seminars in Liver Disease, 1994
Surgical Endoscopy, 1998
Background: We compared the incidence of early hernia recurrence in nonrandomized but consecutive... more Background: We compared the incidence of early hernia recurrence in nonrandomized but consecutive patients undergoing laparoscopic repair of paraesophageal hernia (LRPH) without and with excision of the hernia sac. Methods: LRPH was completed in 55 of 58 patients. In the first 25 patients, the sac was not excised. Total sac excision was performed in the subsequent 30 patients. All patients had crural repair with or without fundoplication, or gastropexy. Results: Mean age of patients was 68 years (range, 34-95). There were three conversions; one patient died postoperatively. Mean operative time was 225 min in the first group and 190 min in the sac excision group. Median length of stay was 2 days (range, 1-15) for both groups. Conclusions: A precise method of total sac excision simplified dissection. It also ensured complete reduction of the hernia and availability of adequate esophageal length. Operative time was not increased, and no subsequent early recurrences were observed (p < 0.05).
Surgical Endoscopy, 1998
Background: We compared the incidence of early hernia recurrence in nonrandomized but consecutive... more Background: We compared the incidence of early hernia recurrence in nonrandomized but consecutive patients undergoing laparoscopic repair of paraesophageal hernia (LRPH) without and with excision of the hernia sac. Methods: LRPH was completed in 55 of 58 patients. In the first 25 patients, the sac was not excised. Total sac excision was performed in the subsequent 30 patients. All patients had crural repair with or without fundoplication, or gastropexy. Results: Mean age of patients was 68 years (range, 34-95). There were three conversions; one patient died postoperatively. Mean operative time was 225 min in the first group and 190 min in the sac excision group. Median length of stay was 2 days (range, 1-15) for both groups. Conclusions: A precise method of total sac excision simplified dissection. It also ensured complete reduction of the hernia and availability of adequate esophageal length. Operative time was not increased, and no subsequent early recurrences were observed (p < 0.05).
The Mount Sinai journal of medicine, New York, 1982
The American Journal of Surgery, 1982
Although esophageal reflux of gastrostomy feeds is an uncommon problem, severe pulmonary complica... more Although esophageal reflux of gastrostomy feeds is an uncommon problem, severe pulmonary complications can arise. If implementation in an upright position and use of continuous infusion does not prevent reflux, an alternative method of providing adequate nutrition must be used. This nonoperative technique of converting a tube gastrostomy to a feeding jejunostomy is simple to perform, atraumatic and extremely useful.
Surgical Endoscopy, 2002
Intraoperative cholangiography (IOC) is frequently omitted in patients undergoing laparoscopic ch... more Intraoperative cholangiography (IOC) is frequently omitted in patients undergoing laparoscopic cholecystectomy (LC) if they have had successful preoperative endoscopic retrograde cholangiography (ERC). A prospectively maintained divisional laparoscopic cholecystectomy database was searched from 1991 to 1997 for patients who had IOC after preoperative ERC. The presence of recurrent or residual common duct stones seen on IOC and their impact on subsequent management were evaluated. We identified a group of 127 patients who underwent preoperative ERC. Thirty-one patients (31/127, or 24%) went on to receive an IOC during cholecystectomy. In 15 patients whose preoperative ERC was reported normal, five (33%) had an abnormal IOC. In 16 patients whose ERC was reported as having cleared the duct, eight (50%) had an IOC abnormality. Eight of these 31 patients required a further procedure to clear the duct. Retained or recurrent common duct stones at cholecystectomy following diagnostic or therapeutic ERC were more common than expected. Therefore, IOC is recommended during LC regardless of the findings yielded by the preoperative ERC.
Surgical Clinics of North America, 2001
Laparoscopic surgeons attempting to treat Crohn's disease must have experience working wi... more Laparoscopic surgeons attempting to treat Crohn's disease must have experience working with inflammatory bowel disease and advanced laparoscopic skills. Nonetheless, laparoscopy is dramatically changing all aspects of gastrointestinal surgery and inflammatory bowel disease, including Crohn's disease, is likely to benefit, as well. This article defines the role of laparoscopy in treating Crohn's disease and outlines surgical therapy.
Inflammatory Bowel Diseases, 2007
Frontiers in General Surgery, 1981
European Surgery, 2007
Zusammenfassung GRUNDLAGEN: Bei der Therapie der paraösophagealen Hernien (PEH) hat die laparosk... more Zusammenfassung GRUNDLAGEN: Bei der Therapie der paraösophagealen Hernien (PEH) hat die laparoskopische Technik die offenen Operationen verdrängt. Gewisse Aspekte der operativen Therapie haben sich, unabhängig von der Methodik, bewährt. Andere wiederum werden weiterhin kontrovers diskutiert. METHODIK: Literaturanalyse. ERGEBNISSE: Die chirurgische Therapie der paraösophagealen Hernien (PEH) stellt den goldenen Standard bei symptomatischen Patienten dar. Bei asymptomatischen Patienten jedoch bleibt die Rolle der
Operative Strategies in Laparoscopic Surgery, 1995
Seminars in laparoscopic surgery, 1999
Gastric outlet obstruction continues to be an indication for drainage despite the common use of p... more Gastric outlet obstruction continues to be an indication for drainage despite the common use of powerful proton pump inhibitors. Minimal invasive surgery techniques now play a significant role in the treatment of this pathology. Complicated peptic ulcer disease and cancer are the two most common causes. To accomplish drainage, advanced laparoscopic techniques are required. A variety of procedures are possible, and these are discussed in detail in this report. The advantages of the laparoscopic approach have been realized in this group of patients.
Gastrointestinal endoscopy clinics of North America, 1998
Surgical problems in the patient with HIV and AIDS are becoming more commonplace as the incidence... more Surgical problems in the patient with HIV and AIDS are becoming more commonplace as the incidence of HIV seropositivity increases and patients with AIDS are living longer. Laparoscopic surgery is being applied more frequently in the diagnosis and therapy of these patients' problems as more surgeons become familiar with the techniques. Although no prospectively randomized trials exist, the benefits of the laparoscopic approach clearly have had an impact on the morbidity associated with surgery. The decreased perioperative immune depression may benefit these patients, and risks to the operative teams probably are lessened if basic tenets of laparoscopic surgery are observed.
Surgical laparoscopy & endoscopy, 1993
Diagnostic laparoscopy is rapidly becoming a procedure used by general surgeons in increasing num... more Diagnostic laparoscopy is rapidly becoming a procedure used by general surgeons in increasing numbers. Its use will follow the therapeutic procedures now being used by many fellow surgeons. As the procedure is generally performed under local anesthesia, new techniques must be learned. The indications include abdominal pain (acute and chronic), focal liver disease, ascites, preoperative evaluation of malignant disease, and second-look evaluations after medical therapy for malignant disease. The overall diagnostic rate is 99% for acute abdominal pain, 70% for chronic pain syndromes, 95% for focal liver disease, 95% for abdominal masses, 97% for ascites, and greater than 80% for retroperitoneal disease. Diagnostic laparoscopy should be used with increasing frequency when a tissue diagnosis is needed.
Gastroenterology, 1980
We describe two cases of universal ulcerative colitis in which toxic megacolon was complicated by... more We describe two cases of universal ulcerative colitis in which toxic megacolon was complicated by the unusual occurrence of air tracking retroperitoneally through the diaphragm and the mediastinum, without signs of free intraperitoneal air, and ultimately presenting as subcutaneous emphysema in the neck. Physicians should remain alert to this unusual presentation of air leakage from the colon in toxic ulcerative colitis, in order to appreciate the potential gravity of the situation.
The American journal of gastroenterology, 1982
A 68-yr-old woman who developed an acute abdomen with clinical and radiological evidence of pneum... more A 68-yr-old woman who developed an acute abdomen with clinical and radiological evidence of pneumoperitoneum is is described. At surgery, multiple left lobe hepatic abscesses were identified. Perforation of one abscess was apparent. Bacteriological studies revealed Streptococcus faecalis and gas-producing Klebsiella pneumoniae from the abscess cavities. Spontaneous pneumoperitoneum secondary to a ruptured hepatic abscess has to our knowledge never been reported.