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Article ; Online: Intraperitoneal and extraperitoneal colonic perforation following diagnostic colonoscopy.

Dehal, Ahmed / Tessier, Deron J

JSLS : Journal of the Society of Laparoendoscopic Surgeons

2014 Volume 18, Issue 1, Page(s) 136–141

Abstract: Both intraperitoneal and extraperitoneal colonic perforations have been reported after colonoscopy; however, cases with combined types of perforation are rare. We present the case of a 55-year-old man with a history of Crohn disease who complained of ... ...

Abstract	Both intraperitoneal and extraperitoneal colonic perforations have been reported after colonoscopy; however, cases with combined types of perforation are rare. We present the case of a 55-year-old man with a history of Crohn disease who complained of acute abdominal pain after a diagnostic colonoscopy. Abdominal computed tomography scan showed extensive pneumoperitoneum, pneumoretroperitoneum, pneumomediastinum, and leftsided pneumothorax. Exploratory laparotomy was performed, and the patient underwent subtotal colectomy and end ileostomy with placement of a left-sided chest drain for the left-sided pneumothorax. The patient was discharged home postoperatively in good condition. As the utility of colonoscopy continues to broaden, its complications will also be more common. Whereas intraperitoneal perforation is a known and not uncommon complication, extraperitoneal perforation is an uncommon complication. Combined intraperitoneal and extraperitoneal perforation is extremely rare, with only a few cases reported in the literature. Early diagnosis and operative management resulted in a satisfactory outcome in this particular case.
MeSH term(s)	Colon, Sigmoid/injuries ; Colonic Diseases/diagnosis ; Colonic Diseases/etiology ; Colonic Diseases/surgery ; Colonoscopy/adverse effects ; Crohn Disease/diagnosis ; Diagnosis, Differential ; Humans ; Intestinal Perforation/diagnosis ; Intestinal Perforation/etiology ; Intestinal Perforation/surgery ; Laparotomy/methods ; Male ; Middle Aged ; Peritoneal Cavity ; Tomography, X-Ray Computed
Language	English
Publishing date	2014-03-05
Publishing country	United States
Document type	Case Reports ; Journal Article
ZDB-ID	2011211-7
ISSN	1938-3797 ; 1086-8089
ISSN (online)	1938-3797
ISSN	1086-8089
DOI	10.4293/108680813X13693422521638
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Article: Medical, surgical, and endoscopic management of gastroesophageal reflux disease.

Tessier, Deron J

The Permanente journal

2007 Volume 13, Issue 1, Page(s) 30–36

Language	English
Publishing date	2007-08-21
Publishing country	United States
Document type	Journal Article
ZDB-ID	2062823-7
ISSN	1552-5775 ; 1552-5767
ISSN (online)	1552-5775
ISSN	1552-5767
DOI	10.7812/TPP/08-051
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Article ; Online: Discussion of: "Endostapler versus Hem-O-Lok clip to secure the appendiceal stump and mesoappendix during laparoscopic appendectomy".

Al-Temimi, Mohammed H / Berglin, Mendy A / Kim, Edwin G / Tessier, Deron J / Johna, Samir D

American journal of surgery

2017 Volume 214, Issue 6, Page(s) 1149–1150

MeSH term(s)	Appendectomy ; Appendicitis/surgery ; Appendix ; Humans ; Laparoscopy ; Surgical Instruments
Language	English
Publishing date	2017
Publishing country	United States
Document type	Journal Article ; Comment
ZDB-ID	2953-1
ISSN	1879-1883 ; 0002-9610
ISSN (online)	1879-1883
ISSN	0002-9610
DOI	10.1016/j.amjsurg.2017.10.006
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Article ; Online: Endostapler versus Hem-O-Lok clip to secure the appendiceal stump and mesoappendix during laparoscopic appendectomy.

Al-Temimi, Mohammed H / Berglin, Mendy A / Kim, Edwin G / Tessier, Deron J / Johna, Samir D

American journal of surgery

2017 Volume 214, Issue 6, Page(s) 1143–1148

Abstract: Background: Our study evaluates the safety and cost of using the Hem-O-Lok (HOL) clip in laparoscopic appendectomy (LA).: Method: We prospectively compared 30-day postoperative outcomes and cost between HOL clip and endoscopic stapler (ES) in LA at a ...

Abstract	Background: Our study evaluates the safety and cost of using the Hem-O-Lok (HOL) clip in laparoscopic appendectomy (LA). Method: We prospectively compared 30-day postoperative outcomes and cost between HOL clip and endoscopic stapler (ES) in LA at a single institution. Results: HOL clip was used in 45 out of 92 LA. Perforated appendicitis (29.8% vs. 11.1%, P = 0.027) and postoperative complications were more common in the ES group (19.2% vs. 2.2%, p = 0.009). In multivariate analysis, HOL clip was associated with lower complications rate (OR = 0.05, 95% CI 0.003-0.744; p = 0.030). In propensity score matched cohort, complications were not different (p > 0.05). In patients with non-perforated appendicitis, HOL use increased operative time by 10 min on average (p = 0.004). Minimum ES cost per single appendectomy was $273.13, while HOL clip cost was $32.14. Conclusion: The use of HOL clip in LA is safe and it reduced the costs of the procedure in comparison to the use of ES.
MeSH term(s)	Adult ; Appendectomy/instrumentation ; Appendectomy/methods ; Appendicitis/surgery ; Female ; Humans ; Laparoscopy/instrumentation ; Laparoscopy/methods ; Male ; Patient Safety ; Postoperative Complications/epidemiology ; Propensity Score ; Prospective Studies ; Surgical Instruments/economics ; Surgical Stapling/economics ; Treatment Outcome
Language	English
Publishing date	2017-12
Publishing country	United States
Document type	Comparative Study ; Journal Article
ZDB-ID	2953-1
ISSN	1879-1883 ; 0002-9610
ISSN (online)	1879-1883
ISSN	0002-9610
DOI	10.1016/j.amjsurg.2017.08.031
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Article ; Online: Surgical management of morbid obesity.

Tessier, Deron J / Eagon, J Chris

Current problems in surgery

2008 Volume 45, Issue 2, Page(s) 68–137

MeSH term(s)	Bariatric Surgery/adverse effects ; Bariatric Surgery/history ; Bariatric Surgery/methods ; Bariatric Surgery/statistics & numerical data ; Clinical Trials as Topic ; Comorbidity ; History, 20th Century ; Humans ; Obesity, Morbid/epidemiology ; Obesity, Morbid/surgery ; Postoperative Complications/epidemiology ; Weight Loss
Language	English
Publishing date	2008-02
Publishing country	United States
Document type	Historical Article ; Journal Article ; Review
ZDB-ID	753169-2
ISSN	1535-6337 ; 0011-3840
ISSN (online)	1535-6337
ISSN	0011-3840
DOI	10.1067/j.cpsurg.2007.12.003
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Article ; Online: Single Incision Laparoscopic Cholecystectomy Performed Via the "Marionette" Technique Shows Equivalence in Outcome and Cost to Standard Four Port Laparoscopic Cholecystectomy in a Selected Patient Population.

Saidy, Maryam N / Patel, Sunal S / Choi, Mark W / Al-Temimi, Mohammed / Tessier, Deron J

The American surgeon

2015 Volume 81, Issue 10, Page(s) 1015–1020

Abstract: The aim of our study is to compare single incision laparoscopic cholecystectomy (SILC) performed using the "marionette" technique (m-SILC), to the standard four-port technique [four-port laparoscopic cholecystectomy (4PLC)]. Patient information was ... ...

Abstract	The aim of our study is to compare single incision laparoscopic cholecystectomy (SILC) performed using the "marionette" technique (m-SILC), to the standard four-port technique [four-port laparoscopic cholecystectomy (4PLC)]. Patient information was extracted from a prospectively maintained database (n = 188). Our primary endpoint was operative costs (determined by operating time and instruments used). Secondary endpoints were length of stay, operative time, blood loss, and postoperative complication rates. Univariate and adjusted multivariate analysis was used to compare the outcomes. There were a total of 188 patients for this study. Gender, body mass index, American Society of Anesthesiologists class, and resident participation were similar. Patients undergoing m-SILC were younger (43.8 vs 49.8 years old), less likely to have cholangiogram (32% vs 54%), and were more likely to undergo cholecystectomy for chronic cholecystitis (73.3% vs 52%). In univariate analysis, cholecystectomy performed by the "marionette method" as compared with the 4PLC was associated with shorter operative time (67 vs 59 minutes respectively) and shorter hospital stay (1.2 vs 2.08 days respectively). In multivariate analysis, SILC was associated with shorter hospital stay and comparable operative time, blood loss, and postoperative complications. Instrumentation cost was less in SILC (by $94). SILC done by an experienced surgeon with the "marionette" technique on a carefully selected population shows a statistically significant cost benefit while maintaining clinically comparable outcomes to the standard 4PLC.
MeSH term(s)	Adult ; California/epidemiology ; Cholangiography ; Cholecystectomy, Laparoscopic/economics ; Cholecystectomy, Laparoscopic/methods ; Cholecystitis/diagnosis ; Cholecystitis/economics ; Cholecystitis/surgery ; Cost-Benefit Analysis ; Equipment Design ; Female ; Follow-Up Studies ; Humans ; Incidence ; Laparoscopes ; Length of Stay/trends ; Male ; Middle Aged ; Operative Time ; Patient Selection ; Postoperative Complications/epidemiology ; Prospective Studies ; Treatment Outcome
Language	English
Publishing date	2015-10
Publishing country	United States
Document type	Journal Article
ZDB-ID	202465-2
ISSN	1555-9823 ; 0003-1348
ISSN (online)	1555-9823
ISSN	0003-1348
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Article: Combined laparoscopic near-total gastrectomy and colectomy.

Tessier, Deron J / Harold, Kristi L

Surgical laparoscopy, endoscopy & percutaneous techniques

2005 Volume 15, Issue 5, Page(s) 290–293

Abstract: Synchronous gastrointestinal lesions of the abdomen are uncommon. Although laparoscopic gastric resection and colonic resection have been previously described, the combined laparoscopic resection of these 2 organs is unique. We report a case of a 72-year- ...

Abstract	Synchronous gastrointestinal lesions of the abdomen are uncommon. Although laparoscopic gastric resection and colonic resection have been previously described, the combined laparoscopic resection of these 2 organs is unique. We report a case of a 72-year-old man with in situ gastric cancer and high-grade dysplasia of a colon polyp who underwent successful laparoscopic resection of both lesions. This report highlights the importance of preoperative planning and port placement in combined laparoscopic procedures.
MeSH term(s)	Aged ; Colectomy/methods ; Colonic Polyps/surgery ; Gastrectomy/methods ; Humans ; Laparoscopy ; Male ; Stomach Neoplasms/surgery
Language	English
Publishing date	2005-09-22
Publishing country	United States
Document type	Case Reports ; Journal Article
ZDB-ID	1475108-2
ISSN	1534-4908 ; 1530-4515 ; 1051-7200
ISSN (online)	1534-4908
ISSN	1530-4515 ; 1051-7200
DOI	10.1097/01.sle.0000183262.71228.43
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Article: Causes, diagnosis, and management of duodenal obstruction after aortic surgery.

Tessier, Deron J / Brophy, Colleen M

Journal of vascular surgery

2003 Volume 38, Issue 1, Page(s) 186–189

Abstract: While ileus is common after repair of abdominal aortic aneurysm, small bowel obstruction is uncommon and duodenal obstruction is rare. We report a case of high-grade, mechanical obstruction of the third and fourth portions of the duodenum that required ... ...

Abstract	While ileus is common after repair of abdominal aortic aneurysm, small bowel obstruction is uncommon and duodenal obstruction is rare. We report a case of high-grade, mechanical obstruction of the third and fourth portions of the duodenum that required operative intervention. A review of the literature is included, with emphasis on the causes, diagnosis, and management options for duodenal obstruction associated with aortic reconstructive surgery.
MeSH term(s)	Aged ; Aortic Aneurysm, Abdominal/surgery ; Blood Vessel Prosthesis Implantation/adverse effects ; Duodenum/physiopathology ; Duodenum/surgery ; Humans ; Intestinal Obstruction/diagnosis ; Intestinal Obstruction/etiology ; Intestinal Obstruction/surgery ; Male ; Reoperation ; Tissue Adhesions/complications ; Tissue Adhesions/etiology ; Tomography, X-Ray Computed ; Treatment Outcome
Language	English
Publishing date	2003-06-11
Publishing country	United States
Document type	Case Reports ; Journal Article ; Review
ZDB-ID	605700-7
ISSN	1097-6809 ; 0741-5214
ISSN (online)	1097-6809
ISSN	0741-5214
DOI	10.1016/s0741-5214(03)00145-9
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Article: A surgeon's guide to herbal supplements.

Tessier, Deron J / Bash, Deborah S

The Journal of surgical research

2003 Volume 114, Issue 1, Page(s) 30–36

Abstract: The use of herbal supplements has steadily increased in the United States over the last decade. Despite the increased awareness of alternative therapies by the government and lay public, many physicians do not ask their patients about their use of these ... ...

Abstract	The use of herbal supplements has steadily increased in the United States over the last decade. Despite the increased awareness of alternative therapies by the government and lay public, many physicians do not ask their patients about their use of these alternative medications. In addition, many physicians are unaware of the possible side effects that may occur when a patient consumes these substances. Considering a number of these supplements have been associated with adverse reactions in the perioperative period, it is important for a surgeon to understand all of the herbs a patient may be taking. The purpose of this article is to discuss the growing trend of herbal use among surgical patients and give the reader some background on the most commonly used herbs.
MeSH term(s)	Dietary Supplements ; Drug Interactions ; Female ; General Surgery ; Herbal Medicine ; Humans ; Intraoperative Complications ; Male ; Plants, Medicinal ; Postoperative Complications
Language	English
Publishing date	2003-09
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	80170-7
ISSN	1095-8673 ; 0022-4804
ISSN (online)	1095-8673
ISSN	0022-4804
DOI	10.1016/s0022-4804(03)00130-6
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Article: Safety of laparoscopic ventral hernia repair in older adults.

Tessier, Deron J / Swain, James M / Harold, Kristi L

Hernia : the journal of hernias and abdominal wall surgery

2006 Volume 10, Issue 1, Page(s) 53–57

Abstract: The published recurrence rate after laparoscopic ventral hernia repair is much less than the rate of recurrence via the open approach. Studies have demonstrated the safety and efficacy of this procedure but have had relatively young patient populations. ... ...

Abstract	The published recurrence rate after laparoscopic ventral hernia repair is much less than the rate of recurrence via the open approach. Studies have demonstrated the safety and efficacy of this procedure but have had relatively young patient populations. We present our experience in a significantly older population. A retrospective chart review of all patients undergoing a laparoscopic ventral hernia repair at our institution from May 2000 to September 2004 was performed. Data extracted from charts included demographics, number and type of previous abdominal operations, number of previous hernia repairs, defect and mesh size, postoperative complications, and follow-up. Ninety-seven patients underwent laparoscopic ventral hernia repair (50 men and 47 women). The mean age was 68.5 years (37-85 years) with 78% of patients over the age of 60. Patients had undergone a mean of 2.1 prior abdominal operations. Thirty-five (36%) patients had undergone a mean of 1.8 previous open hernia repairs; 54% with mesh. The mean length of stay was 3.4 days (0-31 days). Thirty-three minor complications occurred in 27 patients. Six major complications occurred in five patients. Three patients required reoperation. Thirty-one percent of patients complained of pain at a transabdominal suture site 6 weeks after surgery. Nine percent of patients had seromas lasting longer than 6 weeks. Two recurrences occurred during follow-up and two patients required mesh removal. There were no deaths. Laparoscopic ventral hernia repair can be performed safely in patients regardless of age. Length of stay and overall complications are not affected by age. Long-term follow-up is necessary to evaluate the effectiveness of LVHR in this patient population.
MeSH term(s)	Adult ; Aged ; Aged, 80 and over ; Comorbidity ; Female ; Hernia, Ventral/epidemiology ; Hernia, Ventral/surgery ; Humans ; Laparoscopy ; Length of Stay ; Male ; Postoperative Complications/epidemiology ; Recurrence ; Reoperation ; Retrospective Studies ; Seroma/epidemiology
Language	English
Publishing date	2006-03
Publishing country	France
Document type	Journal Article
ZDB-ID	1388125-5
ISSN	1248-9204 ; 1265-4906
ISSN (online)	1248-9204
ISSN	1265-4906
DOI	10.1007/s10029-005-0033-7
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