DisCussiOn Gastric bypass was first used in the management of morbid obesity by Mason
and Ito in 1966. 8 Over the last 4 decades, as laparoscopic expertise has improved, gastric …

INTRODUCTION: In recent years prosthetic cruroplasty with PTFE has been advocated as
the optimal way to reduce hernia recurrence when repairing large hiatal hernia. However, we …

Littoral cell angiomas (LCAs) are rare splenic vascular neoplasms that arise from the cells
lining the red pulp sinuses. The clinical course is benign and in most cases asymptomatic. …

Advanced minimally invasive surgery (MIS) is not universally available in the Anglophone
Caribbean, partly due to a shortage of trained laparoscopic surgeons. However, we have …

The posterior aspect of the pancreatic head has proven to be a technically demanding
region to approach laparoscopically. Previously, this region was approached through the …

Laparoscopic liver resections require advanced laparoscopic skill sets. In the Caribbean, a
unique situation exists where centers of excellence for liver resections exist, but surgeons …

Background Common bile duct (CBD) exploration to address choledocholithiasis is not
widely practiced in the English-speaking Caribbean. This study sought to determine the …

BACKGROUND Laparoscopic colectomy is widely accepted as a safe operation for colorectal
cancer, but we have experienced resistance to the introduction of the FreeHand® robotic …

SciELO - Saúde Pública - Colorectal cancer in an Eastern Caribbean nation: are we missing
an opportunity for secondary prevention? Colorectal cancer in an Eastern Caribbean nation…

Although laparoscopic cholecystectomy is the gold standard treatment for acute cholecystitis,
many Caribbean surgeons are reluctant to operate during the acute attack. We collected …