September 23, 2008

Laparoscopy Web 7-2

SLS.org In addition to its open access publications, Laparoscopy Today; JSLS, Journal of the Society of Laparoendoscopic Surgeons; and Prevention and Management of Laparoendoscopic Surgical Complications, the site now also features a History of Endoscopy. Chronologically segmented into easy-to-read chapters, this text covers the important history and progression of techniques, advancements and improvements in the field.

PRACTICEGREENHEALTH.org From providing “The Business Case...” to highlighting best practices, this site covers the many issues associated with the greening of healthcare. Visit the education and resources section for details about operations (mercury elimination, green cleaning, waste management); building design and construction; clean energy; environmental purchasing; and federal regulations and standards.

GOTBARIATRICJOBS.com recently posted the results of the ESA Medical Resources’ “Bariatric Surgery Program Survey.” While most are content with the practice or program they’ve set up, many who responded to the survey are displeased with the insurance reimbursement process. The ESA invites you to continue the discussion on the blogsite, www.blog.esamedicalresources.com. The site continues to offer bariatric news and job opportunities.

WEBSURG.com Now available: the 3 WebSurg award winning videos “Laparoscopic Sigmoid Vaginal Replacement,” “Retrocaval Ureter: Right Laparoscopic Ureteroureterostomy,” and “Thoracoscopy in Children” plus 6 new operative videos in laparoscopic general and digestive surgery.

OUTPATIENTSURGERY.net Outpatient Surgery Magazine online gives you free access to all of the magazine’s regular issues as well as manager’s guides (includes a series on facility building) and e-newsletters. Read about featured products and services. Download guidelines, templates and forms such as the pre-op patient questionnaire. Choose one of the site’s categories to quickly pull up everything you need on a specific topic. Recent articles include “Thinking of Buying...An Endoscopic Camera,” and “Is Laparoscopic Colorectal Surgery Staging a Comeback? 7 signs that colorectal surgeons are pushing laparoscopy into the mainstream.”

August 21, 2008

Laparoscopy Web 7-1

WEBSURG.com offers something new for the minimally invasive surgeon every month. So far this year, over 33 new videos have been included; and to assist with better understanding, videos are now being provided with scripts. Two technical chapters, 8 lectures--one recorded as presented live during the NOTES course, and an expert interview with Dr. Gomel. In addition to all this new content, a completely new format, a series of clinical case presentations, debuted in April. Join EATS and gain access to exclusive NOTES content for EATS members.

GotBariatricJobs.com Go here for the latest bariatric news and positions. Sign up to have details (including sound bites) sent straight to your inbox.

Modernmedicine.com is a one-stop information source for the Advanstar Communications collection of  publications including Urology Times, Contemporary Ob/Gyn, Medical Economics, and Drug Topics as well as several other healthcare publications. Use the “Resource Centers” to find all of the publisher’s articles in your specialty. Link to free CME resources.

IPEG.org Final program and abstract book for the International Pediatric Endosurgery Group 17th Annual Congress for Endosurgery in Children is available for download.

MedGadget.com, the internet journal of emerging medical technologies, is archived by specialty as well as date. Search the archives for news in your area of interest.

OBGYN.net gives site visitors news, interviews, and presentations from the latest ObGyn events as well as tools such as eduational tutorials, a conference calendar, and links to the health news headlines. Currently featured in the Laparoscopy and Hysteroscopy section is a video tutorial, “Introduction to Office and Operative Hysteroscopy,” a course presented at the AAGL 16th Annual Comprehensive Workshop on Gynecologic Endoscopy for Residents and Fellows.

July 06, 2007

LAPAROSCOPY WEB 6-1

WEBSURG.com has added a brand new section—Robotic Surgery. Approximately a hundred high quality videos optimized for portable media players and handheld devices are also now available for download for $6.95 per video.

SCIRUS.com, the search engine for scientific information only, allows users to search over 415 million science-specific web pages to pinpoint scientific scholarly, technical and medical data. The engine filters out everything but the science; so, when you search for REM, you’ll get articles on sleep not the rock group. Plus, users can select a range of subject areas; specify medium; find info in PDF and postscript files; and narrow searches by date, author, journal, or article. Visit the site to learn about additional features.

LAPAROSCOPYTODAY.com, the online counterpart to Laparoscopy Today, features downloadable PDF and searchable text versions of Laparoscopy Today as well as the latest news from SLS. Use the innovative category cloud, Google powered search engine, or JSLS Journal search to find the information you need.

GOTBariatricJobs.com Especially for those professionals seeking job placement in the area of bariatric surgery, this is the site of the only recruitment firm nationwide specializing in job placement for bariatric surgeons, nurses, program coordinators and support staff in the surgical weight loss field. Here you can read bariatric news, search job opportunities, submit your resume/CV, and sign up for job alerts.

ReleMed.com, for relevant medicine, was developed by researchers at the University of Virginia School of Medicine to provide medical professionals, researchers, and the general public with a more efficient and targeted way to search PubMed for the latest, most relevant medical literature to answer medical queries- not just the most recently published articles randomly containing the search terms.

www.Laparoscopy.org  The Laparoscopic Surgery Information Source

July 05, 2007

MIS Information at Your Fingertips!

BOOKMARK THAT SITE!

PAUL ALAN WETTER, MD, ANN MORCOS, MA, ELS

Imagine the following scenarios: making rounds and attending to a patient with a condition that you are not familiar with; writing a paper based on your recent research, or patient case; writing a review article to submit to JSLS, Journal of the Society of Laparoendoscopic Surgeons or another medical journal. In addition to using your computer, now imagine using your PDA or your cell phone as the tool for retrieving pertinent medical information in those situations! With the press of a few buttons, you can download the appropriate chapter of the first edition of Prevention and Management of Laparoendoscopic Surgical Complications, for example, or the “SLS Guide: Writing Effectively for MIS Journal Publication,” or other valuable information from the SLS website.

The mission of SLS is to “improve patient care and promote the highest standards of practice through education, training, and information distribution and to ensure that members have access to the newest ideas and approaches, as rapidly as possible.” Simply stated, SLS strives to make information available using the most convenient and practical means possible. They want to put information at your fingertips!

HOW IS THIS POSSIBLE?

This mission might seem like a tall order; however, SLS is succeeding at its mission and now even taking it a step further. The newly expanded and redesigned websites, www.SLS.org and www.LaparoscopyToday.com have features that will allow you to access MIS information anytime, anywhere. This is possible using an RSS feed. Once you have an RSS feed reader, also known as an aggregator, installed on your computer, PDA, or cell phone, you can use your device to access the SLS website and obtain information instantly.

WHAT IS AN RSS FEED?

There is some discussion as to what RSS stands for, but the vote commonly goes to “Really Simple Syndication.” Essentially, it is a format for distributing content from sources on the web. RSS is particularly useful because it allows one to check for and retrieve the latest content available online from multiple information sources. The concept is based on syndicating information, much like newspapers have syndicated columns. The feed reader or aggregator software will grab the RSS feeds from your chosen websites and then display them on your computer or even manipulate them to be read on your cell phone or PDA.

HOW TO START USING FEEDS

The first thing you need is an RSS feed reader or aggregator which can either be accessed using a browser or as a downloadable application. At your request, the aggregator searches your chosen sites and sends new information from those sites directly to your computer, PDA, or cell phone. Aggregators are available for free (NewsGator or NetNewsWire Lite for Mac are available at www.NewsGator.com) or for a small fee ($29.95 for NetNewsWire, the fully functional version of NewsGator for Mac, also available at www.NewsGator.com). To take advantage of RSS on your PDA, try Quick News for Palm OS (http://standalone.com/palmos/quick_news). At just $14.95, it’s a bargain.

The number of sites offering RSS is rapidly increasing, with websites such as those for the New York Times and the BBC as well as www.WebMD.com and www.MedicineNet.com offering the feature to keep viewers informed of the latest news. Sites offering RSS will typically show the RSS icon (Figure 1) or offer site viewers the option of subscribing to the site.

SLS uses RSS feeds to allow easier communication of MIS information from its website to physicians around the world who have access to computers and hand-held communication devices. Surgeons might also use RSS feeds within their institutions to share protocols, new procedures, news, or institutional policies with their colleagues.

CHECK OUT THESE OTHER NEW FEATURES ON SLS’ WEBSITES!

•    New search engines powered by Google and IngentaConnect make gathering information from SLS’ publications easy. Search and download past issues of JSLS (Full text is available online 3 months after publication for free; new issues are available exclusively to members via password and login). A search of the SLS websites, powered by Google, is very effective for looking up the educational information available online. SLS prides itself on providing medical content from varied sources including journals, textbooks, conferences, forums and blogs.

•    SLS Guide: Writing Effectively for MIS Journal Publication. This is a concise guide for both experienced writers and novices. It provides an overview of the steps to writing and preparing a submission worthy paper to MIS journals.  Useful tips on how to present your information; preparing for writing; types of articles; outlining your paper; reviewing and editing your paper; how to prepare abstracts both structured and unstructured; and helpful references for more in-depth information are also available.

•    MIS Discussion Forum. SLS is also starting a discussion page that provides a means of exchanging information and ideas. The current topic of discussion is hernias. Michael S. Kavic, MD, has submitted the article “Tension-free Repair Versus Watchful Waiting for Men with Asymptomatic or Minimally Symptomatic Inguinal Hernias: a Cost-effectiveness Analysis” by Stroupe KT, et al, published in the Journal of the American College of Surgery 2006;203(4):458-468 to stimulate discussion. One can log on, ask questions, provide feedback, and read others’ comments.

•    The 1st edition of Prevention and Management of Laparoendoscopic Surgical Complications—full text and illustrations—is now free online to both members and nonmembers of SLS. The first printing of this classic textbook was a complete sellout and has been translated into Chinese and Portuguese. With RSS feed reader installed on your PDA, cellphone, or computer you can access this textbook anywhere.

•    Prevention and Management of Laparoendoscopic Surgical Complications, 2nd Edition, which is a completely revised edition with 57 chapters and contributions from over 100 authors, is available for purchase through the website. This textbook is now being used in over 95% of MIS training programs. SLS members receive a discount when they purchase this text.

•    SLS Annual Meeting and Endo Expo proceedings are available online beginning with the 15th SLS Annual Meeting and Endo Expo 2006 held in Boston, Massachusetts, and will continue with the 16th SLS Annual Meeting and Endo Expo 2007  taking place in San Francisco, California, September 5-8, 2007. Information and proceedings for future meetings, including syllabi, will also be available online.

What more could you want from a society website? Well, there IS more! SLS’ publication Laparoscopy Today now has an online counterpart, LaparoscopyToday.com, with an innovative “category cloud” (Figure 2). The category cloud identifies the hottest topics based on popularity. Site visitors can download all previous issues of Laparoscopy Today which contain membership news, scientific articles, and important information about minimally invasive surgery.

True to its mission of promoting high practice standards through education, training, and distributing information, SLS is providing the most current research findings and educational material to minimally invasive surgeons worldwide through its newly updated Web sites. See for yourself at www.SLS.org and www.LaparoscopyToday.com.

Correspondence: Paul Alan Wetter, MD, 7330 SW 62nd Place, Ste 410, Miami, FL 33143. Telephone: 305 665 9959, Fax: 305 667 4123

Wetter_053007 Paul Alan Wetter, MD, is Professor Emeritus, University of Miami School of Medicine; Chairman of the Society of Laparoendoscopic Surgeons, which he founded in 1990; Executive Editor of Laparoscopy Today; and Managing Editor of JSLS. He is the first gynecologist to bring endoscopic and microincision techniques for the treatment of tubal pregnancy, appendectomy, uterine fibroids, ovarian problems, and abnormal uterine bleeding to the State of Florida. He is also Florida’s first gynecologic surgeon to perform laparoscopic hysterectomy, laparoscopic appendectomy, and laparoscopic treatments for tubal pregnancy.

Morcos_headshot Ann Conti Morcos, MA, ELS, has been a medical writer/editor for 20 years. She is a member of the American Medical Writers Association, the Council of Science Editors, and is board certified by the Board of Editors in the Life Sciences. Her work has appeared in ADVANCE for Directors in Rehabilitation, ADVANCE for Nurse Practitioners, Annals of Internal Medicine, ASCO Daily News, Cardiology World News, CBS HealthWatch, Kids Health.org, Boy's Life Magazine, and others. She is the Copy Editor for JSLS, Journal of the Society of Laparoendoscopic Surgeons and the English-language editor for the Brazilian Archives of Cardiology. She also edits manuscripts for the Heart Institute (InCor) of the University of Sao Paulo Medical School in Sao Paulo, Brazil.

www.Laparoscopy.org  The Laparoscopic Surgery Information Source

May 23, 2007

Look up your favorite topic on the new www.SLS.org

Miami, FL – May 2007 – The new SLS website is up and running!
Find the most thorough, user friendly, MIS research content available online.

Check Out These Exciting New Features on the SLS Website:

•  New search engines powered by Google.  Gathering information is now easier than ever before.  One can Google Search the content rich SLS site, as well as all past issues of JSLS. (Issues are available online 3 months after publication for free, current issue available exclusively to members with password login.)  “JSLS ranked in the IngentaConnect Top 100 of 10,000 titles for downloads in April 2007.”

•  Laparoscopy Today is now available online.  This publication includes SLS news and important information about minimally invasive surgery. The site features an innovative “category cloud” which identifies hot topics of interest based on popularity.

•  Complete Textbook Online: The full text and illustrations from Prevention and Management of Laparoendoscopic Surgical Complications, 1st Edition, is available free at the website for members and nonmembers alike. With an RSS feeder installed on your PDA or cell phone you can access this textbook anywhere.

•  The SLS Guide: Writing Effectively for MIS Journal Publication is online.  The guide provides an overview of the steps to writing and preparing a submission worthy paper to MIS journals.  It includes useful tips such as how to present your information; preparing to write; types of articles; outlining; reviewing and editing; and how to prepare abstracts.

•  Online Forum provides a means of exchanging information and ideas. The current topic of discussion is hernias. Check it out to ask questions, provide feedback and read others’ comments.

•  Archives and podcasts from past SLS conferences including the Annual Meeting and Endo Expo and the AsianAmerican Summits and EuroAmerican Summits.

•  If that isn’t enough you can access all of the journal, meeting, forum, textbook and other important information, not only from your computer, but from your web accessible cell phone or PDA using RSS - right from OR, the patients bedside, and any location. Info when you need it, where you need it.

SLS strives to make valuable medical information available using the most convenient and practical means possible.  Check out the newly designed SLS website at www.SLS.org to explore these exciting new features!  MIS research has never been so easy and comprehensive.

www.Laparoscopy.org  The Laparoscopic Surgery Information Source

January 01, 2006

HEALTH AFFAIRS LAUNCHES BLOG WITH POSTS ON HEALTH CARE REFORM BY LEADING HEALTH CARE ECONOMISTS

http://healthaffairs.org/blog/

Health Affairs, which has been in print for 25 years with an online presence for six, has started a blog to extend the dialogue on health policy issues. The goal of the blog is to offer a range of views on topics on the health policy horizon.

Health Affairs blog is in an experimental phase with posts in the 500 to 1,000-word range being generated by both journal editors and outside experts. Main elements of the blog will include:

• invited posts from leading policy analysts;
• responses from a variety of healthcare stakeholders;
• comments welcomed from all readers;
• links to timely information both within Health Affairs and from other sources;
• staff-written posts on policy briefings, new reports, hot policy topics

Recent posts include “PHARMA: Understanding Pharmaceutical Issues” and “BIOTECH: Value-Based Pricing in Biotechnology.” Comments from all readers are welcomed, and anyone who is interested can follow the conversation with the help of email alerts or the blog’s RSS feed.

“There is no medicine like hope, no incentive so great, and no tonic so powerful as expectation of something better tomorrow.”
--Orison Swett Marden

www.Laparoscopy.org  The Laparoscopic Surgery Information Source

LAPAROSCOPY WEB 5-2

WEBSURG.com Frequently updated, new chapters and new videos are added to the World Electronic Book of Surgery on an ongoing basis. Recently, however, the Electronic Book has added more than the usual chapter or video—a whole new section on NOTES (natural orifice transluminal endoscopic surgery). If you aren’t familiar with NOTES, this section offers an overview as well as lectures, slideshows, and expert debates and interviews about the procedure.

ISMICS.org Visit the website of the International Society for Minimally Invasive Cardiothoracic Surgery and link to Inno-vations—Technology and Techniques in Cardiothoracic and Vascular Surgery, the society’s official publication. Volume 1 is currently freely available. Abstracts from the Ninth Annual Scientific Meeting, held June 7–10, 2006, have also been posted.

UROLOGYTIMES.com / CONTEMPORARYUROLOGY.com   Search the websites of these sister publications for the latest news and up-to-date articles in urology. Latest features free online include “Symposium: Robotic Surgery in Urology: Hype, Hope, and Reality,” and “Ureteroscopy for Large Renal Calculi: Treatment Methods and Indications.”

MEDPAGETODAY.com offers news for all specialties. Use the site's RSS feeds to follow the top stories. Register with the site for the opportunity to earn CME credit for reading the news. Recently posted teaching briefs include “Synthetic Mesh Prevents Hernias in Open Gastric Bypass,” and “Duodenal Switch Called Bariatric Surgery of Choice for 'Super-Obese.'”

PEDIATRICROBOTICSURGEONS.com offers free videos of some of the robotic procedures performed at the Children’s Hospital of Iowa, including Robotic Newborn Congenital Diaphragmatic Hernia Repair performed on the smallest patient to ever undergo robotic surgery. Video from the Annual Pediatric Robotic Symposium and links to news and articles about pediatric robotic surgery are also available.

FACS.org Visit the website of the American College of Surgeons for easy access to surgery news through online postings of ACS NewsScope, a weekly email update; PDFs of Surgery News, the ACS’ official newspaper; and PDFs of articles from the Bulletin of the American College of Surgeons.

IPEG.org Go to the International Pediatric Endosurgery Group website to download the IPEG 2006 Annual Meeting abstracts.

LAPAROSCOPY.org New features, new member benefits… In keeping with the mission of SLS to provide education to physicians around the world, exciting new features have been added to the SLS website. In addition to the first edition of the SLS complications textbook being freely available to read online, download, or search, the site now offers a minimally invasive search engine that allows you to easily search for and read articles from JSLS, Journal of the Society of Laparoendoscopic Surgeons. The most recent issues are already freely available with back issues being added on a regular basis.

Would you like to increase your chances of getting your manuscripts published? Another new feature of Laparoscopy.org, “SLS Guide: Writing Effectively for MIS Journal Publication,” has been posted to help new and experienced authors prepare their professional papers for publication.

And, for those who couldn’t make it to the SLS Annual Meeting, proceedings and highlights from the conference are being posted so members can read about everything from the award winners to the general sessions and laparoscopy updates.

Plans include the launch of Laparoscopy.Blogs.com minimally invasive discussion forums and making podcasts of major SLS Annual Meeting sessions freely available.

Visit www.Laparoscopy.org to take advantage of these remarkable new tools.

www.Laparoscopy.org  The Laparoscopic Surgery Information Source

General Informatic Session- Electronic Medical Records, CPOE, HIPPA Compliance, and Evidence-Based Medicine

FROM THE 15TH INTERNATIONAL CONGRESS AND ENDO EXPO 2006, SLS ANNUAL MEETING, BOSTON, MASS, SEPTEMBER 6–9, 2006

MULTIDISCIPLINARY PLENARY SESSION: INFORMATICS FOR THE LAPAROENDOSCOPIC SURGEON

PRESENTED BY GUSTAVO STRINGEL, MD

Physicians have been slow to adopt information and communication technology (ICT), but it is transforming our world so rapidly that it is a must. All doctors’ offices have computers now and medical informatics, ie, the storage, retrieval, and optimal use of biomedical information, data and knowledge for problem solving and decision-making, affects every aspect of medical practice. Computerized robots now make rounds and dispense medicine; and radiographs can be reviewed at home, in wards, or any place with Internet access.

Evidence-based medicine, ie, treating a patient by using the best evidence available, has replaced past medical decisions based on clinical experience, guessing, folklore, tradition, nonscientific clinic observations, and the art of medicine. The American Cancer Society developed the first clinical guidelines for cancer-related check-ups. Currently, most medical societies offer clinical guidelines. Critics of guidelines fear that they will lead to “cookbook medicine,” which will limit innovation and treatment based on clinical experience.

Computerized physician order entry (CPOE) will help eliminate medical errors that result in patient deaths. However, to date, only 4% to 10% of US hospitals have implemented CPOE. Many state legislatures have adopted legislation to implement CPOE; however, physicians must take ownership of the CPOE project for it to work. The Kassembaum-Kennedy Act of 1996 also known as the Health Insurance Portability and Accountability Act (HIPAA) was originally intended to streamline administrative processes and improve health information security. New Federal regulations have resulted because of HIPPA, and failure to comply with HIPPA can result in civil and criminal penalties.

Electronic Medical Records (EMR) is of growing importance among physician groups. Benefits include easy viewing; accurate, easy prescription and test ordering and messaging; improved quality and efficiency; patient-directed functionality and billing, which can yield financial benefits through more complete capture of services provided, more defensible Medicare coding at higher coding levels, and reductions in data-entry staff. Weaknesses of the system include high initial cost, uncertain financial benefits, high initial physician time investment, difficulties with technology, and problems with electronic data exchange.

www.Laparoscopy.org  The Laparoscopic Surgery Information Source

CONFERENCE REPORT: Robotic Surgical Innovations in Minimally Invasive Surgery

FROM THE 14TH INTERNATIONAL CONGRESS AND ENDO EXPO

LAPAROSCOPY UPDATE: FUTURE TECHNOLOGIES COMMITTEE

DMITRY OLEYNIKOV, MD

Laparoscopy has been a tremendous advantage for patients as well as physicians over the past ten years. The new revolution however is even more exciting. It is one of robotics. Today we live in a digital age. Our music is digital, our data is digital. However, the interactions with our patients are still in analog. We look at x-rays that are obtained from conventional radiation sources, and we still have to reach out and physically examine our patients. With the invention of surgical robotics, this is changing. The new devices that are available today are to some extent fantastic as they allow us to perform surgeries across oceans while sitting comfortably in a recliner chair. Surgical systems such as the da Vinci Surgical System and the Zeus Surgical System are pioneers in surgical robotics, but these are only the tip of the iceberg. There are a number of companies that are looking to develop new robotic systems, and several companies are researching robotic endoscopes. Olympus is looking at developing active capsule endoscopy. Our own area of interest is miniature robots and we have created a miniature prototype that is a wireless camera and device that allows us to insert a miniature robot into the abdominal cavity of a patient during a laparoscopy. The device is wirelessly driven through the abdominal cavity while at the same time sending video signals. We are now seeking FDA approval of this device for human use. So far it has been used successfully in the animal model. These and other technologies will revolutionize how we treat our patients and change medicine as radically as laparoscopy did more than ten years ago.

Notes

Dr Oleynikov's work with mini-robots has been reported on in the BBC news (http://news.bbc.co.uk; “Dextrous Mini-robots to Aid Ops”); New Scientist (www.newscientist.com; “Robot Set Loose to Film Your Insides”); and MedGadget (www.medgadget.com; “Tiny Robots for Remote Surgery”).

Articles have been published in IEEE Transactions on Robotics, Surgical Innovation, and Journal of Surgical Endoscopy.

www.Laparoscopy.org  The Laparoscopic Surgery Information Source

THE LANGUAGE ACCESS NETWORK: LIVE VIDEO LANGUAGE INTERPRETATION SYSTEM

Language is a vital part of human interaction and at no time is it more important than in a medical emergency. However, many Americans are unable to communicate with the people trying to care for them.

At times bewildered doctors and nurses must turn to untrained interpreters and sometimes even children to help a patient convey his/her problem to those desperately trying to help.

The Language Access Network is working to break the language barrier by implementing a system that utilizes wireless-powered mobile carts to give healthcare professionals access to qualified interpreters 24 hours a day, 7 days a week in more than 180 different languages.

The mobile cart links to a video call center where an interpreter is ready and willing to help. Equipped with two-way video, the mobile cart allows the patient to converse with the interpreter on the screen and the interpreter to quickly pass on vital information to healthcare professionals.

www.Laparoscopy.org  The Laparoscopic Surgery Information Source

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