Case Clinics



Important Considerations for Abdominal Access Devices: Technology, Incision, and Placement

Surgical technology is constantly evolving, leading to rapid and profound changes over the past few decades. Various approaches—with various strengths and limitations—have been developed to help minimize tissue trauma, wound complications, and postoperative scarring. Designing surgical tools that reduce incision size must be balanced with the need to maintain access with good visualization, providing a stable conduit that allows the surgeon to move forward safely, with instruments that are robust, while maintaining a traditional laparoscopic approach. These Case Clinic challenges illustrate the use of a system that employs instruments with a 2.9-mm shaft that are inserted percutaneously through the skin, with full, standard 5-mm end effectors that are attached to the shaft end through a separate 5-mm or larger port.

Each activity offers:
0.50 AMA PRA Category 1 CreditTM
0.50 CNE Contact Hour

Follow the Science: The Evidence Points to a Low-Carbohydrate Diet

The epidemics of obesity and its associated comorbidities—including insulin resistance and type 2 diabetes mellitus—constitute one of the most threatening public health problems in the United States. Past paradigms that encouraged people to exercise more and consume fewer calories and less fat have clearly failed to address these alarming trends. In this series, 3 patient case scenarios incorporate interactive polling questions with expert opinion on optimal management of overweight and obese patients. The focus is on an increasingly robust evidence base favoring low-carbohydrate diets to achieve sustainable weight loss and address cardiometabolic risk factors. Each case highlights different aspects of management, which often must address a host of clinical, cultural, and psychological issues.

Each activity offers:
1.00 AMA PRA Category 1 CreditsTM
1.00 CPEU for Registered Dietitians/Registered Dietetic Technicians

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