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Reconstruction After Pancreatoduodenal Resection Whipple Type

Reconstruction After Pancreatoduodenal Resection...

Control endoscopy after PDR Whipple type whith: gastroentero- and enteroenterostomy. Essential reflux gastritis is observed, but stomies are permeable whithout inflamation and stenosis (courtesly of prof. Gutsu E.).

Coronary Artery Grafting With Bilateral Internal Mammary Arteries Using Composite Y-Graft Technique

Coronary Artery Grafting With Bilateral Internal...

This video demonstrates the technique of coronary artery bypass grafting with bilateral internal mammary arteries using composite Y-graft technique. The right internal mammary artery (RIMA) is harvested first as a skeletonized free graft and then the left internal mammary artery (LIMA) is harvested as a skeletonized pedicled graft. Before going on bypass when the heart is full and not arrested the precise marking of the Y-graft anastomosis site is possible. This site is marked on the LIMA at the level of the left atrial appendage. The composite Y-graft is constructed by anastomosing the proximal end of the RIMA to the marked site of the LIMA (end-to-side anastomosis) using 8-0 continuous running Prolene suture. The flow in the composite graft is checked and measured to make sure that it is 2 - 3 times more than the LIMA flow (measured before) to be able to provide enough blood to 2 and more coronary arteries to be bypassed. The cardiopulmonery bypass is started and the heart is arrested. LIMA to Diagonal and LAD sequential graft and RIMA to OM and PDA sequential grafts were done for this particular patient. Composite Y-graft function and patency is checked 3 months after surgery by 64 slice contrast CT scan. LIMA stem flow is checked after surgery by Dupplex investigation. Good flow is noted with predominant diastolic component. Good function and patency of the composite Y-graft is also seen on the angiogram 5 years after surgery. This operation let us avoid vein grafts and perform arterial revascularisation providing good and stable long-term results which is very important especially for the younger patients.

Circumferential Supracrestal Fiberotomy (CSF)

Circumferential Supracrestal Fiberotomy (CSF)...

Circumferential supracrestal fiberotomy(CSF) in rotated teeth after finishing orthodontic treatment by Dr Amr Asker. Video by Dr Amr Asker.

Endarterectomy in Aortoiliac Occlusive Disease

Endarterectomy in Aortoiliac Occlusive Disease

Recording of a endarterectomy with aortoiliac occlusive disease (Leriche syndrome). The patient was shown severe calcific also has diabetes, is moderately obese and quit smoking in 1991. Presented by Patrick J. O'Hara, MD and Tara M. Mastracci, MD, Department of Vascular Surgery Cleveland Clinic Foundation, Cleveland, Ohio.

 Hysteroscopy: Myoma tipe1 and Endometrial Polyps

Hysteroscopy: Myoma tipe1 and Endometrial...

42 yo, 0G presenting diagnosis of infertility, To ultrasound pelvic shows the presence of endometrial thickening (submucosus myoma), takes offive hysteroscopy.

Hyperplasia Complex with Atypias

Hyperplasia Complex with Atypias

64 yo patient, treated with tamoxifen for 3 years for breast cancer. Ultrasound pelvic show endometrial thickening (6 mm).

Thoracoscopic Esophagectomy For Cancer Of  Esophagus

Thoracoscopic Esophagectomy For Cancer Of...

Video shows thoracoscopic dissection of esophagus for cancer of the middle portion of esophagus. Video by Dr Hemant Bhansali

Minimally Invasive Esophagectomy

Minimally Invasive Esophagectomy

Lectures from the 2014 General Thoracic Surgical Club about minimally invasive esophagectomy. Video by dr Dawn Jaroszewski.

Esophageal cancer surgery, Radical Esophagectomy

Esophageal cancer surgery, Radical Esophagectomy

Minimaly invasive esophagectomy is currently a new approach to radical esophagectomy that avoids big incisions especially the thoracic incision and yet has an excellent oncological result especialy regarding the mediastinal lymphadenectomy. Video by Dr Sanjay Sharma:


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