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Transvaginal Nephrectomy - Risk to Iliac Vessels

Transvaginal Nephrectomy - Risk to Iliac Vessels

This video shows risk to damage iliac vessels during transvaginal nephrectomy Transvaginal nephrectomy procedure is one of Natural Orifice Translumenal Endoscopic Surgey (NOTES). This procedure involved making a single vaginal incision and placing a special port through which the surgeon removed the kidney with laparoscopic instruments.

Laparoscopic Treatment Of A Large Gossypiboma Complicated With Penetration Of The Intestinal Wall

Laparoscopic Treatment Of A Large Gossypiboma...

We present a case of a large gossypiboma complicated with penetration of the intestinal wall laparoscopically treated by. Dr. Mocan Lucian at 3-rd Surgery Clinic Cluj Napoca, Romania. A 23 year old lady with a history of an cesarean section in another district presented in our Department (Clinica Chirurgie 3, Cluj Napoca) with a 12 month history of colicky abdominal pain and swelling in the hypogastric region associated with the lowering of her bowel motion and stool quantity but no absolute constipation. On clinical exam we observed a pale, wasted patient. The abdomen was full with a palpable, mobile, elastic mass in the hypogastric region. The rectal examination was normal. All lab tests including blood count, urinalysis, ESR, E&U and CXR were normal. An ultra sound scan of the abdomen and pelvis showed features of an abdominal tumor with a partial small bowel obstruction. The CT scan confirmed the presence of the tumor mass. An exploratory laparoscopy was planned founding a clean abdomen and a large intestinal mass surrounding one ileal loop as well as enlarged mesenteric lymph nodes. The mass was a rolled abdominal gauze pack (21X21 cm) penetrating the ileal wall. The mass was laparoscopically excised off the ileal wall (keeping the integrity of the intestinal wall despite the inflammation and structural damaged) and extracted using a small, 5 cm Pfannenstiel incision. The postoperative outcome was uneventful and she was discharged home in the 4-th postoperative day.

Laparoscopic Duodenojejunostomy For Superior Mesenteric Artery Syndrome

Laparoscopic Duodenojejunostomy For Superior...

20 year old female presented with feature of postprandial pain abdomen and recurrent vomiting since 6 months. History of recurrent hospitalizations for the same and she was being managed conservatively and discharged with mild improvement in symptoms. H/o Lordosis correction surgery 15 months back. EGD was done which was reported normal. CT angiography clinched the diagnosis of Superior mesenteric artery syndrome. She was optimised and posted for laparoscopic Duodenojejunostmy. Dr P.K. Reddy

The Male Genital-Urinary System and BPH

The Male Genital-Urinary System and BPH

This animation shows the anatomy and physiology of the male genitourinary system and the pathophysiology of BPH and other genitourinary conditions. Details how alpha 1 adrenergic inhibitors and 5 alpha reductase inhibitors function to improve symptoms of BPH.

Laser Vaporization for BPH

Laser Vaporization for BPH

This video shows vaporization of the prostate. It is a procedure used in the treatment of Benign Prostatic Hyperplasia (BPH) and an alternative to TURP (transurethral resection of the prostate). In this case laser vaporization has been performed by vaporizing laser: KTP (potassium–titanyl–phosphate). Indications for prostate laser vaporization, according to the European Urological Association (EUA) guidelines are patients using anticoagulant therapy who cannot be interrupted before the procedure, patients who cannot undergo TURP or patients wishing for a regular ejaculation after the surgery.

Laparoscopic Adrenalectomy Right Side

Laparoscopic Adrenalectomy Right Side

This video shows step by step of laparoscopic adrenalectomy on the right side. Size of tumor was more than 4 cm.

Laparoscopic Radical Nephrectomy - Identifying The Ureter

Laparoscopic Radical Nephrectomy - Identifying...

This video shows one part of laparoscopic radical nephrectomy: identifying the ureter by stimulating peristalsis.

RIRS - Laser Lithotripsy Multiple Stones of Lower Moeity of Duplicated Pelvis

RIRS - Laser Lithotripsy Multiple Stones of...

33 yo male patient with asymptomatic accidentally found multiple stones of left kidney.

Ovarian Cancer Anexectomy

Ovarian Cancer Anexectomy

Patient with preoperative diagnosis of huge right Endometrioma. After evacuating, finding tumor support Ovarian Cancer. I called to assess the surgical procedure, so I was at the patient right side. In addition to bilateral oophorectomy, an exploration of the abdomen was performed, peritoneal washings and peritoneal biopsies too for definitive pathological diagnosis. Prior informed consent, complete Staging Surgery was performed (by laparotomy) 17 days later. The final Staging: FIGO IC2, histologic type II - HGSOC

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