Dr Pradeep Jain - COLORECTAL - Laparoscopic Ultra Low Anterior Resection Dr Pradeep Jain is currently appointed the Chief of Department GI, GI Onco, Bariatric & MinimalAccessSurgery, at Action Cancer Hospital & Sri Balaji Action Medical Institute . Dr Pradeep Jain - COLORECTAL - Laparoscopic Ultra Low Anterior Resection Patient and Port position: Patient placed in modified Lloyd Davies position. Pneumoperitoneum created by veress needle through 10 mm Supraumbilical skin incision which is later on converted into 10mm camera port. 10mm RIF port, 5mm right and left lumbar ports, 12mm supraumbilical ports made. STEPS: Initial step is to visualize all quadrants of peritoneal cavity, liver surfaces, pelvis for metastasis, lymphadenopathy and ascites. The left side of the patient is raised up to allow the small bowel to fall out of the pelvis. The apex of sigmoid is held up and to left. The sacral promontory is identified and the peritoneum over is incised on the medial aspect of the mesosigmoid. A window is made in the mesocolon over the IMA. IMA & IMV dissected, ligated and divided at just distal to their origin the left ureter and gonadal vessels are identified and carefully preserved during this part of dissection. Descending colon mobilized from medial to lateral. The descending colon, splenic flexure and the distal transverse colon are completely mobilized at the end of this phase. This helps to obtain adequate length of proximal colonic segment for tension free anastomosis. Rectum dissected from surrounding structures in anatomical planes upto pelvic floor. Course of ureter traced. Rectal division done by Endo GIA staplers (green) just above ano rectal junction. Rectal mass along with left colon delivered outside through 5cm transverse suprapubic laparotomy. Specimen removed by dividing left colon. Anvil attached to distal end of left colon and returned into peritoneal cavity. No. 29 CDH stapler passed per anus and stapled anastomosis done. Loop ileostomy created 20cm proximal to IC junction at RIF. Details @ http://www.drpradeepjain.org
We use cookies to personalize content and advertising, to offer social features and to analyze traffic on our site. We share information about how you use our site with our social, advertising and analytics partners. Partners may combine this information with other data they receive from you or obtain when you use their services.
With your consent, we can better adapt our offerings to your interests and preferences.
By clicking on the "Accept all cookies" button, you declare that you consent to the installation on this device of all cookies used on our Portal by MEDtube sp. z o.o. with its registered seat at 59 Złota Street, 00-120 Warsaw ("MEDtube sp. z o.o.") and third parties, i.e. Google LLC, Meta Platform Ireland Ltd., Linkedln Ireland Unlimited Company. Due to the above-mentioned cookies, we will be able to track your behavior on the Portal and then analyze it in order to understand your use of the Portal, adapt the Portal to your needs. Cookies also allow us to remember your selected settings and personalize the Portal interface. You can find more information about the above-mentioned cookies, their functions, the entities installing them and the purposes for which they will be used in the Portal's Cookie Policy.
If you click the "Agree to Selected" button, we will use only the cookies necessary for the proper operation of the Portal, as well as those cookies that you have voluntarily agreed to collect by checking the appropriate box.
Remember that you can always specify which specific cookies will be installed on this end device. Giving your consent (by clicking "Accept all cookies") or making settings for the installation of cookies is voluntary. Once you have given your consent, you can change the rules for storing or accessing cookies at any time in the browser settings of your device. However, changing the aforementioned settings will not affect the legality of the processing of data collected through cookies installed before changing the aforementioned settings.
Cookies installed by MEDtube sp. z o.o. or information collected through them may be considered personal data under certain circumstances. The Controller of personal data is then MEDtube sp. z o.o. Contact with the Controller is possible by letter, e-mail to [email protected]. You have the right to access, rectify, delete, transfer and restrict processing of your personal data, as well as the right to lodge a complaint to the President of the Office for Personal Data Protection (ul. Stawki 2, 00-193 Warsaw). You have the right to object to the processing of your personal data. For more information on the processing of personal data on the Portal, see the Privacy Policy.
Necessary cookies ─ cookies necessary for the operation of the Portal, enabling the use of services available on the Portal.
Name
Description
Storage period
Cookie provider
PHPSESSID
Session cookie
24h
MEDtube
acceptCookies
Stores information about accepting cookie info
1 year
MEDtube
Analytical cookies ─ cookies that allow us to collect information about how you use the Service, which help us understand how our Service is used or allow us to customize it.
Advertising cookies ─ cookies that allow us to provide Service Recipients with advertising content more tailored to their preferences and interests, website visits.
Name
Description
Storage period
Cookie provider
Facebook Connect, (_fbp)
Facebook redirection information
1 quarter
Facebook
LinkedIn, (ln_or)
It is used to determine whether Oribi analyses can be performed in a specific domain