General surgery cases

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“Crown of Death”; Corona Mortis, a Common Vascular...

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Surgical video case: corona mortis is an abnormal arterial or venous anastomosis between the external iliac or inferior epigastric and the obturator system of vessels and may cause significant hemorrhage...

Reduction and Suspension of a Cord Lipoma

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Video case: lipomas of the cord are common and generally associated with an indirect hernia sac, but not always, as the lipoma may be the only pathology identified during groin exploration. Missed lipoma...

Laparoscopic Common Bile Duct Exploration to...

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Secondary bile duct stones are present in as many as 15% of patients with gallstones. They are associated with severe complications, such as pancreatitis and cholangitis. After the introduction of laparoscopic...

Mechanisms of Causation of Bile Duct Injury

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Surgical video case: almost all bile duct injuries are iatrogenic; most occur during cholecystectomy. The visual perception error of misidentifying the common bile duct as the cystic duct is responsible...

The Case of Huge Lipoma of the Spermatic Cord

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Surgical video case: a lipoma of the cord is herniated fat that appears to originate from the retroperitoneal fat outside and posterior to the internal spermatic fascia and protrudes through the internal...

How to Dissect for Artery Preserving Laparoscopic...

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Surgical video case: how to dissect for artery-preserving laparoscopic varicocelectomy?  

Robotic Transhiatal Esophagectomy

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Surgical robotic video case: transhiatal esophagectomy. Case: - 66 y/o man with gradual worsening dysphagia - ESG showed submucosal mass in the distal esophagus - EUS/biopsy showed 4x3 cm gastrointestinal...

Huge Right Oblique Inguinal Hernia

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Surgical video case: huge right oblique inguinal hernia contents are to be reduced with proper positioning, and gentle traction from inside using two atraumatic instruments in addition to gentle pressure...

Acute Appendicitis with Pregnancy With Right...

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In the case of acute appendicitis with pregnancy please don't go directly to the appendix. Explore the entire abdominal cavity first. You may find a right oblique inguinal hernia, adhesions of a previous...

TAPP Inguinal Hernia Repair

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Although the laparoscopic approach is widely recognized as a valid treatment for many diseases and some laparoscopic surgical procedures have become gold standard techniques (e. g. cholecystectomy, appendectomy,...

Laparoscopic Management of Totally Intra-Thoracic...

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Surgical video case: an intra-thoracic gastric volvulus is an uncommon entity and it occurs when the entire stomach migrates into the thorax through a giant hiatal defect by rotating around its longitudinal...

Shoes Shine Maneuver

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Surgical technique video: the "shoeshine" maneuver ensures that the stomach is not twisted and that an adequate portion of the stomach is used in the repair. The surgeon grasps two ends of the...

Fundoplication Total

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Surgical video case: during fundoplication one or two stitches should include the wall of the esophagus to prevent slippage of the cardia.

In Morbidly Obese with Fatty Mesoappendix and...

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In morbidly obese females with fatty mesoappendix and adhesions of the previous cisearian section try to avoid leaving a stump on doing an appendectomy.  

Laparoscopic Heller Myotomy

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The objectives of this procedure are: (1) to carry out myotomy of the longitudinal and circular muscles of the lower 6 cm of the esophagus, the esophagogastric junction, and the proximal 2 cm of the stomach...

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