General surgery cases

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Carelessness and Damage to the Liver Gallbladder...

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During laparoscopic cholecystectomy, one of the common causes of biliary or vascular injuries is the lack of clear identification of the structures inside the hepatocystic triangle or even liver bed....

Saddlebag Inguinal Hernia

views: 5912 comments: 3
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Surgical video: saddlebag hernia occurs most commonly as a small indirect sac in association with an obvious direct inguinal hernia. The hernial sac pushes through both sides of the inferior epigastric...

Control of the Bleeding Gallbladder Bed Sinusoids

views: 6718 comments: 11
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Video case: control of the bleeding gallbladder bed using sutures.

Entrapped Stone in Cystic Duct

views: 6674 comments: 4
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Video case: gallbladder hydrops, also known as hydropic gallbladder or mucocele of the gallbladder, occurs secondary to obstruction of the cystic duct, often by a gallstone. A diagnosis of gallbladder...

Laparoscopic Extended Right Hemicolectomy

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The goals of laparoscopic right hemicolectomy (right colectomy) performed in the setting of colon cancer are the same as those of the equivalent open procedure. They involve appropriate vessel ligation,...

TAPP for Recurrent Inguinal Hernia Repair

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Surgical video case: TEP and TAPP are equivalent surgical techniques for recurrent inguinal hernia repair following previous open primary operation. The choice of technique should be tailored to the surgeon’s...

Adhesiolysis Before Laparoscopic Cholecystectomy

views: 3732 comments: 2
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Surgical video case: adhesiolysis before due to a previous abdominal surgery before laparoscopic cholecystectomy.

Clip Closure to Prevent Adverse Events After...

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Video case endoscopy: delayed bleeding is a common adverse event following endoscopic mucosal resection (EMR) of large colorectal polyps. Prophylactic clip closure of the mucosal defect before EMR of...

Robotic Pancreaticoduodenectomy with Antrectomy...

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Surgical video case: robotic pancreaticoduodenectomy with antrectomy for locally advanced duodenal adenocarcinoma.

The Critical View of Safety During Laparoscopic...

views: 5749 comments: 2
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Laparoscopic cholecystectomy is the gold standard for treatment of gallbladder stones with incidence of bile duct injuries (BDI)  (0.3-0.8 %). Bile duct injuries (BDI) is associated with devastating,...

Robotic Release of Median Arcuate Ligament Syndrome

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Surgical video case: robotic release of median arcuate ligament syndrome.

Sizable LNs in Porta Hepatis

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If you are going to do lap chole for chronic calcular cholecystitis, and you find - preoperatively undetectable - sizable porta hepatis LNs with right lobe hepatic focal lesions. What do you do? The hepatic...

Multiple Rt Lobe Heptic Focal Lesions

views: 3071 comments: 2
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Surgical video case: if you are going to do lap chole for chronic calcular cholecystitis, and you find -preoperatively undetectable- right lobe hepatic focal lesions with sizable porta hepatis LNs. What...

Porta Hepatis LN Dissection May Need a Surgeon...

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Video case: porta hepatis LN dissection may need a surgeon more delicate than me.    

Operative Steps Laparoscopic Hiatal Hernia Repair

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1) Excision of the hernia sac: The contents of the hernia sac are first reduced into the abdominal cavity. 2) Mobilization of the esophagus: The esophagus should be mobilized so that at least 3cm of the...

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