General surgery cases

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Ligament of Berry Release During Thyroidectomy

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Take care: the area of the ligament of Berry where the thyroid gland is firmly attached to the thyroid cartilage is the commonest area to injury of the recurrent laryngeal nerve. 

Critical View of Safety Technique

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The critical view of safety (CVS) technique is a means of target identification, the targets being the cystic duct and artery. It was introduced more than 20 years ago in an attempt to reduce the rising...

Non Recurrent Laryngeal Nerve Another Case

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Awareness of the anomalies of the recurrent laryngeal nerve is essential to avoid its injury during thyroidectomy. In this case, it was non recurrent laryngeal nerve; notice its exit from the vagus nerve...

Parathyroid Blood Supply Preservation

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Hypoparathyroidism is one of the complications of total thyroidectomy. It occurs not only due to accidental removal of the parathyroid glands, but also to devascularization of these glands. So preservation...

Have You Ever Seen a Complicated Case Like This?

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Surgical video case: chronic cholecystitis may become complicated by developing Mirizzi syndrome and cholecystoduodenal fistula.

Laparoscopic Transabdominal Preperitoneal Technique...

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Surgical video case: although open, mesh-based, tension-free repair remains the criterion standard, laparoscopic herniorrhaphy, in the hands of adequately trained surgeons, produces excellent results...

Your Thyroid Gland must be Complete with Intact...

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Surgical video case: at the end of total thyroidectomy, Your thyroid gland must be complete with an intact capsule with no parathyroid tissues on its posterior surface. 

Laparoscopic Total Gastrectomy + D 2 LND

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Surgical video case: minimally invasive total gastrectomy after neoadjuvant chemotherapy for the gastric cancer.

Don't Apply your Distal Clip or Ligature if you...

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Surgical video case: don't apply your distal clip or ligature if you notice any gravel or mud coming out before flushing the CBD with saline if no choledochoscope is available.  

Laparoscopic CBD Exploration, Antegrade Sphincterotomy,...

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4.33

Surgical video case: laparoscopic antegrade sphincterotomy represents a new technique that expands the ability of the surgeon to manage complex choledocholithiasis at the time of laparoscopic cholecystectomy....

Milking the Cystic Duct to Remove Stones Then...

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Surgical video case: open the cystic duct and do milking to retrieve stones and test for its patency and the patency of the CBD if no choledochoscope is available.

Use of ICG Fluorescence Guided Surgey During...

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Surgical video case: this video highlights the importance of using indocyanine green fluorescence during the fenestration of simple non-parasitic liver cysts as highlighting the biliary branches within...

Laproscopic Cholocystectomy Using Intraoperative...

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Surgical video case: presentation of laproscopic cholocystectomy using intraoperative ICG fluorescent cholangiography. 2,5mg of ICG were administered 3 hours preoperatively intravenously. 

Where to Apply Your Clip or Ligature in Lap Cholecystectomy

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In some cases of Lap Chole you may find difficulty to determine exactly where to apply your distal clip or ligature on the cystic duct as in this video, what's the sharp landmark for your exact site to...

Thyroidectomy Injury

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Surgical video case: on doing thyroidectomy injury to the external laryngeal nerve can be avoided by dividing the superior thyroid vessels close to the upper pole. It is not essential to visualize the...

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