General surgery cases

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Mastering Heller Myotomy: Preserving the Anterior...

views: 1508 comments: 0
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During Heller myotomy, preservation of the anterior vagus nerve is a critical step that directly impacts postoperative gastric function. The anterior vagus nerve runs along the anterior surface of the...

So You Think You Can Wrap? Total vs Partial Fundoplication

views: 648 comments: 0
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So You Think You Can Wrap? Total vs Partial Fundoplication was presented at the Global Perspectives of GERD session by Pinky Thapar MS, DNB, FICS, FMAS, FALS on April 18, 2024 during the SAGES 2024 Annual...

Laparoscopic Cholecystectomy in Impacted Infundibular...

views: 1138 comments: 0
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During laparoscopic cholecystectomy, impacted stones in the infundibulum or cystic duct neck can significantly increase intraoperative difficulty by distorting normal anatomy, causing grafting of adhesions,...

Incidental Intraabdominal Loose Body Discovered...

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The abdominal cavity was inspected, revealing a 5mm, smooth, white loose body in the right upper quadrant, posterior to the liver. No inflammation or infection was noted. The gallbladder was removed without...

Robotic Cholecystectomy, ICG, IOC for Acute Cholecystitis

views: 1407 comments: 1
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This video presents a robotic cholecystectomy in a patient with acute cholecystitis and a 48-hour clinical history. There were no previous biliary symptoms, no cholestasis, and liver enzymes were within...

The Future of POEM and How Will We Deal with...

views: 488 comments: 0
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The Future of POEM and How Will We Deal with the GERD Issue? was presented at the Great Debates: The Future of Foregut Surgery session by Michael Ujiki MD on April 17, 2024 during the SAGES 2024 Annual...

Ventral Hernia; Endoscopic Onlay Repair ENDOR

views: 970 comments: 7
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Endoscopic onlay repair (ENDOR) is a minimally invasive technique for umbilical and epigastric hernia repair in which a working space is created in the subcutaneous plane over the anterior rectus sheath....

Surgical Care Challenges During War Against a...

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Surgical care challenges during war against a near-peer adversary was presented at the Lessons Learned: Laparoscopy in the Battlefield session by Robert Lim MD, April 19, 2024 during the SAGES 2024 Annual...

Redo Hiatal Hernia

views: 663 comments: 0
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Primary surgery 3 years ago. Anterior hiatal hernia.

Gastric Sleeve to Gastric Bypass Conversion for...

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Clinical case: gastric sleeve to gastric bypass conversion for reflux. 

Endoscopic Retro-auricular (Facelift Incision)...

views: 496 comments: 1
5

Thyroid surgery continues to evolve with focus on eliminating neck scarring and its potential for unsightly keloid formation. Several endoscopic remote access approaches through transaxillary, periareolar,...

Catching Two Culprits in One Camera Frame: Cord...

views: 307 comments: 0
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A single groin can hold more than one story, and this case is a reminder of that fact. During laparoscopic TAPP hernia repair, careful dissection revealed not only an indirect hernia, but also a cord...

Laparoscopic Dissection in a Chronic Fibrotic...

views: 302 comments: 0
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Laparoscopic cholecystectomy in the setting of a chronic fibrotic gallbladder is often technically demanding because normal anatomical planes are distorted or completely obliterated. Dense fibrosis and...

Esophageal Lengthening in Hiatal Hernia Repair...

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This video demonstrates a technical nuance during laparoscopic hiatal hernia repair aimed at achieving additional intra-abdominal esophageal length without performing a Collis gastroplasty. In selected...

Laparoscopic Duodenal part 1 NET Excision

views: 7654 comments: 1
5

Duodenal NET's are commonly identified these days and excised frequently by endoscopy. Here I have done a laparoscopic excision after a failed endoscopic attempt as the tumor was hiding just around the...

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