General surgery cases

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Laparoscopic Cholecystectomy in Impacted Infundibular...

views: 1257 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...

views: 1243 comments: 0
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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: 1761 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: 616 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: 1204 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: 810 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: 589 comments: 1
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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: 451 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: 557 comments: 1
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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...

views: 718 comments: 0
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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: 7879 comments: 1
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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...

Extended Laparoscopic Heller Myotomy for Type...

views: 582 comments: 0
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In type III achalasia, characterized by spastic and hypertensive esophageal contractions, an extended and carefully controlled Heller myotomy is essential for durable symptom relief. In this video, I...

Laparoscopic Nissen Fundoplication

views: 1565 comments: 0
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Although the standard Nissen fundoplication has been modified many times, laparoscopic Nissen fundoplication is now considered the standard surgical approach for treatment of severe gastroesophageal reflux...

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