Madany
Where to Apply Your Clip or Ligature in Lap Cholecystectomy
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
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...
Critical View of Safty For Lap Cholecystectomy
Surgical video: critical view of safty for laparoscopic cholecystectomy is to identify the sulcus of rouvier and dissect above it, only two structures enter the GB, and dissect one-third of the cystic...
Are These Roots of Nonrecurrent Recurrent Laryngeal...
Surgical video case: on doing total thyroidectomy, hypoparathyroidism, and injury to the recurrent laryngeal nerve are dangerous complications. Preservation of the blood supply intact to the parathyroid...
Is it Also a Portal Vein Anomaly in the next...
Surgical video case: on doing my next successive case for lap chole I found this view. What's your opinion?
A Piece of Gauze May Be Mandatory to Control...
Don't forget to use a piece of gauze in controlling bleeding vessels in laparoscopic procedures. Sometimes I insert a piece of gauze before the occurrence of bleeding to be ready for dealing with bleeding...
Is it Portal Vein to Proceed or Not
On entry for Lap Chole I found this view, is it a portal vein anomaly? Venous malformations were extensively encountered, to complete the procedure or to abort it? I ask for the opinion of the experts.
Cardiac Pulsation Left Subphrenic Adhesions Spleen...
Is it a normal variant of cardiac pulsations? Is there a cardiomegaly? Does the diaphragm look thin? These subphrenic adhesions on the left side are encountered in a virgin abdomen, and are sometimes...
Extensive Intraperitoneal Adhesions
Surgical video case: If you encounter adhesions like these on your first port entry for Lap Chole in a patient with a previous laparotomy (exploration) 17 yrs ago for acute abdomen with no available operative...
Single Instrument Intracorporeal Knot or Shalaby...
Surgical video case: single instrument intracorporeal knot or Shalaby Ismail Knot in congenital hernia repair for an infant 11 months old.
Laparoscopic Right Congenital Hernia for 4 Years...
On doing laparoscopic right congenital hernia for 4 years boy, the external iliac vessels were so near to the inguinal ligament that repair of the defect carries the risk of injury. Also, I found the...
GB Retrieval
GB retrieval within a retrieval bag is essential to protect the port site from contamination and to avoid such unnoticed spill of such big stone in the peritoneal cavity. A homemade retrieval bag may...
Traction Not Essentially on the Fundus
In huge distended GB traction on the fundus can be displaced to be on the body to achieve a suitable view of the porta hepatis.
Extralaryngeal Branching of the Recurrent Laryngeal...
Do you know that there is extra laryngeal branching of the recurrent laryngeal nerve?