safe surgery
Bilateral Robotic inguinal hernia TAPP
Robotic inguinal hernia repair using the TAPP approach offers enhanced visualization, precise dissection, and accurate mesh placement within the preperitoneal space. In this case, the robotic platform...
“Crown of Death”; Corona Mortis, a Common Vascular...
The corona mortis, literally meaning “crown of death,” is a critical vascular variant that every laparoscopic hernia surgeon must recognize and respect. This arterial or venous connection...
Laparoscopic Sigmoidectomy with Fluorescence...
Laparoscopic sigmoid resection for sigmoid colon cancer using indocyanine green fluorescence to assess anastomotic perfusion. Advanced case: T3N2 This video presents a laparoscopic sigmoidectomy performed...
Don’t Rush Port Closure: Tips for Safe Laparoscopic...
Good visualization is a key factor for safe performance in laparoscopic surgery. Towards the end of an operation, especially in long or major procedures, the surgeon may become fatigued, which can lead...
Laparoscopic Cholecystectomy in Impacted Infundibular...
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,...
Adhesiolysis to Subphrenic Adhesions to Perform...
Subphrenic adhesions may interfere with proper liver retraction in laparoscopic cholecystectomy. So you may need to do adhesiolysis to them to perform safe laparoscopic cholecystectomy using the Madany’s...
End Result of Laparoscopic Heller Myotomy Adequate...
This short video demonstrates the final outcome of laparoscopic Heller myotomy after complete separation of the circular and longitudinal muscle fibers of the esophagus. The myotomy is extended approximately...
Live Anatomy Cholangiogram Duct Diagram
During a laparoscopic cholecystectomy, the anatomy a surgeon sees is shaped by angles, traction, inflammation, fat, and perspective. The view is dynamic, sculpted by how you lift the fundus, retract Hartmann’s...
Cystic Duct Draining Into the Right Hepatic Duct
Cystic duct draining into the right hepatic duct is a very important anatomical variation to understand, especially for safe laparoscopic cholecystectomy. Normally, the cystic duct joins the common...
SAGES Critical View of Safety Challenge
Surgical presentation: SAGES Critical View of Safety Challenge. This talk was presented at the AI in Surgery (non CME) session by Pietro Mascagni on March 16, 2022 during the SAGES 2022 Annual Meeting...
Antegrade Common Bile Duct (CBD) Stenting After...
A single stage laparoscopic treatment of cholelithiasis with choledocholithiasis is a safe, viable and cost-effective option. Closure of the CBD over an antegrade stent is a feasible option but requires...
Safe Laparoscopic Cholecystectomy
Major biliary or vasculobiliary injury is associated with significant morbidity. As prevention is the best strategy, the concept of a culture of safe cholecystectomy has been recently introduced...
Variation of the Gallbladder Vasculature Double...
Instead of the "classic" single cystic artery, arising usually from the right hepatic artery, occasionally two distinct cystic arteries supplying the gallbladder. This duplication can manifest...
Right Direct Inguinal Hernia Repair
This video case presents our surgical technique for laparoscopic inguinal hernia repair, detailing a step-by-step approach with surgical nuances and the novel "inverted Y" concept to achieve...
Don't Encroach Upon the CBD
I open the cystic duct logitudinally to retrieve impacted cystic duct stones. On applying my loop to secure the distal end of the cystic duct, it was distal to the distal end of the longitudinal opening...
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