safe surgery
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...
Two and Only Two Structures Should be Seen Entering...
Bile duct injury rates have increased since the introduction of laparoscopic cholecystectomy, occurring in about 3 per 1,000 procedures performed. Critical View of Safety (CVS) method of identification...
Preventative Approach to First Abdominal Entry:...
Current instrumentation and technology for abdominal entry is highly effective and safe. However, despite its rarity, in human hands, accidents during entry are inevitable. Streaming hollow-entry is a...
Step By Step Laparoscopic Cholecystectomy
Laparoscopic cholecystectomy remains one of the most commonly performed procedures in the United States and across the world. Although the laparoscopic approach is considered safe, complications are still...
The Critical View of Safety During Laparoscopic...
Laparoscopic cholecystectomy is the gold standard for treatment of gallbladder stones with incidence of bile duct injuries (BDI) (0.3-0.8 %). Bile duct injuries (BDI) is associated with devastating,...