surgical anatomy
Mechanisms of Causation of Bile Duct Injury
Surgical video case: almost all bile duct injuries are iatrogenic; most occur during cholecystectomy. The visual perception error of misidentifying the common bile duct as the cystic duct is responsible...
The Case of Huge Lipoma of the Spermatic Cord
Surgical video case: a lipoma of the cord is herniated fat that appears to originate from the retroperitoneal fat outside and posterior to the internal spermatic fascia and protrudes through the internal...
Acute Appendicitis with Pregnancy With Right...
In the case of acute appendicitis with pregnancy please don't go directly to the appendix. Explore the entire abdominal cavity first. You may find a right oblique inguinal hernia, adhesions of a previous...
Shoes Shine Maneuver
Surgical technique video: the "shoeshine" maneuver ensures that the stomach is not twisted and that an adequate portion of the stomach is used in the repair. The surgeon grasps two ends of the...
Laparoscopic Trans-Choledochotomy CBD Exploration...
Surgical video case: treatment of choledocholithiasis after Roux-en-Y gastric bypass (RYGB) is a therapeutic challenge given the altered anatomy. To overcome this technical difficulty, different modified...
The Anatomy of Rouviere's Sulcus as Seen During...
Surgical video case: although Rouviere's sulcus is being increasingly mentioned as the first landmark to be seen so as to begin dissection during laparoscopic cholecystectomy to prevent bile duct...
Laparoscopic Heller Myotomy
The laparoscopic Heller myotomy combined with a Dor fundoplication has become the operative standard of care for the treatment of achalasia. One challenge has been the lack of effective techniques for...
Saddlebag Inguinal Hernia
Surgical video: saddlebag hernia occurs most commonly as a small indirect sac in association with an obvious direct inguinal hernia. The hernial sac pushes through both sides of the inferior epigastric...
External Iliac Vein Injury
While I was giving instructions to my audience not to take a deep bite in the iliopubic tract to avoid injury of the external iliac vessels, I injured the external iliac vein. If this occurred, please...
Laparoscopic Cholecystectomy (Fundus-First Technique)
Laparoscopic surgery is the gold standard for operative treatment of gallbladder diseases globally. This is usually done via the "duct-first" approach. However, when there is extensive fibrosis...
The Critical View of Safety (CVS)
Laparoscopic cholecystectomy was introduced into wide practice about 1990, with demonstrated benefit to patients. However, it was associated with a sharp increase in major bile duct injuries. Biliary...
Disconnection Of The Sac Difficult Part Is The...
Surgical video case: disconnection of the medial part of the sac in congenital hernia is the most difficult part. What’s your opinion?
Stone Impacted in Hartman's Pouch
Surgical video case: opening the GB for removal of an impacted stone in Hartman's pouch may allow for stenting the cystic duct to facilitate its dissection after visualization of its internal opening....
To Evacuate the GB From Stones And Suck Its Contents...
Surgical video: in cases of acute cholecystitis with an impacted stone in the infundibulum, evacuating the GB from stones and sucking its contents to proceed to subtotal cholecystectomy may be an option...
Laparoscopic Resection of a Appendiceal Mucocele
Laparoscopic resection of appendiceal mucoceles has recently been described, but the safety and efficacy are controversial. We present this case of laparoscopic mucocelectomies involving15 cm cystic masses...
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