surgical anatomy
Primary Closure of CBD Over an Antegrade Stent...
Laparoscopic common bile duct exploration (LCBDE) has been found to be a safe, efficient and cost-effective treatment for choledocholithiasis. Following LCBDE, the clearance may be ascertained by a cholangiogram...
“Crown of Death”; Corona Mortis, a Common Vascular...
Surgical video case: corona mortis is an abnormal arterial or venous anastomosis between the external iliac or inferior epigastric and the obturator system of vessels and may cause significant hemorrhage...
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...