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Biliary Peritonitis by Ruptured Cholecystitis,...

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A case of generalised biliary peritonitis following the rupture of acutely inflammed gallbladder, complete laparoscopic cholecystectomy. 

Robotic-Assisted Breast-axillo Insufflation Thyroidectomy...

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Objective: robotic-assisted breast-axillo insufflation thyroidectomy (RABIT) mimics open thyroidectomy. We made modifications to our procedure to evaluate the safety, feasibility, and efficacy of RABIT...

VF Masterclass on Robotic Adrenalectomy

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VF Masterclass on Robotic Adrenalectomy Description The Vattikuti Foundation presented a Masterclass on Robotic Adrenalectomy on October 7, 2021. This is the edited recording. The focus of this masterclass...

Navigating the Pyloric Border, ERCP for Choledocho-duodenal...

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Expert management of mature CDA strictures using (brand hidden) and side-viewing pivot high-stakes cases require more than just technical skill - they require anatomical adaptability. I recently...

In TAPP, How to Manage Small for Size Mesh

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In laparoscopic groin hernia repair, the mesh should ideally measure about 10 × 15 cm to adequately cover the Myopectineal Orifice and overlap all potential hernia sites (direct, indirect, femoral,...

Triangle of Pain in TAPP

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The triangle of pain is an important anatomical area encountered during laparoscopic repair of Inguinal Hernia, especially in transabdominal preperitoneal repair (TAPP) and totally extraperitoneal repair...

Neo-canal Can be Created for Undescended Testis...

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Neo-canal can be created medial to the medial umbilical ligament for undescended testis with short cord.   

Robotic Top Down TARM for Suprapubic Incisional...

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Suprapubic Pfannenstiel Incisional Hernia after several C-Sections. Top-Down TARUP with anatomical reconstruction and plication of the hernia sac to avoid seroma formation. Large Rives-Stoppa mesh reinforcement. 

Triangle of Doom and Triangle of Pain

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Triangle of Doom is a triangular area containing major vessels, so placing tacks or sutures here is dangerous. Its boundaries are: Medial: vas deferens, Lateral: testicular vessels Base (inferior):...

ESD-Assisted Recanalization of a Buried Hepaticojejunostomy

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ESD-assisted recanalization of a buried hepaticojejunostomy when ESD skills save an ERCP case. Completely epithelialized hepaticojejunostomy. No orifice. Just a tiny bile leak. ESD mucosal dissection....

Accessory Grooves on the Diaphragmatic Surface...

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Accessory grooves on the diaphragmatic surface of the liver are anatomical variations that appear as linear indentations or furrows, most commonly over the right lobe. These grooves are usually incidental...

Fully Robotic Duodenojejunostomy for Superior...

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This video was part of the Video Loop during the SAGES 2020 Virtual Meeting. Topic: Foregut Fully Robotic Duodenojejunostomy for Superior Mesenteric Artery Syndrome. Rebecca Green, MD1, Vikram J Eddy,...

Robotic Anatomical Segment Ivb and V Resection...

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Anatomical segment IVb/V resection with radical lymphadenectomy is preferred in primary gallbladder cancer (GBC) with liver infiltration and in incidental GBC patients with puckering of gallbladder (GB)...

Only the Fascial Layers are Approximated Using...

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At port-site closure, only the fascial layers are approximated using the Madany closure technique, while the muscle layers are left unsutured to minimize postoperative pain caused by nerve entrapment...

Mastering Heller Myotomy: Preserving the Anterior...

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During Heller myotomy, preservation of the anterior vagus nerve is a critical step that directly impacts postoperative gastric function. The anterior vagus nerve runs along the anterior surface of the...

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