surgical anatomy
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...
Aspiration or Suture Traction of the GB
Surgical video case: difficult laparoscopic cholecystectomy, adhesions to the omentum, falciform ligament, anterior abdominal wall, and diaphragm. The GB is distended, and its wall is so thick that...
Large Redundant Medial Umbilical Ligaments
Surgical video case: large redundant medial umbilical ligaments in addition to the increased elasticity of the peritoneum in infants and children with always narrow working space add more difficulty to...
Mechanism of Common Bile Duct Injury
Surgical video case: the most common reason for injuring the bile duct is due to the misidentification of normal biliary anatomy. One of the technical errors include excess tenting of the cystic...