surgical anatomy
One Centimeter More: The Role of Vagal-Esophageal...
Adequate intra-abdominal esophageal length is crucial for tension-free wraps and complete myotomies during laparoscopic Heller myotomy and Nissen fundoplication. Distal esophageal mobilization and release...
When Nothing is Seen, Look Deeper
If during laparoscopy no obvious internal hernia orifice (e.g. deep inguinal ring) is visible despite preoperative clinical/imaging suspicion, it is recommended to perform a preperitoneal exploration...
Right Recurrent Inguinal Hernia
Recurrent inguinal hernias remain surgically challenging, especially after anterior mesh repair, due to dense adhesions and altered anatomy. Laparoscopic transabdominal preperitoneal (TAPP) repair offers...
Laparoscopic Hydatid Cyst Excision Located in...
Surgical technique presentation: full-length video of the hydatid cyst excision procedure in liver segment 7. The lesion involved the right hepatic vein and was adherent to the middle hepatic vein, which...
Cystic Vein Draining Into the Liver Bed: a Laparoscopic...
Usually multiple tiny veins and venous twigs drain the gallbladder, but their pattern is variable. Much of the gallbladder that lies against the liver drains via small veins into hepatic sinusoids (the...
Live Anatomy Cholangiogram Duct Diagram
During a laparoscopic cholecystectomy, the anatomy a surgeon sees is shaped by angles, traction, inflammation, fat, and perspective. The view is dynamic, sculpted by how you lift the fundus, retract Hartmann’s...
When You Do a Laparoscopy For Missed IUD Please...
When you do a laparoscopy for missed IUD please explore the tube and ovaries on both sides.
Laparoscopic Common Bile Duct Exploration with...
Endoscopic retrograde cholangiopancreatography (ERCP) with stone extraction is generally accepted as first line management for common bile duct (CBD) stones. CBD exploration, either by open or laparoscopic...
Endoscopy for Large Sliding Hiatal Hernia with...
Esophagogastroduodenoscopy (EGD) is essential for evaluating mucosal abnormalities, assessing the degree of esophagitis, and excluding Barrett's esophagus or malignancy. Careful attention is paid to the...
Robot Assisted Partial Nephrectomy in a Horseshoe...
This video was entered by Dr. Alessandro Volpe in the 2022 KS International Robotic Surgery Innovation Awards, sponsored by the Vattikuti Foundation. It was featured in the Vattikuti Symposium 'Humans...
Achilles Heel of Lateral Pelvic Lymph Node Dissection
Aims: To demonstrate a crucial step in Lateral Pelvic Lymph node dissection (LPLND). Materials-Methods: Robotic Pelvic Lymph node dissection after short-course radiotherapy and nine cycles of Folinic...
Mechanism how Traction Distorts the Biliary Confluence
“Tenting” or cephalad/anterior traction on Hartmann’s pouch or the cystic duct changes the geometry of Calot’s triangle and the cystic duct–CBD junction. This pulls the cystic...
SAFE (Saline-Assisted Fascial Exposure) for Nerve-Sparing...
This video was entered by Dr. Ashutosh Tewari in the 2022 KS International Robotic Surgery Innovation Awards, sponsored by the Vattikuti Foundation. It was featured in the Vattikuti Symposium 'Humans...
Modern Approach to a Complex Gallstone Problem
33 years old patient referred for acute severe cholangitis with an elarged CBD and 8 mm stone. Multiple Stones in the gallbladder. The Problem: Why This Wasn't Standard 1. Acute Cholangitis: This...
Complicated Appendix Reduced
Please try not to leave an appendicular stump even in the difficult situations. Be more gentile than me to avoid iatrogenic injuries as the tissues here are frible. Don't be an energy dependant surgeon,...
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