surgical safety
“Crown of Death”; Corona Mortis, a Common Vascular...
The corona mortis, literally meaning “crown of death,” is a critical vascular variant that every laparoscopic hernia surgeon must recognize and respect. This arterial or venous connection...
Laparoscopic Cholecystectomy in Impacted Infundibular...
During laparoscopic cholecystectomy, impacted stones in the infundibulum or cystic duct neck can significantly increase intraoperative difficulty by distorting normal anatomy, causing grafting of adhesions,...
Adhesiolysis to Subphrenic Adhesions to Perform...
Subphrenic adhesions may interfere with proper liver retraction in laparoscopic cholecystectomy. So you may need to do adhesiolysis to them to perform safe laparoscopic cholecystectomy using the Madany’s...
Lungless Patient on VA Awaiting for Transplant...
An on-pump veno-arterial (VA) ECMO strategy allows safe stabilization and preparation of a lung-less patient while awaiting immediate implantation of the recipient graft. Following bilateral pneumonectomy,...
Cystic Duct Draining Into the Right Hepatic Duct
Cystic duct draining into the right hepatic duct is a very important anatomical variation to understand, especially for safe laparoscopic cholecystectomy. Normally, the cystic duct joins the common...
SAGES Critical View of Safety Challenge
Surgical presentation: SAGES Critical View of Safety Challenge. This talk was presented at the AI in Surgery (non CME) session by Pietro Mascagni on March 16, 2022 during the SAGES 2022 Annual Meeting...
Complications After Inguinal Hernia Repair How...
This talk was presented at the How I Deal with Inguinal Hernia Complications session by Megan Nelson on March 17, 2022 during the SAGES 2022 Annual Meeting in Denver, Colorado.
Safe Laparoscopic Cholecystectomy
Major biliary or vasculobiliary injury is associated with significant morbidity. As prevention is the best strategy, the concept of a culture of safe cholecystectomy has been recently introduced...
Right Direct Inguinal Hernia Repair
This video case presents our surgical technique for laparoscopic inguinal hernia repair, detailing a step-by-step approach with surgical nuances and the novel "inverted Y" concept to achieve...
Monopolar Devices and Injury Prevention
This talk was presented at the FUSE session by Kinga Powers, March 19, 2022 during the SAGES 2022 Annual Meeting in Denver, Colorado.
Don't Encroach Upon the CBD
I open the cystic duct logitudinally to retrieve impacted cystic duct stones. On applying my loop to secure the distal end of the cystic duct, it was distal to the distal end of the longitudinal opening...
Two and Only Two Structures Should be Seen Entering...
Bile duct injury rates have increased since the introduction of laparoscopic cholecystectomy, occurring in about 3 per 1,000 procedures performed. Critical View of Safety (CVS) method of identification...
Supporting a Call from the Operating Room when...
Supporting a call from the Operating Room when a Bile Duct Injury has occurred. This talk was presented at the Masters HPB: Safety, Quality and Collaboration in HPB session by Adnan Alseidi, March 16,...
Management of a Choledochal Cyst Laparoscopically
Management of a choledochal cyst laparoscopically. This talk was presented at the Masters HPB: Safety, Quality and Collaboration in HPB session by Horacio Asbun, March 16, 2022 during the SAGES 2022 Annual...
Liver Sinusoid LC
Laparoscopic cholecystectomy is one of the most frequently performed procedures in gastrointestinal surgery worldwide. Bleeding complications due to vascular injuries represent an important cause of morbidity...
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