Mini-Laparoscopic Cholecystectomy with Intraoperative Cholangiogram for Symptomatic Cholelithiasis (Gallstones) - Extended
Authors: Brunt LM1, Singh R1, Yee A2
Published: September 26, 2017

AUTHOR INFORMATION
1 Department of Surgery, Washington University, St. Louis, Missouri
2 Division of Plastic and Reconstructive Surgery, Washington University, St. Louis, Missouri

DISCLOSURE
No authors have a financial interest in any of the products, devices, or drugs mentioned in this production or publication.

ABSTRACT
Minimal invasive laparoscopic cholecystectomy is the typical surgical treatment for cholelithiasis (gallstones), where patients present with a history of upper abdominal pain and episodes of biliary colic. The classic technique for minimal invasive laparoscopic cholecystectomy involves four ports: one umbilicus port, two subcostal ports, and a single epigastric port. The Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) has instituted a six-step strategy to foster a universal culture of safety for cholecystectomy and minimize risk of bile duct injury. The technical steps are documented within the context of the surgical video for (1) achieving a critical view of safety for identification of the cystic duct and artery, (2) intraoperative time-out prior to management of the ductal structures, (3) recognizing the zone of significant risk of injury, and (4) routine intraoperative cholangiography for imaging of the biliary tree. In this case, the patient presented with symptomatic biliary colic due to a gallstone seen on the ultrasound in the gallbladder. The patient was managed a mini-laparoscopic cholecystectomy using 3mm ports for the epigastric and subcostal port sites with intraoperative fluoroscopic cholangiogram. Specifically, the senior author encountered a tight cystic duct preventing the insertion of the cholangiocatheter and the surgical video describes how the author managed the cystic duct for achieving a cholangiogram, in addition to the entire technical details of laparoscopic cholecystectomy.

Watch that Skin Jiggers Removal Procedure

Care must be taken to prevent stenosis at the anastomotic site. If the diameter of the anastomosis is less than 2 cm, the anastomosis should be taken down and resected. A classic end-to-end anastomosis should be performed to ensure adequate diameter to the intestine. If the posterior wall of the colon has been preserved, care should be taken to close the colostomy prior to opening the peritoneal cavity. This will reduce intraperitoneal contamination from the stoma site. Copious irrigation of the wound should be made prior to primary closure. If gross contamination has occurred, delayed closure of the wound should be considered.

Medical breast examination of a female from Loyola University,Chicago

Pediatric surgeons at Texas Children’s Hospital West Campus perform general surgical procedures such as circumcisions, removal of foreign objects, hernia repair, and suturing of minor lacerations. While more complex surgeries take place at the Texas Children’s Main Campus, pre-operative and follow-up outpatient care for those procedures is available at the West Campus.

Everything about Texas Children’s Hospital West Campus is dedicated to the health and wellness of children. As greater Houston's first suburban hospital designed exclusively for children, we offer the expert care you've come to trust from Texas Children's Hospital coupled with a location that's convenient and accessible for area families. Our facility is located just off the westbound feeder road of the Katy Freeway (at I-10 and Barker Cypress).

For more information about Texas Children's Hospital West Campus, visit http://www.texaschildrens.org/....Locate/In-the-Commun

Meet Dr. Allen Milewicz, chief of community surgery at Texas Children's West Campus
https://www.youtube.com/watch?v=uMoCdipuKfA&index=16&list=PLiN68C9rloPBD-E9ChWhVy73h7V3SEMlm

Beta blockers, also known as beta-adrenergic blocking agents, are medications that reduce your blood pressure. Beta blockers work by blocking the effects of the hormone epinephrine, also known as adrenaline. When you take beta blockers, your heart beats more slowly and with less force, thereby reducing blood pressure. Beta blockers also help blood vessels open up to improve blood flow. Examples of beta blockers Some beta blockers mainly affect your heart, while others affect both your heart and your blood vessels. Which one is best for you depends on your health and the condition being treated. Examples of oral beta blockers include: Acebutolol (Sectral) Atenolol (Tenormin) Bisoprolol (Zebeta) Metoprolol (Lopressor, Toprol-XL) Nadolol (Corgard) Nebivolol (Bystolic) Propranolol (Inderal LA, InnoPran XL)

Watch that video to know What is Vaginal Discharge and How To Get Rid Of It?

Watch that video of full Testicles Autopsy

Watch that video of a Model's Leg and Butt Cosmetic Implants Exploded Inside Her

Atrial fibrillation (also called AFib or AF) is a quivering or irregular heartbeat (arrhythmia) that can lead to blood clots, stroke, heart failure and other heart-related complications. Some people refer to AF as a quivering heart. An estimated 2.7 million Americans are living with AF.

Laparoscopic ventral hernia repair is a technique to fix tears or openings in the abdominal wall using small incisions, laparoscopes (small telescopes inserted into the abdomen) and a patch (screen or mesh) to reinforce the abdominal wall.

Shoulder Clinical Examination - Medical School Clinical Skills - Dr Gill

Personally, I find the shoulder examination the most complex examination possibly as there are so many variations and special tests. Some of which overlap and some will relate specifically to a patients presentation.

Often in a medical school syllabus, only select special tests will be used. In this shoulder exam demonstration, we include the Hawkins-Kennedy Test looking for impingement. This is dovetailed with examination for bicipital tendonitis as this is another possible cause of impingement type symptoms.

This shoulder upper limb exam follows the standard "Look, Feel, Move" orthopaedic exam approach, and overall order as set out in MacLeods Clinical Examination

Watch further orthopaedic examinations for your OSCE revision:

The Spine Examination:
https://youtu.be/pJxMHa6SCgU

Knee Examination
https://youtu.be/oyKH4EYfJDM

Hip Joint Clinical Examination
https://youtu.be/JC9GKq5nSdQ
________

Please note that there is no ABSOLUTE way to perform a clinical examination. Different institutions and even clinicians will have differing degrees of variations - the aim is the effectively identify medically relevant signs.

However during OSCE assessments. Different medical schools, nursing colleges, and other health professional courses will have their own preferred approach to a clinical assessment - you should concentrate on THEIR marks schemes for your assessments.

The examination demonstrated here is derived from Macleods Clinical Examination - a recognized standard textbook for clinical skills.


#ShoulderExamination #ClinicalSkills #DrGill

Microsurgical bipolar cautery tonsillectomy compares favorably with traditional techniques in terms of intraoperative bleeding, postoperative pain, otalgia, and hemorrhage. This technique combines the hemostatic advantage of cautery dissection, the excellent visualization achieved by a microscope, and, with the use of a video, greatly improves the physician's ability to teach how to perform a tonsillectomy.

Dr. Daniel Del Vecchio, Harvard trained plastic surgeon, performs his breast lift technique, filling the upper portion of the breast for added volume

► Get a free NCLEX NGN sample test today: http://lectur.io/nclexrnsampletestyt
► Create your free account today: http://lectur.io/nurseregisteryt
► If you’re an nursing educator or faculty member, visit: http://lectur.io/nursytb2u

In this video “How To Do An IM (Intramuscular) Injection” you will learn about:
►the steps in the administration of intramuscular medications
►the angle to position the syringe while administering an intramuscular injection
►the landmark to administer an intramuscular injection in the deltoid muscle
►5 tips for the safe administration of an intramuscular medication
►the steps of the Z-track method for intramuscular injections
►the role of aspirating blood during an intramuscular injection and evaluate whether this practice is currently in use

► This video is part of the Lecturio course “Fundamentals of Nursing: Clinical Skills”
► WATCH the complete course on http://lectur.io/njection

► THE PROF: Samantha Rhea MSN, RN has been a nurse since 2008 and a nursing faculty teacher since 2012. She has been recognized for clinical excellence as an interventional cardiology nurse and also led a Joint Commission Accredited Stroke Center. Ms. Rhea is an award-winning expert in clinical teaching and continues to maintain a current clinical practice and teaches at a University nursing program.

► LECTURIO is your smart tutor for nursing school: Learn the toughest NCLEX® topics with high-yield video lectures, integrated quiz questions, and more. Register now to study anytime and anywhere you want to: https://nursing.lecturio.com/#/

► CHECK OUT ALL NURSING COURSES:
Leadership Nursing: http://lectur.io/leadershipnursing
Dosage Calculation Nursing: http://lectur.io/dosagecalcnursing
Physiology Nursing: http://lectur.io/physiologynursing
Medical Surgical Nursing: http://lectur.io/medsurgnursing
Pharmacology Nursing: http://lectur.io/pharmacologynursing
NCLEX® Pharmacology Nursing: http://lectur.io/pharmnclexnursing
Pediatric Nursing: http://lectur.io/pediatricnursing
Study Skills Nursing: http://lectur.io/studyskillsnursing
Fundamentals of Nursing - Theory: http://lectur.io/fundamentalstheory
Fundamentals of Nursing - Clinical Skills: http://lectur.io/fundamentalsclinicalskills
Nursing Prerequisites: http://lectur.io/nursingprerequisites
Mental Health Nursing: http://lectur.io/mentalhealthnursing
Maternal-Newborn Nursing: http://lectur.io/maternalnewbornnursing

► INSTALL the free Lecturio app
iTunes Store: https://app.adjust.com/z21zrf
Play Store: https://app.adjust.com/b01fak

► SUBSCRIBE to our YouTube channel: http://lectur.io/subscribenursing

► WATCH MORE ON YOUTUBE: http://lectur.io/nursingplaylists

► LET’S CONNECT:
Facebook: www.facebook.com/lecturio.nursing
Instagram: www.instagram.com/lecturio_nursing
Join Discord Community: https://discord.gg/Ue95WDxCrp
TikTok: www.tiktok.com/@lecturio_nursing
LinkedIn: https://www.linkedin.com/company/lecturio-medical/

#nursingschool #nursingeducation #nursingclinicalskills #leadershipnursing #nclex #nursingfundamentals #nursingclinical #nursingskills

► Sign up here and try our FREE content: http://lectur.io/freecontentyt
► If you’re an medical educator or faculty member, visit: http://lectur.io/medytb2u

This video “Connective Tissue” is part of the Lecturio course “Histology” ► WATCH the complete course on http://lectur.io/connectivetissue

► LEARN ABOUT:
- Cells and Basic Tissue
- Nerve Tissues
- Muscle Tissues
- Epithelial Tissues
- Connective Tissues

► THE PROF: Your lecturer is Professor Geoff Meyer. He is currently teaching at the School of Anatomy, Physiology and Human Biology at the University of Western Australia (UWA). As a leading anatomy and histology expert he is also coordinating the Federative International Program for Anatomical Terminologies (FIPAT) of the International Federation of Associations of Anatomists (IFAA). Besides medical research on the ovarian function, steroidogenesis, corpus luteum, angiogenesis, and microcirculation, Geoff Meyer’s research activities also focus on developing innovative, computer-aided learning and teaching tools. For his inventiveness, Geoff Meyer has received a number of awards, including the Australian University Teaching Award.

► LECTURIO is your single-point resource for medical school:
Study for your classes, USMLE Step 1, USMLE Step 2, MCAT or MBBS with video lectures by world-class professors, recall & USMLE-style questions and textbook articles. Create your free account now: http://lectur.io/connectivetissue

► INSTALL our free Lecturio app
iTunes Store: https://app.adjust.com/z21zrf
Play Store: https://app.adjust.com/b01fak

► READ TEXTBOOK ARTICLES related to this video:
Types of Tissue: Connective Tissue, Muscle Tissue, Epithelial Tissue, and Nervous Tissue
http://lectur.io/connectivetissuearticle

► SUBSCRIBE to our YouTube channel: http://lectur.io/subscribe

► WATCH MORE ON YOUTUBE: http://lectur.io/playlists

► LET’S CONNECT:
• Facebook: https://www.facebook.com/lectu....rio.medical.educatio
• Instagram: https://www.instagram.com/lecturio_medical_videos
• Pinterest: https://www.pinterest.de/lecturiomedical
• LinkedIn: https://www.linkedin.com/company/lecturio-medical/

Bimanual Hip Examination of the Female genitalia

plastic surgeon demonstrates the results of a muscle separation(rectus diastasis) repair using 3 dimesional CAT scan and photographic images

Watch that video to know more about the World's First Head Transplant Surgery

Circumcision Video 3D