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Laparoscopic Cholecystectomy for Symptomatic Cholelithiasis - Standard (Feat. Dr. Brunt)
Laparoscopic Cholecystectomy for Symptomatic Cholelithiasis - Standard (Feat. Dr. Brunt) Surgeon 77 Views • 2 years ago

Mini-Laparoscopic Cholecystectomy with Intraoperative Cholangiogram for Symptomatic Cholelithiasis (Gallstones) - Standard
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.

The blood (1 of 3)
The blood (1 of 3) samer kareem 7,423 Views • 2 years ago

Blood cells travel through the circulatory system suspended in a yellowish fluid called plasma. Plasma is 90% water and contains nutrients, proteins, hormones, and waste products. Whole blood is a mixture of blood cells and plasma.

Urinary bladder
Urinary bladder samer kareem 9,960 Views • 2 years ago

The urinary bladder is a hollow muscular organ that collects urine from the kidneys before disposal by urination. A hollow muscular, and distensible (or elastic) organ, the bladder sits on the pelvic floor. Urine enters the bladder via the ureters and exits via the urethra.

Anaphylactic shock
Anaphylactic shock samer kareem 1,592 Views • 2 years ago

Anaphylaxis is a severe, potentially life-threatening allergic reaction. It can occur within seconds or minutes of exposure to something you're allergic to, such as a peanut or the venom from a bee sting. The flood of chemicals released by your immune system during anaphylaxis can cause you to go into shock; your blood pressure drops suddenly and your airways narrow, blocking normal breathing. Signs and symptoms of anaphylaxis include a rapid, weak pulse, a skin rash, and nausea and vomiting. Common triggers of anaphylaxis include certain foods, some medications, insect venom and latex. Anaphylaxis requires an immediate trip to the emergency department and an injection of epinephrine. If anaphylaxis isn't treated right away, it can lead to unconsciousness or even death.

Common Knee Injuries
Common Knee Injuries Scott 62 Views • 2 years ago

Arthritis occurs when the cartilage breaks down explains Dr. Derek Papp, Sports Medicine Physician with Miami Orthopedics & Sports Medicine Institute. This it’s a very common knee injury such as the damage of the cartilage and meniscus tear.
ACL tears is another common injury especially in sports like soccer or Australian football, the specialist explains.

Kidney Cells under microscope
Kidney Cells under microscope Ayman Kamol 1,543 Views • 2 years ago

Actual Footage of Cell Division (Kidney Cells) see more http://www.kidneymy.com/

Mastectomy
Mastectomy samer kareem 83,876 Views • 2 years ago

Mastectomy is surgery to remove all breast tissue from a breast as a way to treat or prevent breast cancer. For those with early-stage breast cancer, mastectomy may be one treatment option. Breast-conserving surgery (lumpectomy), in which only the tumor is removed from the breast, may be another option.

Wound-closure new technologies
Wound-closure new technologies samer kareem 12,711 Views • 2 years ago

Wound-closure technologies are becoming less painful and more efficient at closing wounds.

Sectioned Heart
Sectioned Heart samer kareem 8,835 Views • 2 years ago

Sectioned Heart

Funny School Exam
Funny School Exam samer kareem 4,915 Views • 2 years ago

Funny School Exam

Sarcoidosis Features
Sarcoidosis Features samer kareem 978 Views • 2 years ago

Sarcoidosis is an inflammatory disease that affects multiple organs in the body, but mostly the lungs and lymph glands. In people with sarcoidosis, abnormal masses or nodules (called granulomas) consisting of inflamed tissues form in certain organs of the body. These granulomas may alter the normal structure and possibly the function of the affected organ(s).

Happy New Year 2017
Happy New Year 2017 samer kareem 4,619 Views • 2 years ago

Happy New Year 2017

Pediatric elbow dislocation
Pediatric elbow dislocation samer kareem 1,868 Views • 2 years ago

- elbow dislocations in children are a relatively uncommon; - peak incidence occurs in adolescence between 11-15 years. - posterior dislocations are most common type; - posterior dislocation usually results from fall on outstretched hand w/ forarm supinated & elbow extended or partially flexed; - coronoid process, which nl resists posterior displacement of ulna, is relatively small in children; - anterior capsule of elbow joint is torn by force of the impact transmitted upward thru the ulna and radius

Sever's disease
Sever's disease samer kareem 11,295 Views • 2 years ago

Sever's disease (also known as calcaneal apophysitis) is a type of bone injury in which the growth plate in the lower back of the heel, where the Achilles tendon (the heel cord that attaches to the growth plate) attaches, becomes inflamed and causes pain.

Laser eye surgery: How many people get the low price that Lasik MD advertises? (CBC Marketplace)
Laser eye surgery: How many people get the low price that Lasik MD advertises? (CBC Marketplace) Mohamed Ibrahim 72 Views • 2 years ago

Originally broadcast November 21, 2014.

They advertise low, low prices. But does anyone actually pay that rate? Erica Johnson investigates.

More from CBC Marketplace, Canada's top consumer affairs show:
Watch episodes online at http://cbc.ca/marketplace
Like us on Facebook: http://facebook.com/cbcmarketplace
Talk to us on Twitter: http://twitter.com/cbcmarketplace
Follow our hosts @cbctom and @cbcerica

Genetic Disorders And Diseases
Genetic Disorders And Diseases samer kareem 4,460 Views • 2 years ago

Genes are the building blocks of heredity. They are passed from parent to child. They hold DNA, the instructions for making proteins. Proteins do most of the work in cells. They move molecules from one place to another, build structures, break down toxins, and do many other maintenance jobs. Sometimes there is a mutation, a change in a gene or genes. The mutation changes the gene's instructions for making a protein, so the protein does not work properly or is missing entirely. This can cause a medical condition called a genetic disorder. You can inherit a gene mutation from one or both parents. A mutation can also happen during your lifetime.

Renal Artery Stenting
Renal Artery Stenting samer kareem 16,500 Views • 2 years ago

A ureteral stent, sometimes as well called ureteric stent, is a thin tube inserted into the ureter to prevent or treat obstruction of the urine flow from the kidney. The length of the stents used in adult patients varies between 24 to 30 cm.

Symptoms Of Anxiety, Anxiety Disorder Symptoms, What Is Social Anxiety, Zoloft For Anxiety
Symptoms Of Anxiety, Anxiety Disorder Symptoms, What Is Social Anxiety, Zoloft For Anxiety marin vinasco 1,617 Views • 2 years ago

Symptoms Of Anxiety, Anxiety Disorder Symptoms, What Is Social Anxiety, Zoloft For Anxiety --- http://panic-attacks-anxiety.good-info.co --- Panic attacks and anxiety While there are times for doctors, I want you to consider this: MOST of your anxiety is under the radar… Masquerading as “just feeling a bit nervous”... or “just a tad irritable thanks to this diet plan”... or, “let’s skip the party and just stay home tonight.” And, I’m telling you, that anxiety not only destroys your fat burning power: It often leads to all-out panic disorder, if you just ignore it. Fortunately for you, there’s a 60-Second Solution that restores your calm, removes those anxious feelings, and allows you to keep burning body fat for energy. Now, this exact same technique works for all-out panic and even more serious anxiety issues, too… The man who delivers this presentation had panic attacks in “everyday” situations… and he too had feelings of anxiety whenever he tried to diet-off body fat… This Simple Trick Stops Panic Attacks And Anxiety Click Here: http://panic-attacks-anxiety.good-info.co

Enchondroma (Cartilage) benign tumor of the finger.
Enchondroma (Cartilage) benign tumor of the finger. samer kareem 2,207 Views • 2 years ago

Enchondroma (Cartilage) benign tumor of the finger.

Diagnosing and Treating Pituitary Tumors
Diagnosing and Treating Pituitary Tumors samer kareem 3,864 Views • 2 years ago

The pituitary is a small gland found inside the skull just below the brain and above the nasal passages, which are above the fleshy back part of the roof of the mouth (known as the soft palate). The pituitary sits in a tiny bony space called the sella turcica. The nerves that connect the eyes to the brain, called the optic nerves, pass close by it.

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