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Laparoscopic Cholecystectomy for Symptomatic Cholelithiasis - Standard (Feat. Dr. Brunt)
Laparoscopic Cholecystectomy for Symptomatic Cholelithiasis - Standard (Feat. Dr. Brunt) Surgeon 82 Views • 3 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.

Benign Bone Tumors
Benign Bone Tumors samer kareem 1,779 Views • 2 years ago

Osteochondroma. Osteochondromas (osteocartilaginous exostoses), the most common benign bone tumors, may arise from any bone but tend to occur near the ends of long bones. ... Enchondroma. ... Chondroblastoma. ... Chondromyxofibroma. ... Osteoid osteoma. ... Nonossifying fibroma (fibrous cortical defect) ... Benign giant cell tumor of bone.

LOOP OF HENLE
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IV Cannulae - How To Reduce Spreading MRSA
IV Cannulae - How To Reduce Spreading MRSA DrHouse 14,262 Views • 2 years ago

Cannula are often introduced into blood vessels in 80% of patients in the hospital for treatment. This can be a daunting experience to patients and stressful to doctors as multiple attempts are used. This may result in introducing spreading MRSA, E Coli & Chlostredium living on your skin into blood and results in Invasive MRSA infection.

Skin is often not adequatly cleaned during subsequent atempts as doctors/nurses do not wait for 1 min after applying cleaning solution on the skin before they puncture your skin.

Multiple punctured sites allow CA-MRSA to enter blood stream resulting in bacteremia and death.

Our mission is to reduce spreading invasive CA-MRSA in the hospitals by developing alternative technique to introduce cannulae.

Medifix was created by doctors with a mission to reduce the threat of spreading antibiotic resustant bacteria to mankind.

Open Inguinal Hernia Operation (German)
Open Inguinal Hernia Operation (German) Scott 36,252 Views • 2 years ago

Open Inguinal Hernia Operation (German)

Worst Ingrown Toenail! What Caused It?
Worst Ingrown Toenail! What Caused It? samer kareem 33,847 Views • 2 years ago

Worst Ingrown Toenail! What Caused It?

mammoplasty-botox-tummy tuck-breast surgery-rhinoplasty
mammoplasty-botox-tummy tuck-breast surgery-rhinoplasty dr. kamal hussein saleh al husseiny 979 Views • 2 years ago

Cosmetic surgeryVideo

Quick Volleyball Knee Injury Recovery with Memorial Sports Medicine Center
Quick Volleyball Knee Injury Recovery with Memorial Sports Medicine Center Scott 59 Views • 3 years ago

After Sammyra’s knee injury, Marvin Smith, MD, orthopaedic surgeon at Memorial Sports Medicine Center, helped her get back on the volleyball court and playing pain free. Following a thorough examination, meniscus surgery and rehabilitation got Sammyra back to playing with her college team within two months. Learn more about how Memorial Sports Medicine Center helps athletes move forward at MHS.net/SportsMedicine.
To learn more about Dr. Smith, visit his physician profile page at: https://www.mhs.net/physicians/s/smith-marvin-k

He Had KNEE PAIN With Every Squat!
He Had KNEE PAIN With Every Squat! Scott 105 Views • 3 years ago

Get my book on fixing injury here:
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The Heart Anatomy HD
The Heart Anatomy HD samer kareem 5,775 Views • 2 years ago

The cardiovascular system is a closed system if the heart and blood vessels. The heart pumps blood through a closed system of blood vessels. Blood vessels allow blood to circulate to all parts of the body. Arteries usually colored red because oxygen rich, carry blood away from the heart to capillaries within the tissues. Veins usually colored blue because oxygen poor, carry blood to the heart from the capillaries.

HIV Oral Test procedure
HIV Oral Test procedure Dave Sanders 3,231 Views • 2 years ago

How to use a HIV ORAL rapid test kit for self-diagnosis of HIV (oral swab test). Convenient, Easy to Use, and over 99% Accurate. Test yourself at home with Complete Privacy. Buy online today at: http://www.stdrapidtest.com

L4 5 endoscopic discectomy
L4 5 endoscopic discectomy samer kareem 4,074 Views • 2 years ago

If you have been diagnosed with a bulging disc, you are not alone. Bulging discs, also known as a disc protrusion, are a very common occurrence. They usually remain asymptomatic; however, they can cause discomfort and disability in various parts of the body if the disc compresses an adjacent nerve root or the spinal cord. As we age, the outer fibrous portion of our discs can weaken. Pressure from the central core of the disc can then stretch to the outer rim, causing the disc to bulge. If left untreated, the disc can continue to bulge until it tears, which is classified as a herniated disc.

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Histology of Prostate
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IQ Test
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An intelligence quotient (IQ) is a total score derived from one of several standardized tests designed to assess human intelligence. IQ is a number meant to measure people cognitive abilities (intelligence) in relation to their age group. An I.Q between 90 and 110 is considered average; over 120, superior. Roughly 68% of the population has an IQ between 85 and 115. The average range between 70 and 130, and represents about 95% of the population.

Enchondroma (Cartilage) benign tumor of the finger.
Enchondroma (Cartilage) benign tumor of the finger. samer kareem 2,211 Views • 2 years ago

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Great White Cataract Surgery Video
Great White Cataract Surgery Video samer kareem 56,427 Views • 2 years ago

A cataract is a clouding of the lens in the eye that affects vision. Most cataracts are related to aging. Cataracts are very common in older people. By age 80, more than half of all Americans either have a cataract or have had cataract surgery. A cataract can occur in either or both eyes. It cannot spread from one eye to the other.

How Does Your Sexual System Work   2 .آپ کا جنسی نظام کیسے کام کرتا ہے؟
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Removing Steel Pipe Penetrated Man's Head
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Diabetes and your eyes
Diabetes and your eyes samer kareem 4,853 Views • 2 years ago

Diabetic retinopathy involves changes to retinal blood vessels that can cause them to bleed or leak fluid, distorting vision. Diabetic retinopathy is the most common cause of vision loss among people with diabetes and a leading cause of blindness among working-age adults.

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