1) The document describes the surgical techniques for both open and laparoscopic appendectomy.
2) For open appendectomy, the classic McBurney incision is made and layers are separated to expose the appendix which is then ligated and removed.
3) For laparoscopic appendectomy, 3 ports are used to expose the appendix which is then dissected from surrounding tissues, its blood supply ligated, and base stapled before removal.
“Love is like the human appendix. You take it for granted while it's there, but when it's suddenly gone you're forced to endure horrible pain that can only be alleviated through drugs.”
― Reverend Jen,
Component seperation technique for the repair of very large ventral hernias nikhilameerchetty
Includes all the ventral hernia repairs with the loss of domain and the various methods of component separation technique with their success rate for their repair ,few videos showing the methods of repair in addition to the latest techniques of repair .
“Love is like the human appendix. You take it for granted while it's there, but when it's suddenly gone you're forced to endure horrible pain that can only be alleviated through drugs.”
― Reverend Jen,
Component seperation technique for the repair of very large ventral hernias nikhilameerchetty
Includes all the ventral hernia repairs with the loss of domain and the various methods of component separation technique with their success rate for their repair ,few videos showing the methods of repair in addition to the latest techniques of repair .
LAPAROSCOPIC APPENDICECTOMY- OPERATIVE SURGERY
Dear Viewers,
Greetings from “Surgical Educator”
In this episode I am talking about how to do Laparoscopic Appendicectomy. This is not the real surgery video, but I am discussing the theoretical aspect of the Laparoscopic Appendicectomy. I am discussing about the indications, positioning of patient & surgeon, port placement, creation of pneumoperitoneum and the sequential steps in doing Laparoscopic Appendicectomy. After watching this video, I recommend my viewers to watch the actual real Laparoscopic Appendicectomy surgery, which I have included at the end of this video as one of the end cards. In this way you can do a mental rehearsal of the various steps of the surgery before you are actually going to do it. You can watch the videos in the following Links:
Surgicaleducator.blogspot.com
Youtube.com/c/surgicaleducator
Thank you for watching the video.
Rectal prolapse (Surgical anatomy of rectum, pathology and management0sunil kumar daha
Please find the powerpoint on Rectal prolapse. I tried present it on understandable way and all the contents are reviewed by experts and from very reliable references.
OPEN INGUINAL HERNIA REPAIR- OPERATIVE SURGERY
#surgicaleducator #operativesurgery #openinguinalherniarepair #usmle #babysurgeon #surgicaltutor
Dear viewers,
• Greetings from “Surgical Educator”
• Because of the popular demand by viewers of the YouTube channel “Surgical Educator”, I have decided to create and upload videos on common surgeries.
• I have already uploaded videos on open and Laparoscopic Appendicectomy, Thyroidectomy, Modified Radical Mastectomy and open and
Laparoscopic Cholecystectomy
• In this video today, I have discussed Open Inguinal Hernia Repair.
• However, these videos are not real surgeries but the theoretical aspect of operative surgery like going through an atlas of operative surgery.
• Along with these videos, I recommend you to watch real operative surgery videos as well and I will give a link for each surgery in the end of the video as end-cards, which I think will be very useful.
• This will give a very good opportunity for the surgical trainees to mentally rehearse various surgical steps in a sequential manner prior to actual surgery. You can watch the video in the following links:
• surgicaleducator.blogspot.com
• youtube.com/c/surgicaleducator
• Thank you for watching the videos.
Extended totally extraperitoneal repair (eTEP) is a novel technique that was first introduced by Jorge Daes in 2012 to address difficult inguinal hernias.
Normally, fistula is defined as an abnormal communication between two epithelized surface.But enterocutaneous fistula is an abnormal communication between the skin with various parts of the gut. The ileum is the most common site of origin of enterocutaneous fistula.
Almost all groin hernias should be surgically repaired. When the potential complications as incarceration and strangulation are weighed against the minimal risks of hernia repair (particularly when local anesthesia is used), the early repair of groin hernias is clearly justified. This is especially true in the case of femoral hernias, since the rigid borders of the femoral canal increase the risk of incarceration
LAPAROSCOPIC APPENDICECTOMY- OPERATIVE SURGERY
Dear Viewers,
Greetings from “Surgical Educator”
In this episode I am talking about how to do Laparoscopic Appendicectomy. This is not the real surgery video, but I am discussing the theoretical aspect of the Laparoscopic Appendicectomy. I am discussing about the indications, positioning of patient & surgeon, port placement, creation of pneumoperitoneum and the sequential steps in doing Laparoscopic Appendicectomy. After watching this video, I recommend my viewers to watch the actual real Laparoscopic Appendicectomy surgery, which I have included at the end of this video as one of the end cards. In this way you can do a mental rehearsal of the various steps of the surgery before you are actually going to do it. You can watch the videos in the following Links:
Surgicaleducator.blogspot.com
Youtube.com/c/surgicaleducator
Thank you for watching the video.
Rectal prolapse (Surgical anatomy of rectum, pathology and management0sunil kumar daha
Please find the powerpoint on Rectal prolapse. I tried present it on understandable way and all the contents are reviewed by experts and from very reliable references.
OPEN INGUINAL HERNIA REPAIR- OPERATIVE SURGERY
#surgicaleducator #operativesurgery #openinguinalherniarepair #usmle #babysurgeon #surgicaltutor
Dear viewers,
• Greetings from “Surgical Educator”
• Because of the popular demand by viewers of the YouTube channel “Surgical Educator”, I have decided to create and upload videos on common surgeries.
• I have already uploaded videos on open and Laparoscopic Appendicectomy, Thyroidectomy, Modified Radical Mastectomy and open and
Laparoscopic Cholecystectomy
• In this video today, I have discussed Open Inguinal Hernia Repair.
• However, these videos are not real surgeries but the theoretical aspect of operative surgery like going through an atlas of operative surgery.
• Along with these videos, I recommend you to watch real operative surgery videos as well and I will give a link for each surgery in the end of the video as end-cards, which I think will be very useful.
• This will give a very good opportunity for the surgical trainees to mentally rehearse various surgical steps in a sequential manner prior to actual surgery. You can watch the video in the following links:
• surgicaleducator.blogspot.com
• youtube.com/c/surgicaleducator
• Thank you for watching the videos.
Extended totally extraperitoneal repair (eTEP) is a novel technique that was first introduced by Jorge Daes in 2012 to address difficult inguinal hernias.
Normally, fistula is defined as an abnormal communication between two epithelized surface.But enterocutaneous fistula is an abnormal communication between the skin with various parts of the gut. The ileum is the most common site of origin of enterocutaneous fistula.
Almost all groin hernias should be surgically repaired. When the potential complications as incarceration and strangulation are weighed against the minimal risks of hernia repair (particularly when local anesthesia is used), the early repair of groin hernias is clearly justified. This is especially true in the case of femoral hernias, since the rigid borders of the femoral canal increase the risk of incarceration
Short-term outcome of Laparoscopic Appendicectomy and Open Appendicectomy in...Dr.Masfique Bhuiyan
Short-term outcome of Laparoscopic Appendicectomy and Open Appendicectomy in acute appendicitis- a comparative study.
Dr. Masfique Ahmed Bhuiyan
FCPS (General Surgery) Part-II
Mobile phone # 01739981650
Department of Surgery,
Dhaka Medical College Hospital, Dhaka
2014
Diagnostic laparoscopy is a minimally invasive surgical
procedure that allows the visual examination of intraabdominal organs in order to detect any pathology. This
procedure allows the direct visual examination of intraabdominal organs including large surface areas of the
liver, gallbladder, spleen, peritoneum, pelvic organs, and
retroperitoneum. Biopsies, aspiration, and cultures can be
obtained, and laparoscopic ultrasound (US) may be used.
Diagnostic laparoscopy is safe and well tolerated and
can be performed in an outpatient or inpatient setting
under general anesthesia (Fig. 1A). There may also be
unique circumstances where office based diagnostic
laparoscopy may be considered under local anesthesia.
These circumstances should include only procedures where
complications and the need for therapeutic procedures
through the same access are extremely unlikely. Manipulation
and biopsy of the viscera is possible through additional ports.
Diagnostic laparoscopy is the most commonly performed
gynecological procedure today. Its greatest advantage is that
it has replaced exploratory laparotomy.
Diagnostic laparoscopy was first introduced in 1901,
when Kelling, performed a peritoneoscopy in a dog and was
called ‘‘celioscopy’’. A Swedish internist named Jacobaeus is
credited with performing the first diagnostic laparoscopy on
human in 1910. He described its application in patients with
ascites and for the early diagnosis of malignant lesions.
In last 10 years, laparoscopy has made a great difference
to the diagnosis of abdominal acute and chronic pain. It
has evolved as an informative and important method of
diagnosing a wide spectrum of both benign and malignant
diseases. Exploratory laparoscopy also allows tissue
biopsy, culture acquisition, and a variety of therapeutic
interventions. Elective diagnostic laparoscopy refers to the
use of the procedure in chronic intra-abdominal disorders.
Emergency diagnostic laparoscopy is performed in patients
presenting with acute abdomen
Esophagoscopy continues to be a reliable diagnostic and therapeutic tool with a wide variety of applications, including biopsy, dilatation of strictures, repair of Zenker's diverticulum, placement of stents, and retrieval of foreign bodies.
Abdominal Imaging Case Studies #27.pptxSean M. Fox
Drs. Kylee Brooks and Parker Hambright are Emergency Medicine Residents and Drs. Alexis Holland and William Lorenz are Surgery Residents at Carolinas Medical Center in Charlotte, NC. They are interested in medical education. With the guidance of Drs. Kyle Cunningham, Brent Matthews, and Michael Gibbs, they aim to help augment our understanding of emergent abdominal imaging. Follow along with the EMGuideWire.com team as they post these monthly educational, self-guided radiology slides. This month’s cases include:
• Iatrogenic Esophageal Perforation
• Emphysematous Cystitis
• Meckel’s Diverticulum
• Paraesophageal Hernia
Diagnostic laparoscopy is a minimally invasive surgical procedure that allows the visual examination of intraabdominal organs in order to detect any pathology.
M132 Module 05 Coding Assignment1. Case Study #1PREOPERATI.docxinfantsuk
M132 Module 05 Coding Assignment
1. Case Study #1
PREOPERATIVE DIAGNOSIS: Tertiary hyperparathyroidism.
POSTOPERATIVE DIAGNOSIS: Tertiary hyperparathyroidism.
OPERATION PERFORMED: Subtotal parathyroidectomy.
ANESTHESIA: General. Fifteen mL of 0.5% Marcaine with epinephrine for local anesthesia.
DESCRIPTION OF OPERATION: The patient was intubated with the nerve monitor endotracheal tube. A shoulder roll was placed and the neck was prepped and draped in the usual manner. A transverse cervical incision was made, and local anesthesia was infiltrated prior to the incision and as we finished the closure. The initial incision was deep and beyond platysma. Crossing anterior jugular vein branches were doubly ligated with 2-0 silk ties and divided. The superior subplatysmal flap was brought to the thyroid notch and the inferior flap to the sternal notch. Strap muscles were divided at the midline and separated.
The right strap muscles were lifted off the right thyroid gland and mobilized slowly the right thyroid gland medially. The nerve at the base of the neck was identified. There were two inferior thyroid artery branches that were ligated with 2-0 silk ties and divided. Middle thyroid vein was ligated with 2-0 silk tie and divided. The thyroid gland was mobilized medially. The right upper parathyroid gland was found at the mid aspect of the posterior thyroid gland. It was intrathyroidal. It was slowly removed from the thyroid gland, clipped the feeding vessels and the right upper parathyroid gland was totally excised. The nerve was noted to be functional at the end of this excision.
The superior vascular bundle was doubly ligated with 2-0 silk ties and divided allowing for further mobilization of the gland medially. We were unable to find a parathyroid gland at that level. We then subsequently freed the lower pole of the thyroid gland and we started identifying the thymus tissue and pulled it out of the chest. There was a right neck lymph node that was submitted for frozen section and this was benign. We then identified a right lower parathyroid gland. I clipped the distal half and this was confirmed to be parathyroid tissue. The proximal half of the parathyroid gland was left intact.
The left strap muscles were lifted off the left thyroid gland. The middle thyroid vein was ligated with 3-0 silk ties and divided and the thyroid gland was then mobilized medially. The nerve was found at the base of the neck and traced towards the larynx. The left upper parathyroid gland was identified, found to be posterior to the mid aspect of the thyroid gland, and it measured 1.5 x 0.8 cm. We freed it from the nerve and from the thyroid gland and this was confirmed to be parathyroid tissue. The small vascular pedicles were clipped and the left upper parathyroid gland removed. The nerve was noted to be functional at this point.
We ligated the superior thyroid vascular pedicle. This was done with 2-0 silk ties x2 and with a 3-0 silk suture ligature. We ...