| Laparoscopic Splenectomy - 574 sec
Excellant video, from my personal video collection for all surgeons out there, showing very nicely all the important steps for doing splenectomy with the help of a laparoscope. Latest approach to this type of surgery.
Auteur : nadeemaslam
Tags:Surgery Splenectomy Spleen Laparascope Doctor Srugeon Operation Medical
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| LAPAROSCOPIC APPENDECTOMY - 127 sec
Dr. Fernando Arias shows his standarized and safe technique of laparoscopic appendectomy in Bogota. Excellent recovery and great cosmetic result.
Auteur : farias00
Tags: appendectomy appendicectomy operation laparoscopy appendicitis minimally invasive surgery Bogota Colombia Fernando Arias cirugia apendice
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| Laparoscopic Myomectomy - 170 sec
Removal of fibroid with keyhole surgery. A 8cm fibroid is removed from the top of the womb. The womb incision is repaired with laparoscopic suturing using monocryl stitch.
Auteur : asiow2000
Tags:Laparoscopic Myomectomy Fibroid Suturing Womb
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| Laparoscopic Appendicectomy (Appendectomy) - 277 sec
Removal of an acutely inflamed appendix using keyhole surgery. Just one of the many surgery videos that can be seen at videosurgery.com
Auteur : videosurgery
Tags:Laparoscopic surgery appendectomy keyhole
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| Laparoscopic Gastric Sleeve Gastrectomy - 90 sec
To view the full program visit:
http://www.or-live.com/vanderbilt/2320/index.cfm?cmpid=youtube
Join Vanderbilt Medical Center bariatric surgeons Bill Richards, Brandon Williams and Willie Melvin for a live webcast on laparoscopic gastric sleeve gastrectomy.
This procedure has been proven to reduce the production of ghrelin which reduces appetite and provides for healthy weight loss for the obese. Additionally bariatric surgery has been shown to improve medical conditions such as diabetes, sleep apnea, high blood pressure, and high cholesterol.
Auteur : ORLivedotcom
Tags: weight loss surgery sleeve gastrectomy healthy ghrelin diabetes Laparoscopic Gastric Sleeve Gastrectomy
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| laparoscopic cholecystectomy - 317 sec
removal of the gall bladder as affected by a gallstone(cholelithiasis)..video taken from videosurgery...
Auteur : rx0815
Tags: cholecystectomy
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| Laparoscopic Cholecystectomy - 370 sec
Laparoscopic Cholecystectomy in vivo at an adult pig by medical student for surgery training
Auteur : vasalis
Tags:Laparoscopic Cholecystectomy in vivo medical student surgery training
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| Laparoscopic perforated cholecystectomy (abscess) - 499 sec
What is new in cholecystectomy today - the bread and butter of general surgery? Can a cholecystectomy be performed always laparoscopically? Probably not. Can there be no iatrogenic injuries and no mortality? Certainly not.
If this is the picture you would see when you put your first port in, in a 74 years old patient in near arrest due to sepsis and respiratory failure how many of you would continue laparoscopically and when and why would you go the good old days of open surgery? Would a large inflammatory mass in the right upper quadrant, barely allowing for insertion of a trocar and certainly not living much room for other ports put you off from laparoscopic surgery? What are the mortality, morbidity and recovery with open surgery in such settings?
This case: a 74 years old man on anticoagulation for atrial fibrillation, presents with acute cholecystitis and sepsis; after a brief improvement with initial conservative management with rehydration, antibiotics and cardiology review for reversal of Warfarin, 48 hours later he deteriorates rapidly and is taken to surgery for cholecystectomy. At laparoscopy a large inflammatory mass is found in the right upper quadrant; gentle blunt dissection frees the omentum and colon from the liver and diaphragm and reveals a large subphrenic collection and perforated gallbladder. The Visiport was used as the initial trocar for insufflation; the zero degree telescope was manipulated to create enough space to insert further ports in conventional location.
The abscess is dealt with immediately by drainage, removal of fibrinous deposits, brake down of loculi and lavage.
A perforated gallbladder is emptied and dissected. Dissecting on the gallbladder can keep you out of trouble most of the time, however there is a simple rule that works best -- don't cut anything that you don't know what it is. The suction-irrigation device is a good blunt dissector but needs to be used gently and wisely. There are other blunt dissectors widely used but they don't have suction and having suction allows you to see what you're doing. Dissection of the Calot triangle remains the gold standard; although it is not advisable to divide any structures prior to cholangiogram many of us would not do routinely cholangiography; use your common sense and divide only when you are sure of what you are cutting or do a cholangiogram if in doubt; if you do routine cholangiography you can do it in difficult cases, too. When you get good at it you will be willing to have a go at bile duct explorations, too -- it is tempting. I actually like the Concord needle for cystic duct cannulation, but it was out of stock on that day. Although it appears unnecessary I routinely ligate the cystic duct with a 2/0 PDS loop; I have almost never failed to ligate a duct and to present have not had a cystic duct bile leak -- I am a great believer in a ligature and use the clip only as a marker for my ligature; I do not ligate the cystic artery routinely and rather use the diathermy to divide it's branches on the gallbladder. When dissecting the gallbladder I stay on the gallbladder side avoiding bleeding from the liver and injuries to a duct of Luschka. Such a gallbladder is worth an Endobag and although I rarely use drainage of the Morrison's pouch -- this is a good idea in difficult surgery to avoid the consequences of a possible bile leak.
Although the dissection was vascular and the patient's INR was still high there was only a drop in haemoglobin of less than 1g and there were no postoperative transfusions. The patient recovered well, was discharged from ICU three days later and left the hospital in less than a week, with full recovery.
The video is highly edited highlighting the key steps of the surgery and does not reflect the difficulty of the surgery; the laparoscopic time was 70 minutes.
Reference: Dr Oliver Florica
www.sydneygastricbanding.com.au
Auteur : oviflorica
Tags: Laparoscopy Visiport cholecystectomy perforation abscess peritonitis gallbladder gallstones bile duct hasson pneumoperit
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| Laparoscopic Intraligamentous myomectomy - 430 sec
Intraligamentous and broad ligament fibroid are difficult to remove due to risk of injury to ureter and uterine artery at the time of dissection. Following a thorough exposure of ureter and vessels and depending on the location of Myoma, an incision is made on the anterior or posterior leaf of the broad ligament and the leiomyomas is slowly shelled same as other subserosal or intramural fibroid.
Throughout the procedure the location of the ureter is monitored, bleeding points are controlled by bipolar. The broad ligament and peritoneum are not closed in cases of broad ligament Myoma. If post operative bleeding is suspected, a drain should be left.
Auteur : senaiaksoy
Tags: laparoscopy laparoskopi myoma myom fibroid ameliyatı ameliyat myomectomy medicine
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| PreOp® Patient Education: Spleen Laparoscopic Splenectomy 1 - 27 sec
http://www.PreOp.com
Patient ED @ 617-379-1582 INFO
On the day of your operation, you will be asked to put on a surgical gown.
You may receive a sedative by mouth and
an intravenous line may be put in.
You will then be transferred to the operating table.
In the operating room, a nurse will begin preparation by clipping or shaving the abdomen.
The anesthesiologist will begin to administer anesthesia - most probably general anesthesia. Patient Education
The surgeon will then apply antiseptic solution to the skin around the area where the incisions will be made,
... place a sterile drape around the operative site.
After allowing a few minutes for the anesthetic to take effect ...
a small incision is made above the umbilicus;
then, a hollow needle will be inserted through the abdominal wall.
And the abdomen will be inflated with carbon dioxide.
An umbilical port is created for the laparoscope.
One or more incisions will be made, with care taken to keep the openings as small as possible. Patient Education
Once in place, the laparoscope will provide video images,
that allow the surgeon to carefully cut the ligaments that connect the spleen to the diaphragm as well as the spleen to the colon.
Now the doctor can gently pull the liver aside...
then pull back the stomach to reveal the spleen.
All remaining tissue between the spleen and the stomach including small blood vessels, as well as the spleen and diaphragm are cut.
The main vessels that supply blood to the spleen - the splenic artery and the splenic vein are closed off and cut.
Finally, the spleen is maneuvered into a special retrieval bag where it is broken into smaller pieces...
and removed through one of the laparoscopic working ports.
All of the instruments are withdrawn...
the carbon dioxide is allowed to escape...
and the skin is closed with sutures or staples.
Finally, sterile dressings are applied.
Patient Education Company
Auteur : PreOpcom
Tags: Spleen Laparoscopic Splenectomy Hodgkin's blood Gaucher's doctor Patient Education health medicine science clinic biops
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| Laparoscopic Myomectomy - 485 sec
Laparoscopic Myomectomy using a Bipolar Spatula. Presented by Stephanie Morris, MD and Keith Isaacson, MD
Auteur : OBGYNnet
Tags: obgyn womens education health Gyrus surgery laparoscopic myomectomy
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| Laparoscopic Cholecystectomy with LAVH - 615 sec
A good case comprising of laparoscopic cholecystectomy with lap. assisted vaginal hysterectomy done simultaneously
Auteur : dranilkhetarpal
Tags: khetarpal hospital laparoscopic vaginal hysterectomy cholecystectomy surgery
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| Laparoscopic hiatus hernia repair during LapBand surgery - 592 sec
Hiatus hernia and gastroesophageal reflux is a common occurrence in patients undergoing obesity surgery. Prior to gastric band placement such a hernia needs to be repaired in order to avoid significant reflux symptoms after surgery and place the gastric band in the correct position. Often the hernia is not this obvious due to the large amount of fatty tissue and the hiatus may need exploration; prior investigations with fluoroscopy or endoscopy may clarify the diagnosis.
The peritoneum is divided starting on the left crus of the diaphragm; the herniated stomach is dissected and reduced to the abdominal cavity. Blunt dissection is performed in the lower mediastinum, however in contrast to fundoplication procedures a posterior dissection is not routinely undertaken in order to reduce the risk of band slippage. The hiatus is closed with figure of eight sutures anterior to the oesophagus. Pars flaccida technique is used for band placement in a routine fashion.
Auteur : oviflorica
Tags: Laparoscopy visiport gastric band lapband stomach obesity hernia hiatus pneumoperitoneum insufflation hasson reflux
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| Laparoscopic ventral hernia repair (TAPP) - 568 sec
The pneumoperitoneum is obtained by primary insufflation with the Visiport (LUQ insertion for midline or right side hernia); two other 5mm ports placed conveniently are added.
The hernia contents are reduced. A peritoneal incision is made to allow a 5cm clearance from the hernia neck; the sac is dissected with care to avoid laceration of the peritoneum. A slightly oversized Prolene mesh is used in this situation. The mesh is stapled in two rows around the defect; any poorly positioned tacks are removed and the excess mesh is trimmed. The peritoneum is closed to avoid contact between bowel and mesh.
References: Dr. Oliver Florica
www.sydenygastricbanding.com.au
Auteur : oviflorica
Tags: Laparoscopy Visiport hernia ventral incisional laparotomy mesh bowel stomach gallbladder gallstones bile duct hasson pne
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| laparoscopic myomectomy - 89 sec
laparoscopic myomectomy Multiple Myomas(Fibroids) removed in a bag by laparoscopy technic.
Auteur : tamerSECKIN
Tags:Womens Surgery Fibroid Gynecology Bleeding Fertility Myoma
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| PreOp® Patient Education Gallbladder Removal Laparoscopic - 36 sec
http://www.PreOp.com
Patient ED @ 617-379-1582 INFO
Gallbladder Laparoscopic Hassan Trocar Surgery bile Sutures liver
The gallbladder is a small organ located below the liver. It's function is to store bile used by the instestines to digest food.
Gallstones - small calcified deposits - sometimes form and block the bile ducts which lead from the gallbladder to the intestines.
In many cases, the problem becomes so severe, that the only effective treatment is to remove the entire gallbladder.
This is the most common reason for gallbladder surgery.
Then, after you're asleep, your doctor will make a small, vertical incision in your navel.
Using a pair of small retractors, the surgeon will gently open the incision and divide the exposed tissues.
Sutures resembling a purse string are placed in the skin around the navel.
Next, a special instrument called a Hassan Trocar is inserted through the opening in the navel.
The purse string sutures are pulled, causing the skin to tighten around the instrument. This creates an airtight seal.
The team then connects the Trocar to a small hose ...
Auteur : PreOpcom
Tags: Gallbladder Laparoscopic Hassan Trocar Surgery bile Sutures liver tutorial animation
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| Laparoscopic Sleeve Gastrectomy with Narration - 260 sec
Laparoscopic Sleeve Gastrectomy, with narration by Dr. Smith. Advanced Obesity Surgery, Marietta, GA
http://www.advancedobesitysurgery.com
Auteur : drdennissmith
Tags: laparoscopic sleeve gastrectomy bariatric surgery obesity weight loss partial lateral gastric resection
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| laparoscopic removal of trichobazoar of stomach - 211 sec
a lady of 25 with a hairball in stomach, was subjected to laparoscopic surgery, and a trichobazoar of 550gms was removed with out any scar over her body by natural route. first of its kind..!
Auteur : dryogeshmehta
Tags:laparoscopic removal of trichobazoar
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| Laparoscopic Adjustable Gastric Band (Mide Kelepçesi) - 617 sec
You can watch the laparoscopic adjustable gastric band (Heliogast) operation. (Bu videoda ayarlanabilir mide bandı, mide kelepçesi ameliyatını izleyebilirsiniz.) Op.Dr.Murat üstün / www.medicorium.com
Auteur : drmuratustun
Tags:adjustable gastric band laparoskopik ayarlanabilir mide bandı kelepçesi ameliyatı
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| Laparoscopic Cholecystectomy - 316 sec
Removal of the gall bladder using keyhole surgery. Just one of the many surgery videos that can be seen at videosurgery.com
Auteur : videosurgery
Tags:laparoscopic gallstones surgery keyhole
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