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This video demonstrate part of laparoscopic CBD exploration in post-traumatic chronic pancreatitis with CBD stones. The video divided in 3 part: CBD dissection, CBD exploration a wide variety of techniques, closure choledochotomy.
Time stamp:
Part 1-CBD dissection:
dissection and mobilization 0:19
start dissection cystic duct and artery 1:35
cystic artery dissection and clipping 8:23
management of cystic duct stump 12:20
Part 2-CBD exploration:
choledochotomy 19:31
sweep up the CBD 24:10
biliary balloon extraction 27:20
direct choledochoscopy 32:19
Part 3-closure CBD:
internal biliary stent insertion 40:29
continuous suture for closure choledochotomy 43:21-
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Dr Sahil Rawat
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Dr Rakesh Sinha, a pioneer of laparoscopic gynaecology in India, succumbed to a heart attack on Monday morning during a walk at Bandra. Dr Sinha collapsed while he was preparing for the Mumbai Marathon 2016 and was declared dead at Holy Family Hospital, Bandra at 9.30am. He is survived by a son, daughter and his wife - all three are doctors.
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Dr Sahil Rawat
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Laparoscopic surgery has taken over 80% of the general surgery: Dr. Manmohan Kam... (health.economictimes.indiatimes.com)Natural orifice transluminal endoscopic surgery (NOTES) is one of the evolving chapters in medical field today.
Dr. Manmohan Kamat, Senior Consultant - Department of Minimally Invasive Surgery, Nanavati Super Speciality Hospital, Mumbai, talks to ETHealthworld about the growth and highlights of laparoscopic surgeries. Edited excerpts:
Tell us about the recent advancements in Laparoscopic Surgery?
Laparoscopic surgery today is one of the major surgical procedures that have taken over more than 70-80% of the general surgical fields. In the case of advancement, it has gone much beyond a routine laparoscopic cholecystectomy or appendectomy and there is no organ which is left untouched in the abdomen and can’t be managed laparoscopically in today’s era. Organs such as stomach, liver, spleen, intestine anything and everything including the parietal wall defects such as hernias can be managed beautifully with laparoscopic surgery.
Earlier the surgeries were done for reflux diseases or internal hernias such as hiatal hernia and it was very difficult to manage because they are to be operated in depth. The restrictions have been taken off with the advent of the laparoscopic surgery. The surgeries for obesity, indigestion, reflux diseases or even malignancies can be easily and properly managed with laparoscopic techniques. With the use of today’s technology it is very easy and beneficial for the patient as these surgeries can be carried out with Minimally Invasive Techniques.-
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Dr Sahil Rawat
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Total laparoscopic hysterectomy is possible when the uterus is larger than 14 weeks’ gestational size—if you incorporate several novel techniques and use the right instruments.
Although the opening case represents potentially difficult surgery because of the size of the uterus, the laparoscopic approach is feasible. When the uterus weighs more than 450 g, contains fibroids larger than 6 cm, or exceeds 12 to 14 cm in size,4-7 there is an increased risk of visceral injury, bleeding necessitating transfusion, prolonged operative time, and conversion to laparotomy. This article describes techniques that simplify laparoscopic management when the uterus exceeds 14 weeks’ size. By incorporating these techniques, we have performed laparoscopic hysterectomy in uteri as large as 22 to 24 weeks’ size without increased complications.-
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Dr Sahil Rawat
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