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Elbert KHIANGTE

International Hospital
Guwahati, India
MS
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Laparoscopic management of intra-abdominal fish bone mimicking acute cholecystitis
This video shows a female patient of 62 years, presenting with acute upper abdominal pain with fever and vomiting for five days. Clinically, she presented with features of acute cholecystitis.
Blood examination revealed leukocytosis with normal liver function tests. Abdominal ultrasonography showed edema of the gallbladder wall with pericholecystic collection, cholelithiasis and signs of acute cholecystitis.
Under antibiotic cover, the patient was subjected for single-port laparoscopic cholecystectomy using the EK glove port. Due to dense and stubborn adhesions, the procedure was converted to conventional 3-port surgery.
The duodenum was found adherent to the infundibulum of the gallbladder with a fish bone and pus within it. A 3.3cm long fish bone perforated the duodenum, produced abscess and mimicked acute cholecystitis.
The fish bone was extracted, perforation was repaired and cholecystectomy was performed.
Surgical intervention
7 years ago
2856 views
24 likes
0 comments
07:27
Laparoscopic management of intra-abdominal fish bone mimicking acute cholecystitis
This video shows a female patient of 62 years, presenting with acute upper abdominal pain with fever and vomiting for five days. Clinically, she presented with features of acute cholecystitis.
Blood examination revealed leukocytosis with normal liver function tests. Abdominal ultrasonography showed edema of the gallbladder wall with pericholecystic collection, cholelithiasis and signs of acute cholecystitis.
Under antibiotic cover, the patient was subjected for single-port laparoscopic cholecystectomy using the EK glove port. Due to dense and stubborn adhesions, the procedure was converted to conventional 3-port surgery.
The duodenum was found adherent to the infundibulum of the gallbladder with a fish bone and pus within it. A 3.3cm long fish bone perforated the duodenum, produced abscess and mimicked acute cholecystitis.
The fish bone was extracted, perforation was repaired and cholecystectomy was performed.
Single port appendectomy using the EK glove port: a cost-effective innovation
Single port laparoscopic surgery has emerged to enhance the cosmetic benefits and to decrease morbidity in minimally invasive surgery. However, this technique requires a specialized multichannel port (to introduce the laparoscope and instruments) which is very costly and not affordable for the majority of the population. We have improvised a single port access system using readily available materials like surgical gloves, the rigid plastic ring, the inner flexible ring and conventional laparoscopic trocars (the EK Port) with no added cost for the patient. This also eliminates the need for an Alexis® wound retractor. We have performed about 130 single port surgeries since September 2009 using this technique without any complications.
Surgical intervention
7 years ago
10822 views
63 likes
0 comments
05:09
Single port appendectomy using the EK glove port: a cost-effective innovation
Single port laparoscopic surgery has emerged to enhance the cosmetic benefits and to decrease morbidity in minimally invasive surgery. However, this technique requires a specialized multichannel port (to introduce the laparoscope and instruments) which is very costly and not affordable for the majority of the population. We have improvised a single port access system using readily available materials like surgical gloves, the rigid plastic ring, the inner flexible ring and conventional laparoscopic trocars (the EK Port) with no added cost for the patient. This also eliminates the need for an Alexis® wound retractor. We have performed about 130 single port surgeries since September 2009 using this technique without any complications.
Laparoscopic management of sealed gallbladder perforation
This video features a 62-year-old diabetic male patient who is not undergoing any treatment. He has sufferont from vague upper abdominal pain for one month. He has a past history of acute upper abdominal pain which was managed conservatively.
Abdominal ultrasonography demonstrates cholelithiasis with signs of chronic cholecystitis. Blood examination reveals hyperglycemia with normal liver function tests.
After controlling the hyperglycemic status, the patient is subjected to a laparoscopic cholecystectomy. There is evidence of gallbladder perforation, as the gallbladder is sealed off by the omentum. The gallbladder presents a large amount of calculi which are visible through the thin wall of the gallbladder, and some calculi almost protruding out through the wall.
The laparoscopic cholecystectomy is performed successfully with caution not to soil the peritoneum.
Surgical intervention
7 years ago
4035 views
52 likes
0 comments
06:39
Laparoscopic management of sealed gallbladder perforation
This video features a 62-year-old diabetic male patient who is not undergoing any treatment. He has sufferont from vague upper abdominal pain for one month. He has a past history of acute upper abdominal pain which was managed conservatively.
Abdominal ultrasonography demonstrates cholelithiasis with signs of chronic cholecystitis. Blood examination reveals hyperglycemia with normal liver function tests.
After controlling the hyperglycemic status, the patient is subjected to a laparoscopic cholecystectomy. There is evidence of gallbladder perforation, as the gallbladder is sealed off by the omentum. The gallbladder presents a large amount of calculi which are visible through the thin wall of the gallbladder, and some calculi almost protruding out through the wall.
The laparoscopic cholecystectomy is performed successfully with caution not to soil the peritoneum.