Dariusz PATKOWSKI | WebSurg, the online university of IRCAD

Endoscopic suturing is a challenge - How to make it easier

In this key introductive lecture extracted from the IRCAD advanced course "laparoscopy in newborns, infants and children" (March 14-16, 2019), Prof. Patkowski explains how to facilitate endoscopic suturing.

Endoscopic suturing is a challenge - How to make it easier

In this key introductive lecture extracted from the IRCAD advanced course "laparoscopy in newborns, infants and children" (March 14-16, 2019), Prof. Patkowski explains how to facilitate endoscopic suturing.

Thoracoscopic repair of esophageal atresia

In this key lecture extracted from the IRCAD advanced course "laparoscopy in newborns, infants and children" (March 14-16, 2019), Prof. Patkowski describes how to repair esophageal atresia in pediatric surgery.

Thoracoscopic repair of esophageal atresia

In this key lecture extracted from the IRCAD advanced course "laparoscopy in newborns, infants and children" (March 14-16, 2019), Prof. Patkowski describes how to repair esophageal atresia in pediatric surgery.

Thoracoscopic repair of long-gap esophageal atresia using internal traction suture

In this key lecture extracted from the IRCAD advanced course "laparoscopy in newborns, infants and children" (March 14-16, 2019), Prof. Patkowski explains how to manage long-gap esophageal atresia in infants in thoracic surgery.

Thoracoscopic repair of long-gap esophageal atresia using internal traction suture

In this key lecture extracted from the IRCAD advanced course "laparoscopy in newborns, infants and children" (March 14-16, 2019), Prof. Patkowski explains how to manage long-gap esophageal atresia in infants in thoracic surgery.

Basic principles for endoscopic suturing

In this key lecture, Dr. Patkowski describes the basic principles for endoscopic intracorporeal suturing. He highlights the tips and tricks with technical aspects and key steps of perfect suturing with examples of making sliding knots, double knots, and continuous suturing.

Basic principles for endoscopic suturing

In this key lecture, Dr. Patkowski describes the basic principles for endoscopic intracorporeal suturing. He highlights the tips and tricks with technical aspects and key steps of perfect suturing with examples of making sliding knots, double knots, and continuous suturing.

Percutaneous internal ring suturing

In this lecture, Dr. Patkowski presents the main principles of percutaneous internal ring suturing (PIRS). He briefly demonstrates the basic technical aspects of PIRS with their complications in children and draws a comparison with the open repair.

Percutaneous internal ring suturing

In this lecture, Dr. Patkowski presents the main principles of percutaneous internal ring suturing (PIRS). He briefly demonstrates the basic technical aspects of PIRS with their complications in children and draws a comparison with the open repair.

Minimally invasive techniques for tracheoesophageal fistula and esophageal atresia repair

In this lecture, Dr. Patkowski describes the main principles of minimally invasive techniques for tracheoesophageal fistula (TEF) and esophageal atresia (EA) repair. He highlights the history of the technique and his personal experience with the indications and contraindication of thoracoscopic EA/TEF repair. He demonstrates the advantages and disadvantages of the procedure with outlines of patient position, preoperative bronchoscopy, central line placement, and technical details of the procedure with outcomes.

Minimally invasive techniques for tracheoesophageal fistula and esophageal atresia repair

In this lecture, Dr. Patkowski describes the main principles of minimally invasive techniques for tracheoesophageal fistula (TEF) and esophageal atresia (EA) repair. He highlights the history of the technique and his personal experience with the indications and contraindication of thoracoscopic EA/TEF repair. He demonstrates the advantages and disadvantages of the procedure with outlines of patient position, preoperative bronchoscopy, central line placement, and technical details of the procedure with outcomes.

Thoracoscopic staged repair of long-gap esophageal atresia using internal traction suture

In this lecture, Dr. Patkowski describes the key steps of the internal traction suture technique for the thoracoscopic staged repair of long-gap esophageal atresia in children. He briefly demonstrates the operative strategy with main principles, technical aspects, complications, and outcomes.

Thoracoscopic staged repair of long-gap esophageal atresia using internal traction suture

In this lecture, Dr. Patkowski describes the key steps of the internal traction suture technique for the thoracoscopic staged repair of long-gap esophageal atresia in children. He briefly demonstrates the operative strategy with main principles, technical aspects, complications, and outcomes.

Laparoscopic adrenalectomy (update of September 2014 presentation)

Laparoscopic adrenalectomy is an attractive alternative to open surgery in children as it is associated with less operative pain and a rapid resumption of diet and shorter operative time.
The relative contraindications are patients with malignancies which involve lymph nodes, highly vascular pheochromocytomas, and large tumors.
Neuroblastoma, congenital adrenal hyperplasia, pheochromocytomas and adrenal cortical carcinomas are the main indications in children.
The transabdominal lateral approach is more commonly used in the pediatric population.
The tumors are incidental findings and 31% of them are malignant in children.
The various techniques of adrenalectomy, preoperative work-up, and indications are described in this lecture.

Laparoscopic adrenalectomy (update of September 2014 presentation)

Laparoscopic adrenalectomy is an attractive alternative to open surgery in children as it is associated with less operative pain and a rapid resumption of diet and shorter operative time.
The relative contraindications are patients with malignancies which involve lymph nodes, highly vascular pheochromocytomas, and large tumors.
Neuroblastoma, congenital adrenal hyperplasia, pheochromocytomas and adrenal cortical carcinomas are the main indications in children.
The transabdominal lateral approach is more commonly used in the pediatric population.
The tumors are incidental findings and 31% of them are malignant in children.
The various techniques of adrenalectomy, preoperative work-up, and indications are described in this lecture.

Perfect endoscopic suturing

A laparoscopic anatomical dissection can be performed by any pediatric surgeon. The greatest difficulty lies in the realization of sutures and intracorporeal knots. From the moment a surgeon has become an expert and has overcome this technical difficulty, he becomes fully autonomous and is able to approach all kinds of surgery, including neonatal surgery. The didactic features of Darius Patkowski’s film are blatant, and we can be thankful to Darius for looking into the best method to teach how to properly suture and tie intracorporeal knots.

Perfect endoscopic suturing

A laparoscopic anatomical dissection can be performed by any pediatric surgeon. The greatest difficulty lies in the realization of sutures and intracorporeal knots. From the moment a surgeon has become an expert and has overcome this technical difficulty, he becomes fully autonomous and is able to approach all kinds of surgery, including neonatal surgery. The didactic features of Darius Patkowski’s film are blatant, and we can be thankful to Darius for looking into the best method to teach how to properly suture and tie intracorporeal knots.

Percutaneous Internal Ring Suture (PIRS)

Laparoscopic herniorrhaphy in pediatric surgery is usually performed through three ports in the abdominal wall with intraperitoneal suturing. The percutaneous internal ring suturing method seems to be a simple and effective minimally invasive procedure with excellent cosmetic results. In this key lecture, Dr. Patkowski describes the technique and associated results.

Percutaneous Internal Ring Suture (PIRS)

Laparoscopic herniorrhaphy in pediatric surgery is usually performed through three ports in the abdominal wall with intraperitoneal suturing. The percutaneous internal ring suturing method seems to be a simple and effective minimally invasive procedure with excellent cosmetic results. In this key lecture, Dr. Patkowski describes the technique and associated results.

Thoracoscopic staged repair of long gap esophageal atresia using internal traction suture

In this key lecture, Dr. Patkowski focuses on thoracoscopic staged repair of long gap esophageal atresia using internal traction suture.

Thoracoscopic staged repair of long gap esophageal atresia using internal traction suture

In this key lecture, Dr. Patkowski focuses on thoracoscopic staged repair of long gap esophageal atresia using internal traction suture.

Thoracoscopic repair of tracheoesophageal fistula and esophageal atresia sparing the azygos vein

In this key lecture, Dr. Patkowski highlights thoracoscopic repair of tracheoesophageal fistula and esophageal atresia sparing the azygos vein.

Thoracoscopic repair of tracheoesophageal fistula and esophageal atresia sparing the azygos vein

In this key lecture, Dr. Patkowski highlights thoracoscopic repair of tracheoesophageal fistula and esophageal atresia sparing the azygos vein.

Principles of intracorporeal suturing

In this key lecture, Dr. Patkowski focuses on the principles of intracorporeal suturing.

Principles of intracorporeal suturing

In this key lecture, Dr. Patkowski focuses on the principles of intracorporeal suturing.

Duodenal atresia and stenosis: technical details

In this key lecture, Dr Patkowski covers technical details related to duodenal atresia and stenosis.

Duodenal atresia and stenosis: technical details

In this key lecture, Dr Patkowski covers technical details related to duodenal atresia and stenosis.

Principles of intracorporeal suturing

Intracorporeal suturing and knot-tying in laparoscopic surgery require a great manual dexterity. In this key lecture, Dr. Patkowski outlines the basics for a correct intracorporeal suture.

Principles of intracorporeal suturing

Intracorporeal suturing and knot-tying in laparoscopic surgery require a great manual dexterity. In this key lecture, Dr. Patkowski outlines the basics for a correct intracorporeal suture.

Percutaneous internal ring suturing (PIRS)

Laparoscopic herniorrhaphy in pediatric surgery is usually performed through three ports in the abdominal wall with intraperitoneal suturing. In this key lecture, Dr. Patkowski outlines the technique of percutaneous internal ring suturing (PIRS), which requires only one umbilical port and needle puncture point.

Percutaneous internal ring suturing (PIRS)

Laparoscopic herniorrhaphy in pediatric surgery is usually performed through three ports in the abdominal wall with intraperitoneal suturing. In this key lecture, Dr. Patkowski outlines the technique of percutaneous internal ring suturing (PIRS), which requires only one umbilical port and needle puncture point.

Laparoscopic adrenalectomy

Since its first description in 1992, laparoscopic adrenalectomy has become the gold standard for the surgical treatment of most adrenal conditions. In this lecture, Doctor Patkowski presents the different aspects of this approach.

Laparoscopic adrenalectomy

Since its first description in 1992, laparoscopic adrenalectomy has become the gold standard for the surgical treatment of most adrenal conditions. In this lecture, Doctor Patkowski presents the different aspects of this approach.

Total nephrectomy by transperitoneal approach

In this key lecture, Dr. Patkowski demonstrates the transperitoneal approach to total nephrectomy.

Total nephrectomy by transperitoneal approach

In this key lecture, Dr. Patkowski demonstrates the transperitoneal approach to total nephrectomy.