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Partha PHUKAN

International Hospital
Guwahati, Индия
MS
303 лайков
34.5K просмотров
10 комментариев
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Хирургические специальности
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Single port laparoscopic cholecystectomy in situs inversus totalis using the E.K. glove port
This video demonstrates a rare case of single port laparoscopic cholecystectomy in a patient with situs inversus totalis using the E.K. glove port as the access port. There are only four reported cases in the literature of single port laparoscopic cholecystectomy in situs inversus totalis. The procedure was uneventful, demonstrating that this approach may also be an option for this kind of rare surgery.
Reference:
E Khiangte, I Newme, P Phukan, S Medhi. Improvised transumbilical glove port: a cost-effective method for single port laparoscopic surgery. Indian J Surg 2011;73:142–5.
Хирургические операции
6 лет назад
2255 просмотров
12 лайков
0 комментариев
07:34
Single port laparoscopic cholecystectomy in situs inversus totalis using the E.K. glove port
This video demonstrates a rare case of single port laparoscopic cholecystectomy in a patient with situs inversus totalis using the E.K. glove port as the access port. There are only four reported cases in the literature of single port laparoscopic cholecystectomy in situs inversus totalis. The procedure was uneventful, demonstrating that this approach may also be an option for this kind of rare surgery.
Reference:
E Khiangte, I Newme, P Phukan, S Medhi. Improvised transumbilical glove port: a cost-effective method for single port laparoscopic surgery. Indian J Surg 2011;73:142–5.
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.
Хирургические операции
7 лет назад
2856 просмотров
24 лайков
0 комментариев
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.
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.
Хирургические операции
7 лет назад
4035 просмотров
52 лайков
0 комментариев
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.