Mastering Open Cholecystectomy (Theory): Five Golden Rules, A Sx Trainee's Guide. скачать в хорошем качестве

Mastering Open Cholecystectomy (Theory): Five Golden Rules, A Sx Trainee's Guide.

#cholecystectomy #surgicalskills #medicalprocedure #gallbladderremoval #medicaleducation #surgeonintraining #surgery101 #surgerytrainees#gallbladder #gallbladder #cholecystectomy #opencholecystectomy #gallbladdersurgery ---------------------------------------------------------------------------------------------------------------- Title: Open Cholecystectomy - A Brief Overview for Surgery Trainees Introduction: Open cholecystectomy is a surgical procedure that involves the removal of the gallbladder. It is an essential skill for surgeons, and understanding the key steps of this procedure is crucial for surgery trainees. This short note provides a concise overview of open cholecystectomy. Procedure Overview: Indications: Open cholecystectomy is typically performed for patients with gallbladder disease, including cholelithiasis (gallstones), cholecystitis (inflammation of the gallbladder), or complications like choledocholithiasis (common bile duct stones). Patient Preparation: Before the surgery, a thorough patient evaluation is conducted, and informed consent is obtained. Pre-operative assessments include blood work, imaging, and evaluation of the patient's overall health. Incision: The procedure starts with an incision in the abdominal wall. The choice of incision may vary but often includes the right subcostal incision or a midline incision. Exposure: After making the incision, the surgical team carefully dissects the layers to access the abdominal cavity. Proper exposure is critical for a successful procedure. Gallbladder Isolation: The surgeon identifies and isolates the gallbladder. Great care is taken to avoid injury to surrounding structures. Cholecystectomy: The gallbladder is carefully dissected from the liver bed and removed. The cystic duct and artery are ligated and cut. Hemostasis is crucial to prevent bleeding. Common Bile Duct Inspection: If necessary, the common bile duct is inspected for stones or obstructions. Intraoperative cholangiography may be performed to assess the common bile duct's patency. Closure: The surgical site is meticulously closed, typically in layers, ensuring a secure closure to minimize the risk of complications. Post-Operative Care: Post-operative care includes pain management, monitoring the patient's vital signs, and assessing for any complications. Patients are usually encouraged to mobilize early after surgery to prevent complications like deep vein thrombosis. Recovery and Follow-up: Patients are informed about their expected recovery timeline, which may vary but often includes a hospital stay of a few days. They are scheduled for follow-up appointments to monitor their progress. Conclusion: Open cholecystectomy is a fundamental surgical procedure that requires precise technique and a sound understanding of anatomy. Surgery trainees should familiarize themselves with the steps involved in the procedure, emphasizing the importance of patient evaluation, safety, and meticulous surgical technique. Continuous learning and hands-on experience are key to mastering this essential surgical skill. In this video tutorial, we have discussed in detail open cholecystectomy. We have designed this video tutorial for beginners and surgery trainees, considering that trainees are not getting adequate exposure to open cholecystectomy in the present era. We briefly discussed the theoretical part, followed by a live demonstration of critical steps. This is a compilation of four video clips demonstrating elective open cholecystectomy, fundus first approach, residual gall bladder stump, and lap converted to open cholecystectomy. --------------------------------------------------------------------------------------------------------------------- Disclaimer: Please be aware that surgical procedures depicted in this video and on this channel may contain graphic and explicit content, including images of real surgical operations. Viewer discretion is advised, and the video should only be accessed by those who are prepared for such visual content. The information shared in this video tutorial is meant for general education and information of surgery trainees only, and is not a substitute for expert opinion. The cases shown here are for discussion and demonstration only and may not match the real-life scenario. Some parts of surgery may have been modified for the interest of demonstration. Before making any decision, viewers should take advice from experts and refer to the official Govt websites, standard medical journals, and books. No one should start or stop any treatment based on the knowledge available on the internet, YouTube, Google, etc. Always consult the experts and take proper advice for any doubts or clarifications. Also, viewers are requested to keep updated on local developments in their area and follow local authorities’ guidelines. Stay Informed, Stay Healthy. Happy Learning! Thanks & Regards. Sincerely Yours, Dr Strange MCh (HPB & GISx) & Team.