Laparoscopic Sigmoid Colectomy for Diverticulitis - Dr. Karen Zaghiyan | Preview скачать в хорошем качестве

Laparoscopic Sigmoid Colectomy for Diverticulitis - Dr. Karen Zaghiyan | Preview

The patient is a 65-year-old woman with recurrent, uncomplicated diverticulitis over the past several years, which has progressively worsened over the past year. She's had five discrete attacks in a period of nine months. Therefore, she's elected to proceed with surgery. While Dr. Zaghiyan's routine sigmoid colectomy, performed laparoscopically, involves a laparoscopic ligation of the inferior mesenteric artery, a laparoscopic mobilization of the colon and the splenic flexure, as well as a laparoscopic distal transection of the rectum, in diverticulitis, this may be tricky due to the significant inflammatory changes that are associated with the disease. Sometimes, in diverticulitis surgery, the distal transection has to be performed open so that one can properly assess the distal transection, as well as the health of the distal rectum that is being transected. Another part of this case will be the use of florescence and geography to evaluate the proximal colon and its vascular blood supply before we perform the anastomosis. Finally, a routine flexible sigmoidoscopy is performed at the end of the procedure in order to air leak test anastomosis, as well as intraluminally check the anastomosis for defects, blood supply, and bleeding. Full Length in 2D: https://app.giblib.com/video/59732367... Karen Zaghiyan, MD, FACS, FASCRS Division of Colorectal Surgery Cedars-Sinai Medical Center #CedarsSinai #SurgicalVideo #MedicalEducation ---- Learn more about GIBLIB at: https://www.giblib.com/ Follow Us Instagram:   / giblib   Facebook:   / thegiblibapp   Twitter:   / thegiblibapp   LinkedIn:   / giblib