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#hepatolithiasis #liverstones #biliarystones #gallbladderstones #hepaticstones #biliarycalculi #liverstonepain #biliaryobstruction #gallbladderissues #hepatobiliarydisease #choledocholithiasis #liverdisease #gallstonesurgery Dear Friends! Full Videos & Surgery Courses are available on our ‘App’ & are also available in the members-only section on YouTube. Join this channel for Exclusive access to HD Content and other Perks available for members: / @dr_strange_mch You can also connect with us on our official App or Website for all live surgery video courses. Link for the website - https://njoft.courses.store?utm_sourc... For Android Users: https://play.google.com/store/apps/de... For iOS / Apple Store: https://apps.apple.com/in/app/classpl.... [P.S. – iOS User, Please use ‘ORG’ CODE - NJOFT Join Our Telegram Group: https://t.me/+t-cArIxnrT1lYWM9 Follow Us on Instagram: / dr_strange_mch Join Our Facebook Page - / drstrangemch Join our Facebook Group- / 551613693782368 PS- As part of the promotion, most videos will be available as FREE Bonus Content for a limited time, 24-48 Hrs after uploading the same trailer video on YouTube. Related video for surgery trainees- 1. Sub-Total cholecystectomy course: • Sub-Total Cholecystectomy Series – Complet... 2. Lap Chole Series: • Lap Cholecystectomy Course - Complete Guid... 3. Tricks of Trade in GI Sx - • Tricks of Trade in GI Sx Series (Video 8/8) 4. Hepatolithiasis Management Complete play List - • Hepatolithiasis Management - Complete Course …and many more, please visit the channel homepage or download the ‘App’ This video series is dedicated to managing Hepatolithiasis, i.e. intrahepatic gallstone disease. We will cover step-by-step management of Hepatolithiasis- 1. Real Life Case Scenario & Radiology 2. Definition & Epidemiology 3. Aetiology 4. Primary & Secondary Hepatolithiasis 5. Treatment Options - Resection Vs Drainage 6. Classification of Hepatolithiasis 7. Access Loop Types & Relevant Literature Review 8 Live Surgery – Extra Hepatic Bile duct resection (EHBDR), Roux-en-Y Hepatico- jejunostomy & Access loop creation after HJ. This was a case of - 62 Years / Male, No Known Co-Morbidity, No Sx - Presented to Emergency Dept. with - C/O: x 05 Months - Pain Abdomen, SOJ - Clay Coloured Stools & High Coloured Urine - Fever - Chills & Rigors - Altered Mental Status USG & MRI was suggestive of – Diffusion Restriction - SEG VI & VII: 4-5 mm- Residual Cholangitic abscess GB Distended with Multiple signal Voids CD - 13 mm, multiple signal voids + LHD 16.2 mm, RPSD 7 mm, RHD 10 mm- Abrupt Cut off at confluence, CBD 20 mm - Multiple signal voids + Multiple signal voids, 4-5 mm, up to first-level branches, Stent - Could not be commented i/v/o extensive lithiasis We managed this patient with IV antibiotics followed by ERCP stenting and definitive surgery – EHBDR with HJ & Access loop creation. In the 2nd video, the surgical management and different classifications – Dong, Tsunoda etc., are discussed in detail. We have divided this series into theoretical discussions followed by live surgery. We hope the surgery trainees will find this video useful and may be able to learn a few tricks of the trade. The first two parts were dedicated to the theoretical discussion, and in the third video, we demonstrated the choledocholithotomy and extrahepatic bile duct resection (EHBDR). In the fourth video, we have demonstrated the tricks of the trade for Hepatolithotomy. The use of an infant feeding tube and Fogarty catheter has been demonstrated for intrahepatic stone clearance. We hope the surgery trainees will find it useful and we will be able to add new insight to your knowledge. Disclaimer: The information shared in this video tutorial is meant for general education and information 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 the area they reside and to follow local authorities’ guidelines. Stay Informed, Stay Healthy. Dr Strange & Team