Mastering Laparoscopic Adhesiolysis: Techniques & Hernia Repair | Dr. Kunal Rathod
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Info About This Video
| Name |
Mastering Laparoscopic Adhesiolysis: Techniques & Hernia Repair | Dr. Kunal Rathod |
| Video Uploader |
Video From Dr Kunal Rathod |
| Upload Date |
This Video Uploaded At 28-05-2025 21:16:55 |
| Video Discription |
Mastering Laparoscopic Adhesiolysis: Techniques & Hernia Repair | Dr. Kunal Rathod
In this detailed surgical education video, Dr. Kunal Rathod demonstrates a complete laparoscopic adhesiolysis procedure on a patient presenting with bilateral ovarian cysts and anticipated adhesions from previous surgeries [00:00:00]. Learn essential techniques for identifying and dissecting adhesions [00:00:21], including the use of advanced bipolar devices like Thunderbead [00:01:17].
Key learnings from this masterclass include:
* Understanding different types of adhesions and their formation [00:04:48].
* Strategic port placement for laparoscopic surgery [00:00:41].
* Expert management of an unexpected umbilical hernia with omentum content, including defect closure techniques [00:02:26], [00:03:52].
* Best practices for identifying the correct surgical plane to prevent perforation [00:01:34].
* Effective post-operative pain management strategies, including TAB blocks [00:06:11].
* Crucial methods for preventing adhesion formation in initial surgeries [00:06:52].
This video is invaluable for surgical trainees, gynecologists, general surgeons, and medical professionals looking to enhance their skills in laparoscopic adhesiolysis and complex abdominal surgery. Dr. Rathod provides insightful commentary throughout the procedure.
**TIMESTAMPS:**
[00:00:00] Introduction: Patient with Bilateral Ovarian Cysts
[00:00:21] What are Adhesions? Classification
[00:00:41] Port Placement & Initial Insufflation
[00:01:17] Using Advanced Bipolar Device (Thunderbead)
[00:02:26] Managing Umbilical Hernia with Omentum
[00:03:52] Umbilical Defect Closure Technique
[00:04:48] Adhesion Formation Explained
[00:06:11] Post-Operative Pain Management
[00:06:52] Adhesion Prevention Strategies
[00:08:19] Facilitating Procedure via Hernia Defect
Adhesions are commonly formed post-laparotomy incision, especially after midline abdominal incision.
Patients may not have symptoms, but if they do have then they can be constantly impacting day-to-day QoL.
Adhesions are a natural part of the body's healing process after surgery, where damaged tissue surfaces fuse together.
Consequences and Complications:
Small Bowel Obstruction (SBO): Adhesions can cause the intestines to get tangled or constricted, leading to SBO.
Chronic Abdominal Pain: Adhesions can cause persistent pain, which can be localized or widespread.
Female Infertility: Adhesions in the pelvic area can impact fertility.
Difficult re-operation: Adhesions make future surgeries more challenging due to altered anatomy and increased risk of injury.
Management:
Adhesiolysis: If adhesions cause symptoms or complications, they can be surgically released.
Laparoscopic Surgery: In some cases, adhesions can be released using laparoscopic surgery.
Barriers: Some surgeries may use barriers to physically separate tissues and reduce adhesion formation.
This surgery shows how to correctly perform adhesiolysis without causing more damage to the rectus sheath and adjacent tissues. Making multiple windows in the scar is key to avoiding iatrogenic injury to the small bowel.
An effective post-operative pain relief strategy should be employed, as such patients remain in pain for a longer duration.
This surgical video also shows the correct technique to reduce the contents of any hernia and reconstruction with endoclose.
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| Category |
Education |
| Tags |
Laparoscopic Adhesiolysis | Adhesiolysis Surgery | Laparoscopy | Surgical Education | Medical Training | Dr Kunal Rathod | Ovarian Cysts Surgery | Abdominal Adhesions | Omental Adhesions | Umbilical Hernia Repair | Laparoscopic Hernia Repair | Surgical Techniques | Adhesion Prevention | Post Operative Pain Management | Gynecology Surgery | General Surgery | Minimally Invasive Surgery | Surgical Demonstration | Thunderbead Device | Port Placement | Surgical Complications |
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