Hellow guys, Welcome to my website, and you are watching Surgical MENTORING & teaching Lap Skills: Laparoscopic Splenectomy for Trauma by supervised trainee. and this vIdeo is uploaded by Salomone Di Saverio MD, FACS, FRCS at 2016-10-10T07:07:19-07:00. We are pramote this video only for entertainment and educational perpose only. So, I hop you like our website.
| Name | Surgical MENTORING & teaching Lap Skills: Laparoscopic Splenectomy for Trauma by supervised trainee |
| Video Uploader | Video From Salomone Di Saverio MD, FACS, FRCS |
| Upload Date | This Video Uploaded At 10-10-2016 14:07:19 |
| Video Discription | Male 42 years old, with a grade IV lesion without active blush or contrast extravasation seen at CE-CT scan (therero there were no indication for AE), which was mis-diagnosed by A&E docs at admission the day before because the patient had intellectual disability and did not report any history of abdominal trauma, Hb dropped significantly from 10.1 in the evening of admission to 7.6 the next morning, with stable hemodynamics. Urgent abdominal CT scan was requested and showed a large hemoperitoneum with a high grade spllenic injury. NOM was deemed to be contraindicated in such a patient because the patient was a mentally retarded guy living in a community (that is why he failed to report to A&E docs at admission any history of trauma but in retrospect the employers of the community thought he might have fallen or been hit in hypcondrium). The high grade of the lesion, withouth any Blush to be embolized, and the intellectual disability of the patient, were all factors considered a contraindication to NOM (patient is unreliable for Being observed, he was at risk of falling again, moreover he is living in a community but having no restrictions for going out e.g, to the supermarket or church or bar). Procedure: Laparoscopic Splenectomy performed by a surgical trainee under senior supervision and mentoring (Attending Scrubbed in) Operators: Dr. Arianna Birindelli (Surgical Resident - University of Bologna) Surgical Tutor (Scrubbed-in) Dr Salomone Di Saverio MD FACS FRCS (Attending Consultant Surgeon, mentoring) Maggiore Hospital Trauma Center, AUSL Bologna, Italy Video Associated with the article published on J Trauma Trauma Laparoscopy and the Six Ws Why, Where, Who, When, What and hoW? Di Saverio, Salomone, MD, FACS, FRCS1,3; Birindelli, Arianna, MD1; Podda, Mauro, MD4; Segalini, Edoardo, MD1; Piccinini, Alice, MD1; Coniglio, Carlo, MD2; Frattini, Cristina, MD1; Tugnoli, Gregorio, MD, PhD1 Journal of Trauma and Acute Care Surgery: November 27, 2018 - Volume Publish Ahead of Print - Issue - p doi: 10.1097/TA.0000000000002130 https://journals.lww.com/jtrauma/Citation/publishahead/Trauma_Laparoscopy_and_the_Six_Ws___Why,_Where,.98477.aspx |
| Category | Comedy |
| Tags | laparoscopic splenectomy | splenectomia laparoscopica | trauma surgery | chirurgia trauma | emergency surgery | laparoscopic surgery | Surgical education | surgical trainee | surgery resident | surgical registrar | specializzandi | laparoscopic | learning curve | splenectomy | abdominal trauma | splenic trauma | milza | trauma milza | emergency laparoscopy | trauma laparoscopy | chirurgia | trauma center | laparoscopia trauma | trauma splenectomy | splenectomia | mentoring | università bologna |
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