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| Name | LAPAROSCOPIC BLEEDING MANAGEMENT - A SURGEON'S NIGHTMARE _ venous trunk of Henle (gastrocolic trunk) |
| Video Uploader | Video From Like a Surgeon |
| Upload Date | This Video Uploaded At 14-03-2025 01:56:29 |
| Video Discription | 00:14 WE PRESENT A RIGHT LAPAROSCOPIC COLECTOMY 00:48 FATTY MESENTERY WITH LYMPHADENOPATHY MAKING DISSECTION DIFFICULT 01:35 PATIENT WITH CECAL ADENOCARCINOMA 02:28 AFTER LIGATION OF THE ILEOCOLIC VESSELS, DISSECTION OF THE RIGHT COLIC VESSELS WAS INITIATED. 03:34 INITIATED DISSECTION OF TRUNK OF HENLE 04:03 LIGATION OF THE RIGHT COLIC ARTERY TO EXPOSE THE VENOUS TRUNK 05:48 MOMENTS BEFORE BLEEDING 06:14 COMPRESSION WITH GAUZE IS USELESS AND RELEASING THE VESSEL WITH THE LEFT HAND COULD LOSE THE VESSEL 06:30 FUTILE ATTEMPT TO CLIP THE VESSEL 06:37 VENOUS BLEEDING CAN BE MORE DIFFICULT TO CONTROL, AS THE VESSEL WALL IS THINNER. 06:44 AFTER ASPIRATION, THE VESSEL WAS CLAMPED WITH A CLIP AND HEMOLOCK 06:51 THE ASPIRATOR WAS REPLACED BY 10MM AND AN IRRIGATION SYSTEM WAS INSTALLED TO BREAK UP CLOTS 07:12 THE USE OF THE ASPIRATOR INTERFERES WITH PNEUMOPERITONEUM AND IMAGE QUALITY 07:27 VACUUMING OVER THE GAUZE PREVENTS CLOGGING 07:43 VENOUS DISSECTION WAS COMPLETED AND ALL VENOUS BRANCHES WERE LIGATED 07:55 THE SURGERY WAS COMPLETED SUCCESSFULLY, THE PATIENT WAS HEMODYNAMICALLY STABLE AT ALL TIMES 08:11 AT ALL TIMES THE TEAM HAD MATERIAL AVAILABLE AND READILY ACCESSIBLE IN CASE OF CONVERSION TO OPEN SURGERY REFERENCES https://www.elsevier.es/es-revista-cirugia-espanola-36-congresos-33-congreso-nacional-cirugia-114-sesion-coloproctologia-6186-comunicacion-descripcion-radiologica-e-implicaciones-quirurgicas-73760-pdf https://pmc.ncbi.nlm.nih.gov/articles/PMC9086492/pdf/fsurg-09-883973.pdf |
| Category | Film & Animation |
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