Hellow guys, Welcome to my website, and you are watching Internal iliac artery ligation (part Right side) Atonic postpartum haemorrhage PPH. and this vIdeo is uploaded by Shriraam Ayyar at 2022-01-11T10:15:31-08:00. We are pramote this video only for entertainment and educational perpose only. So, I hop you like our website.
| Name | Internal iliac artery ligation (part Right side) Atonic postpartum haemorrhage PPH |
| Video Uploader | Video From Shriraam Ayyar |
| Upload Date | This Video Uploaded At 11-01-2022 18:15:31 |
| Video Discription | Educational video: part 2 Internal iliac artery ligation (part Right side) Atonic postpartum haemorrhage PPH 6Jan 2022 First, For completeness read and see Left side ligation first https://youtu.be/eYon2l2H080 Sharing with you all one of the recent cases of ligation of bilateral internal iliac artery along with right-sided anastomosing ovarian done for a case of twin gestation with postpartum hemorrhage, at LSCS for atonic uterus, she was pouring blood, on examination, had received pitocin, carbetocin, methargin SL misoprost, prosthadin, .. decision was almost for an obstetric hysterectomy. However fortunately for her and us, bilateral internal iliac artery with one-sided ovarian anastomosing ligation saved the show.. This procedure Can be done with some training by anyone- obstetrician, a surgeon, a urologist, a colorectal, oncosurgeon, vascular cardiothoracic surgeon, paediatric surgeon, or an orthopedic surgeon working in anterior pelvis or sacrum.. target is the same.. But to play with the obstetric and richly vascular uterus and peritoneum will make the difference.. I have many recorded visuals, presented on workshops on this, operated many times these complicated cases at many times more 'hostile demanding OT environment' than this, but this time I thought that I will just post for benefit of all, as this was an uninterrupted indicated case voice direct recording, appreciated a lot by close friends and all great teachers in Gynaec group - Dr Samir Pradhan, Dr Mukesh Rathi, Dr Rekha Tothe, Dr Bhavin Bhayani, Dr Ramesh, Dr Nageshwari, Dr Tushar,dr. Shrutika Thakkar, dr. Jyoti Saigaonkar, dr.sanjeevani, Dr Jayprakash Patil Raichur,GynOnco dr. Nikhil Parbate Pune, dr. Hemant Kanojiya, dr. Ameya Padmavar, Dr Anurag Bhate, dr. Amol Nikam, dr. BD Parsewar Vasai,dr. Chinmay Patki Mumbai,dr. Sachin Dalal sir, dr. Sandeep Jeste, Dr. Manish Mahajan, friends dr. Rahul Jadhav, dr.Suyash Naval, dr. Tejas Naidu, encouraging dr. Sandhesh Kade sir.. Friends dr. Subash Mallaya Calicut, and dr. Jay Mehta Mumbai, dr. Sanjay Shanbag, Gadinglaj and Kolhapur for constantly encouraging me to post videos and work, and personally commenting on this one post video being good. Had it not been their encouragement i would not possibly have posted the same/. I thank them for their Love. With regard to this posterior approach, agreed relaxation should be good and you need an assistant with long fingers and one who obeys your command, some head low helps. Deavers retractor if available will help additionally. Another most important thing is to always keep mop count correct.. These cases are notorious for losing such things..personal experience as intermediate visiting surgeon, with prolonged surgical times sometime, different OT environments, different nursing staff changes, different surgeon changes, keeping varied mops, agreeing that the count is normal- and Not counting. Self Learning experience- each time I go to a new case, in between the surgery, (which is generally the scenario) I will ask the primary surgeon to remove all mops and instruments and then I will put my own counts in and before I leave I will remove all 'my counts' out again.. This is one way not to miss anything or feel guilty after having done a complicated case good.. 🙏🌹 Thank you for appreciating my small work that I have always felt is "completely replicable" and can be done by anybody by following strict anatomical rules, some courage and blessings 🌹🙏..this is not a one day's work, over years I have devised or modified my own techniques depending on the situation and case to reach that my passionate artery .. - Shriraam Ayyar, MBBS MS Gyn , Phone 7208397685 ayyarsm@gmail.com Shree Balaji hospital, Virar East 401305 |
| Category | Education |
| Tags | Education Download MP4 | Education Download MP3 | Education Download MP4 360p | Education Download MP4 480p | Education Download MP4 720p | Education Download MP4 1080p |
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