Mini-Laparoscopic Cholecystectomy with Intraoperative Cholangiogram for Symptomatic Cholelithiasis (Gallstones) - Standard
Authors: Brunt LM1, Singh R1, Yee A2
Published: September 26, 2017

AUTHOR INFORMATION
1 Department of Surgery, Washington University, St. Louis, Missouri
2 Division of Plastic and Reconstructive Surgery, Washington University, St. Louis, Missouri

DISCLOSURE
No authors have a financial interest in any of the products, devices, or drugs mentioned in this production or publication.

ABSTRACT
Minimal invasive laparoscopic cholecystectomy is the typical surgical treatment for cholelithiasis (gallstones), where patients present with a history of upper abdominal pain and episodes of biliary colic. The classic technique for minimal invasive laparoscopic cholecystectomy involves four ports: one umbilicus port, two subcostal ports, and a single epigastric port. The Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) has instituted a six-step strategy to foster a universal culture of safety for cholecystectomy and minimize risk of bile duct injury. The technical steps are documented within the context of the surgical video for (1) achieving a critical view of safety for identification of the cystic duct and artery, (2) intraoperative time-out prior to management of the ductal structures, (3) recognizing the zone of significant risk of injury, and (4) routine intraoperative cholangiography for imaging of the biliary tree. In this case, the patient presented with symptomatic biliary colic due to a gallstone seen on the ultrasound in the gallbladder. The patient was managed a mini-laparoscopic cholecystectomy using 3mm ports for the epigastric and subcostal port sites with intraoperative fluoroscopic cholangiogram. Specifically, the senior author encountered a tight cystic duct preventing the insertion of the cholangiocatheter and the surgical video describes how the author managed the cystic duct for achieving a cholangiogram, in addition to the entire technical details of laparoscopic cholecystectomy.

Having surgery can be frightening for anyone, but it's especially scary for kids who don't always understand what's going on, or what the grown-ups are saying. We're here to help!

Join Avrie, who had surgery at the Sacred Heart Children's Hospital pediatric surgery center in Spokane, WA. Maybe after watching and hearing her story, you and your kiddo will feel better about having surgery in the hospital.

Follow Avrie's trip - from check-in, vital signs and pre-op checks; meeting the doctor who will do his surgery, along with the anesthesiologist, surgery nurse and the Child Life Specialist; the trip to the Operating Room; waking up in the recovery room with his mom by his side; and getting ready to go home.

To learn more about the pediatric surgery center at Sacred Heart Children's Hospital, visit https://washington.providence.....org/locations-direct

If you have an upcoming procedure at UC Davis Children’s Surgery Center, this video provides information and details of what you and your family can expect from arrival to check-in through to surgery and after care.

This video is also available in these languages:
Arabic: https://youtu.be/ERPikb0prlI
Dari: https://youtu.be/UW5fT433IGQ
Punjabi: https://youtu.be/Xq6PV2qtOMo
Russian: https://youtu.be/v223nDdN1b4
Spanish: https://youtu.be/4Jr4dkzAaWA

——

At UC Davis Children’s Hospital, we put your child at the center of everything that we do. It’s personalized care, uniquely sized for your child. You’ll see it in our child-friendly designs throughout the hospital, our farm-to-fork approach to dining, our playrooms and teen rooms and our team that feels like family. UC Davis Children’s Hospital is Sacramento’s only nationally ranked, comprehensive hospital for children, serving infants, children, adolescents and young adults with primary, subspecialty and critical care.

UC Davis Children’s Hospital: https://children.ucdavis.edu
Children’s Surgery Center: https://health.ucdavis.edu/chi....ldren/services/child
Child Life and Creative Arts Therapy: https://health.ucdavis.edu/chi....ldren/services/child
Fetal Care and Treatment Center: https://health.ucdavis.edu/chi....ldren/services/fetal
See the latest news from UC Davis Health: https://health.ucdavis.edu/newsroom

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Twitter/X: https://twitter.com/UCDavisChildren

——

#surgery #childrenshospital #surgeryrecovery #ucdavis

Ellis demonstrates how to perform a sterile wound dressing change. It would be appropriate to perform hand hygiene between glove changes.

Our Critical Nursing Skills video tutorial series is taught by Ellis Parker MSN, RN-BC, CNE, CHS and intended to help RN and PN nursing students study for your nursing school exams, including the ATI, HESI and NCLEX.

#NCLEX #ClinicalSkills #woundcare #HESI #Kaplan #ATI #NursingSchool #NursingStudent⁠ #Nurse #RN #PN #Education #LVN #LPN #nurseeducator

00:00 What to expect
00:51 Prepping for wound dressing change
1:15 Removing the old wound dressing
1:40 Assessing a wound
2:05 Setting up sterile field
2:49 Sterile gloving
4:02 Preparing equipment for wound dressing change
5:09 Cleaning a wound
6:13 Drying a wound
6:28 Packing a wound
7:19 Covering a wound
7:47 Labeling a wound dressing

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🗂️ Our Ultimate Nursing School Survival kit is your number 1 resource to get through nursing school and to pass the NCLEX. Whether you're just starting school or you’re already prepping for the NCLEX, this bundle of flashcards is the best you can buy. It covers all the information you need to know to pass all your exams and it has FREE shipping!
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All of the nurses at Level Up RN are here to help! Cathy Parkes started helping her fellow classmates back when she was in nursing school, tutoring so they could pass their exams and graduate. After she got her BSN and started working as an RN at Scripps Encinitas Hospital, she started this YouTube channel to help nursing students around the world. Since then she has built a team of top-notch dedicated nurses and nurse educators who are focused on improving nursing education and supporting career advancement for nurses everywhere. With flashcards, videos, courses, organizational tools and more, we are singularly focused on helping students and nurses Level Up on their exams and nursing careers.

How to start a peripheral IV in the dorsum of the hand: clinical nursing skill technique.

Starting an IV (intravenous catheter) can be an intimidating experience for nurses, especially nursing students and new nurses. However, nurses will perform IV insertions often, so this is an important nursing skill to learn.

Before starting an IV, always follow the protocols of your facility, as well as manufacturer's instructions for any supplies used.

In this video, Nurse Sarah demonstrates how to start a peripheral IV in the dorsum of the hand. Prior to inserting the IV, you'll want to do the following:

-Gather supplies
-Perform hand hygiene
-Prepare supplies (including priming the saline flush, removing air from extension tubing, opening packages, completing labels, and any other steps required by your facility.
-Locate a suitable vein
-Perform hand hygiene
-Don gloves


If the patient has a lot of hair, you might want to use clippers to trim the hairs prior to starting the IV. You may also apply a tourniquet to help veins move near the surface of the skin.


Next, you'll want to clean the site using the cleaner that came in the IV start kit, such as ChloraPrep.


Once the site has dried completely, you can insert the IV. Stabilize the vein with your non-dominant hand, and insert the IV's needle into the vein, watching carefully for blood return (or a blood flash) in the chamber. Advance the IV around 2mm more to ensure the plastic cannula is in the vein, then thread the cannula into the vein and press the needle safety button.

Notes: https://www.registerednursern.....com/how-to-start-an-
IV Video Series: https://www.youtube.com/watch?v=MbG_1-_mnoo&list=PLQrdx7rRsKfXr6kruqEpIovf66sxo0gxh



This video also demonstrates how to flush the IV using the push-pause method, how to secure the IV using the Tegaderm dressing that came with the IV start kit, considerations of the different cap types and the clamp sequence, and more.



For more information, watch the complete tutorial.

#nurse #nursing #iv #startiv #ivtherapy



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Fluid & Electrolytes: https://www.youtube.com/playli....st?list=PLQrdx7rRsKf
Nursing Skills: https://www.youtube.com/playli....st?list=PLQrdx7rRsKf

Ellis will be demonstrating how to complete an occupied bed change. It would be appropriate to wear gloves during this skill to avoid contact with bodily fluids.

Our Critical Nursing Skills video tutorial series is taught by Ellis Parker MSN, RN-BC, CNE, CHS and intended to help RN and PN nursing students study for your nursing school exams, including the ATI, HESI and NCLEX.

#NCLEX #ClinicalSkills #HESI #Kaplan #ATI #NursingSchool #NursingStudent⁠ #Nurse #RN #PN #Education #LVN #LPN #bedmaking #nurseeducator

00:00 What to expect
00:53 Initial patient position
1:50 Tucking soiled linens
2:20 Placing initial clean linen
3:30 Rolling patient
3:40 Removing soiled linen
4:05 Completing bottom layer
4:33 Changing pillow case
4:50 Top sheet and blanket
7:23 Mitered corner

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🔍 Still searching for last-minute gifts? Consider a Level Up RN Gift Card! 💌 It’s not only a thoughtful present but also the perfect way to share treasures like Pharmacology Flashcards OR digital treasures like Flashables Digital Nursing Flashcards & the Level Up RN membership. Give the gift of knowledge this holiday season! 🧠⚡️💖 bit.ly/LevelUpRNGC

🚪 Access our Cram Courses, Quizzes and Videos all in one ad free space with Level Up RN Membership https://bit.ly/LevelUpRNMembership

Want more ways to MASTER Clinical Skills? Check out our flashcards & videos!

👇👇👇👇👇👇👇👇👇👇
👉 https://bit.ly/clinicalnursingskills 👈
☝️👆☝️👆☝️👆☝️👆☝️👆

This is your one-stop-shop for materials to help you LEARN & REVIEW so you can PASS Nursing School.

🤔🤔🤔 DO YOU WANT TO PASS your classes, proctored exams and the NCLEX? 🤔🤔🤔 Our resources are the best you can buy. They are built with a single goal: help you pass with no fluff. Everything you need, and nothing you don’t. Don’t take our word for it, though! Check out our hundreds of ⭐️⭐️⭐️⭐️⭐️ reviews from nurses who passed their exams and the NCLEX with Level Up RN.

🗂️ Our Ultimate Nursing School Survival kit is your number 1 resource to get through nursing school and to pass the NCLEX. Whether you're just starting school or you’re already prepping for the NCLEX, this bundle of flashcards is the best you can buy. It covers all the information you need to know to pass all your exams and it has FREE shipping!
➡️ https://bit.ly/TUNSSK ⬅️

L👀king for EVEN MORE resources to survive Nursing School? Make your Nursing School experience your own! Life’s difficult enough—learning shouldn’t be.
🪅 Games https://nursesquad.com
💻 Digital resources https://bit.ly/NursingStudyCourses
📅 Organizational tools https://bit.ly/OrganizingSchool

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⚕ 👩 LEVEL UP NURSE SQUAD 👩⚕️
All of the nurses at Level Up RN are here to help! Cathy Parkes started helping her fellow classmates back when she was in nursing school, tutoring so they could pass their exams and graduate. After she got her BSN and started working as an RN at Scripps Encinitas Hospital, she started this YouTube channel to help nursing students around the world. Since then she has built a team of top-notch dedicated nurses and nurse educators who are focused on improving nursing education and supporting career advancement for nurses everywhere. With flashcards, videos, courses, organizational tools and more, we are singularly focused on helping students and nurses Level Up on their exams and nursing careers.

The head-to-toe assessment in nursing is an important physical health assessment that you'll be performing as a nursing student and nurse.

Head-to-toe assessments allow nurses to assess the health status of patients by following a checklist of criteria.

On the job, your head-to-toe nursing assessment will be performed much faster, and it may be different or more specialized to accommodate the patients' needs within your nursing specialty.

This assessment represents a general assessment checklist (or cheat sheet) that you might encounter in nursing school. (Note: Always follow your instructor's requirements or your employer's assessment protocols).

This nursing head-to-toe examination video guide will focus on the following areas/skills:

-Vital Signs (pulse rate, respiration rate, temperature, oxygen saturation, blood pressure, pain assessment)
https://www.youtube.com/watch?v=gUWJ-6nL5-8
-Cranial Nerve examination
-Head assessment (hair, cranium, eyes, nose, mouth, ears, sinuses)
-Neck assessment (jugular vein, thyroid, trachea, carotid)
-Heart sounds assessment: https://www.youtube.com/watch?v=H48WsyIjFs0&t=73s
-Lung sounds assessment: https://www.youtube.com/watch?v=KNrcG077brQ
-Abdominal assessment
-Assessing extremities (arms, hands, legs, feet)
-Back assessment
-and more

While performing your comprehensive head-to-toe assessment, you'll want to record your findings in the documentation.

Nursing Gear: https://teespring.com/stores/registerednursern

Subscribe: http://www.youtube.com/subscri....ption_center?add_use

Notes: http://www.registerednursern.c....om/head-toe-assessme

Nursing School Supplies: http://www.registerednursern.c....om/the-ultimate-list

Visit our website RegisteredNurseRN.com for free quizzes, nursing care plans, salary information, job search, and much more: http://www.registerednursern.com

Check out other Videos: https://www.youtube.com/user/R....egisteredNurseRN/vid
All of our videos in a playlist: https://www.youtube.com/watch?v=pAhHxt663pU&list=PLQrdx7rRsKfXMveRcN4df0bad3ugEaQnk

Popular Playlists:

NCLEX Reviews: https://www.youtube.com/playli....st?list=PLQrdx7rRsKf
Fluid & Electrolytes: https://www.youtube.com/playli....st?list=PLQrdx7rRsKf
Nursing Skills: https://www.youtube.com/playli....st?list=PLQrdx7rRsKf
Nursing School Study Tips: https://www.youtube.com/playli....st?list=PLQrdx7rRsKf
Nursing School Tips & Questions" https://www.youtube.com/playli....st?list=PLQrdx7rRsKf
Teaching Tutorials: https://www.youtube.com/playli....st?list=PLQrdx7rRsKf
Types of Nursing Specialties: https://www.youtube.com/playli....st?list=PLQrdx7rRsKf
Healthcare Salary Information: https://www.youtube.com/playli....st?list=PLQrdx7rRsKf
New Nurse Tips: https://www.youtube.com/playli....st?list=PLQrdx7rRsKf
Nursing Career Help: https://www.youtube.com/playli....st?list=PLQrdx7rRsKf
EKG Teaching Tutorials: https://www.youtube.com/playli....st?list=PLQrdx7rRsKf
Dosage & Calculations for Nurses: https://www.youtube.com/playli....st?list=PLQrdx7rRsKf
Diabetes Health Managment: https://www.youtube.com/playli....st?list=PLQrdx7rRsKf

Four-point gait crutches walking pattern demonstration review for
NCLEX assistive devices and nurses.

One of the gaits that you'll have to learn for crutches is the 4-point gait. An example of a four point gait crutch pattern would be the patient moving the right crutch first (on the injured side), followed by the left foot, then the left crutch, and then the right foot. Then, you'll repeat this pattern.

In addition to this video, we have an entire compilation that features the various crutch gait patterns, as well as walkers and canes:

https://www.youtube.com/watch?v=k2-w3LZlCVk

#crutches
#nclex
#nursing
#nurse

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Instagram: https://www.instagram.com/registerednursern_com/
Facebook: https://www.facebook.com/RegisteredNurseRNs
Twitter: https://twitter.com/NursesRN

Popular Playlists:

NCLEX Reviews: https://www.youtube.com/playli....st?list=PLQrdx7rRsKf
Fluid & Electrolytes: https://www.youtube.com/playli....st?list=PLQrdx7rRsKf
Nursing Skills: https://www.youtube.com/playli....st?list=PLQrdx7rRsKf

http://www.utexas.edu

Nursing students practice their skills on mannequins and each other in the Nursing Skills Lab.

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A tummy tuck, also known as abdominoplasty, removes excess fat and skin and restores weakened muscles to create a smoother, firmer abdominal profile.

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The recovery time for a tummy tuck ranges anywhere from two to six weeks. The amount of recovery time you need depends on several factors of your surgery.

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This is the process of a tummy tuck! This procedure gets rid of the extra skin that has been stretched out due to pregnancy, weight loss, etc. You'll see her before, during, and after surgery!

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This animation shows you how a tummy tuck is performed at Boerhaave Medical Centre. Curious? Watch the video!

Boerhaave Medical Centre sets itself the goal of providing the highest quality care. Quality not just in terms of treatment, but also in terms of our staff and the before and after care given. By providing thorough information and clear advice in advance, carefully supporting our patients through the procedure and caring for them afterwards, we believe this quality is assured.

Although we are one of the largest clinics in the Netherlands and have built up many years of experience, we continuously strive to improve. After all, the Boerhaave Medical Centre intends to remain a pioneer in the healthcare sector, by working in accordance with the latest medical findings and techniques both now and in the future.

We offer the highest standard of plastic surgery in our cosmetic care department. For 365 days a year, you can also come to us for non-surgical treatments, such as injectables, permanent hair removal and gastric balloons.

We have been awarded the ZKN quality mark and are certified to ISO 9001-2008 for giving advice and carrying out plastic surgery, including after care.

Visit our website for more information: https://www.boerhaave.com/all-....treatments/upperbody

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Give away to who ever that will correctly mention the sample specimen used to make this video? (Be specific)
DROP ON THE COMMENT BOX

#anatomy #histology #biology #bytesizemed

✨If you would like my help studying the structure of bones, check out my long-form video on it.
🔅Structure of Bone : https://youtu.be/MYInVEnnS_I

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📚Factual References & for Further Reading:
- DiFiore's Atlas of Histology
- Junqueira's Basic Histology
- Gartner's Concise Histology
- Openstax Anatomy and Physiology
https://openstax.org/details/b....ooks/anatomy-and-phy
- Openstax Biology
https://openstax.org/details/books/biology-2e
(The last two are links to open-source references. They are NOT affiliate links)

🌤 Note:
These are just a collection of my notes. So use them the way you would use borrowed notes from a friend. 📝
The images in this video are hand-drawn for illustration and explanation only.✍️ Hence, they may not be anatomically accurate. I am just one person making these videos. If there are any errors, that is unintentional. I try super hard to avoid them. Please let me know if you find any, so it gets clarified for other viewers. Science constantly evolves and changes. New discoveries are made everyday. So some of the information in these videos may become outdated. If you notice that, please let me know so I can update them.










⚡️Disclaimer:
These videos are NOT a substitute for a medical textbook. Textbooks are written by experts (which I do not claim to be), edited, proofread and referenced. Please use them.
The information has been sourced from multiple references as mentioned above. I draw all the pictures myself. But if I have inadvertently infringed on any copyright, that is completely unintentional. I only make these videos to impart education. If I have accidentally violated copyright in any way, do let me know so I can make the necessary changes or give credit to anyone who is owed the same.
These videos are NOT intended for patient education. They are NOT a substitute for diagnosis and treatment by a licensed medical professional. Always seek the advice of a qualified health care provider for any questions you may have regarding any medical condition, so that they can address your individual needs.

🔅They are ONLY meant to help students of medicine and health sciences with studying, and should be used for just that purpose and absolutely nothing else.


Byte Size Med. All Rights Reserved.

In order to be able to look at tissues under a microscope, we need to first stain them with the right technique. Learn the main staining techniques used in histology today on our full video: https://khub.me/aux9w

Oh, are you struggling with learning anatomy? We created the ★ Ultimate Anatomy Study Guide ★ to help you kick some gluteus maximus in any topic. Completely free. Download yours today: https://khub.me/e0th1

As you probably know, histology is the study of the microscopic anatomy of cells and tissues. So we use staining methods to visualize and distinguish the different parts of cells and tissues since cells and their structures are usually transparent or colorless. The types of dyes used to color cells and their components can either be specific to particular structures, chemical groups or even molecules, and it can also be non-specific in which case most of the cell is stained in the same way.

When staining tissue samples, dyes that are used are either acidic or basic or a combination of the two. And why is that, you might be asking. Well, cellular structures such as nucleic acids or proteins have charged groups which are known as phosphate groups or carboxyl groups, just to name a couple. The dyes used in histology are colored organic compounds which also have a charge. Acidic dyes carry a negative charge and so they bind to positively-charged cell structures.

In the full version of this tutorial, we will cover some of the most common types of dyes used in histological staining of cells and their structures:
- basic dyes vs acidic dyes vs neutral dyes;
- hematoxylin and eosin;
- PAS - staining;
- Golgi method;
- Toluidine blue;
- Masson's trichrome;
- Osmium tetroxide;

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Want to test your knowledge on the different types of cells and tissues? Take this quiz: https://khub.me/3g19f

Read more on how to interpret different histological sections on this complete article which goes through the different stains used in histology https://khub.me/saimh

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: Frederick Lang, M.D., and Jeffrey Weinberg, M.D., neurosurgeons at MD Anderson Cancer Center, answer frequently asked questions about what to expect when you’re having brain tumor surgery.

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