This Basic Laparoscopic Surgery: Abdominal Access and Trocar Introduction course will teach you the steps of Laparoscopic Surgery. View the full course for free by signing up on our website: https://www.incision.care/

What is Laparoscopic Surgery:
Laparoscopic surgery describes procedures performed using one or multiple small incisions in the abdominal wall in contrast to the larger, normally singular incision of laparotomy. The technique is based around principles of minimally invasive surgery (or minimal access surgery): a large group of modern surgical procedures carried out by entering the body with the smallest possible damage to tissues. In abdominopelvic surgery, minimally invasive surgery is generally treated as synonymous with laparoscopic surgery as are procedures not technically within the peritoneal cavity, such as totally extraperitoneal hernia repair, or extending beyond the abdomen, such as thoraco-laparoscopic esophagectomy. The term laparoscopy is sometimes used interchangeably, although this is often reserved to describe a visual examination of the peritoneal cavity or the purely scopic component of a laparoscopic procedure. The colloquial keyhole surgery is common in non-medical usage.

Surgical Objective of Laparoscopic Surgery:
The objective of a laparoscopic approach is to minimize surgical trauma when operating on abdominal or pelvic structures. When correctly indicated and performed, this can result in smaller scars, reduced postoperative morbidity, shorter inpatient durations, and a faster return to normal activity. For a number of abdominopelvic procedures, a laparoscopic approach is now generally considered to be the gold-standard treatment option.
Definitions

Developments of Laparoscopic Surgery:
Following a number of smaller-scale applications of minimally invasive techniques to abdominopelvic surgery, laparoscopic surgery became a major part of general surgical practice with the introduction of laparoscopic cholecystectomy in the 1980s and the subsequent pioneering of endoscopic camera technology. This led to the widespread adoption of the technique by the early- to mid-1990s. The portfolio of procedures that can be performed laparoscopically has rapidly expanded with improvements in instruments, imaging, techniques and training — forming a central component of modern surgical practice and cross-specialty curricula [2]. Techniques such as laparoscopically assisted surgery and hand-assisted laparoscopic surgery have allowed the application of laparoscopic techniques to a greater variety of pathology. Single-incision laparoscopic surgery, natural orifice transluminal endoscopic surgery, and minilaparoscopy-assisted natural orifice surgery continue to push forward the applications of minimally invasive abdominopelvic techniques; however, the widespread practice and specific indications for these remain to be fully established. More recently, robotic surgery has been able to build on laparoscopic principles through developments in visualization, ergonomics, and instrumentation.

This Basic Laparoscopic Surgery: Abdominal Access and Trocar Introduction course will teach you:
- How to access the abdomen using an open, closed, and direct optical-entry technique
- Principles underlying safe abdominal insufflation
- The vascular anatomy of the abdominal wall and its implications for trocar placement
- How to introduce trocars into the peritoneal cavity
- The principle of triangulation and how this can be applied to organizing a laparoscopic surgical field

Specific attention is given to these hazards you may encounter:
- Intravascular, intraluminal, or extraperitoneal needle position
- Limitations of a closed introduction technique
- Abdominal surgical history
- Limitations of an open introduction technique
- Optical trocar entry in thin individuals
- Visualization of non-midline structures
- Limitations of direct optical-entry techniques
- Limitations of clinical examination to confirm intraperitoneal insufflation
- Leakage of insufflation gas

These tips are designed to help you improve your understanding and performance:
- Alternative left upper quadrant approach
- Testing Veress needle before use
- Lifting the abdominal wall for Veress needle introduction
- "Hanging-drop test"
- Palmer's test
- Confirming intra-abdominal insufflation
- Subcutaneous tissue retraction
- Anatomy of the umbilicus
- Retraction of abdominal wall fascia
- Finger sweep of anterior abdominal wall
- Lifting the abdominal wall for optical trocar introduction
- Identification of venous bleeding at the end of a procedure
- Identification of inferior epigastric vessels by direct vision
- Peritoneal folds of the anterior abdominal wall
- Transillumination of superficial epigastric vessels
- Infiltration of local anesthetic at port sites
- Aiming of trocars
- Selection of trocar size
- Maintaining direct vision

Cholecystectomy means removal of the gallbladder. The most common reasons
your doctor might recommend a cholecystectomy are biliary colic, cholecystitis,
choledocolithiasis, or gallstone pancreatitis. Biliary colic, also known as symptomatic
cholelithiasis, is caused by gallstones, which are hardened deposits of bile. Gallstones are
common in the general population, and gallstones alone are not a reason for gallbladder
removal if they do not cause symptoms. However, sometimes gallstones can get caught at the
neck of the gallbladder, causing pain when the gallbladder contracts against them trying to
release its bile, especially after a fatty meal. With biliary colic, the pain typically resolves within
an hour or so. Occasionally, a stone or some other blockage may prevent the gallbladder from
emptying over a long period of time, causing an increase in pressure and trapped fluid within the
gallbladder. This can cause inflammation and infection of the gallbladder, which we call
cholecystitis. Choledocholithiasis is when there are one or more stones in the bile ducts, which
can cause back up of bile into the liver, and depending on the location of the stones, could
cause pancreatitis, which is inflammation of the pancreas. Other reasons for gallbladder
removal, though less common, are gallbladder polyps and cancer. All of these are reasons for
gallbladder removal.

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.

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MEDICAL ANIMATION TRANSCRIPT:

Laparoscopic Ovarian Drilling (LOD)

A surgical treatment for women with PCOS
Women with PCOS usually have ovaries with a thick outer layer.
Ovarian drilling works by breaking through the thick outer surface and lowering the amount of testosterone made by the ovaries

A small incision is made in the abdomen.
Carbon dioxide gas is used to inflate the abdomen.
Very small holes are made in the ovaries.
Ovarian drilling can help restore ovulation and improve the chances of becoming pregnant.
***************************************************************************
*TimeStamps*
0:00 Introduction
0:15 Procedure of Laparoscopic Ovarian Drilling (LOD)
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Let us watch this 3D video to understand what is Laparoscopic Ovarian Drilling for PCOS, why it is done, how well it works, and what to expect.
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#pcos #pcostreatment #laparascopicovariandrilling

http://www.laparoscopyhospital.com
For the surgeon to develop the same level of proficiency and dexterity in the endoscopic environment as he may possess in open surgery is not a simple matter. The use of proper Mishra's Knot, are essential. Participating in an in-depth, systematic training program in a laboratory setting is essential before applying endoscopic Mishra's Knot techniques to humans. Successful acquisition of these Mishra's Knot skill requires that the surgeon be motivated to succeed and willing to invest the time and effort necessary to do so. Succumbing to the temptation of mechanical devices in lieu of acquiring the manual skills results in a questionable dependence on disposable technology and reduces the cost effectiveness of the minimally invasive approach. It is the adoption of Mishra's Knotting skills by the surgeon that will expand the surgeon's capability of performing increasingly advanced endoscopic surgical procedures.

For more information please contact:
World Laparoscopy Hospital
Cyber City, DLF Phase II, Gurgaon
NCR Delhi, 122002, India
Phone & WhatsApp: +919811416838, + 91 9999677788
contact@laparoscopyhospital.com

This medical animation shows laparoscopically assisted gallbladder removal surgery, or cholecystectomy. The animation begins by showing the normal anatomy of the liver and gallbladder. Over time, gallstones form within the gallbladder, blocking the cystic duct, and causing the gallbladder to become enlarged and inflamed. The procedure, sometimes called a "lap-chole", begins with the insertion of four trocar devices, which allow the physician to see inside the abdomen without making a large incision. Air is added to the abdominal cavity to make it easier to see the gall bladder. Next, we see a view through the laparascope, showing two surgical instruments grasping the gallbladder while a third severs the cystic duct. After the gallbladder is removed, the camera pans around to show that the cystic artery and vein, have already been clipped to prevent bleeding.

Item #ANIM026

UPDATE 1/30/15: Watch the updated version of this animation: https://www.youtube.com/watch?v=LVP6JngpgEE

This 3D medical animation shows how adhesions in the abdomen may cause complications. These problems may include obstruction, twisting, and dislocating areas of the small intestine. Adhesions can be separated with laparoscopic instruments.

ANH00037

Colorectal surgeon Conor Delaney, MD, explains laparoscopic surgery for colon cancer, including how it works and what patients can typically expect before, during, and after the procedure.

Learn more about colon cancer at http://cancer.org/coloncancer

Unique 3D technology from Olympus:
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Discover the 3rd dimension of endoscopy and experience laparoscopy in a totally new dimension.
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Dr. Lohith U, Consultant Surgical Gastroenterology, Bariatric and GI Oncology, Manipal Hospital Sarjapur, speaks about advanced laparoscopic surgery in this informative video. He shares details about the procedure,insights on its advantages, and how it can help treat gastrointestinal issues without making large incisions in a patient’s body. To know more watch this video.

Consult the experts here - https://bit.ly/3RiWqPr

#ManipalHospitalSarjapur #YourManipal #LifesOn #Healthcare #LaparoscopicSurgery

Our surgeons take a compassionate, family-centered approach to both inpatient and outpatient care. We’re committed to making sure both you and your child understand our process. Told through a kid's eyes, this video tour reveals our caring approach.

To learn more about pediatric surgery at Stamford Hospital, visit: https://www.stamfordhealth.org..../care-treatment/pedi

What to expect during the day of a pediatric surgery at Sutter Children's Center Sacramento.

Johns Hopkins Children’s Center Surgeon-in-Chief David Hackam provides information about general pediatric surgery and when it is time to see a general pediatric surgeon. #PediatricSurgery #JohnsHopkins

For more information on general pediatric surgery at Johns Hopkins Children's Center, visit https://www.hopkinsmedicine.or....g/johns-hopkins-chil

FAQ's
0:02 What is a general pediatric surgeon?
0:31 When is it time to see a pediatric surgeon?
1:02 What are some of the most common surgical problems seen by general pediatric surgeons?
1:43 Describe research being done in the field.
2:15 Why choose Johns Hopkins Children's Center for general pediatric surgery?

From across the room, using controls and pedals—pediatric surgeons at Golisano Children’s Hospital are now able to operate on patients without even touching them. “It allows performances of deep surgeries in the pelvis or abdomen through tiny, little incisions as opposed to a traditional, large incision to get access to the areas where urologists often operate,” explained Dr. Rahman Abd-El-Barr, a pediatric urologist with Golisano Children’s Hospital of Southwest Florida.

The DaVinci robot is a robotic platform that allows surgeons to do minimally invasive surgery, leaving patients with smaller incisions and a quicker recovery. “This is important because it allows us to minimize recovery time, pain, bleeding with surgery, and especially with kids, it helps them to get back on their feet right away,” he said.

So when high school athlete, Reagan Rebeor found out she needed to have kidney surgery, she decided to have it robotically. “Thankfully, I did that because if not, I would have had a long scar down my stomach instead of small holes, small incisions. I had pain for three days, three or four days. Then after that, I was fine,” she said.

While it’s not an option for all pediatric surgeries, doctors say it can be very beneficial for teenage and adult patients needing reconstructive surgery. An option that allows patients a quicker and easier recovery.


View More Health Matters video segments at LeeHealth.org/Healthmatters/

Lee Health in Fort Myers, FL is the largest network of health care facilities in Southwest Florida and is highly respected for its expertise, innovation and quality of care. For more than 100 years, we’ve been providing our community with personalized preventative health services and primary care to highly specialized care services and robotic assisted surgeries. Lee Health - Caring People. Inspiring Care.

Visit LeeHealth.org

As a pediatric surgeon at NewYork-Presbyterian/Weill Cornell Medical Center, Dr. Nitsana Spigland treats newborns, children, teens, and young adults requiring surgical interventions. She specializes in antenatal counseling and newborn congenital malformations.

Learn more about Dr. Spigland at: https://www.nyp.org/physician/nspigland.

Shoutout to director/videographer Valentina Vee and producer Sean Tien for helping me bring this to life.

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Commentary:

0:24
He may not look like he’s in good condition but you can guesst that his somewhere in nirvana at this point
0:44
After the operation, this patient loses more than just color in his skin but apparently he loses his nipples as well
1:43
This sedated patient is equipped with his own hand-gun. No pun intended
2:17
His anesthesia dose came with the usual side effects of crazy talk with a dash of attitude and sarcasm
3:17
The only thing crazier than love is being sedated during an endometriosis surgery
4:36
This may come as a surprise to some but penguins don’t actually reside in Alaska. In case you didn’t know that well now you do
5:09
If the doctor advises you against something you can’t resist doing, how many of us would still listen to him?
6:35
When them meds start kicking in , it’s time to frame this experience as an excuse to divulge some of your secret fantasies
7:05
There’s a time and place dirty jokes but anesthesia told this guy any times the right time
7:24
Her 16 year old son talks about the last thing he remembers right after surgery and this is what he says
8:35
She’s definitely not in the mood at all. I wouldn’t wanna tick her off during this time if I were you
8:44
A feeling of relief after your operation may be followed by some emotional changes such as mood swings and over sensitivity
9:44
Even if you do say something you wouldn't normally say while you are under sedation, according to some doctors, “it's always kept within the operating room”
10:38
The beeping sounds of the medical equipments tip this patient over the edge. so she tries to drown out the noise with her own voice
11:08
Anyone who's received anesthesia can attest to feeling pretty loopy. Although many won't remember it's fairly common to say some wacky things after waking up
11:53
It's typical for people to feel sad or vulnerable after surgery. Kind of like how this girl is feeling right now
12:04
If she wasn’t under the influence in the hospital right now , it would be pretty hard to justify this type of behavior
12:17
Imagine working as an anesthesiologist. You might become numb to a lot of strange behaviors and everything unusual becomes the new norm for you

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This multi award winning video talks about a time of increased demands on our healthcare system and healthcare providers, ensuring that each and every patient and their family members are provided with compassionate care is a massive goal, but one that the staff at the Royal Alexandra Hospital are pursuing every day. Good quality care is always important, but caring for our patients is what they will really remember.

Dr. Ailawadi, M.D., the Chair of Cardiac Surgery at Michigan Medicine, specializes in minimally invasive valve surgery as well as complex cardiac operations. This video shows step by step footage of a Coronary Artery Bypass Graft (CABG) in a complex patient. In this case, CABG was performed through a sternotomy (through the breast bone) using the internal thoracic artery and saphenous leg veins to bypass obstructed coronary arteries. In this video, Dr. Ailawadi will perform a triple vessel bypass (CABG) which has been shown to minimize the risk of future heart attack and help patients live longer in the setting of complex coronary artery disease.

To learn more about cardiac surgery at Michigan Medicine, visit: https://medicine.umich.edu/dept/cardiac-surgery

To learn more about Frankel Cardiovascular Center, visit: https://www.umcvc.org/

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What goes into providing anesthesia for cardiac surgery where a patient's heart is completely arrested? In this video, I take you into the operating room during a surgery and talk with Dr. Benji Salter, program director for Mt. Sinai Hospital's cardiothoracic anesthesiology fellowship program.

While no patient information is shown in this video, the patient did provide written consent for filming to occur during surgery. Permission was also obtained from Mount Sinai Hospital's Department of Anesthesiology as well as the hospital's Press Office.

Chapters
0:00 Start
0:44 Surgery background
1:40 Case preparation
2:45 Anesthesia equipment
6:21 Echocardiography
7:16 Preparing for bypass
8:34 Stopping the heart
9:06 Fellowship
10:46 Why cardiac anesthesia?
11:52 Coming off of bypass
13:06 Post-op recovery

The information in this video is not intended nor implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images, and information, contained in this video is for general information purposes only and does not replace a consultation with your own doctor/health professional.

#Anesthesiology #Residency #MedicalSchool