Special Pediatric Surgery Forums
-
-
- 0 replies
- 321 views
-
-
-
- 0 replies
- 277 views
-
-
-
- 0 replies
- 303 views
-
-
-
Quote from "The SAGES Manual of Pediatric Minimally Invasive Surgery" by Danielle S. Walsh, Todd A. Ponsky, Nicholas E. Bruns - "The onset of jaundice may occur at birth or up to 6 weeks thereafter and is typically progressive and eventually accompanied by acholic stools and dark urine." Quote from "The SAGES Manual of Pediatric Minimally Invasive Surgery" by Danielle S. Walsh, Todd A. Ponsky, Nicholas E. Bruns - "Hepatic scintigraphy (HIDA scan) demonstrating relatively good hepatic uptake with the absence of excretion of technetium-labeled compounds from the liver into the duodenum is diagnostic of biliary obstruction, but may be less reliable in cases of severe jaun…
-
- 0 replies
- 342 views
-
-
Quote from "The SAGES Manual of Pediatric Minimally Invasive Surgery" by Danielle S. Walsh, Todd A. Ponsky, Nicholas E. Bruns - "The key of the procedure is dissection of the cone-shaped fibrous remnant at the level of the liver surface, just anterior to the portal vein bifurcation. For best long-term results, the bilious scar tissue must be removed directly on the liver surface without injuring the actual liver. The dissection must be carried as much lateral as possible with typical limitations of right and left portal venous and hepatic artery branches as well as below the portal vein bifurcation. The completely exposed liver surface at the porta hepatis is then covere…
-
- 0 replies
- 302 views
-
-
Quote from "The SAGES Manual of Pediatric Minimally Invasive Surgery" by Danielle S. Walsh, Todd A. Ponsky, Nicholas E. Bruns - "Trendelenburg positioning may also augment contrast delivery to the intrahepatic bile ducts if initial images are equivocal, and administration of intravenous glucagon may improve drainage of contrast into the duodenum if such flow is not initially evident"
-
- 0 replies
- 388 views
-
-
-
video 1
-
- 0 replies
- 324 views
-
-
-
- 0 replies
- 296 views
-
-
Quote from "ESPES Manual of Pediatric Minimally Invasive Surgery" by Ciro Esposito, François Becmeur, Henri Steyaert, Philipp Szavay - "The first ever cholecystectomy on record was performed on July 15, 1882, by Carl Johann August Langenbuch (1846–1901) at Lazarus Krankenhaus in Berlin [1]. Few years earlier, on July 15, 1867, John Stough Bobbs of Indianapolis had performed a cholecystostomy on a 30-year-old woman with ovarian cancer [2]. It was over 100 years later, in Germany again, that Erich Mühe of Boblingen performed the first laparoscopic (Fig. 37.1) cholecystectomy [3]. This was a turning point for minimal access approach in general surgery. Another major advance…
-
- 0 replies
- 320 views
-
-
Cotton Mather;1724 There is a Disease, which has been called, Morbus Regius, or, The Royal Disease; because it brings with it the Colour of Gold unto them that have it. But so poor a Recommendation will not make the Jaundice to be wished for.... The Excretion of the Bile into the Intestines, meets with some Obstruction, and so it Regurgitates and is Carried with the Blood all over the Body, whereby all the Parts, both the Solid and the Fluid, come to be tinged with a Yellow
-
- 0 replies
- 357 views
-
-
video 1
-
- 0 replies
- 257 views
-
-
Quote from "ESPES Manual of Pediatric Minimally Invasive Surgery" by Ciro Esposito, François Becmeur, Henri Steyaert, Philipp Szavay - "Patient selection is very important and should be a joint decision from a MDT consisting of paediatrician, surgeon, dietician and psychologist. Before decision-making, patients are thoroughly investigated to identify any underlying condition causing obesity, e.g. hypothyroidism or Prader-Willi syndrome (PWS). Investigations also look for any obesity-related co-morbidities. Blood investigations include full blood count, urea and electrolytes, liver function and metabolic profile to look for non-alcoholic hepatic steatosis or type 2 diabete…
-
- 0 replies
- 314 views
-
-
Quote from "The SAGES Manual of Pediatric Minimally Invasive Surgery" by Danielle S. Walsh, Todd A. Ponsky, Nicholas E. Bruns - "The advantages of this technique are preservation of the pylorus, which prevents the dumping syndrome prevalent in bypass, reduced malabsorption (although nutritional deficiencies remain a challenge), relative simplicity and shorter operative time versus bypass, and fewer postoperative complications than bypass, as there is only one staple line and no new spaces are created for internal hernia. Although weight loss is slightly less than that after bypass, a sleeve can later be converted to bypass if the malabsorptive component is later necessar…
-
- 0 replies
- 315 views
-
-
Quote from "The SAGES Manual of Pediatric Minimally Invasive Surgery" by Danielle S. Walsh, Todd A. Ponsky, Nicholas E. Bruns - "The assistant should grasp and laterally retract the posterior wall of the stomach near the greater curvature to ensure no wall of the stomach is folded on itself causing four layers to be included in the staple line. This also prevents the sleeve from twisting as sequential firings take place, resulting in a spiral staple line." Quote from "The SAGES Manual of Pediatric Minimally Invasive Surgery" by Danielle S. Walsh, Todd A. Ponsky, Nicholas E. Bruns - "Anastomotic leakage and bleeding may present initially only as sustained tachycardia; the…
-
- 0 replies
- 317 views
-
