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📹 Hernia repair surgery (umbilical hernia)
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📹 Laparoscopic removal of Para Ovarian Cyst.
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📹 Varicocelectomy under Regional Anaesthesia.
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Surgery for resection of brain tumor.
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▪️Indication of cholecystectomy:🧠
▫️Gall stone:
- Symptomatic:
Acute calcular cholecystitis
Chronic calcular cholecystitis
CBD stone
- Asymptomatic:
Old age
Diabetic
Immune compromised
Classified wall(porcelain)
Thick wall
Suspect malignancy
Stone > 2.5 cm
Multiple tiny stone
▫️Acute non calcular cholecystitis
▫️Chronic non calcular cholecystitis
▫️Carcinoma of GB
▫️Gallbladder polyp > 1 cm
▫️As part of pancraticoduodenoectomy
▫️Biliary mud
▫️Trumatic rupture of GB
▫️Torsion of GB.
▪️Prophylactic Cholecystectomy:
▫️Diabetic patients
▫️Congenital haemolytic anaemia
▫️During underwent bariatric surgery.
▫️Gall stone:
- Symptomatic:
Acute calcular cholecystitis
Chronic calcular cholecystitis
CBD stone
- Asymptomatic:
Old age
Diabetic
Immune compromised
Classified wall(porcelain)
Thick wall
Suspect malignancy
Stone > 2.5 cm
Multiple tiny stone
▫️Acute non calcular cholecystitis
▫️Chronic non calcular cholecystitis
▫️Carcinoma of GB
▫️Gallbladder polyp > 1 cm
▫️As part of pancraticoduodenoectomy
▫️Biliary mud
▫️Trumatic rupture of GB
▫️Torsion of GB.
▪️Prophylactic Cholecystectomy:
▫️Diabetic patients
▫️Congenital haemolytic anaemia
▫️During underwent bariatric surgery.
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▫️Complications of Open Cholecystectomy:
➖
▪️Shock,
▪️atelectasis.
▪️chest infection
▪️DVT
▪️PE
▪️wound infection,
▪️incisional hernia
😀
▪️hemorrhage:
- Primary
- reactionary
▪️Biliary leakage
▪️Subphernic collection:
- Pus, Blood, Bile
▪️Jaundice:
- Halothane toxicity
- Missed stone in CBD
- injury to CBD or HD
▪️Post cholecystectomy syndrome:
Pain + dyspepsia
As any Operation:
▪️Shock,
▪️atelectasis.
▪️chest infection
▪️DVT
▪️PE
▪️wound infection,
▪️incisional hernia
Specific :
▪️hemorrhage:
- Primary
- reactionary
▪️Biliary leakage
▪️Subphernic collection:
- Pus, Blood, Bile
▪️Jaundice:
- Halothane toxicity
- Missed stone in CBD
- injury to CBD or HD
▪️Post cholecystectomy syndrome:
Pain + dyspepsia
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Thyroidectomy | Step by Step with Tips.
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Good Surgeon
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▫️Post Thyroidectomy Complications: 🧠
▪️
•Injury to nerves:
–External laryngeal nerve.
–Recurrent laryngeal nerve.
•Hemorrhage.
•Thyroid crisis.
•Injury to parathyroid.
▪️
•Respiratory dyspnea:
–Hematoma.
–Laryngeal edema.
–Tracheomalacia.
–Hypoparathyroidism.
–Bilateral RLN injury.
•Hematoma.
•Hypoparathyroidism.
•wound Infection.
•Stitch abscess.
▪️
•Hypothyroidism.
•Keloid.
▪️
Perioperative Complications:
•Injury to nerves:
–External laryngeal nerve.
–Recurrent laryngeal nerve.
•Hemorrhage.
•Thyroid crisis.
•Injury to parathyroid.
▪️
Early Postoperative:
•Respiratory dyspnea:
–Hematoma.
–Laryngeal edema.
–Tracheomalacia.
–Hypoparathyroidism.
–Bilateral RLN injury.
•Hematoma.
•Hypoparathyroidism.
•wound Infection.
•Stitch abscess.
▪️
Late Postoperative:
•Hypothyroidism.
•Keloid.
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▫️
Postoperative complications:
▪️Wrist stiffness.
▪️Radial artery laceration.
▪️Infection.
▪️Decreased motion.
▪️ligament instability.
▪️Scarring and cosmetic concerns.
▪️Recurrence.
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