Introduction: Hepatic portal venous gas is a radiographic finding typically associated with bowel ischemia, and is considered to be a poor prognostic sign prompting urgent operative exploration. Portal venous gas frequently occurs after instrumentation of the biliary tree, and may also be seen after insufflation of the abdomen for laparoscopy. In addition, portal venous gas […]
.Minimally invasive esophagectomy for cancer is increasingly adopted by dedicated centers in the world, but the method is highly variable. A video presentation of combined thoracoscopic and laparoscopic esophagectomy in a 54-year old man suffering from a squamous cell cancer of the mid-esophagus is presented. Thoracoscopic esophageal mobilization with mediastinal nodal dissection was carried out […]
INTRODUCTION: We examined the outcome after treatment for gallbladder disease in deployed military service members and the impact of instituting a clinical pathway to expedite return to duty (RTD). METHODS AND PROCEDURES: A retrospective chart review of 97 medically evacuated patients with gallbladder disease was analyzed. These patients were evacuated from the field to Landstuhl […]
Objectives of study :SSP and SSI have been attributed to tying of sutures & trauma due to suture passer. Aim of this study was to evaluate the benefit of passing transfixating sutures with the help of disposable thin Spinal Needles versus reusable Suture Passes which is much thicker & gets blunted with repeatd use.Methods and […]
Objectives of study :Structured training, skill’s evaluation,regulated granting of privileges, systems approach & judicious use of ES haven’t alleviated the concerns of unfavorable outcomes in LC. Biliary injuries, an index of adverse outcome evaluation have been linked to use of ES. LC can be done without using ES as reported by us earlier. The aim […]