laparoscopic splenectomy - world laparoscopy hospital · world laparoscopy hospital essentials of...

World Laparoscopy Hospital Essentials of Laparoscopic Surgery Laparoscopic Splenectomy R. K. Mishra World Laparoscopy Hospital Essentials of Laparoscopic Surgery

Upload: others

Post on 12-Mar-2020

19 views

Category:

Documents

2 download

Report

Download

Embed Size (px):

TRANSCRIPT

World Laparoscopy Hospital Essentials of Laparoscopic Surgery

Laparoscopic Splenectomy

R. K. Mishra

World Laparoscopy Hospital Essentials of Laparoscopic Surgery

Anatomy

World Laparoscopy Hospital Essentials of Laparoscopic Surgery

Ligaments

Pancreaticosplenic

Ligament

Gastrosplenic

Ligament

Phrenicosplenic

Ligament

World Laparoscopy Hospital Essentials of Laparoscopic Surgery

Ligaments

Splenocolic Ligament Phrenicocolic Ligament

World Laparoscopy Hospital Essentials of Laparoscopic Surgery

Case Selection

World Laparoscopy Hospital Essentials of Laparoscopic Surgery

Operating Room Set-up

PATIENT POSITION Supine

- Semi right Lateral

SURGEON POSITION To

the right of the patient

NURSE POSITION To the

right of the patient [next to

the surgeon].

MONITORS 1 - On the left

side of the patient

World Laparoscopy Hospital Essentials of Laparoscopic Surgery

Patient Position

World Laparoscopy Hospital Essentials of Laparoscopic Surgery

Access

Access Through Left

Hypochondrium

World Laparoscopy Hospital Essentials of Laparoscopic Surgery

Optical Port

Mid Clavicular Line

World Laparoscopy Hospital Essentials of Laparoscopic Surgery

Ports

World Laparoscopy Hospital Essentials of Laparoscopic Surgery

Right Hand Port

Mid Axillary Line

World Laparoscopy Hospital Essentials of Laparoscopic Surgery

Freeing of Adhesion

World Laparoscopy Hospital Essentials of Laparoscopic Surgery

Dissection

World Laparoscopy Hospital Essentials of Laparoscopic Surgery

Dissection

World Laparoscopy Hospital Essentials of Laparoscopic Surgery

Dissection

World Laparoscopy Hospital Essentials of Laparoscopic Surgery

Dissection of Ligaments

World Laparoscopy Hospital Essentials of Laparoscopic Surgery

Dissection of Hilum

World Laparoscopy Hospital Essentials of Laparoscopic Surgery

Dissection of Hilum

World Laparoscopy Hospital Essentials of Laparoscopic Surgery

Dissection by Linear Stapler

World Laparoscopy Hospital Essentials of Laparoscopic Surgery

Stapler Dissection for Hilum

World Laparoscopy Hospital Essentials of Laparoscopic Surgery

Introduction of Bag

World Laparoscopy Hospital Essentials of Laparoscopic Surgery

Retrieval

World Laparoscopy Hospital Essentials of Laparoscopic Surgery

Extraction of Spleen

World Laparoscopy Hospital Essentials of Laparoscopic Surgery

Extraction of Spleen

World Laparoscopy Hospital Essentials of Laparoscopic Surgery

Closure of Port

World Laparoscopy Hospital Essentials of Laparoscopic Surgery

Splenectomy by Tripolar

World Laparoscopy Hospital Essentials of Laparoscopic Surgery

Splenectomy using Suture

World Laparoscopy Hospital Essentials of Laparoscopic Surgery

Lateral Approach

World Laparoscopy Hospital Essentials of Laparoscopic Surgery

Accessory Spleen

World Laparoscopy Hospital Essentials of Laparoscopic Surgery

Complications of Lap Splenectomy

Intraoperative bleeding

Postsplenectomy

Sepsis

Wound/port site infection

Pancreatic injury.

Most of the complications are technique

related.

World Laparoscopy Hospital Essentials of Laparoscopic Surgery

Thank You

Prof. Mishra with his students

Laparoscopic splenectomy for splenic rupture secondary to ...€¦ · Laparoscopic splenectomy for splenic rupture secondary to metastatic choriocarcinoma Tan Ming Ngan Aloysius,

Laparoscopic Management of Ovarian Cyst...World Laparoscopy Hospital Essentials of Laparoscopic Surgery Ovarian Cyst Ovarian cysts are sacs filled with fluid or a semisolid material

Advances in Equine Laparoscopy - download.e-bookshelf.de · Advances in Equine Laparoscopy is a textbook that will be welcomed by all equine laparoscopic sur-geons. Since the 1980s,

Laparoscopic Nephrectomy - World Laparoscopy Hospital

Laparoscopic Hysterectomy - World Laparoscopy Hospital

Diagnostic Laparoscopy Laparoscopy ... Video showing diagnosis and management of ... World Laparoscopy Hospital Essentials of Laparoscopic Surgery Ectopic pregnancy

R. K. Mishra - World Laparoscopy Hospital · Retroperitoneal laparoscopy, using a laparoscope and pneumoinsufflation, was only ... Anatomy . World Laparoscopy Hospital Advance Laparoscopic

Surgical Holders, Positioning Arms, and Laparoscopic ... › wp-content › uploads › ... · Positioning Arms, and Laparoscopic Retractors. ... Laparoscopy beginning in 1974. At

Laparoscopic Cholecystectomy - World Laparoscopy Hospital

LAPAROSCOPIC SUTURING · 3.0 Laparoscopic Suturing Technique in the Vertical Zone ... of laparoscopy has been marked by several distinct phases and enabling technologies: Phase 1:

Laparoscopic Entry: Are You In? - APOG Entry Handout_PO_0.pdf · Laparoscopic Entry: Are You In? APOG: Principles of Endoscopic Surgery Leslie K. Po, MD FRCSC ... History of Laparoscopy

Laparoscopic Cholecystectomy - World Laparoscopy … · World Laparoscopy Hospital Essentials of Laparoscopic Surgery INTRODUCTION : Laparoscopic cholecystectomy is now the gold standard

Laparoscopic Splenectomy and Adrenalectomy · Splenectomy • The operation is the same on the inside. • The blood supply to the spleen is tied and divided. • The thin fibrous

Laparoscopy and Laparoscopic UItrasonography Avoid Exploratory

Laparoscopy Dr. S. Nishan Silva (MBBS). SHORT HISTORY 1981 Semm performed first Laparoscopic Appendectomy. 1987 Mouret performed first Laparoscopic Cholecystectomy

and elective 1 Izmir Bozyaka Training 2 Correspondence ......splenectomy, laparoscopic splenectomy or splenoraphy. Since it is easy to perform under emergent conditions it decreases

Laparoscopic Adrenelectomy - World Laparoscopy Hospital

Endometriosis – The Disease Definitions and Epidemiology Aetiology Symptomatology – Diagnosis Laparoscopy Laparoscopic Images The Outlook 1

Laparoscopic One Anastomosis Gastric Bypass (LOAGB) · PDF fileGastric remnant (0.8%) Negative laparoscopy to ... Laparoscopic Roux-en-Y vs. Mini-Gastric bypass for the treatment of

Gastric Banding - World Laparoscopy Hospital · 2 World Laparoscopy Hospital Essentials of Laparoscopic Surgery Definition Gastric banding is a restrictive procedure which creates

CASE REPORT / ПРИКАЗ БОЛЕСНИКА Laparoscopic splenectomy …€¦ · laparoscopic splenectomy due to the splenic aneurysm located in the splenic hilum. Case outline

Laparoscopic Splenectomy

HOW TO DO: LAPAROSCOPIC SPLENECTOMY - 175 Days175days.com.au/wp-content/uploads/2015/04/LAP-SLEEN-Term-1-2015… · HOW TO DO: LAPAROSCOPIC SPLENECTOMY . ... 2010 by The McGraw-Hill

SURGERY - Windsor University School of Medicine · 16. Laparoscopic Rectosigmoid Colon Resection-Low Anterior Resection 17. Laparoscopic Splenectomy 18. Laparoscopic Ventral Hernia

Laparoscopic Lavage €¢ O’Sullivan et al combined this observation with the useful adjunct of laparoscopy • Proposed laparoscopic lavage as a potential alternative treatment

KNOWLEDGE, PRACTICES AND CHALLENGES OF LAPAROSCOPY … · laparoscopy will be more appreciated with an insight into laparoscopic chronology. Aim : To assess the knowledge, practices

Laparoscopy course for small animal veterinary practitioners · Laparoscopy Course for Small Animal Practitioners. May 23-24, 2016 In the last few years, laparoscopic surgery procedures

Some of the most prominent Laparoscopic Urological ... · in Laparoscopy & Robotics The European Congress of Laparoscopy and Robotics Some of the most prominent Laparoscopic Urological

Simendo laparoscopy product information Pro3 laparoscopy brochure 2018.pdf · laparoscopy The Simendo laparoscopy simulator is designed for all laparoscopic specialties, such as general

Complication of Laparoscopic Cholecystectomy of...World Laparoscopy Hospital Essentials of Laparoscopic Surgery Complication of Laparoscopic Cholecystectomy R.K.Mishra . World Laparoscopy

Myomectomy - World Laparoscopy Hospital · suturing skill World Laparoscopy Hospital Advanced Laparoscopic Surgery Treatment SURGICAL: When the fibroids are less than 18 weeks size

Laparoscopic assisted vaginal hysterectomy...World Laparoscopy Hospital Advanced Laparoscopic Surgery Vaginal Procedure Anterior peritoneum is opened & bladder is separated from uterus

Laparoscopic splenectomy and contribution of steps towards

Single Port Laparoscopic Surgery, Mini Laparoscopy and ... · Single Port Laparoscopic Surgery, Mini Laparoscopy and Robotics –Safe and Appropriate Adoption into Your Practice Anna

Advantages of Fluorescence-Guided Laparoscopic Surgery of ......Fluorescence laparoscopy A standard laparoscopic tower provided by Stryker was slightly modiﬁed as described previously.10,16