Drain placement during lap chole with Knauer modification: Dr Luis Felipe Cabrera Vargas MD FACS @Cirbosque Vahagn C. Nikolian, MD Ron Barbosa MD FACS Caroline Park MD, MPH Ian S Soriano 🇵🇭 Maggie Bosley, MD Robert Drummond Michael J. Pucci Ezra Teitelbaum Scott SAGES is in Vegas in 2027! @MISIRG1

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@FarazKh65499316 @PipeCabreraV @Cirbosque @VNikolian @rbarbosa91 @CPark_MD @FilipinoSurgeon @MBosleyMD @rdrummond @mj_pucci @EzraTeitelbaum @sdavis81 @SAGES_Updates @MISIRG1 I have to say this is the technique I have seen most lap surgeons doing for time immemorial. I suspect it would be very hard to demonstrate who did it first!

@FarazKh65499316 @PipeCabreraV @Cirbosque @VNikolian @rbarbosa91 @CPark_MD @FilipinoSurgeon @MBosleyMD @rdrummond @mj_pucci @EzraTeitelbaum @sdavis81 @SAGES_Updates @MISIRG1 Placement technique is standard. Chasing drain with grasper too?

@PipeCabreraV @Cirbosque @VNikolian @rbarbosa91 @CPark_MD @FilipinoSurgeon @MBosleyMD @rdrummond @mj_pucci @EzraTeitelbaum @sdavis81 @SAGES_Updates @MISIRG1 I’m sorry Dt Knauer, but I can’t give you credit for this. I have been doing the same for about 10 years 😂😂🫣🫣

@PipeCabreraV @Cirbosque @VNikolian @rbarbosa91 @CPark_MD @FilipinoSurgeon @MBosleyMD @rdrummond @mj_pucci @EzraTeitelbaum @sdavis81 @SAGES_Updates @MISIRG1 Chasing the drain the same way? If so great minds think alike. I think I started doing that about 15 years ago.

@PipeCabreraV @Cirbosque @VNikolian @rbarbosa91 @CPark_MD @FilipinoSurgeon @MBosleyMD @rdrummond @mj_pucci @EzraTeitelbaum @sdavis81 @SAGES_Updates @MISIRG1 Yeah, definitely been doing this as standard for lap drain placement for a very long time. Not sure where it originated. Probably one of my consultant or registrar trainers showed me.

@PipeCabreraV @Cirbosque @VNikolian @rbarbosa91 @FilipinoSurgeon @MBosleyMD @rdrummond @mj_pucci @EzraTeitelbaum @sdavis81 @SAGES_Updates @MISIRG1 I grasp the drain through the same port with a Maryland grasper (easier with curved tines) but keep the port in—otherwise you have to be quick to clamp the drain to not lose pneumo. And much of the time we have to close the subxyphoid port with a suture passer…

@PipeCabreraV @Cirbosque @VNikolian @rbarbosa91 @FilipinoSurgeon @MBosleyMD @rdrummond @mj_pucci @EzraTeitelbaum @sdavis81 @SAGES_Updates @MISIRG1 12 in subxyphoid?

@SAGES_Updates @PipeCabreraV @Cirbosque @VNikolian @rbarbosa91 @CPark_MD @FilipinoSurgeon @MBosleyMD @rdrummond @mj_pucci @EzraTeitelbaum @sdavis81 @MISIRG1 First step in drain placement for cholecystitis is have IR do it. Then get someone else to do the surgery.

@PipeCabreraV @Cirbosque @VNikolian @rbarbosa91 @CPark_MD @FilipinoSurgeon @MBosleyMD @rdrummond @mj_pucci @EzraTeitelbaum @sdavis81 @SAGES_Updates @MISIRG1 En Mexico lo hacemos así desde que tengo memoria!!!