Video yükleniyor...

Video Yüklenemedi

Ana Sayfaya Dön

Endoscopic Submucosal Dissection (ESD) for a 4 cm Sigmoid Polyp with High-Grade Dysplasia

flaubert_sena's profile picture

Flaubert Sena de Medeiros

1,350 subscribers

10,440 görüntüleme • 1 yıl önce •via X (Twitter)

LIVE

Anya Rossi• Live Now

Private livecam show

8 Yorum

ali mohmd profil fotoğrafı
ali mohmd1 yıl önce

Is this a stalk? Who not using an endoloop followed by hot snaring??

Flaubert Sena de Medeiros profil fotoğrafı
Flaubert Sena de Medeiros1 yıl önce

For a polyp with a large cephalic portion and a narrow sigmoid, do not rely on opening the loop and the snare. However, this is just one tactic.

pedro bastos profil fotoğrafı
pedro bastos1 yıl önce

cautery settings?

Marcio Paraboli profil fotoğrafı
Marcio Paraboli1 yıl önce

@AdrianaPhalange Congrats Great Job👏👏👏

Syed Saad Ahmed profil fotoğrafı
Syed Saad Ahmed1 yıl önce

Omg

د يوسف بن طواله profil fotoğrafı
د يوسف بن طواله1 yıl önce

Hi . can you please send me a direct message . Thanks

Romulo Freire profil fotoğrafı
Romulo Freire1 yıl önce

O que você usou para injeção?

Flaubert Sena de Medeiros profil fotoğrafı
Flaubert Sena de Medeiros1 yıl önce

Salina com azul

Benzer Videolar

Cecal adenoma with high-grade dysplasia (HGD), resected en bloc by saline immersion ESD. #ESD #SalineImmersion #Endoscopy #ColorectalESD #TherapeuticEndoscopy
2:01

Cecal adenoma with high-grade dysplasia (HGD), resected en bloc by saline immersion ESD. #ESD #SalineImmersion #Endoscopy #ColorectalESD #TherapeuticEndoscopy

Flaubert Sena de Medeiros

16,310 görüntüleme • 1 ay önce

Recent case of ESD of squamous cell carcinoma of the mid-esophagus Distal incision --> proximal incision --> submucosal tunnel to connect the two --> lateral incision and submucosal dissection Curative resection with negative deep/lateral margins [posted with permission]
1:45

Recent case of ESD of squamous cell carcinoma of the mid-esophagus Distal incision --> proximal incision --> submucosal tunnel to connect the two --> lateral incision and submucosal dissection Curative resection with negative deep/lateral margins [posted with permission]

Ahmad Bazarbashi MD أحمد بازارباشي

16,661 görüntüleme • 2 yıl önce

Zoom magnification use in endoscopy or ESD & POEM can be a game changer! enhancing visualization of submucosal vessels, defining perforating vessels from their origin to mucosal termination, and improving plane recognition during dissection. Combining this with low-force coagulation may allow effective vessel coagulation with less charring, reduced need for coagulation graspers, and better preservation of tissue planes and anatomy. Precision visualization with low forced controlled energy delivery can make dissection safer and more efficient. #ESD #POEM #Endoscopy #AdvancedEndoscopy ASGE GI Endoscopy ACG
1:02

Zoom magnification use in endoscopy or ESD & POEM can be a game changer! enhancing visualization of submucosal vessels, defining perforating vessels from their origin to mucosal termination, and improving plane recognition during dissection. Combining this with low-force coagulation may allow effective vessel coagulation with less charring, reduced need for coagulation graspers, and better preservation of tissue planes and anatomy. Precision visualization with low forced controlled energy delivery can make dissection safer and more efficient. #ESD #POEM #Endoscopy #AdvancedEndoscopy ASGE GI Endoscopy ACG

Sherif Andrawes MD

15,187 görüntüleme • 1 ay önce

Funny pic: this is the longest polyp stalk I have personally seen (>2 inches/5 cm long).
0:35

Funny pic: this is the longest polyp stalk I have personally seen (>2 inches/5 cm long).

Manol Jovani, MD MPH

24,761 görüntüleme • 2 yıl önce

OPERATION EPIC FUCKUP: Nuclear Edition Mar 3: Trump says US running out of low-grade weapons, but plenty of high-grade weapons Mar 4: Brandon Weichert says high-grade weapons include low-yield nukes Mar 4: NYPost reports US tested doomsday missiles Mar 5: Plane for nuclear command chain flies east
6:28

OPERATION EPIC FUCKUP: Nuclear Edition Mar 3: Trump says US running out of low-grade weapons, but plenty of high-grade weapons Mar 4: Brandon Weichert says high-grade weapons include low-yield nukes Mar 4: NYPost reports US tested doomsday missiles Mar 5: Plane for nuclear command chain flies east

GenXGirl

103,477 görüntüleme • 3 ay önce

Got a high grade for 90 mins going to rump her sillly
0:23

Sensitive content

Got a high grade for 90 mins going to rump her sillly

Danny Boy

53,577 görüntüleme • 3 ay önce

Tracy was diagnosed with stage 4 high grade ovarian cancer. This is the moment her daughter, Soph, decided to surprise her with this moving gesture
1:06

Tracy was diagnosed with stage 4 high grade ovarian cancer. This is the moment her daughter, Soph, decided to surprise her with this moving gesture

Kevin W.

339,724 görüntüleme • 1 yıl önce

21 mins in, Arteta adjusted Arsenal’s high press. 4-4-2 to 4-2-3-1, with Ødegaard shielding central areas. This let the ball-side CM press high while the far-side CM covered the space. PSG’s rotations and diagonals were less effective after that.
0:20

21 mins in, Arteta adjusted Arsenal’s high press. 4-4-2 to 4-2-3-1, with Ødegaard shielding central areas. This let the ball-side CM press high while the far-side CM covered the space. PSG’s rotations and diagonals were less effective after that.

Fathalli

251,529 görüntüleme • 1 yıl önce

*Video and images shown with full, written informed consent from the patient. Our first ESD of 2024, performed last week, using our saline-immersion technique (SITE)-facilitated, tri-tunnel variation of the pocket-creation method (PCM). The lesion was a 12 x 9cm laterally spreading tumour involving the ileocaecal valve, caecum and ascending colon*. Dissection speed: 28.3 mm^2/min. SITE, which we first described in 2016, enhances patient comfort (avoiding the need for deep sedation), obviates the need for any traction (through buoyancy), enhances optical clarity (through elimination of dissection-related smoke, fat micelles, debris and through intrinsic magnification), and enhances visualisation of vessels and bleeding points. The use of saline (not water) is critical for conductivity. High-effect, forced coagulation enables very effective knife-alone management of vessels and any bleeding, and this, coupled with the use of self-assembling protein matrix gel (Purastat), obviates the need for the use of coagulation forceps. All these factors contribute to increased efficiency, effectiveness and patient comfort. Histopathology of the specimen confirmed complete (R0) resection and showed that the lesion consisted of a low grade dysplastic lesion without any evidence of invasive malignancy, confirming cure. ESD is an endoscopic microsurgical technique which affords an en bloc, organ-preserving, minimally invasive cure for such lesions, which unlike piecemeal resection, offers R0 with virtually no risk of recurrence; this latter point eliminates the need for tight surveillance and related patient inconvenience/risk, also reducing cost and environmental impact. Onwards and upwards for the betterment of minimally invasive care for all our patients!
2:29

*Video and images shown with full, written informed consent from the patient. Our first ESD of 2024, performed last week, using our saline-immersion technique (SITE)-facilitated, tri-tunnel variation of the pocket-creation method (PCM). The lesion was a 12 x 9cm laterally spreading tumour involving the ileocaecal valve, caecum and ascending colon*. Dissection speed: 28.3 mm^2/min. SITE, which we first described in 2016, enhances patient comfort (avoiding the need for deep sedation), obviates the need for any traction (through buoyancy), enhances optical clarity (through elimination of dissection-related smoke, fat micelles, debris and through intrinsic magnification), and enhances visualisation of vessels and bleeding points. The use of saline (not water) is critical for conductivity. High-effect, forced coagulation enables very effective knife-alone management of vessels and any bleeding, and this, coupled with the use of self-assembling protein matrix gel (Purastat), obviates the need for the use of coagulation forceps. All these factors contribute to increased efficiency, effectiveness and patient comfort. Histopathology of the specimen confirmed complete (R0) resection and showed that the lesion consisted of a low grade dysplastic lesion without any evidence of invasive malignancy, confirming cure. ESD is an endoscopic microsurgical technique which affords an en bloc, organ-preserving, minimally invasive cure for such lesions, which unlike piecemeal resection, offers R0 with virtually no risk of recurrence; this latter point eliminates the need for tight surveillance and related patient inconvenience/risk, also reducing cost and environmental impact. Onwards and upwards for the betterment of minimally invasive care for all our patients!

Edward J. Despott

20,327 görüntüleme • 2 yıl önce

Day 1 of the 5th Advanced Endoscopic Skull-base Dissection Workshop جامعة الملك سعود 🇸🇦 Great faculty from all healthcare sectors 🥇Outstanding collaboration between skull-base neurosurgeons and rhinology & skull-base surgeons SANS
0:24

Day 1 of the 5th Advanced Endoscopic Skull-base Dissection Workshop جامعة الملك سعود 🇸🇦 Great faculty from all healthcare sectors 🥇Outstanding collaboration between skull-base neurosurgeons and rhinology & skull-base surgeons SANS

Ashwag Alqurashi | د.أشواق القرشي

15,340 görüntüleme • 1 yıl önce

How a polyp is removed from the uterus
0:30

How a polyp is removed from the uterus

Interesting As Fuck

82,852 görüntüleme • 1 yıl önce

The ESD Acoustic Super Dragon is widely regarded as one of the most expensive hi-fi audio systems ever built, with a reported price tag of around $4 million.
1:01

The ESD Acoustic Super Dragon is widely regarded as one of the most expensive hi-fi audio systems ever built, with a reported price tag of around $4 million.

Massimo

84,999 görüntüleme • 10 saat önce

NEWS: Luis Gil was diagnosed with a high-grade right lat strain, according to Aaron Boone. Gil will not throw for at least six weeks.
1:05

NEWS: Luis Gil was diagnosed with a high-grade right lat strain, according to Aaron Boone. Gil will not throw for at least six weeks.

Bryan Hoch ⚾️

52,255 görüntüleme • 1 yıl önce

High-Grade Gold. Fast Payback. Amex Exploration is advancing a Quebec gold project that checks the boxes investors look for: • 2.3M oz total resource (1.6M oz M&I) • ~6 g/t average grade • 837K oz at 16 g/t in a standout high-grade zone But it’s the economics that stand out: • Rapid payback potential measured in months • Strong margins supported by high grade • Viable even at lower gold prices Located in Quebec with access to hydropower, infrastructure, and First Nations support, the project combines: grade + jurisdiction + economics. A rare combination— and a development story taking shape. Learn more:
0:53

High-Grade Gold. Fast Payback. Amex Exploration is advancing a Quebec gold project that checks the boxes investors look for: • 2.3M oz total resource (1.6M oz M&I) • ~6 g/t average grade • 837K oz at 16 g/t in a standout high-grade zone But it’s the economics that stand out: • Rapid payback potential measured in months • Strong margins supported by high grade • Viable even at lower gold prices Located in Quebec with access to hydropower, infrastructure, and First Nations support, the project combines: grade + jurisdiction + economics. A rare combination— and a development story taking shape. Learn more:

BTV & CEO Clips

51,228 görüntüleme • 1 ay önce

Got. Lil high grade coming round peeps, brass father activated rump her for a bit ha ha
2:10

Got. Lil high grade coming round peeps, brass father activated rump her for a bit ha ha

Danny Boy

29,040 görüntüleme • 6 ay önce

Flexible Robotic Platform for Endoscopic Surgery with 3.7 mm Diameter Robotic Arms. #medical #robot #tech #roboticsurgery
1:21

Flexible Robotic Platform for Endoscopic Surgery with 3.7 mm Diameter Robotic Arms. #medical #robot #tech #roboticsurgery

SurgMedia

17,584 görüntüleme • 3 yıl önce

Chris Cole (LB) Georgia ✅ Blitzing ability with decent bend and 18 pressures in 2025 ✅ 5-star recruit in high school ✅ 88.9 coverage grade in 2025, along with a74.3 run defense grade ✅ Versatility as a former safety ✅ High-level athleticism
0:52

Chris Cole (LB) Georgia ✅ Blitzing ability with decent bend and 18 pressures in 2025 ✅ 5-star recruit in high school ✅ 88.9 coverage grade in 2025, along with a74.3 run defense grade ✅ Versatility as a former safety ✅ High-level athleticism

Bengals & Brews

16,792 görüntüleme • 1 ay önce

Gacha updated Added flags for ESD Pyrois is automatically skipped
0:51

Gacha updated Added flags for ESD Pyrois is automatically skipped

Akila

221,621 görüntüleme • 1 ay önce

Pilot project in thousand lights Storm water drain cleanser High pressure vaccum with video assisted Experts say annual or once in two years cleaning would be optimal for chennai ( Looks like an endoscopic procedure in our gut )
1:07

Pilot project in thousand lights Storm water drain cleanser High pressure vaccum with video assisted Experts say annual or once in two years cleaning would be optimal for chennai ( Looks like an endoscopic procedure in our gut )

Ezhilan

12,864 görüntüleme • 4 ay önce

Endoscopic view of swallowing a sword
0:34

Endoscopic view of swallowing a sword

Keith Siau

52,615 görüntüleme • 6 ay önce