Sensitive content

This media may contain sensitive content.

Loading video...

Video Failed to Load

There was a problem loading this video. This could be due to a temporary network issue or the video might be unavailable.

"Hot" Laproscopic Cholecystectomy 🔴Principles remain the same 🔴Know bailout options ➡️Subtotal 🔴Gallbladder decompression 🔴Identification of Rouviere's sulcus if present 🔴Endo pledget very useful in these cases 🔴Suction/irrigation ➡️blunt dissection 🔴Demonstrate CVS

Derby Pancreaticobiliary & Robotic AWR Unit

10,746 subscribers

11,422 views • 5 months ago •via X (Twitter)

Anya Rossi• Live Now

Private livecam show

0 Comments

No comments available

Comments from the original post will appear here

Related Videos

Tips for Retrieval of CBD Stone during Transcholedochal LCBDE 🔴CBD >8mm 🔴Atraumatic graspers useful 🔴"Milking" CBDS 🔴5mm choledochoscope with 0-Tip basket ➡️Gentle "to-and-fro" motion ➡️Irrigation 🔴Withdraw choledochoscope over basket wire with trapped CBDS 🔴Extend choledochotomy #FOAMed #GITwitter #Surgery #SoMe4Surgery #HPB

Tips for Retrieval of CBD Stone during Transcholedochal LCBDE 🔴CBD >8mm 🔴Atraumatic graspers useful 🔴"Milking" CBDS 🔴5mm choledochoscope with 0-Tip basket ➡️Gentle "to-and-fro" motion ➡️Irrigation 🔴Withdraw choledochoscope over basket wire with trapped CBDS 🔴Extend choledochotomy #FOAMed #GITwitter #Surgery #SoMe4Surgery #HPB

Derby Pancreaticobiliary & Robotic AWR Unit

28,847 views • 4 months ago

𝗟𝗮𝗽𝗮𝗿𝗼𝘀𝗰𝗼𝗽𝗶𝗰 𝗙𝗲𝗻𝗲𝘀𝘁𝗿𝗮𝘁𝗲𝗱 𝗦𝘂𝗯𝘁𝗼𝘁𝗮𝗹 𝗖𝗵𝗼𝗹𝗲𝗰𝘆𝘀𝘁𝗲𝗰𝘁𝗼𝗺𝘆 Patient Presentation: 🔵History of severe cholecystitis 🔵CT on index admission showed: ➡️Cholecysto-colic fistula ➡️Air locules on GB ➡️Figure 1 below 🔵Follow up CT (~4 months later): ➡️Good improvement with apparent resolution of fistula as absence of air in GB ➡️Figure 2 below 🔵Symptomatic gallstones 🔵Listed for planned biliary surgery Operative Approach: 🔴Colonic adhesion to GB fundus 🔴Fused hepatocystic triangle ➡️Decision to perform subtotal cholecystectomy 🔴Dissection plane (window) identified between GB and colon 🔴Presumed area of fistula tract detached with cuff of GB wall 🔴Stone retrieved and GB opened to identify cystic duct ostium on opening GB ➡️Closed with 2/0 Vicryl 🔴Gallbladder dissected off as far as safe to do so 🔴Detached colonic attachment with GB cuff ➡️No obvious fistula tract ➡️The area was under run to achieve haemostasis 🔴Cystic artery transfixed with figure of 8 suture 🔴Drain x 1 ➡️Removed after 24 hours 🔴Uneventful postop course #FOAMed #MedTwitter #GITwitter #SoMe4Surgery #HPB

𝗟𝗮𝗽𝗮𝗿𝗼𝘀𝗰𝗼𝗽𝗶𝗰 𝗙𝗲𝗻𝗲𝘀𝘁𝗿𝗮𝘁𝗲𝗱 𝗦𝘂𝗯𝘁𝗼𝘁𝗮𝗹 𝗖𝗵𝗼𝗹𝗲𝗰𝘆𝘀𝘁𝗲𝗰𝘁𝗼𝗺𝘆 Patient Presentation: 🔵History of severe cholecystitis 🔵CT on index admission showed: ➡️Cholecysto-colic fistula ➡️Air locules on GB ➡️Figure 1 below 🔵Follow up CT (~4 months later): ➡️Good improvement with apparent resolution of fistula as absence of air in GB ➡️Figure 2 below 🔵Symptomatic gallstones 🔵Listed for planned biliary surgery Operative Approach: 🔴Colonic adhesion to GB fundus 🔴Fused hepatocystic triangle ➡️Decision to perform subtotal cholecystectomy 🔴Dissection plane (window) identified between GB and colon 🔴Presumed area of fistula tract detached with cuff of GB wall 🔴Stone retrieved and GB opened to identify cystic duct ostium on opening GB ➡️Closed with 2/0 Vicryl 🔴Gallbladder dissected off as far as safe to do so 🔴Detached colonic attachment with GB cuff ➡️No obvious fistula tract ➡️The area was under run to achieve haemostasis 🔴Cystic artery transfixed with figure of 8 suture 🔴Drain x 1 ➡️Removed after 24 hours 🔴Uneventful postop course #FOAMed #MedTwitter #GITwitter #SoMe4Surgery #HPB

Derby Pancreaticobiliary & Robotic AWR Unit

17,864 views • 2 years ago

Tips for Transcystic Laparoscopic CBD Exploration 🔴3mm choledochoscope ➡️Direct visualisation of duct 🔴Cephalad retraction 🔴Incise cystic duct parallel to CBD stone 🔴If large CBD stone ➡️withdraw scope over wire and provide gentle traction 🔴Milk backwards 🔴Keep CBD in view 🔴Reduce speed of irrigation to trap CBDS What are your tips and tricks for transcystic LCBDE? #FOAMed #GITwitter #surgery #hpb #MedEd #SoMe4Surgery

Tips for Transcystic Laparoscopic CBD Exploration 🔴3mm choledochoscope ➡️Direct visualisation of duct 🔴Cephalad retraction 🔴Incise cystic duct parallel to CBD stone 🔴If large CBD stone ➡️withdraw scope over wire and provide gentle traction 🔴Milk backwards 🔴Keep CBD in view 🔴Reduce speed of irrigation to trap CBDS What are your tips and tricks for transcystic LCBDE? #FOAMed #GITwitter #surgery #hpb #MedEd #SoMe4Surgery

Derby Pancreaticobiliary & Robotic AWR Unit

14,575 views • 10 months ago

$Laparoscopic Infracolic Necrosectomy and Drainage of RIF Abscess 🔴Septic patient but no organ failure 🔴Narrow window of access for EUS or IR drainage 🔴Single stage clearance of WON and drainage of RIF abscess ➡️Prevents hits of sepsis between multiple procedures ➡️Address both collections at once ➡️Select cases ➡️Benign PB MDT ➡️"One size does not fit all" Our paper on infracolic approach in JOGS: #Surgery #HPB #Pancreatitis$

Laparoscopic Infracolic Necrosectomy and Drainage of RIF Abscess 🔴Septic patient but no organ failure 🔴Narrow window of access for EUS or IR drainage 🔴Single stage clearance of WON and drainage of RIF abscess ➡️Prevents hits of sepsis between multiple procedures ➡️Address both collections at once ➡️Select cases ➡️Benign PB MDT ➡️"One size does not fit all" Our paper on infracolic approach in JOGS: #Surgery #HPB #Pancreatitis

Derby Pancreaticobiliary & Robotic AWR Unit

10,058 views • 6 months ago

🔴 In the Hall of the Mountain King for Guitar 🔴 #Edvard_Grieg ➡️ --- #NFT #NFT_Shill #NFTSPACESHIP #Morixels #I_Love_Morixels #ardavan #blamekato #collectors #Guitar #music #mountain #king Foundation 🌐

🔴 In the Hall of the Mountain King for Guitar 🔴 #Edvard_Grieg ➡️ --- #NFT #NFT_Shill #NFTSPACESHIP #Morixels #I_Love_Morixels #ardavan #blamekato #collectors #Guitar #music #mountain #king Foundation 🌐

Ardavan Homayounfar

14,197 views • 3 years ago

🔴 Another devastating world war? 🔴 The use of nuclear weapons? 🔴 A democratic depression? Scowcroft Center asked more than 350 global strategists and foresight experts what the world might look like in 2035. Here’s what they found: ➡️ THREAD 🧵

🔴 Another devastating world war? 🔴 The use of nuclear weapons? 🔴 A democratic depression? Scowcroft Center asked more than 350 global strategists and foresight experts what the world might look like in 2035. Here’s what they found: ➡️ THREAD 🧵

Atlantic Council

10,912 views • 1 year ago

🇬🇧 Coming up on The UK Tonight with Sarah-Jane Mee... 🔴 First batch of Mandelson files have dropped 🔴 Stabbing at a school in Norfolk Watch here from 8pm ➡️

🇬🇧 Coming up on The UK Tonight with Sarah-Jane Mee... 🔴 First batch of Mandelson files have dropped 🔴 Stabbing at a school in Norfolk Watch here from 8pm ➡️

Sky News

24,211 views • 5 months ago

We’re currently providing medical care in Gaza, as Israel takes steps to stop our work and that of other NGOs. If this happens, the impact will be felt. In 2025, we: 🔴 Handled more than 100,000 trauma cases 🔴 Provided 800,000 outpatient consultations 🔴 Supported 10,000 births

We’re currently providing medical care in Gaza, as Israel takes steps to stop our work and that of other NGOs. If this happens, the impact will be felt. In 2025, we: 🔴 Handled more than 100,000 trauma cases 🔴 Provided 800,000 outpatient consultations 🔴 Supported 10,000 births

MSF International

65,269 views • 7 months ago

EVERY DEMOCRAT NEEDS TO SEE THIS DSA co-chair Megan Romer laid out the organization’s platform. Now I’ve got to ask: will they be held accountable when they can’t get these policies enacted, just like Democrats in general? 🔴Eliminate the U.S. Senate 🔴Replace the presidency and Supreme Court 🔴Public ownership of major corporations 🔴Abolish police and prisons 🔴Defund the Pentagon 🔴Tax the wealthy to expand public ownership 🔴Prosecute U.S. and Israeli leaders over Gaza 🔴Civilian control of policing 🔴Amnesty for all immigrants 🔴Reparations and tribal sovereignty If Dems don’t start drawing clear distinctions between the Democratic Party and organizations like the DSA, Republicans will gladly do it for them. And they’ll use it to define every Democrat on the ballot. Buckle up.

EVERY DEMOCRAT NEEDS TO SEE THIS DSA co-chair Megan Romer laid out the organization’s platform. Now I’ve got to ask: will they be held accountable when they can’t get these policies enacted, just like Democrats in general? 🔴Eliminate the U.S. Senate 🔴Replace the presidency and Supreme Court 🔴Public ownership of major corporations 🔴Abolish police and prisons 🔴Defund the Pentagon 🔴Tax the wealthy to expand public ownership 🔴Prosecute U.S. and Israeli leaders over Gaza 🔴Civilian control of policing 🔴Amnesty for all immigrants 🔴Reparations and tribal sovereignty If Dems don’t start drawing clear distinctions between the Democratic Party and organizations like the DSA, Republicans will gladly do it for them. And they’ll use it to define every Democrat on the ballot. Buckle up.

Christopher Webb

140,602 views • 19 days ago

$Laparoscopic Infracolic Necrosectomy and Drainage of RIF Abscess 🔴Septic patient but no organ failure 🔴Narrow window of access for EUS or IR drainage 🔴Single stage clearance of WON and drainage of RIF abscess ➡️Prevents hits of sepsis between multiple procedures ➡️Address both collections at once ➡️Select cases ➡️Benign PB MDT ➡️"One size does not fit all" Our paper on infracolic approach in JOGS: Our collaboration with BehindTheKnife on MIS for complicated SAP: #Surgery #HPB #Pancreatitis$

Laparoscopic Infracolic Necrosectomy and Drainage of RIF Abscess 🔴Septic patient but no organ failure 🔴Narrow window of access for EUS or IR drainage 🔴Single stage clearance of WON and drainage of RIF abscess ➡️Prevents hits of sepsis between multiple procedures ➡️Address both collections at once ➡️Select cases ➡️Benign PB MDT ➡️"One size does not fit all" Our paper on infracolic approach in JOGS: Our collaboration with BehindTheKnife on MIS for complicated SAP: #Surgery #HPB #Pancreatitis

Derby Pancreaticobiliary & Robotic AWR Unit

17,219 views • 9 months ago

☕️ This morning, I about spit out my coffee. I look up and—son of a bitch—they’re ALREADY advertising foreign docs ahead of Jan 1. Rocky Mount, NC. Rural as hell. Ads say: ➡️ H-1Bs & J-1s invited to apply ➡️ In-house visa lawyers ➡️ Licensing/credentialing experts ➡️ All expenses paid relocation And look what’s on the menu: 🔴Anesthesiologist – no board cert listed, visa sponsored 🔴OB-GYN – 10 yrs overseas practice counts, even if not current 🔴Gastroenterologist – same deal, relocation & visa sponsorship #ncpol

☕️ This morning, I about spit out my coffee. I look up and—son of a bitch—they’re ALREADY advertising foreign docs ahead of Jan 1. Rocky Mount, NC. Rural as hell. Ads say: ➡️ H-1Bs & J-1s invited to apply ➡️ In-house visa lawyers ➡️ Licensing/credentialing experts ➡️ All expenses paid relocation And look what’s on the menu: 🔴Anesthesiologist – no board cert listed, visa sponsored 🔴OB-GYN – 10 yrs overseas practice counts, even if not current 🔴Gastroenterologist – same deal, relocation & visa sponsorship #ncpol

Sloan Rachmuth

56,776 views • 11 months ago

🚨The Party that built Ram Mandir Won 33 seats in Uttar Pradesh ! 🚨The Party that fired bullets at Ram bhakts Won 37 seats ! 🔴 Hindus don't have self respect, even in future they will not have it ! 🔴 In Hindu Dharma, half of the Hindus are Traitors (they cheated Hinduism) ! 🔴 None in the world are like Hindus, these are least bothered of Nation & Religion ! 🔴 They are ready to sell themselves if someone gives something to them for FREE 🔴 India won't Develop till we have such shameless Hindus !

🚨The Party that built Ram Mandir Won 33 seats in Uttar Pradesh ! 🚨The Party that fired bullets at Ram bhakts Won 37 seats ! 🔴 Hindus don't have self respect, even in future they will not have it ! 🔴 In Hindu Dharma, half of the Hindus are Traitors (they cheated Hinduism) ! 🔴 None in the world are like Hindus, these are least bothered of Nation & Religion ! 🔴 They are ready to sell themselves if someone gives something to them for FREE 🔴 India won't Develop till we have such shameless Hindus !

Mona Patel 🇮🇳🐅🌳

102,460 views • 6 months ago

🚨The Political Agenda of Cockroach Party ! ➡️ To defeat Yogi Adityanath in UP ! ➡️ To help AAP winning Punjab ! 🔴 CJP is a Non-Conventional Proxy Movement ! 🔴 It’s not a youth Movement for the betterment of the country ! 🚨Started by AAP and supported by Samajwadi Party to help these Parties to win Elections !

🚨The Political Agenda of Cockroach Party ! ➡️ To defeat Yogi Adityanath in UP ! ➡️ To help AAP winning Punjab ! 🔴 CJP is a Non-Conventional Proxy Movement ! 🔴 It’s not a youth Movement for the betterment of the country ! 🚨Started by AAP and supported by Samajwadi Party to help these Parties to win Elections !

Mona Patel 🇮🇳🐅🌳

17,550 views • 2 months ago

THE DISAPPEARANCE OF MADELEINE McCANN 🧵 Dog handler Martin Grime (former FBI) describes what happened the moment the dogs entered Apartment 5A: 🔴 “As soon as I came in, the dog was very excited. As a handler, I can read his body language.” 🔴 “It appeared to me that as soon as he entered the apartment, he picked up a scent he recognised.” 🔴 “There was enough scent in that area for him to give a bark indication.” 🔴 “It was a strong indication — positive for what he is trained to find.” 🔴 “When we moved into the bedroom, he lost interest — because he had already found the source he was looking for.” 🔴 “This dog only barks when he finds something.” Then the second dog, Keela, the crime-scene dog: 🔴 “She will only indicate when she has found HUMAN blood.” 🔴 “At the same location, Keela gave a passive indication — freezing on the spot — which tells me there is human blood present.” 🔴 SWAB 3A (behind the sofa): “All confirmed DNA components match the DNA profile of Madeleine McCann.” ❗ Two dogs. ❗ Independently trained. ❗ Different disciplines. ❗ Same location. This isn’t coincidence. This is corroboration. #MadeleineMcCann #McCann #TrueCrime

Craig Campbell

238,642 views • 8 months ago

🚨🇬🇧 EMILY MAITLIS NOW WONDERING IF SHABANA MAHMOOD IS “RACIST” FOR SAYING THE WORD ‘P*KI’ IN PARLIAMENT You genuinely couldn’t write this. Emily Maitlis is tying herself in knots trying to decide whether Shabana Mahmood - Labour’s own Home Secretary - is a racist for quoting the word in context during a parliamentary exchange. 🔴 The Left eating itself over its own language policing 🔴 Labour MPs now accusing each other of “racism” 🔴 Identity politics devouring the very people who push it 🔴 Meanwhile Britain’s real problems go ignored

🚨🇬🇧 EMILY MAITLIS NOW WONDERING IF SHABANA MAHMOOD IS “RACIST” FOR SAYING THE WORD ‘P*KI’ IN PARLIAMENT You genuinely couldn’t write this. Emily Maitlis is tying herself in knots trying to decide whether Shabana Mahmood - Labour’s own Home Secretary - is a racist for quoting the word in context during a parliamentary exchange. 🔴 The Left eating itself over its own language policing 🔴 Labour MPs now accusing each other of “racism” 🔴 Identity politics devouring the very people who push it 🔴 Meanwhile Britain’s real problems go ignored

British Intel

58,572 views • 8 months ago

"If You Knew You Had A 75% Chance Of Incurable, Untreatable, Forever Dry Eye...Would You Have Wanted LASIK Surgery?" Dr Cynthia MacKay, MD "The FDA Stays Silent On The Dangers Of LASIK." "100s Of People Have Even Ended Their Life, After LASIK Caused Unliveable Chronic Pain." Risks That Doctors Aren't Sharing With Their Patients Prior To Surgery... 🔴44% lose the ability to see at distance. 🔴No longer be able to distinguish subtle shades of grey. 🔴Only a 30% chance of not needing glasses anymore. 🔴75% chance of 'dry eye syndrome' which is actually corneal nerve pain. 🔴1 in 2 chance of developing glare, sensitivity to light & blurry vision. 🔴Risk of infection from the 'lasik flap' never healing. 🔴Increases risk of retinal detachment 2,000X. 🔴Countless suicides documented after post surgery incapacitating chronic nerve pain. Podcast: Culture Apothecary with Alex Clark Speaker: Dr Cynthia MacKay, MD Author of "Broken Eyes" Book with the documentary of the same name of the dark history of Lasik & FDA coverup safety risks with LASIK injury sufferers. Cited Research Resources Linked In Replies...

"If You Knew You Had A 75% Chance Of Incurable, Untreatable, Forever Dry Eye...Would You Have Wanted LASIK Surgery?" Dr Cynthia MacKay, MD "The FDA Stays Silent On The Dangers Of LASIK." "100s Of People Have Even Ended Their Life, After LASIK Caused Unliveable Chronic Pain." Risks That Doctors Aren't Sharing With Their Patients Prior To Surgery... 🔴44% lose the ability to see at distance. 🔴No longer be able to distinguish subtle shades of grey. 🔴Only a 30% chance of not needing glasses anymore. 🔴75% chance of 'dry eye syndrome' which is actually corneal nerve pain. 🔴1 in 2 chance of developing glare, sensitivity to light & blurry vision. 🔴Risk of infection from the 'lasik flap' never healing. 🔴Increases risk of retinal detachment 2,000X. 🔴Countless suicides documented after post surgery incapacitating chronic nerve pain. Podcast: Culture Apothecary with Alex Clark Speaker: Dr Cynthia MacKay, MD Author of "Broken Eyes" Book with the documentary of the same name of the dark history of Lasik & FDA coverup safety risks with LASIK injury sufferers. Cited Research Resources Linked In Replies...

Valerie Anne Smith

96,088 views • 9 months ago

🎥🎟️🍿 ➡️INSIDE #DucatiLenovoTeam Episode 09 #ItalianGP 🏆🔴🇮🇹 The 93rd chapter of a Renaissance. It was a real blast! A very particular chess match in Florence, a week full of emotions... Stay tuned ➡️➡️➡️ Soon ONLINE on the Ducati YouTube channel! #ForzaDucati

🎥🎟️🍿 ➡️INSIDE #DucatiLenovoTeam Episode 09 #ItalianGP 🏆🔴🇮🇹 The 93rd chapter of a Renaissance. It was a real blast! A very particular chess match in Florence, a week full of emotions... Stay tuned ➡️➡️➡️ Soon ONLINE on the Ducati YouTube channel! #ForzaDucati

Ducati Corse

16,331 views • 1 year ago

🚨 Iranians rejoice as multiple Iraqi PMU commanders are eliminated in a targeted strike in Habbaniyah. 🔴 Saad Dawai al-Baiji — Commander of PMF operations in Anbar 🔴 Haider al-Maamouri — Security Director of PMF in Anbar 🔴 Wathiq al-Fartousi — PMF Intelligence Director in Anbar These same PMU forces were brought in by the Islamic Republic to suppress protests, with widespread reports of killings, rape, and other abuses during the January 2026 unrest. This feels like long-overdue justice.

🚨 Iranians rejoice as multiple Iraqi PMU commanders are eliminated in a targeted strike in Habbaniyah. 🔴 Saad Dawai al-Baiji — Commander of PMF operations in Anbar 🔴 Haider al-Maamouri — Security Director of PMF in Anbar 🔴 Wathiq al-Fartousi — PMF Intelligence Director in Anbar These same PMU forces were brought in by the Islamic Republic to suppress protests, with widespread reports of killings, rape, and other abuses during the January 2026 unrest. This feels like long-overdue justice.

The Iran Watcher 🇮🇷

33,348 views • 4 months ago

🚨🇬🇧 “STAY AT HOME. ISOLATE FROM OTHERS.” – SUPER-FLU MESSAGE RAISES EYEBROWS Pharmacist Oliver Picard is urging people with the so-called “super-flu” to isolate at home as cases are said to be surging and hospital admissions hit record levels. 🔴 Public advice stresses isolation and staying indoors 🔴 Language mirrors Covid-era messaging almost word for word 🔴 Claims of record admissions dominate headlines 🔴 Little independent scrutiny of severity versus seasonal flu norms This sounds uncomfortably familiar. Many are asking a simple question: does anyone actually know people seriously affected by this “super-flu” – or is the threat being amplified once again? If it really were as widespread and severe as claimed, would it not be visible in everyday life? Same script. Same tone. Same pressure. Credit: GB News

🚨🇬🇧 “STAY AT HOME. ISOLATE FROM OTHERS.” – SUPER-FLU MESSAGE RAISES EYEBROWS Pharmacist Oliver Picard is urging people with the so-called “super-flu” to isolate at home as cases are said to be surging and hospital admissions hit record levels. 🔴 Public advice stresses isolation and staying indoors 🔴 Language mirrors Covid-era messaging almost word for word 🔴 Claims of record admissions dominate headlines 🔴 Little independent scrutiny of severity versus seasonal flu norms This sounds uncomfortably familiar. Many are asking a simple question: does anyone actually know people seriously affected by this “super-flu” – or is the threat being amplified once again? If it really were as widespread and severe as claimed, would it not be visible in everyday life? Same script. Same tone. Same pressure. Credit: GB News

British Intel

124,243 views • 8 months ago