Sensitive content

This media may contain sensitive content.

Video wird geladen...

Video konnte nicht geladen werden

Zur Startseite

Our Approach 🔴Dissection was kept close to gallbladder throughout 🔴Arterial rather than venous bleed 🔴Bleeding brisk ➡️Pressure did help but not successful 🔴Small arterial branch identified entering GB wall 🔴Suction/irrigation handy 🔴Careful evaluation of bleeding vessel 🔴After confirmation, clip applied to the vessel that was entering GB ➡️Likely a...

DerbyPBunit's profile picture

Derby Pancreaticobiliary & Robotic AWR Unit

11,032 subscribers

32,944 Aufrufe • vor 7 Monaten •via X (Twitter)

NSFW
LIVE

Anya Rossi• Live Now

Private livecam show

0 Kommentare

Keine Kommentare verfügbar

Kommentare vom Original-Post werden hier angezeigt

Ähnliche Videos

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
3:55

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

18,049 Aufrufe • vor 2 Jahren

Laparoscopic Ileocaecal Resection with Intracorporeal Anastomosis and ICG Patient Presentation: 🔴Sudden onset severe abdominal pain 🔴Tender abdomen 🔴No previous abdominal surgery 🔴High WCC 🔴Lactate ➡️5 on arrival down to 2 in 2 hours following fluid resuscitation 🔴CT abdomen/pelvis ➡️Red arrows show no small bowel perfusion with mural thickening ➡️Green arrows show perfused small and large bowel ➡️Mesenteric vessels patent Surgical Approach: 🔴Lap EGS approach ➡️Torsion of small bowel with Meckel's adhesion to abdominal wall acting as pivot point ➡️80cm ischaemic small bowel involving ileocaecal junction 🔴Specimen retrieved via extension of LUQ 12mm port
3:48

Laparoscopic Ileocaecal Resection with Intracorporeal Anastomosis and ICG Patient Presentation: 🔴Sudden onset severe abdominal pain 🔴Tender abdomen 🔴No previous abdominal surgery 🔴High WCC 🔴Lactate ➡️5 on arrival down to 2 in 2 hours following fluid resuscitation 🔴CT abdomen/pelvis ➡️Red arrows show no small bowel perfusion with mural thickening ➡️Green arrows show perfused small and large bowel ➡️Mesenteric vessels patent Surgical Approach: 🔴Lap EGS approach ➡️Torsion of small bowel with Meckel's adhesion to abdominal wall acting as pivot point ➡️80cm ischaemic small bowel involving ileocaecal junction 🔴Specimen retrieved via extension of LUQ 12mm port

Derby Pancreaticobiliary & Robotic AWR Unit

18,311 Aufrufe • vor 5 Monaten

𝗘𝗺𝗲𝗿𝗴𝗲𝗻𝗰𝘆 𝗥𝗼𝗯𝗼𝘁𝗶𝗰 𝗥𝗲𝗽𝗮𝗶𝗿 𝗼𝗳 𝗟𝗲𝗳𝘁 𝗜𝗻𝗴𝘂𝗶𝗻𝗮𝗹 𝗛𝗲𝗿𝗻𝗶𝗮 𝘄𝗶𝘁𝗵 𝗜𝗖𝗚 Surgical Approach: 🔴Initial assessment of small bowel with ICG 🔴Small bowel placed in pelvis with warm wet swabs overlying 🔴TAPP approach to hernia repair ➡️Critical view of MPO ➡️ICG to help delineate key structures ➡️Progrip mesh ➡️3-0 absorbable V-lock to close peritoneum 🔴Reassessment of small bowel after hernia repair ➡️ICG present in bruised area demonstrating viability ➡️Aided decision making to not resect or oversew Robotics in EGS: 🟢Case selection key 🟢MDT approach with anaesthetic and scrub teams to coordinate 🟢Minimally invasive approaches in EGS should be encouraged #FOAMed #GITwitter #MedEd #Surgery #Hernia #EGS
3:34

𝗘𝗺𝗲𝗿𝗴𝗲𝗻𝗰𝘆 𝗥𝗼𝗯𝗼𝘁𝗶𝗰 𝗥𝗲𝗽𝗮𝗶𝗿 𝗼𝗳 𝗟𝗲𝗳𝘁 𝗜𝗻𝗴𝘂𝗶𝗻𝗮𝗹 𝗛𝗲𝗿𝗻𝗶𝗮 𝘄𝗶𝘁𝗵 𝗜𝗖𝗚 Surgical Approach: 🔴Initial assessment of small bowel with ICG 🔴Small bowel placed in pelvis with warm wet swabs overlying 🔴TAPP approach to hernia repair ➡️Critical view of MPO ➡️ICG to help delineate key structures ➡️Progrip mesh ➡️3-0 absorbable V-lock to close peritoneum 🔴Reassessment of small bowel after hernia repair ➡️ICG present in bruised area demonstrating viability ➡️Aided decision making to not resect or oversew Robotics in EGS: 🟢Case selection key 🟢MDT approach with anaesthetic and scrub teams to coordinate 🟢Minimally invasive approaches in EGS should be encouraged #FOAMed #GITwitter #MedEd #Surgery #Hernia #EGS

Derby Pancreaticobiliary & Robotic AWR Unit

23,643 Aufrufe • vor 2 Monaten

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
1:24

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

29,314 Aufrufe • vor 7 Monaten

Emergency Laparoscopic Repair of Strangulated Femoral Hernia with Small Bowel Resection & ICG 🔴Reduction of small bowel ➡️Await perfusion recovery ➡️Allows for demarcation of ischaemic segment 🔴Undertake hernia repair ➡️TAPP approach ➡️Opted for suture repair for this case ➡️Biologic mesh alternative option ➡️Synthetic mesh can be considered if no bowel resection 🔴ICG to assess bowel perfusion and delineate length of resection ➡️Given intraop at time of assessment ➡️Immediate assessment within 30 seconds key ➡️Excellent tool for teaching trainees 🔴Advanced lap skills crucial 🔴Lap EGS recommended ➡️Underutilisation in the UK
2:06

Emergency Laparoscopic Repair of Strangulated Femoral Hernia with Small Bowel Resection & ICG 🔴Reduction of small bowel ➡️Await perfusion recovery ➡️Allows for demarcation of ischaemic segment 🔴Undertake hernia repair ➡️TAPP approach ➡️Opted for suture repair for this case ➡️Biologic mesh alternative option ➡️Synthetic mesh can be considered if no bowel resection 🔴ICG to assess bowel perfusion and delineate length of resection ➡️Given intraop at time of assessment ➡️Immediate assessment within 30 seconds key ➡️Excellent tool for teaching trainees 🔴Advanced lap skills crucial 🔴Lap EGS recommended ➡️Underutilisation in the UK

Derby Pancreaticobiliary & Robotic AWR Unit

117,305 Aufrufe • vor 2 Monaten

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
0:53

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 Aufrufe • vor 1 Jahr

Tips & Tricks for Minimally Invasive Adhesiolysis 🔴Gentle counter traction on bowel whilst scissors dissects adhesion under tension 🔴Cold scissors 🔴Divide adhesion close to abdominal wall 🔴Include tissue from abdominal wall onto bowel ➡️Shown prior to division of adhesion
0:51

Tips & Tricks for Minimally Invasive Adhesiolysis 🔴Gentle counter traction on bowel whilst scissors dissects adhesion under tension 🔴Cold scissors 🔴Divide adhesion close to abdominal wall 🔴Include tissue from abdominal wall onto bowel ➡️Shown prior to division of adhesion

Derby Pancreaticobiliary & Robotic AWR Unit

95,516 Aufrufe • vor 9 Monaten

🚨🇬🇧 KEIR STARMER’S GROWING LIST OF LIES – AND THE GASLIGHTING THAT FOLLOWS Keir Starmer has lied about: 🔴 Farming 🔴 Fishing 🔴 Small boats 🔴 The £22bn “black hole” 🔴 Tuition fees 🔴 Winter fuel allowance 🔴 Council tax 🔴 Energy bills 🔴 Taxation 🔴 Food prices And that’s before the rest: 🔴 Net migration and border control 🔴 EU alignment and “no return to EU control” 🔴 Free speech and policing of opinion 🔴 Early prisoner releases and law-and-order promises 🔴 Nationalisation pledges quietly dropped 🔴 Protecting pensioners and low-income households 🔴 Honesty and “restoring trust in politics” Every failure is followed by denial. Every broken promise is blamed on someone else. Every challenge is met with gaslighting. This is pure incompetence – and the public are not stupid. Starmer must resign and we must have a general election NOW.
0:22

🚨🇬🇧 KEIR STARMER’S GROWING LIST OF LIES – AND THE GASLIGHTING THAT FOLLOWS Keir Starmer has lied about: 🔴 Farming 🔴 Fishing 🔴 Small boats 🔴 The £22bn “black hole” 🔴 Tuition fees 🔴 Winter fuel allowance 🔴 Council tax 🔴 Energy bills 🔴 Taxation 🔴 Food prices And that’s before the rest: 🔴 Net migration and border control 🔴 EU alignment and “no return to EU control” 🔴 Free speech and policing of opinion 🔴 Early prisoner releases and law-and-order promises 🔴 Nationalisation pledges quietly dropped 🔴 Protecting pensioners and low-income households 🔴 Honesty and “restoring trust in politics” Every failure is followed by denial. Every broken promise is blamed on someone else. Every challenge is met with gaslighting. This is pure incompetence – and the public are not stupid. Starmer must resign and we must have a general election NOW.

British Intel

39,362 Aufrufe • vor 10 Monaten

🔴 NAZOOOOOOOOOOOO!!!! 🔴 And that is a wrap!!🎬🎬 THANK YOU TO ALL THE #MSW SHAREHOLDERS who kept us at No.1 in 2024!! Too many highlights, too many memories!! Thanks to all our guests for their time!! What was YOUR highlight?? Blessed 2025!! 🫱🏾‍🫲🏽🥂📻
4:34

🔴 NAZOOOOOOOOOOOO!!!! 🔴 And that is a wrap!!🎬🎬 THANK YOU TO ALL THE #MSW SHAREHOLDERS who kept us at No.1 in 2024!! Too many highlights, too many memories!! Thanks to all our guests for their time!! What was YOUR highlight?? Blessed 2025!! 🫱🏾‍🫲🏽🥂📻

robertmarawa

112,262 Aufrufe • vor 1 Jahr

Imagine Neville spent all these years talking the most sh*t about Arsenal only for Don Arteta & Capo of all capos Don Kronke Rock up to your skysports show to hand you this “L” MY CLUB ARE NOT TAKING NO PRISONERS. MERCY IS FOR THE WEAK. 🥷🏽🔴☠️🪦😭 THE NORTH ABSOLUTELY REMEMBERED! 🔴🔴🔴🔴🔴🔴😂😂😂😂😂👏🏽
0:29

Imagine Neville spent all these years talking the most sh*t about Arsenal only for Don Arteta & Capo of all capos Don Kronke Rock up to your skysports show to hand you this “L” MY CLUB ARE NOT TAKING NO PRISONERS. MERCY IS FOR THE WEAK. 🥷🏽🔴☠️🪦😭 THE NORTH ABSOLUTELY REMEMBERED! 🔴🔴🔴🔴🔴🔴😂😂😂😂😂👏🏽

Gunnerking_14

53,398 Aufrufe • vor 5 Monaten

Pleasure to be on Pre Match Warm Up on The Anfield Wrap for Arsenal vs Liverpool with Ian Ryan hosting John Gibbons, Kev & me 🔴 Clip ⬇️ 🔴How does Arne Slot set Liverpool up for this one? 🔴 The challenge of trying to beat Arsenal press 🔴 Saliba & Gabriel 🔴 How Liverpool might play out 🔴 Wirtz & Szoboszlai roles? I’d like them in double 10….. ⬇️ 🔴 Frimpong & Gakpo
2:05

Pleasure to be on Pre Match Warm Up on The Anfield Wrap for Arsenal vs Liverpool with Ian Ryan hosting John Gibbons, Kev & me 🔴 Clip ⬇️ 🔴How does Arne Slot set Liverpool up for this one? 🔴 The challenge of trying to beat Arsenal press 🔴 Saliba & Gabriel 🔴 How Liverpool might play out 🔴 Wirtz & Szoboszlai roles? I’d like them in double 10….. ⬇️ 🔴 Frimpong & Gakpo

Sean Rogers

20,188 Aufrufe • vor 10 Monaten

🚨 A HUGE MOVEMENT IS SWEEPING THE UK. 🔴16 Million views 🔴2.7 Million "likes" 🔴160,000 "follows" 🔴2 million independent podcast views. Not bad for our first month. We are just getting started. Ben Habib Elon Musk Rupert Lowe MP GB News
4:39

🚨 A HUGE MOVEMENT IS SWEEPING THE UK. 🔴16 Million views 🔴2.7 Million "likes" 🔴160,000 "follows" 🔴2 million independent podcast views. Not bad for our first month. We are just getting started. Ben Habib Elon Musk Rupert Lowe MP GB News

Richard Donaldson

136,040 Aufrufe • vor 1 Jahr

the sky cam could barely keep up with how far Josh Allen kept running backwards orbs all popping presnap 🔴🔴🔴🔴
0:29

the sky cam could barely keep up with how far Josh Allen kept running backwards orbs all popping presnap 🔴🔴🔴🔴

Warren Sharp

203,075 Aufrufe • vor 11 Monaten

Ah honest to God the small GAA clubs need to be kept going 🔵🔴
0:32

Ah honest to God the small GAA clubs need to be kept going 🔵🔴

Joe Troy

74,244 Aufrufe • vor 1 Jahr

Critical BC Ostrich Farm Update: The cull appears imminent and will probably start early in the morning. Key developments: 🔴 Katie and Kathy from the farm were arrested and then released after being tricked and lied to that they could feed the birds. 🔴 Authorities have closed the pens to everyone but CFIA / police. 🔴 CFIA agents / contractors are going around wearing Hazmat costumes after smugly interacting with the grounds, animals and people there for more than a day and waving the warrants in their faces with no PPE. 🔴 The CFIA / RCMP have built a hay wall to presumably shoot the ostriches like fish in a barrel. 🔴 The Conservative party remains almost entirely silent on this horrific infringement of our rights and basic human decency. 🔴 The ostriches have not been tested for a long time, potentially since December 2024. 🔴 The CFIA is threatening anyone who tries to test the ostriches with massive fines and jail time for every single bird.
11:26

Critical BC Ostrich Farm Update: The cull appears imminent and will probably start early in the morning. Key developments: 🔴 Katie and Kathy from the farm were arrested and then released after being tricked and lied to that they could feed the birds. 🔴 Authorities have closed the pens to everyone but CFIA / police. 🔴 CFIA agents / contractors are going around wearing Hazmat costumes after smugly interacting with the grounds, animals and people there for more than a day and waving the warrants in their faces with no PPE. 🔴 The CFIA / RCMP have built a hay wall to presumably shoot the ostriches like fish in a barrel. 🔴 The Conservative party remains almost entirely silent on this horrific infringement of our rights and basic human decency. 🔴 The ostriches have not been tested for a long time, potentially since December 2024. 🔴 The CFIA is threatening anyone who tries to test the ostriches with massive fines and jail time for every single bird.

Jon Villeneuve

91,968 Aufrufe • vor 1 Jahr

The 179th Brigade, the Yahalom Unit and the Israeli Navy's Flotilla 13 completed a targeted activity at a Hamas compound in central Gaza, where they identified several tunnel shafts leading to a network of hundreds of meters of Hamas tunnels—where they found: 🔴Mortars 🔴Grenades 🔴RPG missiles 🔴A weapons manufacturing site with machinery 🔴Explosives and materials used to extend the range of Hamas' rockets. The tunnel network was destroyed by the engineering forces of the 99th Division and the Yahalom Unit.
0:48

The 179th Brigade, the Yahalom Unit and the Israeli Navy's Flotilla 13 completed a targeted activity at a Hamas compound in central Gaza, where they identified several tunnel shafts leading to a network of hundreds of meters of Hamas tunnels—where they found: 🔴Mortars 🔴Grenades 🔴RPG missiles 🔴A weapons manufacturing site with machinery 🔴Explosives and materials used to extend the range of Hamas' rockets. The tunnel network was destroyed by the engineering forces of the 99th Division and the Yahalom Unit.

Israel Defense Forces

577,442 Aufrufe • vor 2 Jahren

🚨Did you know 👉 “ Chanakya Series ” TV serial Stopped from DD during Congress Era !! 🔴 “ Chanakya Series ” was Prematurely ended because of intense Pressure on DD from Marxist "Academics" who accused it of promoting Saffron Nationalism !! 🔴And asked Chanakya Series Producer to Remove the “ Bhagwa Flag ”from the Series 🔴 And additionally asked him not to Proceed with the Series as No Knowledge/Education was needed !! He was told to 👉 Make Entertainment !!! 🔴 Make sure that More ppl watch the Series. Its Powerful Message Needs to Reach More ppl !!
1:09

🚨Did you know 👉 “ Chanakya Series ” TV serial Stopped from DD during Congress Era !! 🔴 “ Chanakya Series ” was Prematurely ended because of intense Pressure on DD from Marxist "Academics" who accused it of promoting Saffron Nationalism !! 🔴And asked Chanakya Series Producer to Remove the “ Bhagwa Flag ”from the Series 🔴 And additionally asked him not to Proceed with the Series as No Knowledge/Education was needed !! He was told to 👉 Make Entertainment !!! 🔴 Make sure that More ppl watch the Series. Its Powerful Message Needs to Reach More ppl !!

Mona Patel 🇮🇳🐅🌳

160,676 Aufrufe • vor 4 Monaten