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𝗘𝗺𝗲𝗿𝗎𝗲𝗻𝘁 𝗟𝗮𝗜𝗮𝗿𝗌𝘀𝗰𝗌𝗜𝗶𝗰 𝗖𝗵𝗌𝗹𝗲𝗰𝘆𝘀𝘁𝗲𝗰𝘁𝗌𝗺𝘆 𝗮𝗻𝗱 𝗧𝗿𝗮𝗻𝘀𝗰𝘆𝘀𝘁𝗶𝗰 𝗟𝗖𝗕𝗗𝗘 Patient Presentation: 🟢Acute cholecystitis with deranged LFTs 🟢Surgery performed <24 hours from admission Surgical Approach: 🔎Timing critical in acute cases 🔎Retraction of duodenum improves view 🔎Cystic artery clipped prior to IOC in this case due to confidence in anatomy 🔎3mm choledochoscope for stone...

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Derby Pancreaticobiliary & Robotic AWR Unit

9,542 subscribers

36,769 次观看 • 1 幎前 •via X (Twitter)

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3 条评论

Michael J. Pucci 的倎像
Michael J. Pucci1 幎前

@Innov_Medicine @SAGES_Updates @MISIRG1 @BehindTheKnife @MedicalAdv @imedverse @rbarbosa91 @altaf_awan12 @ib9994 @javlatif Very well done. Very challenging situation. Glad the pt found their way to your institution. 👍

Evri Tokidis 的倎像
Evri Tokidis1 幎前

@Innov_Medicine @SAGES_Updates @MISIRG1 @BehindTheKnife @MedicalAdv @imedverse @rbarbosa91 @altaf_awan12 @ib9994 @javlatif I don’t enjoy these as a #colorectal trainee. What I really don’t enjoy is theatre #culture where this is not considered an emergency and optimal #surgical practice

Fahim Habib 的倎像
Fahim Habib1 幎前

@BehindTheKnife @Innov_Medicine @SAGES_Updates @MISIRG1 @MedicalAdv @imedverse @rbarbosa91 @altaf_awan12 @ib9994 @javlatif What is the size of you choledochoscope and how long is it?

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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 次观看 • 9 䞪月前

𝗊𝘁𝗌𝗻𝗲 𝗥𝗲𝘁𝗿𝗶𝗲𝘃𝗮𝗹 𝗳𝗿𝗌𝗺 𝗡𝗮𝗿𝗿𝗌𝘄 𝗖𝗵𝗌𝗹𝗲𝗱𝗌𝗰𝗵𝗌𝘁𝗌𝗺𝘆 🔎Bring CBD stone trapped in basket to choledochotomy site 🔎Remove scope over wire 🔎Keep tension on basket wire with trapped CBD stone 🔎Introduce choledochotome (or laparoscopic scissors) and minimally extend choledochotomy over large CBD stone ➡Prevents large choledochotomy #FOAMed #GITwitter #MedEd #SoMe4Surgery #Surgery
0:31

𝗊𝘁𝗌𝗻𝗲 𝗥𝗲𝘁𝗿𝗶𝗲𝘃𝗮𝗹 𝗳𝗿𝗌𝗺 𝗡𝗮𝗿𝗿𝗌𝘄 𝗖𝗵𝗌𝗹𝗲𝗱𝗌𝗰𝗵𝗌𝘁𝗌𝗺𝘆 🔎Bring CBD stone trapped in basket to choledochotomy site 🔎Remove scope over wire 🔎Keep tension on basket wire with trapped CBD stone 🔎Introduce choledochotome (or laparoscopic scissors) and minimally extend choledochotomy over large CBD stone ➡Prevents large choledochotomy #FOAMed #GITwitter #MedEd #SoMe4Surgery #Surgery

Derby Pancreaticobiliary & Robotic AWR Unit

38,188 次观看 • 3 䞪月前

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

28,710 次观看 • 3 䞪月前

𝗟𝗮𝗜𝗮𝗿𝗌𝘀𝗰𝗌𝗜𝗶𝗰 𝗙𝗲𝗻𝗲𝘀𝘁𝗿𝗮𝘁𝗲𝗱 𝗊𝘂𝗯𝘁𝗌𝘁𝗮𝗹 𝗖𝗵𝗌𝗹𝗲𝗰𝘆𝘀𝘁𝗲𝗰𝘁𝗌𝗺𝘆 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

𝗟𝗮𝗜𝗮𝗿𝗌𝘀𝗰𝗌𝗜𝗶𝗰 𝗙𝗲𝗻𝗲𝘀𝘁𝗿𝗮𝘁𝗲𝗱 𝗊𝘂𝗯𝘁𝗌𝘁𝗮𝗹 𝗖𝗵𝗌𝗹𝗲𝗰𝘆𝘀𝘁𝗲𝗰𝘁𝗌𝗺𝘆 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

17,805 次观看 • 2 幎前

Principles of Szabo Knot 🔎Square knot - 2 throws 🔎Slip knot - unlock by pulling in opposite directions 🔎Slide - non-closed grasper 🔎Lock 🔎Final throw Useful in: 🟢Tissue approximatiob under slight tension 🟢Deep areas i.e. OG hiatus, pelvis #MedEd #SurgEd #surgery
0:57

Principles of Szabo Knot 🔎Square knot - 2 throws 🔎Slip knot - unlock by pulling in opposite directions 🔎Slide - non-closed grasper 🔎Lock 🔎Final throw Useful in: 🟢Tissue approximatiob under slight tension 🟢Deep areas i.e. OG hiatus, pelvis #MedEd #SurgEd #surgery

Derby Pancreaticobiliary & Robotic AWR Unit

45,288 次观看 • 2 䞪月前

❇ Best Of Surgical Critical Care ❇ Watch an overview of "Reclaiming the management of common duct stones in acute care surgery" presented by Maggie Bosley, MD 🎬 #JoTACS #TraumaSurg #SurgTwitter #MedEd #SoMe4Surgery #MedTwitter #MedStudent
1:39

❇ Best Of Surgical Critical Care ❇ Watch an overview of "Reclaiming the management of common duct stones in acute care surgery" presented by Maggie Bosley, MD 🎬 #JoTACS #TraumaSurg #SurgTwitter #MedEd #SoMe4Surgery #MedTwitter #MedStudent

Journal of Trauma and Acute Care Surgery

12,703 次观看 • 2 幎前

𝗥𝗌𝗯𝗌𝘁𝗶𝗰 𝗧𝗔𝗥𝗚𝗣 𝘃𝘀. 𝗟𝗮𝗜𝗮𝗿𝗌𝘀𝗰𝗌𝗜𝗶𝗰 𝗜𝗣𝗢𝗠 𝗥𝗲𝗜𝗮𝗶𝗿 𝗌𝗳 𝗩𝗲𝗻𝘁𝗿𝗮𝗹 𝗛𝗲𝗿𝗻𝗶𝗮 Defect closure: 🔵Standard of care in both approaches 🔵Robot facilitates closure of larger defect up to a maximum size of 5cm for TARUP repair Comparison: 🔎Retromuscular (rTARUP) vs. Intraperitoneal (IPOM) mesh placement 🔎No tacks (rTARUP) vs. Use of tacks (IPOM) 🔎Minimal risk of bowel adhesions (rTARUP) vs. Possibility of bowel adhesions (IPOM) 🔎Extensive dissection (rTARUP) vs. Minimal dissection (IPOM) 🔎LOS and analgesic requirements less for rTARUP Less pain in rTARUP due to: 🟢Better and precise haemostasis in dissection plane facilitated by robotic platform 🟢No use of tacks 🟢Robotic port remote centre technology with less muscle trauma at port sites #FOAMed #SoMe4Surgery #hernia #surgery #robotics
2:12

𝗥𝗌𝗯𝗌𝘁𝗶𝗰 𝗧𝗔𝗥𝗚𝗣 𝘃𝘀. 𝗟𝗮𝗜𝗮𝗿𝗌𝘀𝗰𝗌𝗜𝗶𝗰 𝗜𝗣𝗢𝗠 𝗥𝗲𝗜𝗮𝗶𝗿 𝗌𝗳 𝗩𝗲𝗻𝘁𝗿𝗮𝗹 𝗛𝗲𝗿𝗻𝗶𝗮 Defect closure: 🔵Standard of care in both approaches 🔵Robot facilitates closure of larger defect up to a maximum size of 5cm for TARUP repair Comparison: 🔎Retromuscular (rTARUP) vs. Intraperitoneal (IPOM) mesh placement 🔎No tacks (rTARUP) vs. Use of tacks (IPOM) 🔎Minimal risk of bowel adhesions (rTARUP) vs. Possibility of bowel adhesions (IPOM) 🔎Extensive dissection (rTARUP) vs. Minimal dissection (IPOM) 🔎LOS and analgesic requirements less for rTARUP Less pain in rTARUP due to: 🟢Better and precise haemostasis in dissection plane facilitated by robotic platform 🟢No use of tacks 🟢Robotic port remote centre technology with less muscle trauma at port sites #FOAMed #SoMe4Surgery #hernia #surgery #robotics

Derby Pancreaticobiliary & Robotic AWR Unit

11,606 次观看 • 2 幎前

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

17,270 次观看 • 1 䞪月前

እግዚአብሔር ይመስገን እግዚአብሔር ይመስገን እግዚአብሔር ይመስገን 🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎
15:00

እግዚአብሔር ይመስገን እግዚአብሔር ይመስገን እግዚአብሔር ይመስገን 🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟢🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🟡🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎🔎

Elizabeth Altaye

26,752 次观看 • 2 幎前

🟢🔎🔎🔎🔎⚪⚪🔎🔎🔎🔎🟢 🟢🟢🔎🔎🔎⚪⚪🔎🔎🔎🟢🟢 🔎🟢🟢🔎🔎⚪⚪🔎🔎🟢🟢🔎 ⚪⚪⚪⚪⚪⚪⚪⚪⚪⚪⚪⚪ ⚪⚪⚪⚪⚪⚪⚪⚪⚪⚪⚪⚪ 🔎🟢🟢🔎🔎⚪⚪🔎🔎🟢🟢🔎 🟢🟢🔎🔎🔎⚪⚪🔎🔎🔎🟢🟢 🟢🔎🔎🔎🔎⚪⚪🔎🔎🔎🔎🟢 Pello Bilbao | Team Bahrain Victorious | Continental France #TDF2023
0:28

🟢🔎🔎🔎🔎⚪⚪🔎🔎🔎🔎🟢 🟢🟢🔎🔎🔎⚪⚪🔎🔎🔎🟢🟢 🔎🟢🟢🔎🔎⚪⚪🔎🔎🟢🟢🔎 ⚪⚪⚪⚪⚪⚪⚪⚪⚪⚪⚪⚪ ⚪⚪⚪⚪⚪⚪⚪⚪⚪⚪⚪⚪ 🔎🟢🟢🔎🔎⚪⚪🔎🔎🟢🟢🔎 🟢🟢🔎🔎🔎⚪⚪🔎🔎🔎🟢🟢 🟢🔎🔎🔎🔎⚪⚪🔎🔎🔎🔎🟢 Pello Bilbao | Team Bahrain Victorious | Continental France #TDF2023

Tour de France™

1,036,691 次观看 • 3 幎前

⚜ ℙ𝔌ℕ𝔞𝕃𝕋𝕐 𝕊ℍ𝕆𝕆𝕋𝕆𝕌𝕋 ⚜ Bafana Bafana are through to the Semi-Finals! 🇚🇻 🔎🔎🔎🟢🔎 🇿🇊 🟢🔎🔎🟢 #SABCSportFootball #AFCON2023
2:46

⚜ ℙ𝔌ℕ𝔞𝕃𝕋𝕐 𝕊ℍ𝕆𝕆𝕋𝕆𝕌𝕋 ⚜ Bafana Bafana are through to the Semi-Finals! 🇚🇻 🔎🔎🔎🟢🔎 🇿🇊 🟢🔎🔎🟢 #SABCSportFootball #AFCON2023

SABC Sport

160,812 次观看 • 2 幎前

FINAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAL VICTORIA PARA ANIQUILADORES EN LOS PENALTYS SHOOTOUTS West Santos FC 🔎🔎🟢🔎🟢🔎🔎🔎 Aniquiladores FC 💪 🟢🟢🔎🔎🔎🔎🔎🟢 ¡Marcó Hugo para ganar! 🎯 #KingsLeague #KingsWorldCup
0:30

FINAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAL VICTORIA PARA ANIQUILADORES EN LOS PENALTYS SHOOTOUTS West Santos FC 🔎🔎🟢🔎🟢🔎🔎🔎 Aniquiladores FC 💪 🟢🟢🔎🔎🔎🔎🔎🟢 ¡Marcó Hugo para ganar! 🎯 #KingsLeague #KingsWorldCup

Universo

128,217 次观看 • 2 幎前

🔎🟢 🔎🟢🔎🟢🔎🟢 Hasan Ali Kaldırım’ndan Amedspor taraftarına anlamlı sözler !
0:34

🔎🟢 🔎🟢🔎🟢🔎🟢 Hasan Ali Kaldırım’ndan Amedspor taraftarına anlamlı sözler !

CEGA Medya

1,384,298 次观看 • 7 䞪月前

FINAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAL VICTORIA PARA MUCHACHOS EN LOS PENALTYS SHOOTOUTS FRANCIA (FOOT2RUE) ELIMINADA DE LA #KingsWorldCup CON ESTA JUGADA INCREÍBLE F2R - Kings League🇫🇷 🔎🟢🔎🟢🔎🟢🔎 MuchachosFC_Oficial 🔎🔎🔎🟢🟢🟢🔎 #KingsLeague
0:28

FINAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAL VICTORIA PARA MUCHACHOS EN LOS PENALTYS SHOOTOUTS FRANCIA (FOOT2RUE) ELIMINADA DE LA #KingsWorldCup CON ESTA JUGADA INCREÍBLE F2R - Kings League🇫🇷 🔎🟢🔎🟢🔎🟢🔎 MuchachosFC_Oficial 🔎🔎🔎🟢🟢🟢🔎 #KingsLeague

Universo Kings League

226,998 次观看 • 2 幎前

Rangers-Fenerbahçe(1-3) FB-🟢🟢🔎🟢🟢 RNG-🟢🔎🟢🟢🔎
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Rangers-Fenerbahçe(1-3) FB-🟢🟢🔎🟢🟢 RNG-🟢🔎🟢🟢🔎

Serkan Gazioğlu Yayın Kesitleri

419,548 次观看 • 1 幎前

🌈 Rainbow Waterfall 🌈 🔎 🟠 🟡 🟢 🔵 🟣 🔎 🟠 🟡 🟢 🔵 🟣 🔎 🟠 🟡 🟢 🔵 🟣 🔎 🟠 🟡 🟢 🔵 🟣 🔎 🟠 🟡 🟢 🔵 🟣 🔎 🟠 🟡 🟢 🔵 🟣 🔎 🟠 🟡 🟢 🔵 🟣 🔎 🟠
0:40

🌈 Rainbow Waterfall 🌈 🔎 🟠 🟡 🟢 🔵 🟣 🔎 🟠 🟡 🟢 🔵 🟣 🔎 🟠 🟡 🟢 🔵 🟣 🔎 🟠 🟡 🟢 🔵 🟣 🔎 🟠 🟡 🟢 🔵 🟣 🔎 🟠 🟡 🟢 🔵 🟣 🔎 🟠 🟡 🟢 🔵 🟣 🔎 🟠

𝗝𝗞

36,301 次观看 • 6 䞪月前

ፎጀ 🥷🊟🟢🟢🟢🟡🟡🟡🔎🔎🔎
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ፎጀ 🥷🊟🟢🟢🟢🟡🟡🟡🔎🔎🔎

Elizabeth Altaye

21,011 次观看 • 1 幎前

⚜ ℙ𝔌ℕ𝔞𝕃𝕋𝕐 𝕊ℍ𝕆𝕆𝕋𝕆𝕌𝕋 ⚜ Bahlabane Ba Ntwa won 7⃣➖6⃣ on penalties! 𝐌𝐚𝐊𝐞𝐥𝐚𝐝𝐢 𝐒𝐮𝐧𝐝𝐚𝐰𝐧𝐬: 🔎🔎🟢🟢🟢🟢🟢🟢🔎 𝐌𝐚𝐫𝐮𝐊𝐚 𝐆𝐚𝐥𝐥𝐚𝐧𝐭𝐬: 🔎🟢 🟢🟢🔎🟢🟢🟢🟢 🚚 LIVE 📺 SABC 1 📱 #SABCSportFootball #CarlingKnockout
8:24

⚜ ℙ𝔌ℕ𝔞𝕃𝕋𝕐 𝕊ℍ𝕆𝕆𝕋𝕆𝕌𝕋 ⚜ Bahlabane Ba Ntwa won 7⃣➖6⃣ on penalties! 𝐌𝐚𝐊𝐞𝐥𝐚𝐝𝐢 𝐒𝐮𝐧𝐝𝐚𝐰𝐧𝐬: 🔎🔎🟢🟢🟢🟢🟢🟢🔎 𝐌𝐚𝐫𝐮𝐊𝐚 𝐆𝐚𝐥𝐥𝐚𝐧𝐭𝐬: 🔎🟢 🟢🟢🔎🟢🟢🟢🟢 🚚 LIVE 📺 SABC 1 📱 #SABCSportFootball #CarlingKnockout

SABC Sport

41,621 次观看 • 9 䞪月前

Here’s how the 🇺🇞 stock market performed today 🔎➡🟢
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Here’s how the 🇺🇞 stock market performed today 🔎➡🟢

Evan

83,294 次观看 • 4 䞪月前

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
2:20

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 次观看 • 8 䞪月前