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正圚加蜜视频...

视频加蜜倱莥

𝙀𝙢𝙚𝙧𝙜𝙚𝙣𝙘𝙮 𝙇𝙖𝙥𝙖𝙧𝙀𝙚𝙘𝙀𝙥𝙞𝙘 𝙍𝙚𝙥𝙖𝙞𝙧 𝙀𝙛 𝙎𝙩𝙧𝙖𝙣𝙜𝙪𝙡𝙖𝙩𝙚𝙙 𝙁𝙚𝙢𝙀𝙧𝙖𝙡 𝙃𝙚𝙧𝙣𝙞𝙖 𝙬𝙞𝙩𝙝 𝙎𝙢𝙖𝙡𝙡 𝘜𝙀𝙬𝙚𝙡 𝙍𝙚𝙚𝙚𝙘𝙩𝙞𝙀𝙣 𝙖𝙣𝙙 𝙄𝘟𝙂 Surgical Approach: 🔎Reduce small bowel first ➡Gentle abdominal pressure and squeeze ➡Atraumatic grasper to hold bowel and gently manipulate ➡Stretch hernia ring if needed ➡Gentle side-to-side traction without grasping useful when bowel is fragile 🔎Perform hernia...

173,987 次观看 • 3 幎前 •via X (Twitter)

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盞关视频

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

17,794 次观看 • 1 幎前

TMC means THE MIYAAN MULLA CAUCUS ₹5713 cr for Madrassa in Bengal And Less than ₹1000 cr for entire North Bengal 🕌 🌙 Minority Affairs and Madrasah Education: 5713.61 (an increase of 1111.02% since 2011-12) ➡ Power: 5343.59 ➡ Irrigation and Waterways: 4214.1 ➡ Disaster Management & Civil Defence: 3119.99 ➡ Backward Classes Welfare: 2533.39 ➡ Transport: 2307.3 ➡ Judiciary: 1788.57 ➡ Water Resources Investigation & Development: 1674.22 ➡ Land & Land Reforms and Refugee Relief & Rehabilitation: 1532.29 ➡ Industry, Commerce & Enterprises: 1483.97 ➡ Technical Education, Training and Skill Development: 1464.19 ➡ Animal Resources Development: 1327.33 ➡ Labour: 1268.26 ➡ Micro, Small & Medium Enterprises and Textiles: 1250.15 ➡ Tribal Development: 1234.78 ➡ Forests: 1105.65 ➡ Information & Cultural Affairs: 1006.05 ➡ North Bengal Development: 920.13 ➡ Youth Services and Sports: 881.89 ➡ Self Help Group & Self Employment: 821.92 ➡ Paschimanchal Unnayan Affairs: 810.04 ➡ Sunderban Affairs: 641.74 ➡ Co-operation: 637.4 ➡ Planning and Statistics: 618.68 ➡ Fire and Emergency Services: 541.59 ➡ Fisheries: 539.3 ➡ Tourism: 525.92 ➡ Correctional Administration: 455.47 ➡ Personnel & Administrative Reforms: 447.89 ➡ Agriculture Marketing: 434.05 ➡ Mass Education Extension and Library Services: 318.09 ➡ Housing: 295.37 ➡ Food Processing Industries and Horticulture: 258.35 ➡ Information Technology & Electronics: 217.16 ➡ Consumer Affairs: 147.63 ➡ Environment: 108.62 ➡ Non-conventional & Renewable Energy Sources: 105.27 ➡ Science and Technology and Biotechnology: 82.34 ➡ Public Enterprises & Industrial Reconstruction: 73.45 ➡ Law: 23.22

Shehzad Jai Hind (Chowkidar as per INC ecosystem)

13,830 次观看 • 2 䞪月前