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𝙇𝙖𝙥𝙖𝙧𝙤𝙨𝙘𝙤𝙥𝙞𝙘 𝙎𝙢𝙖𝙡𝙡 𝘽𝙤𝙬𝙚𝙡 𝙍𝙚𝙨𝙚𝙘𝙩𝙞𝙤𝙣 & 𝙋𝙧𝙞𝙢𝙖𝙧𝙮 𝘼𝙣𝙖𝙨𝙩𝙤𝙢𝙤𝙨𝙞𝙨 𝙛𝙤𝙧 𝙄𝙨𝙘𝙝𝙖𝙚𝙢𝙞𝙘 𝙎𝙢𝙖𝙡𝙡 𝘽𝙤𝙬𝙚𝙡 𝙬𝙞𝙩𝙝 𝙐𝙨𝙚 𝙤𝙛 𝙄𝘾𝙂 𝙛𝙤𝙧 𝙑𝙞𝙨𝙘𝙚𝙧𝙖𝙡 𝙋𝙚𝙧𝙛𝙪𝙨𝙞𝙤𝙣 𝘼𝙨𝙨𝙚𝙨𝙨𝙢𝙚𝙣𝙩 Patient Presentation: 🔵Presented with severe abdominal pain 🔵No previous abdominal surgery 🔵Cross-sectional imaging: ➡️Omental band adhesion ➡️Twisting of small bowel segment causing closed loop ➡️Main visceral vessels patent Surgical Approach:... 🔴Overlay and monochromatic modes useful for perfusion assessment 🔴ICG will help decide demarcation level for small bowel resection ➡️Important if extensive small bowel ischaemia 🔴Most important factor contributing to healing in anastomosis is good blood supply ➡️Facilitated by undertaking qualitative assessment of perfusion with ICG ICG Tips: 🟢0° or 30° scope with technology to detect ICG 🟢Immediate assessment of bowel perfusion following ICG administration key ➡️ICG can diffuse across non-viable bowel 🟢Monochromatic mode provides additional information regarding perfusion #FOAMed #GITwitter #surgery #SoMe4Surgery #MedEd #SurgEd #ICG #EGSshow more

Derby Pancreaticobiliary & Robotic AWR Unit

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50,750 views • 3 years ago •via X (Twitter)

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