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Large Bladder Calculus removed by Open Suprapubic Cystolithotomy (Surgical Steps)

Posted in Operative Steps

< 1 mn read Cystolithotomy Surgical Steps Preoperative Patient Preparation Exclusion or treatment of a urinary tract infection Perioperative antibiotic prophylaxis Supine position with slight hyperextension of the lumbar spine Disinfection and draping Insert a transurethral catheter and fill the bladder with 200–300 ml Surgical Technique Lower midline incision or Pfannenstiel incision Cut the linea alba After blunt dissection […]

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Below Knee Amputation Video and Steps

Posted in Operative Steps

2 mn read Steps for Below Knee Amputation Surgery (Without Bone Bridge) Following are the gross steps for doing a below knee amputation surgery, for detailed steps please check out these links ( Link1 and Link2 ) . Marking the incision for flap using following parameters Anterior incision 10cm distal to tibial tubercle Anterior incision 2/3 total circumference Posterior incision […]

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Laproscopic Cholecystectomy Steps with Video

Posted in GI Surgery

2 mn read Preparation of the patient  Placement of first trocar (midline navel) Creation of Pneumoperitinium Place patient in Reverse Trendelenburg position slightly rotated to the left Apply local anesthetics and 2-3 other trocars under visualization of scope Assistant grasps fundus of gallbladder and retract superiorly Grasp infundibulum of the gallbladder Create tension by pulling slightly superior and […]

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Thyroidectomy Video with Steps

Posted in Operative Steps

2 mn read GA, head ring, shoulder bolster to extend the neck Transverse incision 2 cm above sternal notch Skin, subcutaneous fat and platysma are incised transversely Investing fascia and connective tissue between the sternohyoid and sternothyroid muscles are incised vertically. Usually the strap muscles are not divided, but this may be necessary in case of large got […]

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