Tuesday, December 25, 2018

How to Control Liver Bed Venous Bleed?

Sometimes, there is unexpected bleeding from Liver bed during Laparoscopic Cholecystectomy.
Whether we try Monopolar/ Bipolar or Harmonic Energy source, still sometimes we are unable to control bleeding. That that time, Instead of Frying the tissue again and again, just ask your anaesthetist to keep systolic BP below 100 mm Hg. And Wait. The bleeding will automatically stop within few seconds.  Meanwhile, remove the Gallbladder and use it to Apply Mild pressure over the bleeding area. The bleeding will stop as a Rule.

Thursday, December 6, 2018

Recto-Signoid Growth, 20 cm from Anal verge.

Biopsy- Poorly Differentiated Adenocarcinoma with Signet Ring Cells.

LOW ANTERIOR  RESECTION WITH COMPLETE MESORECTAL EXCISION DONE.



RICHTER'S HERNIA:-
Not that Uncommon.