The Holy Plane: Principles of Total Mesorectal Excision

The Holy Plane: Principles of Total Mesorectal Excision

Send us Fan Mail Total Mesorectal Excision (TME) is the global gold standard for rectal cancer surgery, focusing on the precise removal of the rectum and its surrounding fatty tissue within an intact fascial envelope. This procedure relies on navigating the "holy plane,"an avascular space between visceral and parietal membranes that allows for the complete extraction of lymph nodes while protecting vital autonomic nerves. Success is measured by pathologists using the Quirke grading system, wh...

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Avsnitt(146)

Perioperative Fluid and Electrolyte Management Guidelines

Perioperative Fluid and Electrolyte Management Guidelines

Send us Fan Mail DISCLAIMER: This content is for reference only and you must follow local/standard guidelines in clinical practice Proper fluid and electrolyte management during the perioperative peri...

7 Okt 24min

Gallbladder Adenomyomatosis - Clinical Management

Gallbladder Adenomyomatosis - Clinical Management

Send us Fan Mail Gallbladder adenomyomatosis (GA) is a non-cancerous condition involving structural changes to the gallbladder wall that often appears as an incidental finding during medical imaging. ...

1 Okt 19min

Surgical Management of Ulcerative Colitis and Crohn’s Disease

Surgical Management of Ulcerative Colitis and Crohn’s Disease

Send us Fan Mail While ulcerative colitis is characterized by continuous mucosal inflammation restricted to the colon and rectum, Crohn’s disease involves discontinuous, transmural inflammation that c...

27 Sep 20min

Laparoscopic Management of Complex Appendiceal Adhesions

Laparoscopic Management of Complex Appendiceal Adhesions

Send us Fan Mail Effective management begins with optimizing patient positioning and port placement to ensure a clear view of the complex anatomy within the pelvis and retrocaecal space. Surgeons are ...

24 Sep 14min

Ulcerative Colitis - Truelove and Witts Severity Index

Ulcerative Colitis - Truelove and Witts Severity Index

Send us Fan Mail The Truelove and Witts severity index (TWSI) is a vital clinical framework used to identify and categorize the intensity of ulcerative colitis flares. By evaluating stool frequency al...

15 Sep 22min

Complex Laparoscopic Appendicectomy - Intraoperative approach

Complex Laparoscopic Appendicectomy - Intraoperative approach

Send us Fan Mail To safely identify the appendiceal base during a complex laparoscopic appendicectomy, the following technical strategies should be utilized: Trace the Taeniae Coli: The taeniae coli c...

11 Sep 22min

The DIVERTI Trial: Redefining Surgery for Perforated Diverticulitis

The DIVERTI Trial: Redefining Surgery for Perforated Diverticulitis

Send us Fan Mail The DIVERTI trial represents a landmark multicentre study that compared the traditional Hartmann’s procedure with primary anastomosis for treating perforated diverticulitis. Research ...

6 Sep 20min

Clinical Management of Gallbladder Polyps

Clinical Management of Gallbladder Polyps

Send us Fan Mail Gallbladder polyps are common, typically asymptomatic growths that are often discovered during ultrasound imaging, with management focused on distinguishing benign lesions from those ...

2 Sep 25min

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