Dr Priyesh Sharma⚕️ @Priyeshdoc
“DOCTOR” ll Unreserved ll COVID front liner, I am not smart I just wear glasses. Srinagar, uttrakhand India Joined December 2016-
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Help with EKG via @drsthanus
Viewer discretion advised! Such a satisfying thing to watch. During my CTVS posting, I wanted to assist one but couldn't get it. Lovely to watch this VSD repair.
Characteristic appearances of tongue in various conditions Comment what else to be included
Any idea about what this test is about?
Popliteal vessels 🩸trauma 💥 surgical approaches: medial (P1 and P3 injuries) and posterior (P2 injuries)! How I do it 🥊⤵️🔑🗣️! #SoMe4Surgery @pferrada1 @SWexner @juliomayol @Cirbosque @rbarbosa91 @TraumaDocSF
@IhabFathiSulima Valsalva maneuver Svt
Double knot and surgical knotting 🪢using the needle holder: step by step 🔪🔑🪡🗣️! (With patient permission) #SoMe4Surgery @pferrada1 @SWexner @juliomayol @Cirbosque @rbarbosa91 @LiangRhea @JJcolemanMD @TomVargheseJr
Stroke Symptoms by Vascular Territory #medtwitter #foamed #meded
Great Review Acute Kidney Injury ✨ .
Last night at chc ghat, chamoli at 2.30 pm, 6 people along with a drunken patient attacked Dr. Rohit Chauhan, no one has been arrested by the police till the day. Requesting @chamolipolice @Uttrakhand_News @ANINewsUP @pushkardhami to intervene in this matter .
List of arteries that can be ligated without major ischemic consequences: representing the percentage of amputation according to the vascular territory ligated ⤵️💡A key point for damage control surgery in vascular trauma🩸🔐🪢! #SoMe4Surgery @pferrada1 @drdevirgilio @SWexner
𝙍𝙤𝙗𝙤𝙩𝙞𝙘 𝙀𝙭𝙩𝙚𝙣𝙙𝙚𝙙 𝙏𝙤𝙩𝙖𝙡 𝙀𝙭𝙩𝙧𝙖𝙥𝙚𝙧𝙞𝙩𝙤𝙣𝙚𝙖𝙡 𝗔𝗽𝗽𝗿𝗼𝗮𝗰𝗵 (𝙚𝙏𝙀𝙋) 𝙍𝙚𝙥𝙖𝙞𝙧 𝙤𝙛 𝙎𝙪𝙥𝙧𝙖𝙥𝙪𝙗𝙞𝙘 𝙄𝙣𝙘𝙞𝙨𝙞𝙤𝙣𝙖𝙡 𝙃𝙚𝙧𝙣𝙞𝙖 Case Selection: 🔵Midline +/- flank hernias 🔵Opportunity to perform retrorectus dissection into unilateral or bilateral TAR when needed 🔵Superior approach for M4/M5 ventral hernias 🔵Inferior approach for M1/M2 ventral hernias 🔵Lateral docking for M3 ventral hernias Key Concepts: 🟢Useful in abdomens for where intra-abdominal adhesions are expected to be hostile 🟢Benefit over TARUP include: ➡️Ability to convert to TAR ➡️No need to open ipsilateral posterior rectus sheath (PRS) near NV bundle ➡️Access to M1/M2 and M3/M4 located ventral hernias 🟢Risks of eTEP include: ➡️Dissection of groin in extraperitoneal plane would be challenging without prior experience performing TEP inguinal hernia repair ➡️Bowel injury due to thermal conduction via the PRS Surgical Approach: 🔴Initial access ➡️5mm visiport RUQ MCL ➡️2 finger breadths below costal margin ➡️Enter plane between rectus muscle and posterior rectus sheath (PRS) 🔴Dissection extended inferiorly by laparoscopy to allow access to 3 x 8mm lateral robotic ports 🔴Robot docked to start dissection towards midline 🔴PRS divided to cross over exposing the linea alba into contralateral PRS 🔴Dissection extended inferiorly to hernia sac (reduced) and beyond Coopers ligament to achieve good mesh overlap 🔴Midline including hernial defect and proximal linea alba sutured with 0 V-lock 🔴Mesh placed 🔴Ports removed under direct vision @FilipMuysoms @InanMD @NovitskyYuri @HerniaResearch @MaaikeVierstr @hgok @HerniaGirl @ericpaulimd @VNikolian #FOAMed #SoMe4Surgery #MedEd #SurgEd #hernia #robotics
Surgical anatomy pearl: the common facial vein is the gate keeper of the carotid artery ⤵️💡🗣️‼️A vital knowledge to perform a vascular emergency exploration of the neck 🔍⏰🩸! #SoMe4Surgery @SWexner @pferrada1 @juliomayol @jmills1955 @rbarbosa91 @DissanaikeMD @NeilFlochMD
𝙀𝙢𝙚𝙧𝙜𝙚𝙣𝙘𝙮 𝙇𝙖𝙥𝙖𝙧𝙤𝙨𝙘𝙤𝙥𝙞𝙘 𝙍𝙚𝙥𝙖𝙞𝙧 𝙤𝙛 𝙎𝙩𝙧𝙖𝙣𝙜𝙪𝙡𝙖𝙩𝙚𝙙 𝙁𝙚𝙢𝙤𝙧𝙖𝙡 𝙃𝙚𝙧𝙣𝙞𝙖 𝙬𝙞𝙩𝙝 𝙎𝙢𝙖𝙡𝙡 𝘽𝙤𝙬𝙚𝙡 𝙍𝙚𝙨𝙚𝙘𝙩𝙞𝙤𝙣 𝙖𝙣𝙙 𝙄𝘾𝙂 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 repair ➡️Suture repair safe option in strangulated small bowel requiring resection ➡️On rare occasions a biologic mesh may be an option ➡️Synthetic mesh could be considered if no resection involved 🔴ICG to assess bowel perfusion and assist in delineating length of resection ➡️Improve trainee understanding of key concepts ➡️Reduce risk of leak or stricture ➡️"See the invisible" 🔴Advanced laparoscopic skills critical 🔴Training and development of laparoscopy in EGS should be encouraged #FOAMed #GITwitter #MedEd #Hernia #Surgery #SoMe4Surgery
Overview of COPD ✨✨
My plea in the Lok Sabha today urging the Government to reintroduce comprehensive legislation to outlaw violence against healthcare professionals. No one knows why they withdrew their 2019 Bill, but it’s needed more than ever. IMA says 75% of doctors have suffered assault!
@mansukhmandviya Sir please look into the #NEETPG issue and do the needful. It’s causing unnecessary stress among medical PG aspirants ! This is a planning failure and needs to be addressed immediately !
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