Christopher Stahl
Christopher Stahl
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Large Bowel Obstructions
This video covers the basics of large bowel obstructions. These are often surgical emergencies, but too frequently junior trainees place them in the same mental category of the much more common small bowel obstructions. We discuss how the underlying causes and much higher likelihood of closed loop physiology leads to the two key differences between LBOs and SBOs: reversibility and severity. LBOs are highly likely to be closed loop if the patient has a competent ileocecal valve, and the underlying causes of LBOs (cancer, volvulus, stricture, etc) will not resolve spontaneously without procedural intervention. We cover the three main procedural options for large bowel obstructions (resection, diversion, and stenting) and how individual vs combinations of procedures can be used to manage different disease processes.
These videos are for educational purposes only. Do not use to diagnose or treat any diseases. This is not clinical advice.
มุมมอง: 228

วีดีโอ

Surgical Management of Merkel Cell Carcinoma
มุมมอง 944 หลายเดือนก่อน
This video covers the basic treatment of Merkel Cell carcinoma. You can think of this aggressive cutaneous lesion as "melanoma plus". We discuss the AEIOUs of diagnosis, the basic workup, and surgical treatment fundamentals. This is a rare disease with a lot of nuanced treatment options, so as always consult your NCCN guidelines early and often. But hopefully this video can help prepare you for...
Treatment of Colorectal Liver Metastases
มุมมอง 2106 หลายเดือนก่อน
This video covers local treatment options for isolated liver metastatic disease in colorectal cancer. We briefly discuss which types of patients might be candidates for these therapies (reviewing Fong's criteria), and when they might be applied relative to neo/adjuvant chemotherapy regimens. We then discuss formal and wedge surgical resections, as well as liver hypertrophy techniques (PVE, Y-90...
Surgical Management of Gastric Adenocarcinoma
มุมมอง 1837 หลายเดือนก่อน
This video covers the surgical management of gastric adenocarcinoma. This video is on the more complex side, given the high morbidity associated with major gastrectomy and the high propensity for it to present late, the workup for gastric adenocarcinoma is more involved than some other GI tract tumors. Also, there are numerous surgical options depending on the exact location in the stomach, as ...
Teaching Surgical Planes with Perceptual Fluency Techniques
มุมมอง 2867 หลายเดือนก่อน
Hey all, I've been away from the channel for a bit because I've been working hard on this talk. This talk is a draft of a grand rounds I gave recently that focuses on surgical planes and perceptual fluency. For the uninitiated, surgical planes are the critical demarcation points between two anatomic structures. Appropriately guiding your dissection in these planes leads to safe, bloodless disse...
TAPP Inguinal Hernia Anatomy: The Posterior Wall
มุมมอง 41810 หลายเดือนก่อน
This is a video covering advanced inguinal hernia anatomy. First, this video was inspired by the excellent Medtronic video series "Gaining Mastery of MIS Inguinal Hernia Repair" that can be found here: th-cam.com/play/PL7zHP8r36zkoARE8MifL6ISrgQ-t2_dFR.html. We recommend that everyone watch that series for a much more in-depth masterclass of everything inguinal hernia anatomy. This video is mea...
Patient Evaluation Prior to Foregut Surgery
มุมมอง 225ปีที่แล้ว
This video covers the basic preoperative evaluation of a foregut surgery patient. While GERD is the most common issue in these patients, GERD symptoms can mask more sinister underlying pathology. We review the GERD-related "alarm symptoms" that should prompt a more thorough workup. We then discuss the four tests that these patients should receive preoperatively (UGI, EGD, pH/impedance, and mano...
Surgical Approach to Gallbladder Cancer
มุมมอง 304ปีที่แล้ว
This video covers the surgical management of gallbladder cancer. We cover the traditional steps to surgical cancer management, including staging, resectability, operative technique, and adjuvant therapy. We also cover common scenarios unique to this cancer, where cancer is discovered intraoperatively or postoperatively, and we need to figure out the appropriate next steps to take in those setti...
Veress Needle Abdominal Access for MIS
มุมมอง 1.6Kปีที่แล้ว
This video covers abdominal access for minimally invasive surgery using the veress needle. We discuss the anatomy of a veress needle and how it is designed to make safe abdominal entry possible, the pros and cons of the veress vs Hassan techniques, common locations for access with the veress needle, technique of needle use itself, and troubleshooting when entry doesn't go smoothly. Finally, we ...
The Surgical Management of Esophageal Cancer
มุมมอง 390ปีที่แล้ว
This video covers the surgical management of esophageal adenocarcinoma. We start by clarifying the different types of esophageal cancer (cervical vs thoracic, squamous vs adeno, etc) and discussing which ones are commonly managed surgically and discussed in this video. We then go into detail on the basic workup and staging of these cancers, discuss who is a candidate for surgery, which surgical...
Principles of Lung Surgery for The General Surgery Resident
มุมมอง 330ปีที่แล้ว
This video covers the basics of thoracic surgery with an emphasis on lung resection. We focus on key pre-, intra-, and postoperative differences between thoracic and general surgery patients, including assessing pulmonary reserve preop with PFTs, key aspects of thoracic anatomy, intraoperative positioning, and postoperative chest tube management and pain control. This should be an excellent qui...
Monitoring the V-V ECMO Circuit
มุมมอง 1.1Kปีที่แล้ว
This video covers the nuts and bolts related to the daily monitoring of the V-V ECMO circuit. First, we cover the mountain of data that comes from patient and circuit each day and define the important values that are uniquely found in this patient population. In particular, we cover how vital signs are interpreted differently while on the ECMO circuit, what sort of ventilators settings/outcomes...
Esophageal Atresia and Tracheoesophageal Fistula
มุมมอง 833ปีที่แล้ว
This video covers the basics of EA / TEF and its surgical management. We discuss exactly what EA and TEF stand for, go through the often confusing classification system for EA/TEF, explain how the anatomic abnormalities lead to the presenting symptoms, discuss diagnosis and workup (especially related to the VACTERL association), and finally the surgical goals of the repair and potential postope...
Understanding Roux en Y Gastric Bypass Anatomy and Internal Hernias
มุมมอง 3.9Kปีที่แล้ว
This video discusses the small bowel anatomy associated with Roux en Y gastric bypasses, including the roux limb, the BP limb, and the common channel. We use a combination of diagrams and OR footage to clearly show which loop of bowel is which at all stages of the operation. We also discuss and show the potential internal hernias associated with RnY anatomy, including Peterson's, Brolin's, and ...
Surgical Management of Pancreatic Cancer
มุมมอง 291ปีที่แล้ว
This video covers the surgical management of pancreatic adenocarcinoma. We cover the typical presentation of pancreatic cancer, the full workup involved (including when a biopsy is indicated), how to surgically stage the cancer, cancer treatment by stage (surgery vs neoadjuvant vs systemic therapy), and finally surgical details and postoperative complications such as POPF and DGE. As with all o...
Surgical Management of Thyroid Nodules
มุมมอง 338ปีที่แล้ว
Surgical Management of Thyroid Nodules
Diagnosing chest pain...with an Abacus?
มุมมอง 276ปีที่แล้ว
Diagnosing chest pain...with an Abacus?
What is a Rives-Stoppa Hernia Repair?
มุมมอง 4.7Kปีที่แล้ว
What is a Rives-Stoppa Hernia Repair?
Quick Hits: The Three Types of Leg Ulcers
มุมมอง 486ปีที่แล้ว
Quick Hits: The Three Types of Leg Ulcers
GISTs (Gastrointestinal Stromal Tumors)
มุมมอง 1.7Kปีที่แล้ว
GISTs (Gastrointestinal Stromal Tumors)
Gastric Neuroendocrine Tumors (NETs)
มุมมอง 897ปีที่แล้ว
Gastric Neuroendocrine Tumors (NETs)
Direct Optical Trocar (Optiview) Access of the Abdomen for Laparoscopy
มุมมอง 11K2 ปีที่แล้ว
Direct Optical Trocar (Optiview) Access of the Abdomen for Laparoscopy
SICU Series: Central Lines
มุมมอง 2572 ปีที่แล้ว
SICU Series: Central Lines
Surgical Management of Appendiceal Tumors
มุมมอง 2.1K2 ปีที่แล้ว
Surgical Management of Appendiceal Tumors
SICU Series: Shock and Vasopressors
มุมมอง 3402 ปีที่แล้ว
SICU Series: Shock and Vasopressors
SICU Series: Ventilator Fundamentals for the Surgical Trainee
มุมมอง 3982 ปีที่แล้ว
SICU Series: Ventilator Fundamentals for the Surgical Trainee
Fixing Big Hernias: Component Separation
มุมมอง 8K2 ปีที่แล้ว
Fixing Big Hernias: Component Separation
Perioperative Medication Management for the Surgery Intern
มุมมอง 1.1K2 ปีที่แล้ว
Perioperative Medication Management for the Surgery Intern
How to be a Great Surgery Medical Student
มุมมอง 4842 ปีที่แล้ว
How to be a Great Surgery Medical Student
How to be a Great Surgery Intern
มุมมอง 2.4K2 ปีที่แล้ว
How to be a Great Surgery Intern

ความคิดเห็น

  • @gerardkirkpatricksanchez2121
    @gerardkirkpatricksanchez2121 4 วันที่ผ่านมา

    Im watching this one as source for our Case Presentation. Our patient had, BOWEL OBSTRUCTION ENTEROCUTANEOUS FISTULA

  • @NaijaGirl94
    @NaijaGirl94 15 วันที่ผ่านมา

    Excellent!

  • @lucyalvarez1288
    @lucyalvarez1288 28 วันที่ผ่านมา

    Thank you🙏🏼

  • @BalenKoyee
    @BalenKoyee หลายเดือนก่อน

    nice

  • @gotrice141
    @gotrice141 หลายเดือนก่อน

    let's go Christopher Stahl! These are great!!

  • @Rosina2727
    @Rosina2727 หลายเดือนก่อน

    YES! I HAD A SERIOUS ABSESS IN THE GROIN! WHICH TURNED INTO OA FISTULA! I WASNT TOLD THAT! THERE IS A WEBSITE WITH OVER 1000 REVIEWS MOSTLY PEOPLE IN HORRIFIC PAIN, AND SOME HAVING UP TO 25 OPERATIONS!!!! THERE IS NO CURE!!! BUT THEN THERE IS NO CURE FOR ANYTHING IS THERE!!! MINE IS LINKED WITH THE COLON. WHAT MAKES ME LAUGH IS I AM 78 YEARS OF AGE!! I AM ENTITLED TO FREE PRESCRIPTIONS YET THE DAMNED NHS HAS LEFT ME FOR OVER 3 YEARS FOR ME TO PAY FOR THE WOUND DRESSINGS, AND I HAVE TRIED EVERYTHING ON AMAZON TO TRY TO CURE IT, BECAUSE THE DAMNED NHS HAVENT EVEN GIVEN ME A TUBE OF CREAM! THEY ARE A DISGRACE TO THE HUMAN RACE!!!

  • @dannyvandan_
    @dannyvandan_ หลายเดือนก่อน

    14:26 seen

  • @MrJucesar2005
    @MrJucesar2005 หลายเดือนก่อน

    Thank you

  • @MrJucesar2005
    @MrJucesar2005 หลายเดือนก่อน

    Thank you very helpful

  • @Figuralsurgicalinstruments
    @Figuralsurgicalinstruments หลายเดือนก่อน

    Surgical instruments and dental instruments

  • @Figuralsurgicalinstruments
    @Figuralsurgicalinstruments หลายเดือนก่อน

    Our company best quality products manufacturing

  • @veronicaf.5027
    @veronicaf.5027 2 หลายเดือนก่อน

    Thank you for sharing your videos and knowledge. Very helpful.

  • @komalrao1035
    @komalrao1035 2 หลายเดือนก่อน

    Thanks. helpful.

  • @NarendraB-h7x
    @NarendraB-h7x 2 หลายเดือนก่อน

    Beautifully explained!

    • @Rosina2727
      @Rosina2727 หลายเดือนก่อน

      YEAH IT DONT CURE THE BLOODY FISTULA THOUGH DOES IT!!!!

  • @rikinshah2530
    @rikinshah2530 2 หลายเดือนก่อน

    Nice and helpful video!

  • @nesadcruz7840
    @nesadcruz7840 2 หลายเดือนก่อน

    There is a Cancer TH-camr who documented his Esophagectomy journey including post op recovery in hospital that gives a very good idea of what he went through. Unboxing Cancer With Me. Worth checking out If you are considering this surgery.

  • @skiteflies3
    @skiteflies3 3 หลายเดือนก่อน

    Thank you for explaining better than my professors in such a short period of time!

  • @abdulqaadir6510
    @abdulqaadir6510 3 หลายเดือนก่อน

    Can you please do a tutorial on Management of Anal Cancer? Thanks for all your videos!

  • @marim9797
    @marim9797 3 หลายเดือนก่อน

    Excellent, Thank You!!

  • @travisbrege4834
    @travisbrege4834 4 หลายเดือนก่อน

    Your videos are incredible. Thank you so much

  • @90tarunmanikanta82
    @90tarunmanikanta82 4 หลายเดือนก่อน

    Thanks a lot

  • @TonySyawish
    @TonySyawish 5 หลายเดือนก่อน

    Very happy to find you and your page! Keep it going please.

  • @ZanobhaiZanobhai
    @ZanobhaiZanobhai 5 หลายเดือนก่อน

    G hm ye sab Zar bnaatee ha ager chhiye too rabtaa kree

  • @TonySyawish
    @TonySyawish 5 หลายเดือนก่อน

    The videos are very good! Thank you I would suggest though that they can be a but more detailed as for residents in surgery and not only for medical students. (This will actually make it double win for medical students) Thanks again

    • @edu-rrhaphy
      @edu-rrhaphy 5 หลายเดือนก่อน

      Thanks for the comment! This was one of my earlier videos which is a bit more at the medical student level. Many of my videos since then are higher level and probably more appropriate for residents (or at least progress from basics up through a resident level). Check those out and let me know if there is a specific topic you want covered at a resident level and I will see what I can do!

  • @elifkurt9036
    @elifkurt9036 5 หลายเดือนก่อน

    Great outline, so happy you’re posting again!

  • @abdulqaadir6510
    @abdulqaadir6510 5 หลายเดือนก่อน

    It's like you know I just started my colorectal term!

  • @王翊誠-e2d
    @王翊誠-e2d 6 หลายเดือนก่อน

    Thank you for your introduction! Very complete and easy to learn.

  • @ANPK209
    @ANPK209 6 หลายเดือนก่อน

    I loved this. Wonderful work, I look forward to putting these techniques to practice.

  • @sheilamulcahy2781
    @sheilamulcahy2781 6 หลายเดือนก่อน

    the narrator was SO hard to understand with his flat affect.

  • @team6021
    @team6021 7 หลายเดือนก่อน

    Great work sir

  • @abdulqaadir6510
    @abdulqaadir6510 7 หลายเดือนก่อน

    Absolutely amazing Dr Stahl! I've sent you and email from Australia :)

  • @nerajmanhas9816
    @nerajmanhas9816 7 หลายเดือนก่อน

    Thank you, Christopher, this is fantastic content. Your channel is one of the few, if not the only one that breaks down complex/advanced general surgery topics. It is highly niched/advanced content but invaluable to the few general surgery residents out there. Look forward to more and thank you!

  • @عمرعثمانحثيرب
    @عمرعثمانحثيرب 7 หลายเดือนก่อน

    Thanks…Helpful as always

  • @vimalmurthy3665
    @vimalmurthy3665 7 หลายเดือนก่อน

    Apologies for not continuing through your presentation and seeing that you addressed the error, but frankly seeing it stopped me cold and inspired me to comment right away…

  • @vimalmurthy3665
    @vimalmurthy3665 7 หลายเดือนก่อน

    Perhaps you have already amended your slide and your narrative, but you indicate that the T1 A/B stages involve melanomas of < 8 mm in depth, when of course it should have been < 0.8 mm in depth

    • @edu-rrhaphy
      @edu-rrhaphy 7 หลายเดือนก่อน

      You are absolutely right- I noticed that after uploading and didn't have the heart to go back and either re-shoot or edit the whole thing. Thankfully I only did it at the one point in the video, and now people can check your comment to avoid confusion! Thanks again- Chris

  • @413smr
    @413smr 7 หลายเดือนก่อน

    Very clear and informative. EZ to understand. Thank you.

  • @abdulqaadir6510
    @abdulqaadir6510 7 หลายเดือนก่อน

    Very useful, thanks!

  • @supersumanyu
    @supersumanyu 8 หลายเดือนก่อน

    Beautifully explained sir

  • @uzmaasif4331
    @uzmaasif4331 9 หลายเดือนก่อน

    amazing

  • @thenotsosuper
    @thenotsosuper 9 หลายเดือนก่อน

    this was fantastic

  • @every_k3643
    @every_k3643 9 หลายเดือนก่อน

    Dear doctor, hello, I’m a guy, 24 years old, I’ve been suffering from prolapse of the stomach and intestines for many years. I underwent an abdominal examination, a CT scan with double contrast, which revealed that I had prolapsed stomach. None of the doctors can give an answer why this happened, but one person assures me that it is due to internal hernias. I ask you to give me a little of your precious time to evaluate my research, I will send it to you by mail if you respond...

  • @kiwipics
    @kiwipics 10 หลายเดือนก่อน

    This is all great, unless you don't have cancer, but have multiple strictures dotted along the length of the Oesophagus... then what ??

  • @ANPK209
    @ANPK209 10 หลายเดือนก่อน

    Great recommendations!!

  • @NOWWECAN
    @NOWWECAN ปีที่แล้ว

    Can adenocarcinoma in T1 b layer be removed with an endoscopic option. I had a 8 to 10 millimeter nodule removed from the junction and the margins were not healthy. Endoscopic ultrasound seems to show it doesn’t extend beyond the T1 b layer. Is another endoscopic resection a possible option. The team scheduled me with a thoracic surgeon before the ultrasound and I’m thinking I should actually see the doctor who did the initial resection again. Any input? Not medical advise just in general circumstances.

  • @abdulqaadir6510
    @abdulqaadir6510 ปีที่แล้ว

    Really high yield helpful tutorial

  • @SabirSaleem-r6b
    @SabirSaleem-r6b ปีที่แล้ว

    How are you doing farmed my sabir masih for chatting names Pakistani and instrument s😮

  • @Steph-sb3ge
    @Steph-sb3ge ปีที่แล้ว

    Love how practical and straightforward this video is. I’ll definitely be utilizing these points on my sub-I next year

  • @MrBababuwi
    @MrBababuwi ปีที่แล้ว

    12:51 remember when it is to water seal, the suction tubing from the wall has to be removed from the water seal port to allow air to escape.

  • @haremahmad2023
    @haremahmad2023 ปีที่แล้ว

    Best and well explained, true miracle ❤❤❤

  • @arjavontalebzadeh4579
    @arjavontalebzadeh4579 ปีที่แล้ว

    These lectures are fantastic! Thank you for posting them.