How to Make Laparoscopic Endoloop in 37 seconds!
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- เผยแพร่เมื่อ 30 ก.ย. 2024
- Video describes an very easy step-by-step method to make an handmade laparoscopic endoloop, useful for appendicectomy, complicatec cholecystectomy, and every other surgical procedure that needs an endoloop. I have a personal preference to use Prolene 0 or 2.0, but other materials can be used too.
Note: this is a demonstration video, after an appendicectomy, so no sterile environment is presented.
Contact:
Facebook: Igor Teixeira Ferreira da Silva
E-Mail: igortferreira@gmail.com
Consultório: Avenida Rio Branco, 156, Sala 914 - Centro - Rio de Janeiro / Telefone: 2240-0242
WhatsApp: +55 21 98746-9745
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Thankyou for creating this amazing video doctor very informative and got to know a lot about laparoscopic endoloops
Doctor I have a few questions I can't find the answers for them anywhere so can I ask them here,
You said in the comments that you use them for performing appendicectomy so I want to know that
1) The endoloops stay inside the body even after the appendix is cut and taken out I want to ask can they cause any sort of harm or injury or scratch to the inner organs of the patient because they seem pretty pointed and sharp and is the material safe
2) and are they safe for a lifetime, I mean can they cause any sort of infection or complication to the patient
3) and is there a chance that they might open and just in case they open would it be dangerous for the patient?
4) and last can appendicitis also happen because of covid 19 my friend was infected with corona virus and at the same time also happened to have appendicitis so I read that appendicitis happens when the appendix is infected and the infection could also happen because of the invasion of a foreign body corona virus is a foreign body to the body so can appendicitis also happen because the body is already infected with corona virus
Thankyou once again doctor for creating this wonderful video
I hope you answer my questions I would really be grateful
And may God bless you for the amazing work you are doing
Hi Borasaek Tokki
Thanks for your questions, they are really interesting...
My opinion:
1 - the endoloops in that surgery were made from a material called prolene, it's pretty safe to be left inside the abdomen and doesn't interact with other organs.
2 - no chance to infections caused by the little string left inside.
3 - yes, the stump can open and leak, that's one of the worst complications of this kind of surgery BUT it's VERY rare to occour and no one knows the cause... It's important to pay attention to not use excessive force when the loop is closed, it can be one of the causes of complication.
4 - I belive COVID 19 can cause appendicitits... the main problem of that virus is that it causes hipercoagulation that can interfere with the appendix vessels and cause appendicitis... but it's not that common...
I hope i answerd your questions...
Best regards!
@@IgorTFerreira Thankyou so much doctor I am really grateful that you considered my questions and answered them so much in detail, you made my day I am very happy all thanks to you. Thankyou and may God always bless you for the amazing work you are doing and for the amazing person you are. Once again thankyou so much
hi doc, big fan of your work.
just wondering, what is the camera model used to record this video and how is it showing you live video on your cell phone while recording.
Hi.fine kont. is it different from Roeder's knot.in last you applied only one half knot while Roeder's knot is 2,3,2 i think.
1, 3, 1 is Standard Roeder's. 2,3,2 is Modified Roeder's or Melzer knot, while Dr ITF put on 2, 3, 1. Probably experience has taught him that that second lock ( half knot ) may not be essential.
he has put 2,3,1 in both the demonstartions.
Igor T Ferreira is an excellent surgeon. He is highly skilled and intelligent. I like his surgical videos.
Hi Zafar Ullah Khan!
Thanks for the nice words!
Wish you only good things! Stay in peace! :)
very nice sir.. beautiful.,. am going to try this now.. just a doubt, u have commented that it works well with prolene..1) when u use prolene - same style and anatomy of knot? 2) next which surgeries u use prolene for knot ? and which no?//.. thank you .keep posting love watching ur videos and music .-Shriraam Ayyar
Hi shiraam ayyar!
Usually i only use prolene 0 for the endoloops and for muscular aponeurosis closure...
The main advantage of prolene for endoloops is that it keep it's format during manipulation, it is easier to handle... Vicryl may be used on endoloops too, the advantage is that it's reabsorbable...
For other sutures, like intestinal anastomosis or peritoneal closure during hernia sugery for exampole, i prefer vicryl or PDS 2.0 or 3.0. For hiatal hernia - diaphragm crus suture i prefer ethibond 0 or prolene 0
Hope i answered you!
Wish you a great weekend!
@@IgorTFerreira thank you
@@shriraamayyar7744 CHeck this video about how to tie an external knot with knot pusher:
th-cam.com/video/cp1TT-tkZr8/w-d-xo.html
Sou seu fã, mestre. Já aplicando os ensinamentos aqui no hospital naval de Belém.
Love the music selection as simple as your knot
Thanks Dr. saurabh mudgil!
I really liked the music too! :)
Dear doctor, can you give me a link about which camera u use to record this. Thank you for your technique!
Obrigado sir ! For junior surgeons working alone in smaller hospitals who have to be independent you are indeed doing a great service.
+Gireesh Bala
Thanks for your comment Gireesh Bala!
That's the intent of most of my videos, share knowledge!
It's very sad can't perform a procedure because you don't have an expensive device when you can replace it by simple and inexpensive solutions without any problems...
Hope your hospital gets bigger!!! :)
Stay in peace!
@@IgorTFerreira Indeed . Your treatment of cystic artery on the surface of GB is one of the hall mark of your surgery
Спасибо большое за опыт
0:13
Deus abençoe que eu tô senhor que Deus ilumine e toda força ao senhor toda luz Deus é soberano grande eu sou
Great
Very easy to learn.Its quite secure.I have already adopted it.
How different is it from roeder's knot
Hey! This Ferrira's knot is quickest than the traditionnal mishra knot I used to use... and still usable without the knot pusher!
I think i'll try it and will surely adopt it! thanx bro, you're a legend!
+AMINE TALBI
Thanks a lot for the comment my friend!
This loop is really easy and fast to make. You can push it with a maryland if you need to...
I'll upload some very useful tips, stay tuned! :)
Have a great week!!!
OBLIGED, THANKYOU
Which material you are using for knot? Vicryl (regular or long term?) what size 2-0?
Hi Oleksandr Kumpanenko!
regular vicryl 0 or 2-0
Thank you!!!
hahahahhahahhaha Fenomenal
Thank you
It is a self sliding knot as well,without using any tool
+Βασίλειος Ντούρος
You are right... you can use that knot even without knot pusher! I use it a lot for appendicectomy and difficult cholecystectomies...
very nice
Thank u
fantastic
Nice
20 suture gets struck in the eye
+sai prasad donga :)
excelente video dr igor muy util
+Leandro Contreras
muito obrigado pelo comentário
fico feliz! :)
nice and easy -- fantastic
+Debasish Ghosh
Thanks for the comment! I'm glad you liked! :)
estava esperando por este. Obrigado!
+Dr. João Albuquerque
Olá João! espero que aproveite a dica!
Bom fim de semana!! :)