beautiful beautiful surgery. and the music is not disrespectul in any way. Its is about sharing the knowladge. And by bloodless he means a clean surgery with no complications.
What is the reason to divide left portal vein and left hepatic artery? You did not perform left hemihepatectomy (seg 2,3,4) but left lateral sectionectomy (seg 2,3) and there is the high risk of the ischemic injury of segment 4. If I were you, I would not have performed vascular division. What is your opinion about my comment?
hello sir, first of all good job in the presentation. I would just like to ask why you ligated the left pedicle and yet proceeded with only a lateral sectionectomy (2,3)? also from the video grossly you can see that you can get adequate margins by doing a lateral sectionectomy in the first place, would like to ask why you opted to do a left hepatectomy primarily.
Sudershan Chakra Jyotish (Unique inUniverse) by Santbetra Ashoka
(Scj) is a hidden knowledge. There is no scripture available on it. There is only 19 pages literature available in the world on this subject. This knowledge spread by word of mouth only ,So far only three orbits description is available on {Scj } where as there are 14 orbits in it. THE KNOWLEDGE OF 14 CHAKRAS & COMPARATIVE STUDY OF NINE PLANETS IN 168 HOUSES IS UNIQUE IN UNIVERSE. Santbetra @gmail.com: 9990014155/9911062111 INDIA
Very nice work, Doc! Love the music with the surgery. It made it so exciting! I have a 13 cm hemangioma on my liver and want it out. Unfortunately, it covers over 1/2 my liver, so I am not sure if i have this option. I call the hemanigoma (cluster of vessels, basically) "Chester the Molester". Because it freaks me out that I have an alien growing inside me. It is not cancer, for those unfamiliar, but it is painful at times. I hope it will not grow anymore.
sir. This is the most amazing thing i have ever seen, I have been watching sergeries since i was 12 and what u did to divide the liver was something i had never seen..it was brilliant...im hoping to become a trauma surgeon one day do u have any advice for me??...by the way the entire video i thought u had a camera on your cap...i give props
Being a trauma surgeon is one of the most fascinating and innovative fields of Surgery. Maybe you may or may not earn, but if done with passion, it is one of the most exciting profession!! Go for it!! Good Luck
The Camera was in the hands of a resident doc, who deserves great praise. Sure he will be a great surgical hand!
you ligated the Lt hepatic a and Lt. portal v. but it looked like you resected on the lt side of the Falciform ligament which is segment 2 qnd 3 what about the supply to segment 4
just amazing.inspired to do liver resection .why not post a segment 4b+ 5 for CAGB?Would you train me for a month?Iam a general surgeon based at kokata
dear sir, actually i am a young general surgeon i had to do an segment resection of segment 3 & 4 for a traumatic liver laceration causing devitalisation of these segments. so i came across your video, it was an brilliant and outstanding video, specially the last "unique portion of resection" at the very end. but i was unable to take those through and through sutures due to needle size, and increase thickness liver as i was going deep,. which suture size n type do u use for that step.??Thanks
It is tricky! For developing countries, however it is still the cheapest method. Use a Roundbody needle with Vicryl or PDS. Take a large bite in the capsule, come out thru the raw surface and then go in again to come out thru the capsule at the opposite surface. A firm but not tight knot! Be careful not to cause a tear and more bleeding!
@alinaqvi1864 The main part of the liver containing cysts or mass has been separated.The last separation was very close to beating heart, what I feel , there must be metal protection to avoid a slip and hurt the myocardAnd another question , if the patient has normal life expactation with a small part of liver?
I'm 13, none of this stuff grosses me out. I love it! It's fascinating. One day I want to become a surgeon! Maybe an obstretician! I don't know, and I don't know much of what there doing but I can point out somethings. I watch greys anatomy alot, it's my favorite show. Ugh. 23,000 per term for med school isto much! Jeez!
You must be a surgeon to appreciate this procedure! (ur profile says u are a homemaker?) And you have really hit the nail on its head by giving credit to the videographer who was a junior surgeon. He has really filmed it perfectly. Even I havent seen a better liver resection video.
some thing, u wrote in Japanese, sorry I do not Understand!
that was fascinating! i'm acutally doing a paper on HCC and its nice to see one of the treatment options... too bad the survival rate even after resection is low :(
I find it amazing how smooth and flawless the liver looks from the front but when you see it under a microscope..
YouAreABunghole 3 days ago
Left lateral sectionectomy. Good technique of liver transection. Skin closure is bad!
JMAMJr78 4 days ago
boss!
FreeBeDrug 6 days ago
when they cut the vein.. awwesome
Beatleaga 1 week ago
He is a good doctor
althagafi911 2 weeks ago
very sensitive this video......
kabornay 2 weeks ago
beautiful beautiful surgery. and the music is not disrespectul in any way. Its is about sharing the knowladge. And by bloodless he means a clean surgery with no complications.
ankymures 3 weeks ago
Bloodless?
serpentdawn54 1 month ago
Did the patient consent to footage of his insides appearing on Youtube?
cribsoleil 1 month ago
Beatiful
NeededBabyCakez 1 month ago
What is the reason to divide left portal vein and left hepatic artery? You did not perform left hemihepatectomy (seg 2,3,4) but left lateral sectionectomy (seg 2,3) and there is the high risk of the ischemic injury of segment 4. If I were you, I would not have performed vascular division. What is your opinion about my comment?
seongpyomun 1 month ago
The classical music in the background is cheesy and disrespectful towards the patient.
solarwind1980 1 month ago
@solarwind1980
will change it
drsharaddesai 1 month ago
can a person live with that little piece of liver? o_O
beaboyy 2 months ago
o3o
SkyLine9458 2 months ago
A total work of art
LongshanksSid 3 months ago
beautiful!
missetatten100 3 months ago
amazing <3
septyma21 3 months ago
This has been flagged as spam show
hello sir, first of all good job in the presentation. I would just like to ask why you ligated the left pedicle and yet proceeded with only a lateral sectionectomy (2,3)? also from the video grossly you can see that you can get adequate margins by doing a lateral sectionectomy in the first place, would like to ask why you opted to do a left hepatectomy primarily.
whokilledthefish 4 months ago
@whokilledthefish probably that was a good option as well
drsharaddesai 4 months ago
Comment removed
whokilledthefish 4 months ago
Nice video and very ilustrative for us who love surgery... greetings from Peru.
ramirofp02 4 months ago
@ramirofp02 Thanks!!
drsharaddesai 4 months ago
Cu cine face banking:)))
PisKoteLL 5 months ago
@PisKoteLL what's that?
drsharaddesai 5 months ago
@drsharaddesai I had a question what kind of surgeon is he?
FMLevatation 3 weeks ago
Y is she not bleeding
ufcbrazil99 5 months ago
This has been flagged as spam show
Sudershan Chakra Jyotish (Unique inUniverse) by Santbetra Ashoka
(Scj) is a hidden knowledge. There is no scripture available on it. There is only 19 pages literature available in the world on this subject. This knowledge spread by word of mouth only ,So far only three orbits description is available on {Scj } where as there are 14 orbits in it. THE KNOWLEDGE OF 14 CHAKRAS & COMPARATIVE STUDY OF NINE PLANETS IN 168 HOUSES IS UNIQUE IN UNIVERSE. Santbetra @gmail.com: 9990014155/9911062111 INDIA
santbetraashoka 5 months ago
Impressive!!!
sergiogodoy 5 months ago 2
Very nice work, Doc! Love the music with the surgery. It made it so exciting! I have a 13 cm hemangioma on my liver and want it out. Unfortunately, it covers over 1/2 my liver, so I am not sure if i have this option. I call the hemanigoma (cluster of vessels, basically) "Chester the Molester". Because it freaks me out that I have an alien growing inside me. It is not cancer, for those unfamiliar, but it is painful at times. I hope it will not grow anymore.
terri9592 6 months ago
whats that in the liver, that one looks like a tumor...is it a tumor? sorry im not a pre med student..=(
clarencesniper 6 months ago
@DrMMHMD Vessel sealing - Used Martin Maxium Electrocautery.
drsharaddesai 7 months ago
there's blood LOL XD
dom10alienforce 8 months ago
Comment removed
grenouil1970 8 months ago
I didnt know you could find this on youtube
ThePooman666 8 months ago
Started as (L) hepatectomy, but converted to Segment II/III as it was ok depending on residual vascularity and disease magnitude.
drsharaddesai 8 months ago
lol chop sticks xD
dom10alienforce 8 months ago
Could you anshwer me if it is a left hepatectomy or a left segmentectomy resecting only sehments II and III? thanks
ernanidesorder 8 months ago
@ernanidesorder definitely left lateral sectionectomy (seg 2,3)
seongpyomun 1 month ago
great work ... god bless
drmimi222 9 months ago
ewwwwwwwwwwwwwwwwwwwwwwww
Tiffgurlboo 10 months ago
masterpiece!!
jamalahmet 10 months ago
was the section that was removed faulty?
mistery79 11 months ago
imagine if anesthetic didn't exist...
MrArthiom 11 months ago
great video sir.. myself a surgery resident from delhi... any recommendations for liver mobilisation and bleed control in liver trauma
majaz11 11 months ago
@majaz11
should depend on case to case. My answer may not satisfy you
drsharaddesai 11 months ago
If I only really liked school, surgery is my number 1 choice. Too bad. I'll just be a surgical technician or technologist. Idk the difference
KueenApostate 1 year ago
I like this, very cool!
nidacaon 1 year ago
sir. This is the most amazing thing i have ever seen, I have been watching sergeries since i was 12 and what u did to divide the liver was something i had never seen..it was brilliant...im hoping to become a trauma surgeon one day do u have any advice for me??...by the way the entire video i thought u had a camera on your cap...i give props
traumadrama303 1 year ago
@traumadrama303
Being a trauma surgeon is one of the most fascinating and innovative fields of Surgery. Maybe you may or may not earn, but if done with passion, it is one of the most exciting profession!! Go for it!! Good Luck
The Camera was in the hands of a resident doc, who deserves great praise. Sure he will be a great surgical hand!
drsharaddesai 1 year ago
you ligated the Lt hepatic a and Lt. portal v. but it looked like you resected on the lt side of the Falciform ligament which is segment 2 qnd 3 what about the supply to segment 4
romeokansakar 1 year ago
wow.nice way to resect parenchyma. do you use CUSA, Post a segment 4b+5 resection
drdebashisdeb 1 year ago
just amazing.inspired to do liver resection .why not post a segment 4b+ 5 for CAGB?Would you train me for a month?Iam a general surgeon based at kokata
drdebashisdeb 1 year ago
Comment removed
alinaqvi1864 1 year ago
Comment removed
alinaqvi1864 1 year ago
Comment removed
alinaqvi1864 1 year ago
dear sir, actually i am a young general surgeon i had to do an segment resection of segment 3 & 4 for a traumatic liver laceration causing devitalisation of these segments. so i came across your video, it was an brilliant and outstanding video, specially the last "unique portion of resection" at the very end. but i was unable to take those through and through sutures due to needle size, and increase thickness liver as i was going deep,. which suture size n type do u use for that step.??Thanks
alinaqvi1864 1 year ago
@alinaqvi1864
It is tricky! For developing countries, however it is still the cheapest method. Use a Roundbody needle with Vicryl or PDS. Take a large bite in the capsule, come out thru the raw surface and then go in again to come out thru the capsule at the opposite surface. A firm but not tight knot! Be careful not to cause a tear and more bleeding!
drsharaddesai 1 year ago
@alinaqvi1864 The main part of the liver containing cysts or mass has been separated.The last separation was very close to beating heart, what I feel , there must be metal protection to avoid a slip and hurt the myocardAnd another question , if the patient has normal life expactation with a small part of liver?
bonameshooligans 1 year ago
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alinaqvi1864 1 year ago
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alinaqvi1864 1 year ago
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alinaqvi1864 1 year ago
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alinaqvi1864 1 year ago
excellent procedure .... you desrerve all the commendationsfor this.....ali naqvi Pakistan
alinaqvi1864 1 year ago
@alinaqvi1864
Thank you,
Have a great Ramzan!
drsharaddesai 1 year ago
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alinaqvi1864 1 year ago
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alinaqvi1864 1 year ago
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alinaqvi1864 1 year ago
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alinaqvi1864 1 year ago
I'm 13, none of this stuff grosses me out. I love it! It's fascinating. One day I want to become a surgeon! Maybe an obstretician! I don't know, and I don't know much of what there doing but I can point out somethings. I watch greys anatomy alot, it's my favorite show. Ugh. 23,000 per term for med school isto much! Jeez!
SmexyRylee 1 year ago
Dr Desai you are a genius! すごい！
Btw, did you assistant film these ops?
michanzuki 1 year ago
@michanzuki
You must be a surgeon to appreciate this procedure! (ur profile says u are a homemaker?) And you have really hit the nail on its head by giving credit to the videographer who was a junior surgeon. He has really filmed it perfectly. Even I havent seen a better liver resection video.
some thing, u wrote in Japanese, sorry I do not Understand!
drsharaddesai 1 year ago
really scaryyyyyyyyyyy
sexyguyoo72010 1 year ago
Great procedure. :D
freakoffreaks145 1 year ago
interesting...
saharaaaa111222 1 year ago
Dear Sir , that was a state of the art job, so inspiring.
thank you for sharing.
Liberalinajd,
Surgery resident, Saudi arabia
liberalinajd 1 year ago 5
@liberalinajd
Doc
I want u to do a similar op!!
Good Luck
drsharaddesai 1 year ago
why did they take out her liver
thegame245 1 year ago
@thegame245
Cancer of the liver my dear!!
drsharaddesai 1 year ago
@drsharaddesai what coulda been the reasons for her cancer? and please dont call me dear im a guy and it sounds homo when you say that
thegame245 1 year ago
@thegame245
I am really very sorry!! I did not peep in your details before my reply.
I frankly cannot help u with the cause as she was a non-alcoholic, Virus negative, AFP -ve, non cirrhotic and relatively young(36 Yrs)
drsharaddesai 1 year ago
Thank you Doctors That was an excellent procedure
korsisalon 1 year ago
@korsisalon
good appreciation! U definitely love Surgery!!
drsharaddesai 1 year ago
@drsharaddesai
Yes i do & it was very great thank you so much
korsisalon 1 year ago
Wow,this was very interesting!!Thanks for sharing!
Liaram66 1 year ago
bravo!
euntaekkim 1 year ago
That Looks Painful :S
prettyneon 1 year ago
I had a Liver Trasplant 19 months ago. this is so interesting
MH2448MH 2 years ago
absolutely incredible!!!!
lunnatic22 2 years ago
that was fascinating! i'm acutally doing a paper on HCC and its nice to see one of the treatment options... too bad the survival rate even after resection is low :(
jesuistahmid 2 years ago
Comment removed
Tokagawa 2 years ago
@Tokagawa
Naughttty comment but dont worry I wont mind. Keep watching.
Why did you remove the comment ?
drsharaddesai 1 year ago
Very nicely done
riazalishah 2 years ago
I just had liver surgery on monday. :I
UDEDBY 2 years ago
very nice precision. this goes for all doctors
danvinguyen 2 years ago
im like OMG SHES DEAD! at 8:00
Genki1993 2 years ago
wow i like the cutting it looks careful done and the sewing. nice
tariq1324 2 years ago