Acute appendicitis with peritonitis.mpg

[kire1721]

yo tuve eso y no m la cerraron por temor a q se me infectara, me tuvoi q cerrar poko a poko

[Filosomana]

@kire1721 es cierto que los primeros dias despues de una operacion tan delicada son decisivos, tuviste una infeccion fuerte?

[kire1721]

@Filosomana pues m edijeron q mucha "pus" y pues ya el escremento se ma habia salido de los intestinois y me dijeron q ya tenia 3 dias asi como para mi organismo haya producido tanta linfa o pues ya no recuerdo como m dijeron hahhah.. pero tarde como 20 dias y m hacian limpieza cada 12 horass :S..

[dekesgirl30]

I think I may need my appendix out but I guess I'll never know my parents won't take me to the doctor

[pravinhendre]

thanks

you can see my few more clips

[riding2live29]

amazing! Thank you for sharing! These videos help students such as myself to get a visual of the procedures and what the conditions actually look like.

[dragon55142]

i got my appendix temoved 3 days ago plus im 12

[marineboy090]

it would be really cook if you could ad some notes as to whats going on.. just curious.. caus i dont really know whats going on here x.x looks intresting

[pravinhendre]

@marineboy090 will do

[RunningWolf24]

hey dr have you uploaded anymore vid's yet

[RunningWolf24]

and me on the other hand im on vacation so im gonna try to get all the online time i can get

[pravinhendre]

@RunningWolf24 good i will upload few more operative videos for you

[RunningWolf24]

@pravinhendre thank you i appericiate it

[RunningWolf24]

The other worse smelling thing I smelled is during OB/GYN cases. But, not as bad as the appendix though.

[pravinhendre]

@RunningWolf24

i agree to what you say

i am a gynaecologist turned in to laparoscopic surgeon

i do lot of general surgery work with my fellow surgeon friends

[RunningWolf24]

@pravinhendre I never really thought you DR's had time to waste on the computer.

[pravinhendre]

@RunningWolf24

my dear if you feel this is waste of time

you are under wrong information

and ultimately we are also humans who want to be connected with world

hope you forgive me if i have hurt your feelings

[RunningWolf24]

@pravinhendre nope far from being hurt i served in the marines so im used to it and what i meant was i didnt think dr's had time to be on the computer being so busy with paitent's and all that

[RunningWolf24]

Fuck man I don't know how many of these cases I scrubbed on and you can never get used to the smell of the abcess UGH nasty. Probably the worst smelling thing to smell in the OR. But, great vid though sir or maam lol.

[pravinhendre]

@RunningWolf24

thanks, I fully agree with you , it smells awfully in open surgery but some how it is tolerable laparoscopically. The surgery takes place in closed cavity and what ever smelling air is directly sucked away by suction irrigation which is done intermittently . thanks

[RunningWolf24]

@pravinhendre You don't have to tell me I been a CST for 2 yrs and thats the worse thing I smelled. So are you a surgeon??

[iluvamedic]

i hope the patient survived the infection from what ive read peritonits is extremely dangerous as it can quickly become sytemic involving the whole body....and to the person who posted that im assuming u knew that u seem fairly educated =]

[pravinhendre]

@iluvamedic

patient went home on 6th day .well fit and fine .

this is the main advantage of laproscopic surgery(key hole surgery)

for operating such case you requre experience which i suppose i had after performing almost 5000 appendicectomies since 1992

[iluvamedic]

@pravinhendre i may only be a cna but i kno what it is lol i had my appendix out that way when i was 13 at Earl K. Long medical center in baton rouge louisiana

[RunningWolf24]

@iluvamedic it's highly dangerous it happen to me and it was all over my organs it crusted my intestines together it was caked all over my spleen and gallbladder and liver and the poison was making it's way to my lungs and heart and it's EXTREMELY painful i spent about 2 whole weeks in the goddamn hospital.

[pravinhendre]

@iluvamedic

definitely

patient went home fully recoverd on 6th day after surgery

thanks

[iluvamedic]

@pravinhendre ur very welcome

[Nickidewbear]

My dad's mom lost her maternal grandmother to this 65 years ago on Monday.

[pravinhendre]

@Nickidewbear

its sad but at that time this technology was not awailable

[Nickidewbear]

I know, but part of it too was that she never (as far as I can tell) lost any of the pregnancy weight that she'd gained (She had twelve kids from 1906 - 1927; not all consecutively.), and she perhaps assimilated (She was ethnically Jewish, and a Byzantine-Slavic Catholic by religious affiliation.) and didn't eat kosher enough (not that she had to, but she would have been healthier if she did; and she might've staved off the appendictis that caused the peritonitis).

[kyle556owns]

wooof we have so much weird fatty tissues in our body D:

[JessieRawr1]

i actually find this interesting yet weird. cool :D

[pravinhendre]

@JessieRawr1

thanks

[RsGhost1]

Can you imagine not being under narcosis when undergoing an appendectomy :S

[pravinhendre]

@RsGhost1

patients are given anaesthesia and not narcosis

narcosis and anesthesia are totally different enteties

[RsGhost1]

@pravinhendre Thanks for pointing that out

[pravinhendre]

@RsGhost1

ok

[fatsotomuscles]

I'm no Doc, but the insides look all alike. yikes!

[crazybeavers155]

i think im going to get sick i cant watch this any more

[pravinhendre]

@crazybeavers155

you should see the pt next day 

it will make you healthy

[crazybeavers155]

@pravinhendre no it was when i was eating and i was looking for the 3d one i can stand the site of blood but thing was i was eating

[pravinhendre]

@crazybeavers155

then its alright

any way thanks

[cypherotic]

I would like to add further on the role of hydrodissection during these kinds of procedures realy a great help in breaking down adhesions and makeing way and skeletonization of required organ,,,, Last week i did lap app,,,  realy bad like up in this video and hydrodissection was realy a great help, therefore i would suggest that this tool must be learned to use in this kind of procedures,,

[pravinhendre]

@cypherotic yes I agree , it does help a lot

can you upload the video. it will be useful to all

[pravinhendre]

@cypherotic

i agree thanks

[pravinhendre]

@GARICOL9999 There is nothing like best antibiotic

you have to do culture and find sensitive antibiotic

but for initiating the treatment we start with cefaperazone with sulbactum and this has given very good results

but still the key to sucess is through washof peritonial cavity with saline it washes debris and bacteria and reduces morbidity tremendously

thanks for the coment

[pravinhendre]

some time in life we have to take bold decisions but have to follow the things carefuly and if there is any delay in recovery of patient who has undergone laparoscopy you have to look again either by putting scope through same port or you can do laparotomy which you avoided at first sitting. if you walk the usual path you may not be able to discover new areas . some one has to try differently and if you suceed you can try it again and again. thanks for comment

[cypherotic]

I think it was bold and very good attempt , very minimal , but careful though leaving some worrying risk at the base while doing intracorporeal knoting, but thanks for uploading this video,,,,

[pravinhendre]

@cypherotic we have to try new techniques , if some one does not try there will not be progress in medical science .

for intra corporal knotting you have to try on interval appencicectomy

once you practice it does not seem to be risky thanks

[hind200988]

why theres peritonitis?? is it perforated appedicitis?

[pravinhendre]

@hind200988

yes

perfotation was at the base

that's why pt had peritonitis

[Nickidewbear]

Great-Great-Grandma Rusnak died of this.

[jessicaanngerardi]

that is one nasty looking appendix!

[pravinhendre]

yes it is

but what i want to give the message that such surgeries require big incisions

but through laparoscopy you can avoid morbidity of laparotomy incision and help the patients

thanks

[MichiganChet]

@pravinhendre

Sure, assuming you do it correctly and avoid a big postop abscess or a stump appendicitis

[pravinhendre]

@MichiganChet

to avoid post op complications you must follow the surgical principal whether it is open surgery or lap surgery

if you do not follow the principal you can get same complications like stump syndrome or abcess in open surgery also

i am stating this after doing almost 4000 (four thousand) lap appendicectomies over last 18 years

 any way thank you for the coment

[Filosomana]

@pravinhendre My brother has just had surgery, he had a peritonitis ( he ignored the symptoms for 7 days!!!!), we are very worried, the doctors have left the wound open, why is that?