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A Technical Guide to Safe Laparoscopic Lysis of Adhesions

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Peg Tube Fixation Of Sigmoid Volvulus

Original Case Presentations
View in high definition Video requirements
Salem Hany Tarek,
Southport Hospital,
Southport

PERSONAL COMMENTS:
Mr Angus Macdonald – Consultant Surgeon, main person carrying out the colonoscopy
Mr Tarek Salem – main surgical assistant during operation
Mr Ross G Milligan - filming, video recording and editing of film

Filmed with Canon XLI using mini DV format tape. Edited on Avid Liquid Edition Software. Sennheiser radio-microphone used.


ABSTRACT:
This presentation demonstrates the technique of fixing the sigmoid volvulus by inserting three PEG tubes percutaneously into the fixed colon. The first aim is to make sure that the volvulus in the sigmoid colon is reduced. Next the colon is transilluminated. Following the subcutaneous injection of of Lignocaine with 1%adrenalin 1:100000, a percutaneous cannula is inserted into the colon and captured with a colonoscopy snare. The guide-wire is withdrawn from the rectum and after the PEG tube attached, it is drawn back into the colon to abut on the mucosa. The exercise is repeated twice more to prevent further rotation of the colon. At 6 - 8 weeks, 2 of the tubes are removed and the third is replaced with a button ostomy to allow the colon to be decompressed.
Extrafascial Laparoscopic Radical Prostatectomy
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