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How do we Technique of suture control of a bleeding duodenal ulcer.🤔👨🏻‍⚕️👩🏻‍⚕️➡️↙️📚.....👇🏻 #SoMe4IQLatAm #SoMe4Surgery

✳️After a longitudinal pyloric incision and identification of the bleeding vessel, figure-of-eight sutures are placed at the cephalic and caudal aspects of the ulcer deep enough to occlude the gastroduodenal artery.⤵️⤵️

✳️An additional U stitch is placed to control small transverse pancreatic branches from the main vessels. ✳️Algorithm for the treatment of bleeding peptic ulcer.⤵️ #SoMe4IQLatAm #SoMe4Surgery

✳️ASA= acetylsalicylic acid; EGD = esophagogastroduodenoscopy; O.R.= operating room; PPI = proton pump inhibitor; PRBC = unit of packed red blood cells; PT = prothrombin time; PTT= partial thromboplastin time; Rx= treatment.⤴️⤴️

✳️Algorithm for operation for bleeding peptic ulcer.⤵️

✳️BMI = body mass index; Bx = biopsy; PPI = proton pump inhibitor; proc = procedure; TV = truncal vagotomy; TV/A = truncal vagotomy and antrectomy; TV/D = truncal vagotomy and drainage.⤴️

Biliary system and actual surgical procedures of laparoscopic choledocholithotomy . #SoMe4IQLatAm #SoMe4Surgery wjgnet.com/1007-9327/full…

Formations of the inguinal region.  #SoMe4IQLatAm #SoMe4Surgery #MedTwitter

Perforated peptic ulcer, the Graham,s omental patch. #SoMe4IQLatAm #SoMe4Surgery #medtwitter

High volume adrenal program = 6 per year. Montefiore Health System already 18 in 2025. Proud to provide outpatient minimally invasive surgery techniques for benign and malignant adrenal gland diseases. Montefiore Surgery #bronxNY #westchesterNY #surgicaloncology MontefioreEndo Albert Einstein College of Medicine - Official

Redo🧵 regarding PDS (polydioxanone) surgical sutures. For reasons that will become evident later, it is useful for me to revisit an old 🧵I posted about PDS 3 years ago. We will again go over the properties of PDS, its history, and what each of the sizes are used for. (1/ )

🇨🇦 in #eahpba2025 champions league 🏆 HELIX RCT of TXA vs placebo for hepatectomy by Paul Karanicolas No change in 🩸transfusion but ⬆️ morbidity with TXA ⚠️ don’t use TXA for hepatectomy See 📝 JAMA 👉🏻 jamanetwork.com/journals/jama/…

June is #MensHealthMonth. A reminder to check in on the men in your life. One in two men are at risk of social isolation, stress, and depression. Start the conversation. Be there. Let them know they're #NeverAlone. 1/2

Great Japanese HPB congress at Karuizawa!

The Spanish surgical team, Ines Rubio-Perez, PhD Jose M. Balibrea MD, PhD, FACS Rocío Anula and Pat Tejedor, with Prof. James Shapiro at The Royal College of Surgeons of England SEIQ aecirujanos BJS Academy BJS BJS Open

Congrats to all the graduating Halsted Surgery Chief Residents. So excited to see the amazing things you will do for decades to come. Congrats to Drs. Jopling and Florecki on your faculty teaching/mentoring awards. Johns Hopkins Trauma looking strong. Welcome to the team, Zach Enumah

Scrubbed into the OR with Subodh Verma on Father’s Day. I asked what the day means to him. He said: “Provide, protect, be present, and lead by example.” Simple, powerful - just like the work he does every day. Brantley Gilbert Marc Gillinov bobby yanagawa Dr. Deepak L. Bhatt #FathersDay

Looking through the first edition of Shackelford’s Surgery of the Alimentary Tract from 1955. Original description of Whipple included a side to side enteroenterotomy. Anyone still do this?

Para la fistuloclisis efectiva Debe de coincidir en calibre la sonda con el estoma Si el estoma es mayor d 24 ya después sera difícil conseguir una más gruesa Y la masacuata es fr 36 Entonces para volver una 24 fr a 28 o 30 Se ponen varios condones a manera de empaque

Con lo mejor del #clinico ⁦Hospital Clínico Virgen de la Victoria⁩ , que alegría verte ⁦AnaRDurán⁩ ⁦歩流経 ⁩ ⁦OlgaRGuerrero⁩ ⁦asacirujanos⁩ ⁦aecirujanos⁩