@rbarbosa91 Still do quite a few in kiddies, selected cases (no obese, no retrocaecal, etc). I do an ultrasound to identify the caecum, and a small incision when marked. An Alexix wound retractor helps a lot, maybe more than Goelet….
@DrUgoGrossi@SoMe4Proctology@me4_so@juliomayol Don’t rush. First, rule out causes of Immunodeficiency and correct them. Sometimes the regression is quite important and allows for a lesser surgical resection .
Glad to have been able to participate in the success of a new MUSEC course in Las Palmas of the magnificent island of gran Canaria. It is always a thrill to instill curiosity and enthusiasm in colleagues, residents or already trained physicians. #success#MUSEC
@teachmesurgery In some places emergency ERCP is nonexistent. Open chole + duoedenotomy + sphinteroplasty + CBD stone removal…it works nicely and still saves lives.
@MISIRG1 @amendozazuchini Sorry…don’t like this approach. One should always remove the mesoapendix. Small neoplasia can happen, and if you left all the mesoapendix inside is a big problem at staging which force you to reoperate while sometimes it is not necessary. I use bipolar to coagulate it.
ESTES Educational Committee & Emergency Surgery Section have provided some Emergency Surgery Guidance for COVID — just released here: https://t.co/n6agXdw9jO
@ohTHATnurse It’s shameful for our profesión to see such unprofessionalism. We’ve been dealing for decades in ORs with things more scaring than covid...never wanted any clapping, or done any dancing.
@Jcarlosigeno It’s shameful to see in this video the low level of our professionalism. We are better than that. Don’t need this kindergarten dances to prove it.
“knowin' what to throw away
And knowin' what to keep
'Cause every hand's a winner
And every hand's a loser”. Alway considered this, a very good description of the philosophy of emergency surgery....
Every gambler knows
That the secret to survivin'
Is knowin' what to throw away
And knowin' what to keep
'Cause every hand's a winner
And every hand's a loser
And the best that you can hope for is to die
in your sleep 🌸 https://t.co/8kBE7mNZU5
We, doctors, always knew that Covid19 could spread with aerosol. No one really believed that the 2 meters distance was effective. This pandemic is the first happening in a digital world. The stepwise approach by WHO and governments is obsolete...and isn’t working.