PLEASE GIVE FEEDBACK AT: www.surveymonk... DISCLAIMER: This is an educational video for surgical trainees. Physical models have been used to simulate a surgical procedure.
When I was 11 years old (almost 40 now) I barely survived appendicitis. My general practitioner said I just had a belly fever. After a few days I couldn't walk or breath properly because of horrible pain. My mom didn't trust it and brought me to hospital. One hour later I was on the operating table with a perforated appendix and peritonitis. After operation it took 3 different antibiotics to get the peritonitis going away. They were almost going to make a zipper in my belly and put me to sleep for 1 week and rinse my belly. Luckily it didn't go that far, because 3rd antibiotic started working. I was in hospital for 1 month. Doktors told me I would've died in a couple days if my mom didn't bring me there. So yeah I'm pretty lucky to be here today.
when i had appendicitis i think my appendix must have ruptured because the surgeons had to use 8 bags of saline solution to fully get rid of the infection
I thought mine was ulcer too until my aunt took me to a hospital where the doctor diagnosed it as appendix and recommended an emergency surgery. He said I would have been dead if I wasn't operated on for just a few more days. Currently in my recovery process. Ain't funny but I'm glad for life.
@@Picozani I had appendix removed at first laparoscopic but then turned to open surgery.yes my appendix ruptured .I had this surgery done 3/31/24 and in recovery process .doctors say 6-7 weeks for full recovery..yes it is not easy but I'm recovering well... thank you lord (this is her husband using my wife laptop)
Why lots of Sewing inside Belly, i got oparetions last month & now I'm felling terrified. Anyone can tell me is there any side effects in future for this sewing?
You’re fine. The stitches dissolve when it’s been long enough for the scar to heal. There have been lots of research and there are no issues with internal stitches. That’s what you are asking, right?
As someone who had an appendectomy, RUclips apparently felt it necessary to recommend this video. While I want to learn what was done to me while I was asleep (thank God), I can't stop screaming every three seconds seeing how my body was opened up. Thank you to all the doctors and nurses out there for all you do!
@@flip2724, you're absolutely right! Doctors, nurses, lab techs, anesthesiologists, the whole gambit of those who were there! And those who weren't but still played a role in my surgery! You guys are ALL amazing!
Thanks for this video I'm a surgical tech student and I have an open appy case study due tomorrow and it's very helpful the way you mention all the instruments used👏
When I was 10 I had this surgery with the bikini incision. I am 58 now. For the last 20 years I have increasingly intense pain at the surgery scar site that now migrates into the hip area. Any investigation shows up nothing except some calcification of 2 cm in this area. That’s what it feels like. A sharp rock in there. Amy insights Surgeons?
You said close External Oblique Aponeurosis with continuous vicryl, but both threads were cut. You also said close Scarpa's Fascia with interrupted sutures, but that was done continuously 🤷♀
I wish he'd say a little bit about the instruments, variations in instrument names as well as why it's used a little more. (Kellies, Army-Navy's, Weitlaner's, etc.) Also, he could've differentiated between using a #15 blade to create an opening in the peritoneum in contrast to the #10 blade initially used for the first incision, which is a big no no in aseptic technique. I don't mean to state the obvious but it would be a great point to be made for those that wouldn't know that.
@@ccoop3774 because the #10 was used on the skin.. even if you clean the skin, anything left on it like bacteria could be transported into the peritoneum if you use the same blade deeper in..
@@mistable No. I was asking the question to the comment, not the surgeon. These comments are from years ago. I had to watch part of the video again and read the comments again. I misread the original comment. Probably from another insomniac night. Thanks for your explanation, but I spent many years in surgery.
Love it! Most of the actual videos of surgery-given the limitations of perspective and the resolution of the Camera-all look like a Latexed Finger poking and probing a bloody trench. Your plastic model was much easier to grasp-and I worked in slaughterhouses. I know what blood, bone and internal organs look like. If I can't make heads or tails of a video, then few can. I should have been a Doctor. I could groove on being a Surgeon! What was with those 900-someodd knob-gobblers who gave you a "Thumbs-Down"?
@@thomasfitzgerald1027 Why? Maybe I wouldn't have been good at it, but I don't think that you can tell that from my brief remarks-because I find online surgeries hard to follow? Because I worked in slaughterhouses? Or do you just want to eliminate possible competition?
فيديو رائع مش عارف ليه مش بنتعلم كده فى سنة دراسة مادة الجراحه للاسف الكليه عمليه بالاسم فقط واكتر من 90% من دراستها نظريه فبيطلع طالب الامتياز عنده 0 خبره تقريبا وببدأ بتعلم من الصفر بعد كل سنين الدراسه الضائعه
Well it was interesting to see just what they did inside me when I was 9. Though they stapled my skin shut. They also placed a drain in it, as mine burst, to allow stuff to drain out. wonder if they have one of these for gallbladder removal too?
I'm glad most appendectomies are done laprosopy now. I had my gallbladder removed laproscopy and I was in pain everytime I had to get up. Imagine had they removed it by opening me up. Same goes for the appendix. I still have mine.
That's a very nice model. The cut edge of the appendiceal stump is contaminated unless treated with absolute alcohol or phenol. Therefore the forceps that touched it for the umbilication (an unnecessary and potentially problematic step) are also contaminated.
School Sugery - Aula YOU TUBE - Aula: appendicitomy - Simulação como um corte e um isolamento de um cortar umbilical ( nervo algo indesejado no local - ) - dar um nó com linha ou nylon de cada lado - e continua ... - Aluna HORTÊNCIA DO NASCIMENTO filha de MARIA ELZE SILVA NASCIMENTO e PAI JOSÉ DO NASCIMENTO - Aracajú -Sergipe Brasil - América do Sul - aprendiz - Thank you.
Já jsem pro to sledování nebo i když spíme chci vědět co se dělá s tělem.Nevime o operacích nic.Je to šílený,ale vím co mi dělají!!!!! ZLATÉ RUČIČKY!!!!!!!👍👍👍👍👍👍😀😀😀😀😀😀
In the surgical approach of the abdomen(abdominal wall) and chest (chest wall) the surgeon can cut all the arteries and veins that he/she find in the way .In the surgical access to the abdomen the surgeon try do not section/injure the epigastric artery and in the chest the internal thoracic (mammary ) artery but if he /she cut or injure these arteries,normally nothing bad or adverse happen.Medium /large vessels(arteries or veins) when sectioned have to be ligated ,small vessels can be electrocoagulated with a special cautery scalpel device .Medium and large size arteries and veins have to be surgically repaired .Among the arteries, the aorta, pulmonary artery carotid,coronary, ileo-femoral ,visceral, braquial and other important arteries have to be repaired when sectioned and/or injured . The same policy of repair in the great veins as the vena cava ,pulmonary veins, iliac veins, other .
Contente de voir que les étudiants en chirurgie ne s'exercent plus sur les animaux ! Le porc est encore très utilisé par les chercheurs en médecine ! Bonne vidéo pour les apprentis.
Yesterday I had a dream that I was somewhere whit my friends with no medical care in our reach and one of them fell really ill and we somehow figured out its appendicitis. I told them I would do it as I remembered that you have to cut on the right very low abdomen, parallel to the muscle fibers. Then I started to look for some book, to have a clue at least. Then I woke up. It was crazy but I looked this video up anyways, you never know.. :D
My mum's friend underwent this operation in the bush without anaesthesia in 1968 during the civil war in Nigeria. You never can tell where you need these skills.
I has this same exact process done to me it started with random pain in the upper half of my stomach then it slowly travelled below my belly button, It was hard for me to sleep, some clinic practitioner gave me pain medicines but the pain returned in morning no injection worked too, he said my ultrasound is clear but the pain was so excruciating that I had to go again in evening when he told me to refer to a bigger hospital in the ct scans they quickly found my appendicitis only I know how I slept that night I was operated and my appendix was burst luckily no infections or anything and my operation wasn't horrible like some people here ( hope they're okay) but I was vomiting water out for a solid 4 days and sleeping at night was difficult I still have stitches there it has been 12 days since my operation I'll get then half cut today according to the doctor let's see but this was a reminded to my parents that something serious can be happening to you while you think it's gas pain
Throwing stitches everywhere... a lot of other videos don't do a lot of them. In one video they said the purse string is optional. As well as the peretenium... they said you can stitch that if you want because it may help keep things inside while you close. Then they skip right to closing the dermal incision. Could be that the vicryl is made to biodegrade... so it's convenient to use more stitches where other videos may have used prolene so you wouldn't want to leave that in except maybe on the actual secum/appandectic ligation? Who knows? Not I said the duck.
Most useful when straightforward, but no mention is made of excess subcutaneous FAT. In many of us today, the adipose layer can be inches thick. Proto-surgeons need to know it can manifestly alter the op technique and the outcome. With larger incisions, e.g. exploratory lap, one used to see, post-surgery, the occasional sudden 'burst abdomen' in elderly patients with poor tissue viability; that too has to be understood and assessed - esp. if the op has to be extended, e.g. if bile is found. Hence the benefit of procedures which are less traumatic, esp. keyhole, the minimal breech has reduced risk of post-op rupture. In hernia repair, incorprating synthetic mesh is a boon in wound strengthening, but I digress. Thankfully, some of those old post op issues I used to see rarely occur now. Florence Nightingale's rule ever applies: "The hospital should do no harm"
You're absolutely right. Open abdominal surgery these days is substantially more difficult than it used to be simply because such a large part of the population is obese. People who think themselves "a little over-weight" aren't; they're OBESE and make the lives of even the most skilled surgeons very difficult.
@@wholeNwon thank God I'm underweight then. Made my surgeon's job easier didn't I? Does this mean the video applies to underweight and modeltype people?
I remember when I performed my first appendectomy during my second year residency in General Surgery.My Attending physician timed the procedure.Open to close took 30 minutes.Not bad.
How about the open one where it already burst. How long it takes to recover? Asking for an 8yr old child. Diagnosed very late even after rupture, almost a week after.
That first vessel was quite thick and important, but they just cut it and left it like this. Wasn't it supplying blood to other organs and now they might be lack of it?
Zilvinas, these are simulated vessels. They are supposed to be clamped on both side and cut in the middle and either tied off with a suture strand or cauterized. He does mention that these vessels should be ligated with a 3-0 Vicryl. He just didn't do it for times sake. This is a teaching video for surgeons, who are leaning this procedure. He is skipping through some of the very basic steps, only for the sake of time, but he does mention what each of the proper steps are. Perhaps you had the sound muted. He gives a great explanation for the entire procedure! We make and sell this simulator at www.delletec.com/appendectomy.htm. Please feel free to contact us if you have any further questions. Our email is: delletec@austin.rr.com. Our main website is: www.delletec.com. Thank you.
In case you care a whole year later! There are different levels of importance to your blood vessels. One of the large, named, vessels that are known to supply an organ will not be cut to get it out of the way. Smaller vessels will supply a much smaller amount if tissue and tend to be part of a finer network so the body good at generating replacement blood supply (collateral supply). Think of it as the disruption to the number of cars affected and effect on traffic flow by shutting down a motorway vs a residential road. You still want to stop these vessels bleeding as it affects your ability to see what you're doing and no point in unnecessary blood loss.
@@Comet1808 the comment didn't mean that. They just wanted to know why it was cut. Why it wasn't "reconnected". And the comment after you answered that. Other vessels will compensate. Major vessels are never cut.
Doc, I have a question, I suffer from irritable bowl syndrome, i feel pressure under my navel all my life, that never goes away, when I do water enemas, I feel much better, usually after I am done, almost dry fecal matter comes out, size of a matchstick, looks old, like it has been somewhere in a pocket somewhere for long, thickness of an earthworm, and every time I do deep enemas, it comes out like it has been hiding somewhere in my large intestine, I am wondering it is what we usually find in the appendix? its has hard consistency, not soft, and long as a matchstick, and thick as an earthworm.
I will try..I have stopped milk, and bread, I eat veg and rice, When I wear Indian cloths, or any light cloth I do improve...but the pressure is and has always been there.
pressure comes from gases in your intestine, gases usually came from lactose and milk intolerance and not from irritable bowel syndrome... usually doctors do not tell the difference between irritable bowel and milk intolerance... drink a lot of water and eat apples and do what ive told you about, im sure ur condition will improve
When I was 4 I drank from dads kerosine he used for cleaning his brushes...negligence I know...however mom says even when I was a baby I had always diarhea...grew up to become handicapped by this..I don't like buss trips...or plane trips because of this...I take long in toa...and this makes me hate flying long distance..i usually fast 24 hours I feel perfect in my tummy but tired overall....
Milk intolerance, as you call it, is very vague. Lactose (milk sugar) intolerance is often partial as lactase (lactose splitting enzyme) diminishes with age, whereas it may be absent altogether (genetically) in e.g. Asians. Drinking milk in adulthood and being able to assimilate the sugar is an evolved adaptation, seen in people descended from Africans and Northern Europeans. Gas also comes from fermentive processes involving carbs (starches, sugars) and other components of greens and beans. Un-split lactose is broken down by lower gut bacteria. The breakdown products can lead to bloating, gas, diarrhoea, spasm (colic) and discomfort. Don't get your diagnosis from anyone here; see a proper doctor and get checked out if you have GI tract problems. Otherwise, eating fruit and drinking water are generally good tips for health. In the over 50s, IBS is often a misdiagnosis; colonoscopy may reveal diverticular disease. Many other types of colitis or even combos of more than one disease can occur - get proper management from a registered medical practitioner.
So so so scary, while watching , i can't emagine, when i was in CS operation surgery of my 2 babies ...now my daughter is 19 y/o and my son is 17 y/o...i'm sure is so difficult and so scary when we are CS and also for those surgeon..amazing....All doctor's are instrument to save our lives.God bless to all our hero first of all to our almighty God..
Les temps de l'appendicectomie sont respectés. Mais, le moignon appendiculaire me paraît trop long. Pour moi, le caecum aurait été extériorisé complètement et l'appendice aurait été ligaturé à sa base avant l'enfouissemrnt.. Merci. Pr. JAMES Komlavi Lomé (Togo).
I had an appendectomy recently but never searched for it on the internet, never wrote anything into my emails, only had some mobile phone voice calls where I have mentioned it and one time in *microsoft teams* I wrote about I had it. The question: How Google sniffed about it by recommending this video?
I love how he's going step by step as if we're gonna do a diy appendectomy at home
This channel is for surgical trainees…
@@Rvlyra67 I am a surgical trainee
I found my way here after seeing a non doctor fail in a fictional show where they had no doctors.
Hope you end up a good doctor. good luck. \o/
It's helpful for future surgeons. If you don't like it then don't watch it
@@wadawasa452 NOBODY SAID THST WHAT??? Fucking dumbnut ain't nobody said anything about not liking it
When I was 11 years old (almost 40 now) I barely survived appendicitis. My general practitioner said I just had a belly fever.
After a few days I couldn't walk or breath properly because of horrible pain. My mom didn't trust it and brought me to hospital. One hour later I was on the operating table with a perforated appendix and peritonitis. After operation it took 3 different antibiotics to get the peritonitis going away. They were almost going to make a zipper in my belly and put me to sleep for 1 week and rinse my belly. Luckily it didn't go that far, because 3rd antibiotic started working. I was in hospital for 1 month. Doktors told me I would've died in a couple days if my mom didn't bring me there. So yeah I'm pretty lucky to be here today.
when i had appendicitis i think my appendix must have ruptured because the surgeons had to use 8 bags of saline solution to fully get rid of the infection
I thought mine was ulcer too until my aunt took me to a hospital where the doctor diagnosed it as appendix and recommended an emergency surgery. He said I would have been dead if I wasn't operated on for just a few more days. Currently in my recovery process. Ain't funny but I'm glad for life.
@@Picozani I had appendix removed at first laparoscopic but then turned to open surgery.yes my appendix ruptured .I had this surgery done 3/31/24 and in recovery process .doctors say 6-7 weeks for full recovery..yes it is not easy but I'm recovering well... thank you lord (this is her husband using my wife laptop)
As a med student I think your story is very important and useful. Thank you for sharing it and I wish you a healthy life
Thxu
Mywife.2children
Appendectomy
Isn't genectic?
Idk why I’m watching this
I watching so I can save money on a hospital visit.
@@foxvelasquez DYI SHIT RIGHT HERE
A good magic trick to perform at a sleepover
I saw your comment and realized too but surely for no reason I'll watch it till the end
@@foxvelasquez 😂😂😂🤣🤣
Thanks I have my surgery in 30 minutes (I’m the doctor)
How much money it take ??
Çostmuch?
Not much to say about the same thing
I just wanna cry.... Thank you for your efforts that you made for the students like us.. Really thank you
I don't know how I got here but damn I have so much respect for anyone who can do surgeries. Absolutely amazing.
yes bro , same here
i was done this surgery 5 months ago
И всё таки лишних органов не бывает, даже эта слепая кишка выполняет свою функцию. Здоровья всем!
Why lots of Sewing inside Belly, i got oparetions last month & now I'm felling terrified.
Anyone can tell me is there any side effects in future for this sewing?
You’re fine. The stitches dissolve when it’s been long enough for the scar to heal. There have been lots of research and there are no issues with internal stitches. That’s what you are asking, right?
The sutures are absorbable so they dissolve over time. You'll be fine.
Trainnies have the luxury of a high IQ AND MEMORY FOR EACH OPERATION
Remember kids, don't try this at home.
lol
Why not? All it takes is a sharp knife and a straple gun...and...mom gone... :)
Melissa Rainchild This comment 2 years old!
I know...but...so do you ;)
Jonathan Lumley ibbB
Just_Aurum you predicted it
makes me lightheaded to see this, but at the same time it's incredibly fascinating and there's something quite artistic about this...
As someone who had an appendectomy, RUclips apparently felt it necessary to recommend this video. While I want to learn what was done to me while I was asleep (thank God), I can't stop screaming every three seconds seeing how my body was opened up. Thank you to all the doctors and nurses out there for all you do!
awhy you leave off labs techs lol jk
@@flip2724, you're absolutely right! Doctors, nurses, lab techs, anesthesiologists, the whole gambit of those who were there! And those who weren't but still played a role in my surgery! You guys are ALL amazing!
Same here. I just wish my surgeon coulda slipped in a tummy tuck while he was in there
10-12 week recovery… took 4 days for my intestines to wake up.
@@TheVivrantCatalog ..I had mine out using this technique when I was 12yr old I couldn't stand up straight for 10 days the pain was excruciating.
I appreciate that you mention which suture is being utilized. Helps tremendously.
Thanks for this video I'm a surgical tech student and I have an open appy case study due tomorrow and it's very helpful the way you mention all the instruments used👏
Xa£,¹¹11111¹1¹¹111,d33,,,
Respected video sir, excellent operation seen.thanks. God bless you all.
Me: Its easy you cut someone open and take out their appendixs.
Also me after watching this: No.
The tremendous skill and tools available in teaching new doctors today is unbelievable!
purely depends on the region of the world where you are training.
I had my appendix taken out like this. Its actually making me cringe so hard
Me too
When I was in third grade I had this done
It sucked
When I was 10 I had this surgery with the bikini incision. I am 58 now. For the last 20 years I have increasingly intense pain at the surgery scar site that now migrates into the hip area. Any investigation shows up nothing except some calcification of 2 cm in this area. That’s what it feels like. A sharp rock in there. Amy insights Surgeons?
Might damaged your ilioinguinal nerve
Where can you get this model?
my friend aged 85 has just had an open appendectomy. Very interesting to watch this. I hope she'll be OK
great work to show people how much efforts doctors take even in simple surgery
Yeah true....
Explains why in 1982 it was the absolute most painful surgery recovery I’ve ever experienced
I had this surgery last week
I didn’t need to see this I’m already traumatized 😭
Great job doctor, this is a very good revision video.
You said close External Oblique Aponeurosis with continuous vicryl, but both threads were cut. You also said close Scarpa's Fascia with interrupted sutures, but that was done continuously 🤷♀
I wish he'd say a little bit about the instruments, variations in instrument names as well as why it's used a little more. (Kellies, Army-Navy's, Weitlaner's, etc.) Also, he could've differentiated between using a #15 blade to create an opening in the peritoneum in contrast to the #10 blade initially used for the first incision, which is a big no no in aseptic technique. I don't mean to state the obvious but it would be a great point to be made for those that wouldn't know that.
Bro where did you read for step to step surgery procedure? Thank you
I'm not understanding why a #10 blade couldn't be used for the initial incision.
@@ccoop3774 because the #10 was used on the skin.. even if you clean the skin, anything left on it like bacteria could be transported into the peritoneum if you use the same blade deeper in..
@@mistable No. I was asking the question to the comment, not the surgeon. These comments are from years ago. I had to watch part of the video again and read the comments again. I misread the original comment. Probably from another insomniac night. Thanks for your explanation, but I spent many years in surgery.
3rd
I had this when I was 16. Stab pains I couldn't stand up. Doctor put Finger in my bum and yelled OR. Take to O R.
my 10 yr old friend has gone through this just a week ago thats why i watch this.. i hope he's doing fine now..
I watched this video because I wanted to know what happened during my surgery but while watching it I felt like I couldn't breathe
Same. Although I just wanted to know how my scar would look. Instead I found this.
Why lots of Sewing inside my belly 🥺🥺
The person who invented this model is absolutely a genius! 👍
😉😆😅😅😅
@@annapoorna287 l
@@annapoorna287 jj
@@annapoorna287 q
Love it! Most of the actual videos of surgery-given the limitations of perspective and the resolution of the Camera-all look like a Latexed Finger poking and probing a bloody trench. Your plastic model was much easier to grasp-and I worked in slaughterhouses. I know what blood, bone and internal organs look like. If I can't make heads or tails of a video, then few can. I should have been a Doctor. I could groove on being a Surgeon! What was with those 900-someodd knob-gobblers who gave you a "Thumbs-Down"?
I'm quite happy you did not become a surgeon!
@@thomasfitzgerald1027 Why? Maybe I wouldn't have been good at it, but I don't think that you can tell that from my brief remarks-because I find online surgeries hard to follow? Because I worked in slaughterhouses? Or do you just want to eliminate possible competition?
うわ〜！こんなリアルなのあるんやね！あかん、ゾクゾクする
Amazing. I am about to graduate soon in few weeks and this really had made up my mind clear about going into surgery.
Sweet now I can do it myself!
The best educational video for surgeons. I hav eover 30 years experience in surgery and love this approach so much! Great job!
فيديو رائع
مش عارف ليه مش بنتعلم كده فى سنة دراسة مادة الجراحه
للاسف الكليه عمليه بالاسم فقط واكتر من 90% من دراستها نظريه
فبيطلع طالب الامتياز عنده 0 خبره تقريبا وببدأ بتعلم من الصفر بعد كل سنين الدراسه الضائعه
Very good practice for medical student 👍👍
Well it was interesting to see just what they did inside me when I was 9. Though they stapled my skin shut. They also placed a drain in it, as mine burst, to allow stuff to drain out. wonder if they have one of these for gallbladder removal too?
My daughter died after this surgery. Reason. Multi organ failure due to ruptured appendix at the age of 21.
I'm glad most appendectomies are done laprosopy now. I had my gallbladder removed laproscopy and I was in pain everytime I had to get up. Imagine had they removed it by opening me up. Same goes for the appendix. I still have mine.
Awesome👍.Very simple and good teaching
Now I know what I'm gonna do at tonight's sleepover
А где обработка культи отростка и смена перчаток? Кисетный без этого наложили?
That's a very nice model. The cut edge of the appendiceal stump is contaminated unless treated with absolute alcohol or phenol. Therefore the forceps that touched it for the umbilication (an unnecessary and potentially problematic step) are also contaminated.
Some surgeons do not even bury the stump anymore. They just treat with alcohol and leave it as it is.
@@enod9746 And have for generations.
I’m too old for this!
Excellent I am now certain I could perform an appendectomy 😂
One of my daugther last month can suffer that one seek appindex.. and thanks to the doctor save life of my daugther..
a surgery for treating appendicitis
I like the fact that everything was made out of sponge.
Thank u so much.. U people did a great job.
God bless you :)
This is a reminder to have a look on your 6yrs old comment
What happened to the vien that was cut?
That was me on the table in 1980....my surgeon was a young intern that still had acne on his face.
01.Служба в России
All the people here being med students
Me ; * just wanna know what 's gonna happen to me soon*
Hey where can I get this model to practise it ?
I hope simulation kits are much better now.
I had mine removed this way when I was 12 years old and I’m 35 now and still have pain when walking long, running long and sudden movement
But you are alive
School Sugery - Aula YOU TUBE - Aula: appendicitomy - Simulação como um corte e um isolamento de um cortar umbilical ( nervo algo indesejado no local - ) - dar um nó com linha ou nylon de cada lado - e continua ... - Aluna HORTÊNCIA DO NASCIMENTO filha de MARIA ELZE SILVA NASCIMENTO e PAI JOSÉ DO NASCIMENTO - Aracajú -Sergipe Brasil - América do Sul - aprendiz - Thank you.
Does cutting away the blood vessel cause any side effects?
Já jsem pro to sledování nebo i když spíme chci vědět co se dělá s tělem.Nevime o operacích nic.Je to šílený,ale vím co mi dělají!!!!! ZLATÉ RUČIČKY!!!!!!!👍👍👍👍👍👍😀😀😀😀😀😀
Came here after watching Sweet home, just to see how possible is it for someone to conduct this surgery at a make shift operating theatre
Lol same
I guess it's possible if you have infinite amount of forceps and those expander things. Of course not to forget the sharp things.
I guess im insane . Bc , my surgery is in a few days but im watching this now to overthink sh*t
my toxic trait is that i believe i can do this
A superb style of explaining students on models..very educative and informative to non medicos..
Will be available in indian medical colleges by the year 2199 :)
In the surgical approach of the abdomen(abdominal wall) and chest (chest wall) the surgeon can cut all the arteries and veins that he/she find in the way .In the surgical access to the abdomen the surgeon try do not section/injure the epigastric artery and in the chest the internal thoracic (mammary ) artery but if he /she cut or injure these arteries,normally nothing bad or adverse happen.Medium /large vessels(arteries or veins) when sectioned have to be ligated ,small vessels can be electrocoagulated with a special cautery scalpel device .Medium and large size arteries and veins have to be surgically repaired .Among the arteries, the aorta, pulmonary artery carotid,coronary, ileo-femoral ,visceral, braquial and other important arteries have to be repaired when sectioned and/or injured . The same policy of repair in the great veins as the vena cava ,pulmonary veins, iliac veins, other .
Looks easy enough. Ill try it on myself.
Doctor save the of people.. thanks for all doctor all over the wold..to help people. Need your assistance..
Awesome way of learning; i wish we had these methods in my country, thank you
Awesome vid! I'm not even that big of a fan of surgery but this model illustrates the procedure wonderfully. Very pleasing to watch.
Contente de voir que les étudiants en chirurgie ne s'exercent plus sur les animaux ! Le porc est encore très utilisé par les chercheurs en médecine ! Bonne vidéo pour les apprentis.
where can we get this type of models
Please contact us at www.delletec.com
Comet1808 Your website doesn’t work, so that’s not very good.
In the shop bro
Imagine my surgeon watching this while 15 minutes before my surgery.
Its a good thing to refresh your knowledge insyead being vain and miss a step
Very interesting
Forbidden fleshlight
Are these models available to students to train on at home? And...thank you for the video... :)
Hi 👋how are you doing?
Where can i get the Simulator ?
10+ years later, i still have a small scar at the right lower corner of my abdomen :) I dont mind it, I think it's kinda cute
I am recovering from an appendectomy 8 days ago and doing wonderfully.
Is it hurt?
Can you mention the equipments names used in appedectomy
I like the way the model is build
Yesterday I had a dream that I was somewhere whit my friends with no medical care in our reach and one of them fell really ill and we somehow figured out its appendicitis. I told them I would do it as I remembered that you have to cut on the right very low abdomen, parallel to the muscle fibers. Then I started to look for some book, to have a clue at least. Then I woke up. It was crazy but I looked this video up anyways, you never know.. :D
My mum's friend underwent this operation in the bush without anaesthesia in 1968 during the civil war in Nigeria. You never can tell where you need these skills.
Great video
I has this same exact process done to me it started with random pain in the upper half of my stomach then it slowly travelled below my belly button, It was hard for me to sleep, some clinic practitioner gave me pain medicines but the pain returned in morning no injection worked too, he said my ultrasound is clear but the pain was so excruciating that I had to go again in evening when he told me to refer to a bigger hospital in the ct scans they quickly found my appendicitis only I know how I slept that night I was operated and my appendix was burst luckily no infections or anything and my operation wasn't horrible like some people here ( hope they're okay) but I was vomiting water out for a solid 4 days and sleeping at night was difficult I still have stitches there it has been 12 days since my operation I'll get then half cut today according to the doctor let's see but this was a reminded to my parents that something serious can be happening to you while you think it's gas pain
Throwing stitches everywhere... a lot of other videos don't do a lot of them. In one video they said the purse string is optional. As well as the peretenium... they said you can stitch that if you want because it may help keep things inside while you close. Then they skip right to closing the dermal incision.
Could be that the vicryl is made to biodegrade... so it's convenient to use more stitches where other videos may have used prolene so you wouldn't want to leave that in except maybe on the actual secum/appandectic ligation?
Who knows? Not I said the duck.
what suture do you use for the circundant tissue of the appendix ? chromic or vicryl ?
Most surgeons use Vicryl 2-0 or 3-0. It all depends on their training. Different areas of the country have different methods.
Very good
Good video 👍 highly recommended.
I just have a appendectomy surgery last week and i was curious how does the surgeon perform it🤣
Most useful when straightforward, but no mention is made of excess subcutaneous FAT. In many of us today, the adipose layer can be inches thick. Proto-surgeons need to know it can manifestly alter the op technique and the outcome.
With larger incisions, e.g. exploratory lap, one used to see, post-surgery, the occasional sudden 'burst abdomen' in elderly patients with poor tissue viability; that too has to be understood and assessed - esp. if the op has to be extended, e.g. if bile is found. Hence the benefit of procedures which are less traumatic, esp. keyhole, the minimal breech has reduced risk of post-op rupture. In hernia repair, incorprating synthetic mesh is a boon in wound strengthening, but I digress. Thankfully, some of those old post op issues I used to see rarely occur now. Florence Nightingale's rule ever applies: "The hospital should do no harm"
You're absolutely right. Open abdominal surgery these days is substantially more difficult than it used to be simply because such a large part of the population is obese. People who think themselves "a little over-weight" aren't; they're OBESE and make the lives of even the most skilled surgeons very difficult.
@@wholeNwon thank God I'm underweight then. Made my surgeon's job easier didn't I? Does this mean the video applies to underweight and modeltype people?
I remember when I performed my first appendectomy during my second year residency in General Surgery.My Attending physician timed the procedure.Open to close took 30 minutes.Not bad.
How about the open one where it already burst. How long it takes to recover? Asking for an 8yr old child.
Diagnosed very late even after rupture, almost a week after.
Am a civil engineer , why the hell is this in my recommendation feed , and why the fuck am I even watching it ???
Thank you Doc, I'm watching Your Channel.
That first vessel was quite thick and important, but they just cut it and left it like this. Wasn't it supplying blood to other organs and now they might be lack of it?
Zilvinas Steckevicius to your brain. now your brain doesn't work the way it was supposed to.
Zilvinas, these are simulated vessels. They are supposed to be clamped on both side and cut in the middle and either tied off with a suture strand or cauterized. He does mention that these vessels should be ligated with a 3-0 Vicryl. He just didn't do it for times sake.
This is a teaching video for surgeons, who are leaning this procedure. He is skipping through some of the very basic steps, only for the sake of time, but he does mention what each of the proper steps are. Perhaps you had the sound muted. He gives a great explanation for the entire procedure!
We make and sell this simulator at www.delletec.com/appendectomy.htm. Please feel free to contact us if you have any further questions. Our email is: delletec@austin.rr.com. Our main website is: www.delletec.com. Thank you.
No
In case you care a whole year later! There are different levels of importance to your blood vessels. One of the large, named, vessels that are known to supply an organ will not be cut to get it out of the way. Smaller vessels will supply a much smaller amount if tissue and tend to be part of a finer network so the body good at generating replacement blood supply (collateral supply). Think of it as the disruption to the number of cars affected and effect on traffic flow by shutting down a motorway vs a residential road.
You still want to stop these vessels bleeding as it affects your ability to see what you're doing and no point in unnecessary blood loss.
@@Comet1808 the comment didn't mean that. They just wanted to know why it was cut. Why it wasn't "reconnected". And the comment after you answered that. Other vessels will compensate. Major vessels are never cut.
Doc, I have a question, I suffer from irritable bowl syndrome, i feel pressure under my navel all my life, that never goes away, when I do water enemas, I feel much better, usually after I am done, almost dry fecal matter comes out, size of a matchstick, looks old, like it has been somewhere in a pocket somewhere for long, thickness of an earthworm, and every time I do deep enemas, it comes out like it has been hiding somewhere in my large intestine, I am wondering it is what we usually find in the appendix? its has hard consistency, not soft, and long as a matchstick, and thick as an earthworm.
I will try..I have stopped milk, and bread, I eat veg and rice, When I wear Indian cloths, or any light cloth I do improve...but the pressure is and has always been there.
pressure comes from gases in your intestine, gases usually came from lactose and milk intolerance and not from irritable bowel syndrome... usually doctors do not tell the difference between irritable bowel and milk intolerance... drink a lot of water and eat apples and do what ive told you about, im sure ur condition will improve
When I was 4 I drank from dads kerosine he used for cleaning his brushes...negligence I know...however mom says even when I was a baby I had always diarhea...grew up to become handicapped by this..I don't like buss trips...or plane trips because of this...I take long in toa...and this makes me hate flying long distance..i usually fast 24 hours I feel perfect in my tummy but tired overall....
Milk intolerance, as you call it, is very vague. Lactose (milk sugar) intolerance is often partial as lactase (lactose splitting enzyme) diminishes with age, whereas it may be absent altogether (genetically) in e.g. Asians. Drinking milk in adulthood and being able to assimilate the sugar is an evolved adaptation, seen in people descended from Africans and Northern Europeans. Gas also comes from fermentive processes involving carbs (starches, sugars) and other components of greens and beans. Un-split lactose is broken down by lower gut bacteria. The breakdown products can lead to bloating, gas, diarrhoea, spasm (colic) and discomfort. Don't get your diagnosis from anyone here; see a proper doctor and get checked out if you have GI tract problems. Otherwise, eating fruit and drinking water are generally good tips for health. In the over 50s, IBS is often a misdiagnosis; colonoscopy may reveal diverticular disease. Many other types of colitis or even combos of more than one disease can occur - get proper management from a registered medical practitioner.
Patient lived.
Well am reading mind of others and others are reading my mind so jow ican deal with this i am not free and they also god is simulated by my brain .
So so so scary, while watching , i can't emagine, when i was in CS operation surgery of my 2 babies ...now my daughter is 19 y/o and my son is 17 y/o...i'm sure is so difficult and so scary when we are CS and also for those surgeon..amazing....All doctor's are instrument to save our lives.God bless to all our hero first of all to our almighty God..
Les temps de l'appendicectomie sont respectés. Mais, le moignon appendiculaire me paraît trop long.
Pour moi, le caecum aurait été extériorisé complètement et l'appendice aurait été ligaturé à sa base avant l'enfouissemrnt.. Merci. Pr. JAMES Komlavi Lomé (Togo).
I imagine the situation is more bloody in real life...
What is the difference in using fingers or instrumentation to perform knots or palpations?
Can the needle be cut before doing the square knot for security purposes?
I had an appendectomy recently but never searched for it on the internet, never wrote anything into my emails, only had some mobile phone voice calls where I have mentioned it and one time in *microsoft teams* I wrote about I had it.
The question: How Google sniffed about it by recommending this video?