video page- Decoding OAGB by Dr. Raj Palaniappan
Decoding OAGB
surgeon:Dr. Raj Palaniappan
details:Lap OAGB
hospital: Apollo Hospital, Chennai
Time: 2020-10-04 09:00:00
Good morning viewers. Thank you for joining us LIVE.
Hi sir ! Anand Here from ahmedabad does in ur practice Hiatus heria with reflux is it contraindicate for OAGB
Good morning
Hello Dr. Patel. We have forwarded your question and it will be answered soon
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Beautifully demonstrated bile reflux differences between the two procedures sir. Thank you !
Good morning sir
So exact contraindication for OAGB
Is there any other technique you could discuss to further avoid bile reflux? Any other improvisation.
Coming up next is Lap OABG- Step by Step Approach- Live surgery.. Stay tuned
All the best sir..thank you...wonderful lecture !!
Wonderful session Sir!!
Any role for jejeunojeunostony to bile bypass
Awesome presentation dr Raj.
Sir How are the Sleeve to MGB results ?
Dr Raj why stoma size is more in Rutledge techanique compared to carbajao close to 30
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Length of limbs
We are starting with the LIVE surgery now- Lap OAGB- Step by Step Approach
Very Crisp and Nice Info Dr Apoorv Shrivastava Indore
What is the minimum weight we need to do this bariatric surgery for and how is the weight not going to drop too much?
Dr Saliu E R
Excellent demonstration sir.
How to identify incisura
Good morning team BAROS.
Hi Sir.
Hi Dr Nikhilesh.
Hello sir,
Brilliant rejuvenating demonstration sir, as always. Missing you guys.
Tell about staplers also
Sir you never used Meril staplers when i was there.
Covidien motorized was your favorite
Bad instrument (((
First stapler should be below crow foot??
Endo GIA tristaple to be precise
Superb recovery! Handling these tension situations without panicking is something all junior surgeons must learn..well done Raj anna
Which optics / camera system you use?
Green for fundus and blue for...
Thanks sir
Good discussion.
Sir, Have you ever used your technique of liver retraction for Fundoplication
Will you lateral or medial to posterior gastric artery on fundus division?
What technique you doing??
Sir, tell some thing about liver hitch technique.
Sir, tell about liver hitch technique.
These meril staplers appear to be good and must be costing less also. helpful in our setup
Sir, Have you ever used your technique of liver retraction for Fundoplication
if so any modifications
Liver retraction
wonderful. awesome. Thanks
@Dr. Priyanka- He just mentioned about liver retraction while addressing other question
Is it ok to hold the bowel with merriland dissector
T
Good sir
How you retract the liver?
Sir whats your opinion on using v loc suture
How you avoid mucosal eversion during the anastomosis?
sir you can try coagulating the falciform ligament with bipolar so that it shrinks to some extent and helps in better vision
Sir it looks so easy when you are doing it. You are truely an ergonomic master
Hello Dr. Nilesh
That was an awesome depiction. Thank you very much. I was feeling like i was assisting you. Really rejuvinating. Thank you sir. Thank you meril.
will you take second layer ?
serosa to serosa ?
Dr kiran here
Sir tell about liver retraction
Good demonstration Raj. Much appreciated
Any mesentery closure needed??
very nice presentation sir . My best wishes
Dr. Raj an additional 5mmport would have helped you with traction
Hi Sir Dr Kiran from Bangalore near GE JUNCTION & Spleen
As usual..Well executed surgery with technical tips to beginners like me..sir..thanks..best wishes
Can the GJ be a posterior anastomoses rather than aim the anterior wall
Thanks sir for answering.
Sir what would have you done if that locked stapler would not have opened.
Please explain liver retraction suture again
Hello Dr. Nikhlesh
Sir what would have you done if that locked stapler would not have opened. As this can happen with any stapler be it covidien, johnsons etc
Can Gj be done posteriorly
Sir what would have you done if that locked stapler would not have opened. As this can happen with any stapler be it covidien, johnsons etc
Thank you very much sir for a detailed reply
Thanks sir, good interactive discussion, felt like that we enjoyed as your fellow in your OT
Wish you good luck sir.
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