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online university monthly publications specialties & technologies state of the art webinar hall of fame contributions cme certifications winners events about websurg contact us login register websurg offers you the possibility to learn many different minimally invasive surgical techniques by using interactive and high quality media. learn. practise. be the best. thanks to our partners you don’t have an account yet ? register connect to websurg username or email address password login header.forgotpassword stay connected have you forgotten your password? you can also… connect with facebook connect with google search for your websurg account enter your username and your email address to reset your password: username or email address have you forgotten your username or your email address? please use our online help page. confirm cancel login websurg offers you the possibility to learn many different minimally invasive surgical techniques by using interactive and high quality media. learn. practise. be the best. thanks to our partners do you already have an account ? login create your websurg account it is free of charge! first name last name email address password register by subscribing, you confirm that you accept the general terms of use of websurg.com. you can also… register with facebook register with google login register we use cookies to offer you an optimal experience on our website. by browsing our website, you accept the use of cookies. ok more info the online university of ircad thanks to our partners browse the virtual university discover websurg scroll to discover websurg discover websurg, the world's no.1 minimally invasive surgery website join the no.1 e-learning website! we offer first-rate educational content provided by world-renowned experts in all fields of minimally invasive surgery. all content meets health on the net foundation (honcode) standards, which guarantee quality and reliability. benefit from the wide range of specialties for free and without limitation. the website is accessible on computers, tablets, and mobile phones. join our 368 611 registered members. join us now! mis operative techniques worldwide leading experts training certification for surgeons world's largest online community recently uploaded on websurg surgical intervention 04:26 abstract laparoscopic splenectomy in a child laparoscopic splenic surgery, particularly in case of partial splenectomy, was made possible due to the introduction of numerous instruments (endostapler, various electrocautery systems). however, laparoscopic total splenectomy can be performed with minimal instruments. dissection, ligation, and division of the splenic artery contribute to the washout kinetics of red cells and plasma from the spleen. during venous ligation, which should occur about 10 minutes after artery ligation, the spleen is of a lesser volume. the splenic venous network is collapsed and the patient will not experience any blood loss. laparoscopic splenectomy in a child f becmeur 415 views 3 likes 23 days ago surgical intervention 08:14 abstract inanimate model to train for the thoracoscopic repair of all varieties of left congenital diaphragmatic hernia (cdh) we present a new low-cost model designed for training skills and strategies for the thoracoscopic repair of left congenital diaphragmatic defects. we will present guidelines to make this type of models, the educational strategy that we use in our advanced training models, the defects that can be trained, and the scope of this model. advanced training, learning tips and tricks from experts, and the use of innovative ideas from other authors used in our model are outlined. this educational tool was developed for pediatric surgeons requiring advanced training. it reinforces the concept of advanced and continuous training, in a safe environment, and it is assisted by experienced surgeons. this model shows a scenario where dimensions and anatomical repairs are carefully preserved. we share our vision of continuous endosurgical education to encourage all enthusiastic surgeons to train in safe and controlled environments. materials and methods: the model consists in a plastic 3d printed left rib cage, extracted from a 6-month-old baby ct-scan combined with simulated mediastinal structures, diaphragm, bowel, lung, and spleen made of latex, silicone, and polyester sponge respectively. a self-adhesive film is used as parietal pleura. a removable part (spare part) represents the last three ribs where the diaphragm is partially inserted, and a base as the upper abdomen is assembled to the left rib cage (ribs 1 to 9). abdominal viscera (plastic or animal) are placed in this base. the cost of materials is 150 us$. the model is meant to simulate the most frequent diaphragmatic defects such as type a, b, and c, with or without sac. however, other rare defects can also be simulated. live animal tissues such as diaphragm or intestine also can be used, as it was already published by other authors. however, the main characteristic of this model is to be inanimate, portable, and easily reloadable to be reused. the video shows a junior surgeon in his advanced training process. in the model, we perform the reduction of the viscera slid to the thorax. in this case, it is the rabbit intestine, but we usually use latex simulated intestine. the spleen is completely synthetic and bleeds if the instruments damage it during the reduction. we use 3mm regular instruments. the repair of the defect is made with separate stitches of 2/0 or 3/0 braided polyester as usual, and we encourage trainees to practice the intracorporeal sliding knot and running suture. we collect the performance data in a specially prepared form and carry out the debriefing. conclusions: with this model, we can reinforce the concept of low cost, but with a high precision environment simulation, included within a standardized training program in minimally invasive neonatal surgery. we believe that it is a very useful tool. in addition, this type of models allows the use of new surgical techniques, tips and tricks given by experienced surgeons who assist in the training process. inanimate model to train for the thoracoscopic repair of all varieties of left congenital diaphragmatic hernia (cdh) m maricic , m bailez 206 views 2 likes 23 days ago surgical intervention 07:24 abstract laparoscopic partial nephrectomy on non-functional, symptomatic right lower pole of the kidney in this video, we present the case of a 13-year-old girl presenting with a complicated urological anomaly discovered very late. the lower part of her right kidney is dysplastic (or destroyed) with pseudocystic pyelocalyceal cavities filled with stones and cloudy urine. the first hypothesis is that we are dealing with a true renal duplicity with a destroyed non-functional inferior pole. in this case, there is one ureter per kidney pole. as a result, polar ureteronephrectomy does not cause any potential vascular problems. in this case, thanks to 3d reconstruction (visible patient™, a spinoff of ircad), it is clear that there is no kidney duplicity, but a pyelic bifurcation. it means that we should manage the only ureter, which drains the superior and inferior pelvis. for that reason, the placement of a double j catheter is essential prior to partial nephrectomy. this catheter should be pulled up until the superior pelvis. tridimensional reconstruction of the ct-scan images of a patient with a malformation is extremely helpful to better understand the original and unique anatomy of the patient and to determine a tailored operative strategy. this video demonstrates a laparoscopic partial nephrectomy on non-functional, symptomatic right lower pole of the kidney in a 13-year-old girl as an outpatient surgery. laparoscopic partial nephrectomy on non-functional, symptomatic right lower pole of the kidney f becmeur , a lachkar , l soler 303 views 1 like 23 days ago surgical intervention 04:17 abstract laparo
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