sir, excellent technique, can you tell what was the position of the patient and operating surgeon
@MoonMagic11118 күн бұрын
Thank you - it's as important to me as mothers watching birthing videos
@retacarpenter654720 күн бұрын
Do they take all that fat out of the body after they are done?
@pandurangrotithor23 күн бұрын
I check with 150 ml saline in bladder in such case after dissection to confirm integrity. Nice explanation
@ashwinthangavelu21 күн бұрын
Thank you sir we do it as well when in doubt not routinely though
@aamiralisyed24 күн бұрын
Amazing use of hook diathermy
@ashwinthangavelu21 күн бұрын
Thank you
@DrIshtiyaqSurgeon28 күн бұрын
Fantastic effort in creating educational video presentations! Covering a range of cases from simple to complex makes it incredibly valuable for learners. Such initiatives truly enhance understanding and skill development. Great job!"🎉
@ashwinthangavelu21 күн бұрын
Thank you for the kind words and feedback
@arifbadshah701929 күн бұрын
Well, thank you, it's really a great video. And you have taught in a great way. It's of great full use.
@ashwinthangavelu21 күн бұрын
Thank you for the kind words and feedback
@manikantandivakaran7786Ай бұрын
Excellent teaching experience...Thank you so much
@ashwinthangavelu21 күн бұрын
Thank you for the feedback
@abhinavchauhan7244Ай бұрын
i am a big admirer of your surgeries …
@ashwinthangavelu21 күн бұрын
thank you Dr for the kind words
@elabsimoe8231Ай бұрын
God work
@ashwinthangavelu21 күн бұрын
Thank you
@mohamedkhairy262Ай бұрын
Hello, Thanx a lot for sharing. Would you please describe the position of ports and position of patient? Thanx
@ashwinthangavelu21 күн бұрын
Prone position 4 to 6 intercostal spaces just anterior to the posterior axillary line
@Sahuk11Ай бұрын
Sir, in which cases will u prefer etep rs and in which tapp?
@ashwinthangaveluАй бұрын
e-TEP RS in pts with previous surgeries, defects larger than 4 cms, midline location TAPP in primary hernias, lower midline hernias , lateral hernias, epigastric and subcostal hernias
@sahinsakarcan1296Ай бұрын
its wrong'its just cystectomy'not marsupialisation.exelent operation.very good
@ashwinthangaveluАй бұрын
Thank you Dr
@nevinjose9627Ай бұрын
Thanks for the video..I am amazed by the bloodless dissection...is there any adjustment in blood pressure need to be done while doing dissection?
@ashwinthangaveluАй бұрын
Just meticulous dissection and sharp dissection with cautery Some people operate under hypotensive anesthesia but I dont ask for one
@nevinjose9627Ай бұрын
Thanks for the reply sir
@nevinjose9627Ай бұрын
I am a beginner in TEP and there is no senior to help me around...is it dangerous to ask for a hypotensive anesthesia..will it produce bleeding later
@adityarammunagavalasa3611Ай бұрын
Sir waiting for voice over
@ashwinthangaveluАй бұрын
Dr you will find more TAPP with voice over in the channel, kindly refer to one of those videos
@NikkiVennelaАй бұрын
Sir My mothe had done umbilical hernia surgery.With double mesh and belly button also removed but after six months fistulas formed so the surgeon sir removed part of mesh 4 months back.Now Also small amount of fluid and pus is coming what is the reason Sir please Tell me
@ashwinthangaveluАй бұрын
Probably residual infection or sinus
@DrIshtiyaqSurgeonАй бұрын
Thank you for sharing such an excellent surgical video. It was incredibly informative and provided a detailed perspective on the procedure. I learned a lot and appreciate the clarity and practical insights it offered.🎉
@ashwinthangaveluАй бұрын
Thank you for the detailed feedback
@PalliPalayam-x6iАй бұрын
Sir bilateral inguinal hernia which lap surgery best? Tap or Tep or eTep.?
@ashwinthangaveluАй бұрын
All are good when performed well. Extraperitoneal approaches have slightly less ileus compared to TAPP
@PalliPalayam-x6iАй бұрын
@ashwinthangavelu Thank you sir..
@MohamedSalah-ym2rhАй бұрын
Greqt effort and illustration 🎉
@ashwinthangaveluАй бұрын
@@MohamedSalah-ym2rh Thank you for the feedback
@ikahariani8440Ай бұрын
Hi doc...where hospital is it?? I need this
@ashwinthangaveluАй бұрын
@@ikahariani8440 Ashwin Hospital, Coimbatore
@ikahariani844022 күн бұрын
@ashwinthangavelu how much the price to operation this?
@donydevasia123Ай бұрын
Loved your voice over and beautiful surgery
@ashwinthangaveluАй бұрын
@@donydevasia123 Thank you for the feedback
@forensic_lady2213Ай бұрын
Very satisfying
@ashwinthangaveluАй бұрын
@@forensic_lady2213 Thank you
@mananmalhotra9459Ай бұрын
VERY NICELY DONE AND EXPLAINED SIR. CAN YOU LET ME KNOW ABOUT THE PORT POSITIONS ?
@ashwinthangaveluАй бұрын
@@mananmalhotra9459 Thank you Dr. Supra umbilical camera port with rt midclavicular line working port at the level of umbilicus and lt midclavicular line port a couple of cms below the umbilicus
@mananmalhotra9459Ай бұрын
Thank u so much sir.
@dralimuradkhan5119Ай бұрын
Excellent
@ashwinthangaveluАй бұрын
Thank you
@dralimuradkhan51192 ай бұрын
Excellent
@ashwinthangaveluАй бұрын
Thanks
@UKMetro-l3g2 ай бұрын
Excellent demonstration.
@ashwinthangaveluАй бұрын
Thank you for the feedback
@sofiakh36142 ай бұрын
Bravo docteur continez a poster ves videos tres instructives❤❤❤❤❤
@ashwinthangaveluАй бұрын
Thank you for the kind words. Will continue to post
@rajv5832 ай бұрын
Super video, but can u cut down on your continuous commentary which at times is uncessary description and makes it boring, make short precise statements that will have an impact to to beginners as well experts…thanks
@ashwinthangavelu2 ай бұрын
Thank you for the feedback, will try to improve.
@sofiakh36142 ай бұрын
Bravo dr ❤❤
@ashwinthangavelu2 ай бұрын
Thank you
@clicheprint2 ай бұрын
Excellent video, if Im not wrong this technique is the one Dr Hector Valenzuela created in Guadalajara as an alternative of traditional eTep, right ?
@ashwinthangavelu2 ай бұрын
That is correct and same has been mentioned in the video description as well
@sofiakh36142 ай бұрын
What mensuel vas dr plz!!
@ashwinthangaveluАй бұрын
Sorry i did not get your question
@bedahumumpurworejo2 ай бұрын
Thx a lot and nice to meet u mr ashwin. We met when event aphs singapore, october 2024. i got a lot of things from your video. and i learned a lot from you. you are the best teacher
@ashwinthangavelu2 ай бұрын
Thank you for the kind words and reaching out at APHS
@Gayrat-Abdiev2 ай бұрын
Отличная бескровная работа!!! Спасибо большое за ваш труд!!! Какой размер сетку выбрали ?! Как определяете кому ТАРР, а кому еТЕР?!
@ashwinthangavelu2 ай бұрын
@@Gayrat-Abdiev Thank you for the feedback. Here we have used a 15 x 12 cm medium weight polypropylene mesh. We routinely perform e-TEP in all Inguinal hernias nowadays except in strangulated hernias and very large irreducible ones, recurrent hernias after lap repair, previous lower abdominal scar then we prefer to perform a TAPP in these patients. We perform TAPP in teaching programs as it helps teach anatomy more objectively in a plane the surgeons are used to
@giridhararavind71882 ай бұрын
Hi sir!!! Pls post a video of TAPP in obese patients, Thank you sir
@ashwinthangavelu2 ай бұрын
@@giridhararavind7188 sure will do
@blitz1boy2 ай бұрын
Which suture r u using in this video..I tried this with nylon monofilament because of its memory its slipping off
@ashwinthangavelu2 ай бұрын
@@blitz1boy Here we have used a silk suture, any multifilament will behave the same With practice you can use the memory of the monofilament to your advantage as well
@NingolKhetrimayum2 ай бұрын
How much operation cost. I need to know about treatment cost
@ashwinthangavelu2 ай бұрын
90000 approx
@bluemountain89552 ай бұрын
Hello sur , how much is the cost for this surgery?
@ashwinthangavelu2 ай бұрын
95000 approx
@LapandGISurgeryDrAzharAttar2 ай бұрын
sir what was the pressure and flow settings..? during closure of midline...??
@ashwinthangavelu2 ай бұрын
12mm and 20 l in this case we did not reduce pressure but can be done case to case basis
@ravik16672 ай бұрын
EXCELLENT DISSECTION AND EXPLANATION SIR, PLEASE KEEP POSTING SIR🌹🌹
@ashwinthangavelu2 ай бұрын
Thank you for the feedback, sure will do
@Dr.Md.HafizurRahmanDipu2 ай бұрын
Nice case. I have a similar one kzbin.info/www/bejne/ioKTlHukfax1frMsi=QPYrMi1nAA2KHsHU
@Dr.Md.HafizurRahmanDipu2 ай бұрын
Nice dissection. I have a similar case kzbin.info/www/bejne/ioKTlHukfax1frMsi=QPYrMi1nAA2KHsHU
@curiousscalpel40673 ай бұрын
Operated on a case of left lateral wall fibroid sir of size 4x5 cm. Difficulty which I faced was during division of the vault. I could not easily do the posterior division the uterus started rotating to the heavier side. Any tips for that sir ?
@ashwinthangavelu2 ай бұрын
Myoma spiral for manipulation helps. Can leave the IP ligament till the end to avoid rotation. If exposure is an issue you can remove the fibroid upfront and proceed
@generalsurgery-playlist8083 ай бұрын
kzbin.infoYhgiX_AspWM?si=3NxN06hrLuvEsyzA
@larrywang10273 ай бұрын
The peritoneum was fully preserved without any damage, and the surgery was wonderful
@ashwinthangavelu2 ай бұрын
Thank you for the feedback
@ShivaKumar-qq4bx3 ай бұрын
Competiting proudly with the seniors and acing it!!!
@ashwinthangavelu2 ай бұрын
Thank you for the kind words, but no competition just a passion for surgery and teaching