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What Happens During A Percutaneous Cholangiogram
Cholangiogram: Percutaneous means through the skin. Cholangiogram means they are putting a contrast into the billiary tree/ ducts to check for obstruction.Definition: an x-ray film of the bile ducts produced after injection of a radiopaque contrast medium. A cholangiogram is routinely performed before or after biliary tract surgery. A postoperative radiogram may be made after injecting an iodinated contrast. ...Read moreSee 1 more doctor answer
In surgery, percutaneous pertains to any medical procedure where access to inner organs or other tissue is done via needle-puncture of the skin, rather than by using an "open" approach where inner organs or tissue are exposed (typically with the use of a scalpel). The percutaneous approach is commonly used in vascular procedures. This involves a needle catheter getting access ...Read more
Major surgery: Whipple surgery involves removal of a part of the pancreas, small intestine & bile duct with several new surgical connections performed. Best performed by a well experienced general surgeon who has done many of these procedures. Risks of bleeding, infection, poor healing, pancreas leak, diabetes, etc. ...Read moreSee 3 more doctor answers
Directed ischemia: There are a variety of techniques used to embolize a lesion. A catheter is used to select as precisely as possible the blood supply to the target. Once in place any number of materials are injected via the catheter with the goal to block as completely as possible the blood supply to the target and cause the target to infarct by loss of blood supply. This can be done under local or general anesthes. ...Read moreSee 1 more doctor answer
Nerve decompression: A laminectomy describes any procedure where the back bony covering (lamina) of the spine is surgically removed. The purpose is to gain access to the spinal canal to remove a disk herniation, bone spur, cyst, or anything else that is putting pressure on the nerve roots or spinal cord. ...Read moreSee 1 more doctor answer
Good question: We make careful incisions through the different layers of the belly (skin, fat, muscle peritoneum, uterus) to get the baby and placenta out. Then we inspect the uterus, ovaries, tubes to make sure things look ok. We then carefully sew up the different layers again. Hope that is what you were looking for. ...Read more
Baby!: You and your doctor will determine what delivery method is best based on your pregnancy. If a c-section is needed, you will go to the operating room. You will likely get a spinal which will make you numb. And then an incision is made above your pubic bone, and the baby is delivered through that incision. After the baby comes out, your doctor will sew you back together. ...Read more
See below: A radioactive tracer is injected into your veins. This is taken up by the liver and excreted in bile. It can then be followed using a camera to see that it empties into your intestine. If you have a gallbladder one can see if it functions properly too. ...Read moreSee 2 more doctor answers
See below: Typically, an imaging modality, commonly echocardiography, is used to image the heart and the pericardial space. After local anesthesia is given, a long needle is inserted under the guidance of the echo to the pericardial space and the fluid will be withdrawn with a syringe. Typically, a plastic tube will then be inserted and left in place to drain into a bag for a few days. ...Read moreSee 1 more doctor answer
Imaging: A cholecystostomy is not a routine part of the laparoscopic cholecystectomy procedure. In some cases, this may be done to place a catheter for cholangiogram (visualize bile ducts with contrast). It may also be done to extract a particularly large stone or otherwise assist the surgeon in removal of the gallbladder itself. ...Read more
Sore: For few days.Get a more detailed answer ›
No, but...: There are less invasive ways to image the biliary tree, like ultrasound, ERCP (by a gastroenterologist) and mrcp (mri). If there is some blockage, drainage can usually be achieved by a gastroenterologist, with percutaneous drainage reserved for cases that cannot be treated by a gastroenterologist. While percutaneous biliary imaging and interventions do not have high risk, less risky options exist. ...Read more
Please help! what is the purpose of performing a cholecystostomy during a laparoscopic cholecystectomy?
To drain the GB: Sometimes the gallbladder is very swollen and tense. This makes it hard to grasp, hold, and retract. Sometimes we have to drain the bile out of the gallbladder so we can grasp hold of it with the instruments. A long needle is inserted through on of the trocars and the bile is aspirated into a syringe. ...Read more
A few steps.: First, a urethral stent (urolume) is in the urethra and usually placed in men with enlarged prostates and urinary obstruction who cannot have surgery. These stents are removed in the operating room, under anesthesia, with the aid of a rigid cystoscope. Ureteral stents are more common, usually used in kidney stone disease. These are pulled by a string or by flexible cystoscopy in the office. ...Read more
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