Thursday, February 8, 2007

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In surgery courage and patience is most important. If that is coupled with knowledge and discipline success should be following you.

In open cholecystectomy one should always skelitonise cystic duct until one is sure about it. That means if you are sure about it at the beginning you can ligate and cut it without much dissection. If you are not sure then clean it until you can see it entering into GB or you can see junction of three.

Partial cholecystectomy is good option only it is not safe to go for total cholecystectomy. Partial  cholecystectomy patients complains of more postoperative pain ad morbidity as they suffer from traumatic cholecystities. Partial cholecystectomy  if done should be noted in OT note and discharge certificate to avoid litigation. Number of partial cholecystectomy should not be more than 10 percent.  Otherwise your surgical skill will be questioned.


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