Mohamed Ebrahim

@DerbyPBunit @Innov_Medicine @SAGES_Updates @BehindTheKnife @BrownJHM @IHPBA @imedverse @rbarbosa91 @altaf_awan12 @ib9994 @javlatif Looks like an arterial bleed from a branch of the RHA. Clip or suture. How did you manage it ?

What Would You Do? During an emergency cholecystectomy and CBD exploration, you encounter the below during dissection of the gallbladder off the cystic plate. What would be your approach in managing this? Any tips or tricks?

@ib9994 @DerbyPBunit @Innov_Medicine @SAGES_Updates @BehindTheKnife @IHPBA @imedverse @EAHPBA @rbarbosa91 @altaf_awan12 @javlatif What about leaving indwelling double pigtail stents indefinitely after removal of the axios stent instead ? Are you familiar with any prospective studies or RCT comparing robotic versus endoscopic approaches for treating walled-off necrosis (WON)?

@ziadtawad @DerbyPBunit @Innov_Medicine @SAGES_Updates @BehindTheKnife @IHPBA @imedverse @EAHPBA @rbarbosa91 @altaf_awan12 @javlatif Longevity is resolution of pseudocyst on the background of pancreatic duct disruption. Axios has to be removed at some point. Stomach often heals over and on background of dpds and viable head/neck and tail will recur. Roux limb also allows dependent drainage.

𝗧𝗲𝗰𝗵𝗻𝗶𝗾𝘂𝗲 𝗳𝗼𝗿 𝗥𝗼𝗯𝗼𝘁𝗶𝗰 𝗣𝗮𝗻𝗰𝗿𝗲𝗮𝘁𝗶𝗰 𝗖𝘆𝘀𝘁𝗷𝗲𝗷𝘂𝗻𝗼𝘀𝘁𝗼𝗺𝘆 Indication: 🔵Large 10 by 16cm collection in the body of pancreas post severe acute pancreatitis with DPDS 🔵Link to our 📝 ➡️link.springer.com/article/10.100… Surgical Technique: 🔴Roux limb created 60cm from DJ flexure and used to perform robotic pancreatic cystjejunostomy 🔴Two 8 inch 3/0 PDS sutures ➡️One for posterior layer and another for anterior layer 🔴Posterior suture placed in the anatomical left corner of cyst opening - knot on the outside ➡️before suturing posterior wall, needle taken inside through small bowel at the left corner 🔴Anterior suture placed in the anatomical left corner of cyst - knot on the outside 🔴 Suturing should be performed sequentially to get the best views alternating from posterior to anterior wall 🔴Posterior wall sutured in a continuous fashion to midpoint of cyst wall opening ➡️Bites taken to involve all layers of the bowel and cyst wall ➡️Importance given to follow the curve of the needle 🔴Anterior wall sutured in a continuous fashion to midpoint of the cyst wall opening 🔴Posterior wall sutured to the anatomical right corner of the cyst wall opening and around the corner 🔴Anterior wall continued to meet the posterior suture 🔴Tie both the anterior and posterior suture Robotic Advantage vs Laparoscopic: 🟢Ergonomics for suturing 🟢Camera stability 🟢Stable third arm 🟢3D enhanced vision 🟢Improved surgeon comfort #FOAMed #GITwitter #MedEd #SurgEd #SoMe4Surgery #HPB

@SrenKVillemoes Du trænger nok til et kursus i basal statistik og formidling, når du skriver " 75% af indbyggerne i Gaza støtter angrebet og refererer til et spørgeskema med 668 personer. 🤣🤣 Det her nærmer sig mere et shitpost.

Helt frisk meningsmåling fra Gaza, der bl.a. viser, at 75% af indbyggerne støtter angrebet den 7. oktober. 60% støtter det endda "extremely". awrad.org/files/server/p…

@cutitoutPODCAS1 @SAGES_Updates @SSATNews @IHPBA @me4_so @CAGS_ACCG Been there some years ago with a paper " in review" for almost 10 months in BMC Surgery. Will never consider such a journal again

What would you do if you have a manuscript “in review” for 6 months with no decision…editor emailed several times. Asking for a friend… @SAGES_Updates @SSATNews @IHPBA @me4_so @CAGS_ACCG

@Asiritrauma1 عاشت ايدك دكتور. شغل و لا اروع. تحياتي من الدنمارك.

[WITH PERMISSION] 1/3 شفت كيف الفرق؟! "Did you see the difference?" Working in Deeeeeep Cavity Massive hemothorax arrived in shock Intercostal vessels bleeding control is always challenging but exciting with immediate reward to surgeon How massive is massive ? Next tweet

@EMERGECph @ELFStudy

Moreover, it sheds light on the importance of shared decision-making and end-of-life discussions in a time where surgical resources are challenged by the rapid growth in the elderly population which potentially exceeds available surgical resources. @AmagerHvidovre

This paper highlights the importance of identifying patients who do not proceed to major emergency abdominal surgery (NoLap-population) as international variation in clinical management and outcomes exist! lnkd.in/gXZs5CT8 @Incontalvi @MirjanaCihoric @BangFoss @karenlisah

Minimally invasive treatment of large walled-off pancreatic necrosis (WON > 15 cm) is feasible with almost no need for surgical necrosectomy Insights from a 🇩🇰 retrospective, single tertiary center cohort study. @AmagerHvidovre @MISIRG1 #endoscopy onlinelibrary.wiley.com/doi/10.1111/de…

@susanmoug @ELFStudy We will soon publish some interesting prospective data on this topic. Stay tuned 👍🇩🇰 @BangFoss @MirjanaCihoric @Incontalvi

And……….. can u reveal……? Us Elves would be v interested @ELFStudy

@VascularCph Congratulations on your achievements! 👏🏼

We are grateful to present to you this annual report from our Research Unit, the first of many to come. We hope that you will enjoy reading about the efforts of our skilled researchers and the @VascularCph as a whole. See the link 👇 rigshospitalet.dk/afdelinger-og-…

every surgeon should strive to learn every day. education includes not only technique, technology, and facts, but very importantly interpersonal skills, empathy, respect, balance, and a myriad of other essential practices, behaviors, and emotions

@SPerdawood Could it be a pseudomyxoma?

@ClausEkstrom Kære Claus kunne du sende det til min mail ebrahim627@gmail.com :-)

Jeg har skrevet på en dansk lærebog i statistik tiltænkt introkurserne på de sundhedsvidenskabelige fakulteter. Udkastet er stadig på et ret tidligt stadie, men hvis nogen har lyst til at hjælpe med lidt feedback om format, sværhedsgrad, koncept og indhold så send mig en PM

@AcademicsSay No you will be a part of a Forest plot 😅

Til alle jer der hamstrer på grund af corona: I som nu har købt 20 poser pasta, 28 pakker toiletpapir, eller hamstret håndsprit. Jer der vil gøre alt for at jeres børn ikke får corona. Husk aldrig igen at se ned på mennesker, der flygter fra krig, sygdom og ødelæggelse. #Corona