This video depicts a laparoscopic cholecystectomy (gallbladder removal surgery) performed by Dr Deepraj Bhandarkar in a patient with a large gallstone. Presence of large gallstone is a risk factor for developing gallbladder cancer. In such patients surgery is recommended, and laparoscopic cholecystectomy allows the patient to recover rapidly with minimal discomfort.

Chapters
00:00 Title
00:08 Background
00:16 Clinical presentation
00:27 Ultrasound
00:31 Position of ports
00:38 Freeing up of fundus
01:11 Fundal retraction
01:27 Anterior dissection
01:42 Posterior dissection
03:31 Window between cystic duct and artery
04:25 Critical view of safety
04:28 Clipping of cystic artery
04:45 Division of cystic artery
05:01 Ligation of cystic duct on gallbladder side
05:27 Cystic ductotomy and milking of cystic duct
05:37 Ligation of cystic duct on bile duct side
06:01 Division of cystic duct
06:07 Reinforcement of cystic duct stump with endoloop
06:28 Excision of the gallbladder from liver
07:49 Placement of the gallbladder in a bag
08:02 Extraction of the gallbladder
Postoperative course
Learning points

Additional resources
# Laparoscopic cholecystectomy: making it safer https://youtu.be/3a_FlEDJGFU
# Mini-laparoscopic cholecystectomy https://youtu.be/Fsp9Rk0laVA
# Single incision laparoscopic cholecystectomy https://youtu.be/7cs5EYkkdTA
# Critical view of safety in laparoscopic cholecystectomy https://youtu.be/6RSiZTijT4k
# Laparoscopic cholecystectomy: how I do it? https://youtu.be/cI_RzuDWijw
# Laparoscopic subtotal cholecystectomy for acute cholecystitis in a cirrhotic patient https://youtu.be/yR3mxkBjzOQ
# Webinar on “Safe laparoscopic cholecystectomy and how to overcome difficulties” https://youtu.be/XZPrywBbAKs
# Laparoscopic cholecystectomy using fluorescent imaging https://youtu.be/wie_7AzcNXA
# Laparoscopic cholecystitis for chronic cholecystitis: challenges and solutions https://youtu.be/hA5pEslS1iQ
# Laparoscopic cholecystectomy in a patient with FNH adjacent to a sessile gallbladder https://youtu.be/n3G38kSV_Fk
# Laparoscopic cholecystectomy in the presence of a cystic artery variant https://youtu.be/wnRlmOjjXsI

This is a web lecture on "Redo anti-reflux surgery" delivered by Dr Deepraj Bhandarkar at the 16th International Congress of the Asia Pacific Hernia Society.

This is a video of a rare type of internal hernia repaired laparoscopically by Dr Deepraj Bhandarkar. Simultaneous herniation of the intestine through defects in both the mesocolon and lesser omentum is extremely rare. The diagnosis of this entity may often be delayed because of the vague symptoms. When diagnosed, usually by way of a CT scan, laparoscopic surgery provides an excellent option for treating this condition.

Chapters
00:00 Title
00:07 Background
00:31 Clinical history
00:43 CT scan
00:51 Upper GI endoscopy
00:58 Port positions
01:05 View of lesser omentum
01:07 Mesocolic defect
01:17 Small bowel reduced from the defect
02:53 Closure of the defect
06:39 Postoperative course
06:50 Learning points

Additional resources
# Laparoscopic TAPE repair for a suture site hernia and rectus divarication https://youtu.be/a8A9TuiYJH4
# Laparoscopic trans-abdominal retromuscular repair of an epigastric hernia https://youtu.be/1lKci8OHQtc
# Trans-abdominal partially extraperitoneal (TAPE) repair of a rare peri-inguinal hernia https://youtu.be/vsKRW421nZ8
# Completely sutured laparoscopic trans-abdominal pre-peritoneal (TAPP) repair for inguinal hernia
https://youtu.be/rNP_eZOfzUA
# Laparoscopic (TAPP) inguinal hernia repair - AMASI webinar
https://youtu.be/p7HDyM620Hc
# Laparoscopic Rives-Stoppa repair for an infra-umbilical (M4W1) incisional hernia https://youtu.be/tm-qK5Cqli0

This is a lecture delivered by Dr Deepraj Bhandarkar during a debate on usefulness of subtotal cholecystectomy in patients with severe acute cholecystitis. Surgeons aim to remove the entire gallbladder when operating on someone with gallstone disease. However, in presence of severe infection / inflammation around the gallbladder this may be neither always possible nor safe. In such circumstances, it is a prudent and well-accepted practice to remove as much of the gallbladder as is safely possible (subtotal cholecystectomy) to prevent injury to the bile ducts – a complication with disastrous consequences. Dr Bhandarkar strongly puts forward the argument for the selective use of this strategy in the interest of patient safety.

Chapters
00:00 Title
00:28 Agenda
01:11 Acute cholecystitis as a risk factor for bile duct injury
02:27 Conceptual roadmap for avoiding bile duct injury
07:13 History of subtotal cholecystectomy
09:21 Types of subtotal cholecystectomy
11:11 Evidence and recommendations
17:21 Conclusions

Additional resources
# Laparoscopic cholecystectomy for gangrenous cholecystitis https://youtu.be/KpnxtoeRJ2c
# Mini-laparoscopic cholecystectomy
https://youtu.be/Fsp9Rk0laVA
# Single incision laparoscopic cholecystectomy https://youtu.be/7cs5EYkkdTA
# Critical view of safety in laparoscopic cholecystectomy https://youtu.be/6RSiZTijT4k
# Laparoscopic cholecystectomy: how I do it?
https://youtu.be/cI_RzuDWijw
# Laparoscopic subtotal cholecystectomy for acute cholecystitis in a cirrhotic patient
https://youtu.be/yR3mxkBjzOQ
# Webinar on “Safe laparoscopic cholecystectomy and how to overcome difficulties”
https://youtu.be/XZPrywBbAKs
# Laparoscopic cholecystectomy using fluorescent imaging https://youtu.be/wie_7AzcNXA
# Laparoscopic cholecystitis for chronic cholecystitis: challenges and solutions
https://youtu.be/hA5pEslS1iQ
# Laparoscopic cholecystectomy in a patient with FNH adjacent to a sessile gallbladder
https://youtu.be/n3G38kSV_Fk
# Laparoscopic cholecystectomy in the presence of a cystic artery variant https://youtu.be/wnRlmOjjXsI
# Laparoscopic cholecystectomy - standardisation makes it safer https://www.youtube.com/watch?v=8laNIOVvQ9A
# Laparoscopic cholecystectomy: making it safer https://www.youtube.com/watch?v=3a_FlEDJGFU

As an expert in the field, Dr Deepraj Bhandarkar was invited to present this master video on laparoscopic left adrenalectomy during the online Annual Conference of the Association of Minimal Access Surgeons of India (AMASICON 2020). He narrates the challenges faced in laparoscopic resection of a large adrenal tumour and the solutions employed.

This is a video of a laparoscopic cholecystectomy (gallbladder removal surgery) performed by Dr Deepraj Bhandarkar that outlines the ten steps essential for ensuring the safety of this commonly performed surgery. These steps have been termed the "ten commandments" and each one is highlighted.

Chapters
00:00 Title
00:10 Commandments 1 to 5
00:22 Commandments 6 to 10
00:50 Superior traction
01:20 Adhesiolysis
02:50 Downward and lateral traction on Hartmann’s
03:09 Posterior dissection
04:24 Anterior dissection
05:35 Critical view of safety – step 1
05:50 Critical view of safety – step 2
06:40 Critical view of safety – step 3
07:23 Critical view of safety established
07:28 Clipping of cystic artery
07:58 Division of cystic artery
08:22 Ligation of cystic duct on gallbladder side
09:31 Cystic ductotomy
09:41 Milking of cystic duct
09:56 Ligation of cystic duct
10:30 Division of cystic duct
11:50 Excision of the gallbladder
12:33 Placement of the gallbladder in a bag
12:55 Extraction of the gallbladder

Additional resources
# Laparoscopic cholecystectomy for gangrenous cholecystitis https://youtu.be/KpnxtoeRJ2c
# Mini-laparoscopic cholecystectomy
https://youtu.be/Fsp9Rk0laVA
# Single incision laparoscopic cholecystectomy https://youtu.be/7cs5EYkkdTA
# Critical view of safety in laparoscopic cholecystectomy https://youtu.be/6RSiZTijT4k
# Laparoscopic cholecystectomy: how I do it?
https://youtu.be/cI_RzuDWijw
# Laparoscopic subtotal cholecystectomy for acute cholecystitis in a cirrhotic patient
https://youtu.be/yR3mxkBjzOQ
# Webinar on “Safe laparoscopic cholecystectomy and how to overcome difficulties”
https://youtu.be/XZPrywBbAKs
# Laparoscopic cholecystectomy using fluorescent imaging https://youtu.be/wie_7AzcNXA
# Laparoscopic cholecystitis for chronic cholecystitis: challenges and solutions
https://youtu.be/hA5pEslS1iQ
# Laparoscopic cholecystectomy in a patient with FNH adjacent to a sessile gallbladder
https://youtu.be/n3G38kSV_Fk
# Laparoscopic cholecystectomy in the presence of a cystic artery variant https://youtu.be/wnRlmOjjXsI
# Laparoscopic cholecystectomy - standardisation makes it safer https://www.youtube.com/watch?v=8laNIOVvQ9A
# Laparoscopic cholecystectomy: making it safer https://www.youtube.com/watch?v=3a_FlEDJGFU

This video shows a laparoscopic Ladd's procedure performed by Dr Deepraj Bhandarkar in an adult patient presenting with intestinal malrotation. This condition results from a variation of the rotation of intestine that occurs during the fetal stage of life. It commonly presents during childhood and its manifestation in adulthood is rare.

Chapters
00:00 Title

00:04 Background
00:18 Malrotation
00:29 Clinical presentation & management plan
00:49 Port positions
00:58 Preliminary view
01:30 Checking the small bowel
02:44 Division of Ladd’s bands
03:29 Mobilisation of DJ flexure
04:49 Kocherisation of duodenum
05:13 Retraction of liver
06:59 Straightening of DJ flexure
07:07 Widening of mesenteric base
08:30 Appendectomy
09:27 Extraction of appendix
09:35 Postoperative course
09:45 Learning points

Additional resources
# Laparoscopic repair of a left paraduodenal hernia
https://youtu.be/GaYNN9JBzOw
# Laparo-endoscopic single site (LESS) surgery for small bowel pathology https://youtu.be/FiteOdhLGcI
# Laparoscopically assisted enterolithotomy for gallstone ileus
https://youtu.be/e6o6tIpihrI

This is a video of a thoracoscopic biopsy of an enlarged lymph node situated in the superior mediastinum close to important blood vessels. Due to its location, a CT-guided biopsy was not possible. Thoracoscopy allowed the surgeon to obtain adequate tissue for performing various tests. As the surgery was performed through small incisions, patient was able to recover rapidly with minimal discomfort.

Chapters
00:00 Title
00:09 Background
00:19 Clinical details
00:28 CT scan
00:42 Port positions
01:05 Dissection of the node
02:08 Pus draining from lymph node
03:01 Clipping and division of blood vessel entering node
03:17 Further dissection of node
06:00 Excision of node
06:32 Haemostasis
07:04 Specimen removal
07:12 Intercostal drain
07:20 Postoperative course
07:29 Learning points

This is a lecture on hiatus hernia repair delivered by Dr Deepraj Bhandarkar during the HSI e-CON 2020 - the online conference of the Hernia Society of India - held in December 2020. The “virtual live surgery” brings out various technical nuances of a Nissen fundoplication performed to treat patients with severe gastro-esophageal reflux disease and hiatus hernia.

Chapters
00:00 Introduction
00:20 Clinical history
01:11 Endoscopy
01:44 Manometry
02:09 Theatre set up and port positions
03:24 Surgical procedure

Additional resources
# Laparoscopic Nissen fundoplication - live surgery
https://youtu.be/ggsk6wnoYy8
# Webinar on laparoscopic surgery for hiatus hernia
https://youtu.be/rZVeJC-MYUY
# Laparoscopic repair of a paraesophageal hernia with an acute presentation
https://youtu.be/4dTCpZXw_es
# Laparoscopic Nissen fundoplication
https://www.youtube.com/watch?v=zbCW76P9hzw

This is a video depicts a laparoscopic repair of an incisional hernia at the site of ileostomy closure performed by Dr Deepraj Bhandarkar. Hernias occurring at the site of closure of stomas tend to be challenging to repair. Intra-abdominal adhesions which are common following previous surgery. require meticulous adhesiolysis without injury to the bowel . A laparoscopic repair, as performed here, allows the patient to recover rapidly.

Chapters
00:00 Title
00:07 Background
00:18 Clinical presentation and CT scan
00:53 Omental adhesiolysis
02:49 Bowel adhesiolysis
08:11 Closure of hernial defect
10:42 Placement and fixation of mesh
14:00 Postoperative course
14:10 Learning points

Additional resources
# Laparoscopic TAPE repair for a suture site hernia and rectus divarication
https://youtu.be/a8A9TuiYJH4
# Laparoscopic transabdominal retromuscular repair of an epigastric hernia
https://youtu.be/1lKci8OHQtc
# Trans-abdominal partially extraperitoneal (TAPE) repair of a rare peri-inguinal hernia
https://youtu.be/vsKRW421nZ8
# Laparoscopic Rives-Stoppa repair for an infraumbilical (M4W1) incisional hernia
https://youtu.be/tm-qK5Cqli0

This is a video of a laparoscopic right adrenalectomy performed by Dr Deepraj Bhandarkar for an adrenal myelolipoma - an uncommon tumour. This patient required surgery as the tumour, though benign, was found to have increased in size on serial CT scans. Laparoscopic resection allowed the patient to recover rapidly with minimal postoperative pain.

Chapters
00:00 Title
00:08 Background
00:10 Clinical presentation
00:31 Investigations
01:10 Port positions
01:40 Retraction of liver
01:54 Mobilisation of right lobe of liver
05:34 Bleeding from small vein and its control
06:20 Dissection of tumour from IVC
07:41 Control of adrenal vein
08:45 Completion of tumour dissection
11:21 Haemostasis
11:50 Extraction of tumour in a bag
12:11 Postoperative course
12:19 Learning points

Additional resources
# Laparoscopic left adrenalectomy for a large pheochromocytoma
https://youtu.be/5BQQEVKRu7s
# Laparoscopic excision of a large retroperitoneal, paracaval ganglioneuroma
https://youtu.be/jL8pY5De800
# Mini laparoscopic left adrenalectomy for an adrenal adenoma
https://youtu.be/p_-dnYoXup0
# Laparoscopic resection of a large paraganglioma arising in organ of Zuckerkandl
https://youtu.be/lJRXnviqmT4
# Laparoscopic left adrenalectomy for an aldosteronoma
https://youtu.be/KAvQxAkzCBs
# Laparoscopic resection of a hilar pheochromocytoma in a patient with circum-aortic left renal vein
https://youtu.be/aEJPkzwWs6M
# Laparoscopic right adrenalectomy for an aldosterone secreting adenoma
https://youtu.be/z-tQKH5ph8k
# Laparoscopic resection of a right renal hilar pheochromocytoma
https://youtu.be/a4PshipGGm4
# Laparoscopic left adrenalectomy for a giant pheochromocytoma
https://youtu.be/3mwtkm32si0
# Laparoscopic left adrenalectomy for an adrenal cyst
https://youtu.be/7nFcgINkLXo
# Single incision laparoscopic adrenalectomy
https://youtu.be/jjX7oRFIAT8
# Workup of a patient with adrenal incidentaloma and laparoscopic adrenalectomy
https://youtu.be/aJg6NU9Re88
# Laparoscopic left adrenalectomy for a giant ganglioneuroma
https://youtu.be/4zfNym-Qst4

This is a minimally-edited video of a laparoscopic (TAPP) repair of a right direct inguinal hernia performed by Dr Deepraj Bhandarkar.

Chapters
00:00 Title
00:07 Clinical presentation
00:23 Port positions
00:38 View of right hernia
00:43 Peritoneal incision
02:46 Dissection of Bogros space
04:05 Dissection of Retzius space
06:52 Dissection of bladder
07:13 Dissection of pseudosac
08:22 Parietalisation of cord structures
11:21 Placement and fixation of a mesh
13:22 Peritoneal closure
17:12 Postoperative course

Additional resources
# Laparoscopic (TAPP) inguinal hernia repair - AMASI webinar
https://youtu.be/p7HDyM620Hc
# Completely sutured laparoscopic trans-abdominal pre-peritoneal (TAPP) repair for inguinal hernia
https://youtu.be/rNP_eZOfzUA

This is an almost unedited video of a laparoscopic cholecystectomy (gallbladder removal surgery) which is a common operation - performed by Dr Deepraj Bhandarkar. Though considered a straightforward surgery, meticulous attention to technical details and standardisation of each step, as shown here, makes the surgery safer for the patients.

Chapters
00:00 Title
00:30 Superior retraction of fundus
01:14 Adhesiolysis
04:43 Downward and lateral traction on Hartmann’s pouch
05:58 Anterior dissection
08:00 Posterior dissection
10:35 Critical view of safety established
10:50 Clipping of cystic artery
11:30 Division of cystic artery
12:11 Clipping of cystic duct on gallbladder side
12:38 Cystic ductotomy
12:34 Milking of cystic duct
12:36 Ligation of cystic duct
14:05 Division of cystic duct
14:35 Control of cystic duct stump with additional endoloop
15:30 Excision of the gallbladder
18:16 Hemostasis on liver
20:25 Placement of the gallbladder in a bag
20:53 Extraction of the gallbladder

Additional resources:
# Laparoscopic cholecystectomy: making it safer
https://youtu.be/3a_FlEDJGFU
# Laparoscopic cholecystectomy for gangrenous cholecystitis
https://youtu.be/KpnxtoeRJ2c
# Mini-laparoscopic cholecystectomy
https://youtu.be/Fsp9Rk0laVA
# Single incision laparoscopic cholecystectomy
https://youtu.be/7cs5EYkkdTA
# Critical view of safety in laparoscopic cholecystectomy
https://youtu.be/6RSiZTijT4k
# Laparoscopic cholecystectomy: how I do it?
https://youtu.be/cI_RzuDWijw
# Laparoscopic subtotal cholecystectomy for acute cholecystitis in a cirrhotic patient
https://youtu.be/yR3mxkBjzOQ
# Webinar on “Safe laparoscopic cholecystectomy and how to overcome difficulties”
https://youtu.be/XZPrywBbAKs
# Laparoscopic cholecystectomy using fluorescent imaging
https://youtu.be/wie_7AzcNXA
# Laparoscopic cholecystitis for chronic cholecystitis: challenges and solutions
https://youtu.be/hA5pEslS1iQ
# Laparoscopic cholecystectomy in a patient with FNH adjacent to a sessile gallbladder
https://youtu.be/n3G38kSV_Fk
# Laparoscopic cholecystectomy in a morbidly obese patient
https://youtu.be/zpuDZd9VdMQ

This is a video of a laparoscopic cholecystectomy (gallbladder removal surgery) in a morbidly obese patient (BMI 47) performed by Dr Deepraj Bhandarkar. Gallstones tend to be common in the morbidly obese. The surgery can be challenging in these patients because of the fatty liver that makes retraction of the gallbladder difficult. Moreover, bulky omentum and colon may compromise visualisation of the Calot's triangle for safe dissection.

Chapters
00:00 Title
00:35 Superior retraction of fundus
00:41 Adhesiolysis
02:12 Anterior dissection
02:42 Posterior dissection
03:30 Use of bipolar to dissect fat in Calot’s triangle
07:19 Critical view of safety established
07:26 Clipping of cystic artery
07:35 Division of cystic artery
07:45 Ligation of cystic duct on gallbladder side
08:15 Cystic ductotomy
08:39 Milking of cystic duct to extract a small stone
08:45 Ligation of cystic duct on bile duct side
09:21 Division of cystic duct
09:28 Excision of the gallbladder from liver
10:14 Hemostasis on liver
10:44 Placement of the gallbladder in a bag
10:50 Extraction of the gallbladder

Additional resources:
# Laparoscopic cholecystectomy: making it safer
https://youtu.be/3a_FlEDJGFU
# Laparoscopic cholecystectomy for gangrenous cholecystitis
https://youtu.be/KpnxtoeRJ2c
# Mini-laparoscopic cholecystectomy
https://youtu.be/Fsp9Rk0laVA
# Single incision laparoscopic cholecystectomy
https://youtu.be/7cs5EYkkdTA
# Critical view of safety in laparoscopic cholecystectomy
https://youtu.be/6RSiZTijT4k
# Laparoscopic cholecystectomy: how I do it?
https://youtu.be/cI_RzuDWijw
# Laparoscopic subtotal cholecystectomy for acute cholecystitis in a cirrhotic patient
https://youtu.be/yR3mxkBjzOQ
# Webinar on “Safe laparoscopic cholecystectomy and how to overcome difficulties”
https://youtu.be/XZPrywBbAKs
# Laparoscopic cholecystectomy using fluorescent imaging
https://youtu.be/wie_7AzcNXA
# Laparoscopic cholecystitis for chronic cholecystitis: challenges and solutions
https://youtu.be/hA5pEslS1iQ
# Laparoscopic cholecystectomy in a patient with FNH adjacent to a sessile gallbladder
https://youtu.be/n3G38kSV_Fk
# Laparoscopic cholecystectomy - standardisation makes it safer
https://www.youtube.com/watch?v=8laNIOVvQ9A