Tamer Ashraf Wafa

34 statements · 2 topics

Aerodigestive / ENT · guest expert Colorectal / ARM & Hirschsprung · guest expert Inguinal Hernia · guest expert

Featured statements

▶ Ep 9 · 2:25
The opening should be widened, just enough to admit the suitable tube.
quote · Aerodigestive / ENT
▶ Ep 8 · 0:35
Palpating the hernial sac helps in its location and grasping.
quote · Inguinal Hernia
▶ Ep 9 · 1:35
In children, the third and fourth rings are the best level.
quote · Aerodigestive / ENT
▶ Ep 8 · 0:00
Incision is placed in the lower abdominal crease for female neonatal inguinal hernia repair.
clinical · Inguinal Hernia

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Tamer's statements about Aerodigestive / ENT 19 statements

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Pediatric Tracheostomy in a 7 year old child Dr. Tamer Ashraf Wafa

▶ Ep 9 · 0:00
clinical In a 7-year-old child, a 2-centimeter transverse incision is placed midway between the cricoid cartilage and the suprasternal notch for tracheostomy. ↗
▶ Ep 9 · 0:35
clinical If the anterior jugular vein is encountered during tracheostomy dissection, it is coagulated and cut. ↗
▶ Ep 9 · 0:45
clinical The deep cervical fascia is split in a vertical fashion during pediatric tracheostomy. ↗
▶ Ep 9 · 1:05
clinical The thyroid isthmus can be cauterized and divided, or retracted downwards during tracheostomy. ↗
▶ Ep 9 · 1:35
quote In children, the third and fourth rings are the best level. ↗
▶ Ep 9 · 1:35
clinical In children, the third and fourth tracheal rings are the best level for tracheostomy opening. ↗
▶ Ep 9 · 1:45
clinical Two non-absorbable stay sutures are placed on both sides of the tracheostomy opening and left in place for post-operative reinsertion of the tube if needed. ↗
▶ Ep 9 · 2:00
clinical The side of the tracheal incision is cauterized with bipolar diathermy to minimize bleeding. ↗
▶ Ep 9 · 2:08
clinical The trachea is sharply incised vertically for tracheostomy. ↗
▶ Ep 9 · 2:13
quote Suction should be continuously applied, to prevent blood from entering the airway. ↗
▶ Ep 9 · 2:13
clinical Suction should be continuously applied during tracheal incision to prevent blood from entering the airway. ↗
▶ Ep 9 · 2:20
clinical Pulling the stay sutures laterally helps opening the tracheal lumen during tube insertion. ↗
▶ Ep 9 · 2:25
clinical The tracheostomy opening should be widened just enough to admit the suitable tube. ↗
▶ Ep 9 · 2:25
quote The opening should be widened, just enough to admit the suitable tube. ↗
▶ Ep 9 · 2:30
clinical The endotracheal tube is pulled back to the level of the tracheostomy opening before inserting the tracheostomy tube. ↗
▶ Ep 9 · 2:40
clinical After tracheostomy tube insertion, the ventilator is connected and air entry is checked on both lungs. ↗
▶ Ep 9 · 2:47
clinical The angles of the tracheostomy wound are approximated using absorbable sutures. ↗
▶ Ep 9 · 2:52
clinical The neck is flexed and the tracheostomy tube is tied tightly around it for secure fixation. ↗
▶ Ep 9 · 2:58
clinical The stay sutures are taped to the chest with clear labeling not to remove them. ↗
Tamer's statements about Inguinal Hernia 15 statements

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Female Neonatal Inguinal Hernia Repair Dr. Tamer Ashraf Wafa

▶ Ep 8 · 0:00
clinical Incision is placed in the lower abdominal crease for female neonatal inguinal hernia repair. ↗
▶ Ep 8 · 0:20
clinical Subcutaneous tissue and Scarpa's fascia are bluntly dissected in this approach. ↗
▶ Ep 8 · 0:35
clinical Palpating the hernial sac helps in its location and grasping. ↗
▶ Ep 8 · 0:35
quote Palpating the hernial sac helps in its location and grasping. ↗
▶ Ep 8 · 0:45
clinical The sac and its coverings are bluntly dissected and exteriorized. ↗
▶ Ep 8 · 1:00
clinical The coverings are peeled off the sac until the extraperitoneal fat is reached. ↗
▶ Ep 8 · 1:25
clinical The sac is opened to check for a sliding fallopian tube in female inguinal hernia repair. ↗
▶ Ep 8 · 1:25
quote The sac is open to check for a sliding thalope and tube. ↗
▶ Ep 8 · 1:40
quote The round ligament is clearly seen. No tube is found. ↗
▶ Ep 8 · 1:40
clinical The round ligament is identified during female inguinal hernia dissection. ↗
▶ Ep 8 · 1:50
clinical In this case, no fallopian tube was found in the hernial sac. ↗
▶ Ep 8 · 2:00
clinical The sac is twisted and transfixed at the proper neck using 4-0 absorbable suture. ↗
▶ Ep 8 · 2:25
clinical The external inguinal ring is closed using one or two absorbable stitches. ↗
▶ Ep 8 · 3:30
clinical Scarpa's fascia is closed by inverted absorbable sutures. ↗
▶ Ep 8 · 3:50
clinical The skin is closed by subcuticular sutures in this technique. ↗