Introduction

SLNB is standard of care in Early Breast cancer. Tradationally dual technique, using Radiocolloid and hand held gamma probe and Blue dye is used. Disadvantage is its expensive and cumbersome and need for mandatory dependency on nuclear medicine department is requiree and its not dynamic imaging but static. so Low energy resourse setting countries cannot use it . So hand held ICG flourescence imaging probe and ICG SLNB for breast cancer is cost economical and easy and no need for nuclear medicine department and easy to replicate and dynamic imaging per op LYMPHA surgery to prevent lymphodedmea

Description

SLNB is standard of care in Early Breast cancer. Tradationally dual technique, using Radiocolloid and hand held gamma probe and Blue dye is used. Disadvantage is its expensive and cumbersome and need for mandatory dependency on nuclear medicine department is requiree and its not dynamic imaging but static. so Low energy resourse setting countries cannot use it . So hand held ICG flourescence imaging probe and ICG SLNB for breast cancer is cost economical and easy and no need for nuclear medicine department and easy to replicate and dynamic imaging per op LYMPHA primary LVA surgery using ICG hand held probe to prevent Lymphoedema

Conclusion/Implications

This video shows technique of ICG fluorescence SLNB for breast cancer and primary LVA Lympho venous anastamosis LYMPHA using hand held ICG probe

Introduction

Optimal Cytoreduction CCO is the only sure Prognostic marker of good DFS and OS thats avaialble with Gynecological oncologist in advanced Ovarian cancer. But its not what we do in Pelvis alone that matters, but what we do and how we handle upper abdomen and diagpragm and Pontis hepatis and upper abdomen disease that translates to good OS. This video shows systematiclaly the surgical technqiue of Peritonecotmy and upper abdomen Optimal CRS quadrant wise to achieve Optimal CRS with HIPEC

Description

Optimal Cytoreduction CCO is the only sure Prognostic marker of good DFS and OS thats avaialble with Gynecological oncologist in advanced Ovarian cancer. But its not what we do in Pelvis alone that matters, but what we do and how we handle upper abdomen and diagpragm and Pontis hepatis and upper abdomen disease that translates to good OS. This video shows systematiclaly the surgical technqiue of Peritonecotmy and upper abdomen Optimal CRS quadrant wise to achieve Optimal CRS. the Glisson capusulectomy with Diaphragem resection and Mesentric stripping and managing Pontis Hepaticus and Pouch of Douglosectomy and retro grade hystrecotmy. and then HIPEC

Conclusion/Implications

We have done over 500 advanced ultra radiical surgery with HIEPC and 1100 ultra radical upper abdominal CRS without HIEPC and morbidity and and mortlaity is standardisesd aftet learning curve of 70 cases with these technqiue of Ball Point caurgery with 90 setting spray mode and systematic quadrant wise approach to high PCI ca ovarian cases.

this video shares this technqiue in this