#Lymphatics of the Abdomen!!!➡️🤔/?👨🏻‍⚕️👩🏻‍⚕️
The lymphatic vessels and nodes of the abdomen drain the abdominal and pelvic organs as well as the pelvic walls and the lower part of the abdominal wall....⤵️👇🏻👨🏻‍⚕️
#SoMe4IQLatAm #SoMe4Surgery (The upper part of the abdominal wall is drained by the internal thoracic and axillary nodes In addition, the abdominal lymphatics receive lymph from the lower limb, the gonads and the perineum...⤵️👇🏻

Polycystic liver disease (PLD)....⤵️📚
⚜️A heriditary autosomal dominant (AD) disease.
⚜️Arises from biliary epithelium, but does not communicate with biliary system....⤵️
#SoMe4IQLatAm #SoMe4Surgery ⚜️Types:) 1ry PLD or an extrarenal manifestation of AD polycystic kidney disease (ADPKD).
⚜️Presentation: usually asymptomatic, hepatomegally, abd pain, jaundice, portal HTN.⤵️

10⁦ ➡️⁩ rules:) for TAPP for inguinal hernia.📚⁦👨🏻‍⚕️⁩⁦👩🏻‍⚕️⁩⁦👇🏻⁩⁦↘️⁩⁦⤵️⁩⁦
#SoMe4IQLatAm #SoMe4Surgery Rule 1:) Beginning of Surgery⁦⁦↘️⁩⁦⤵️⁩
💠TAPP: Start Flap 4 cm above Deep Ring, Continue from ASIS to Medial Umbilical Ligament
💠TEP: Blunt Telescopic Dissection or Balloon Dissection

Cystic neoplasm of pancreas/?🤔🙋🏻‍♂️👨🏻‍⚕️👩🏻‍⚕️👇🏻📚⤵️
#SoMe4IQLatAm #SoMe4Surgery A:)➡️ Mucinous cystadenoma➡️↙️📚👇🏻
💠F>M {50 -_- 60 yrs}
💠M/c site ↔️ body & tail
💠Septate microcyst ➕ solid component
💠CECT ↔️ egg shell calcification
💠No communication with duct
💠Low s.amylase, high CEA level
💠Positive mucin stain⤵️⤵️