𝗟𝗮𝗽𝗮𝗿𝗼𝘀𝗰𝗼𝗽𝗶𝗰 𝗦𝗺𝗮𝗹𝗹 𝗕𝗼𝘄𝗲𝗹 𝗥𝗲𝘀𝗲𝗰𝘁𝗶𝗼𝗻 & 𝗣𝗿𝗶𝗺𝗮𝗿𝘆 𝗔𝗻𝗮𝘀𝘁𝗼𝗺𝗼𝘀𝗶𝘀 𝗳𝗼𝗿 𝗜𝘀𝗰𝗵𝗮𝗲𝗺𝗶𝗰 𝗦𝗺𝗮𝗹𝗹 𝗕𝗼𝘄𝗲𝗹 𝘄𝗶𝘁𝗵 𝗨𝘀𝗲 𝗼𝗳 𝗜𝗖𝗚 𝗳𝗼𝗿 𝗩𝗶𝘀𝗰𝗲𝗿𝗮𝗹 𝗣𝗲𝗿𝗳𝘂𝘀𝗶𝗼𝗻 𝗔𝘀𝘀𝗲𝘀𝘀𝗺𝗲𝗻𝘁 Patient Presentation: 🔵Presented

Laparoscopic Infracolic Necrosectomy & Roux-en-Y Cystjejunostomy with Cholecystostomy and CBDE 🟢8 wks post index admission 🟢WCC/CRP/Albumin normal 🔴Concomitant procedures in select pts ➡️MDT approach 🔴Nutrition optimised pre-op 🔴Advanced lap skills critical ➡️Robotic

We are delighted to see Altaf K Awan invited to give a talk at the British Association of Day Surgery Annual Conference 2025 at University Place, Manchester on 19th and 20th June. Title of the talk is: Role of robotics in daycase hernia surgery. Register for the conference at:

Retrieval of CBD Stone during Robotic CBD Exploration 🔴5mm KARL STORZ - UK choledochoscope for transductal CBD exploration 🔴Intraoperative US to visualise bile duct 🔴O-tip basket 🔴Irrigation under pressure ➡️Dislodges CBD stone 🔴If CBD stone moving then slow irrigation to

Pleased to see Altaf K Awan invited to present on Robotic Inguinal Hernia Surgery as part of the The Royal College of Surgeons of Edinburgh Hernia Masterclass Series. Thanks to Oroog Ali for moderating and Oliver Warren for giving an excellent talk also.

Delighted to see our second episode in our collaboration with the excellent BehindTheKnife team demonstrating MIS for CBD stones. This episode showcases a multimodal approach using IOUS, ICG, and Laser Lithotripsy for large CBD stone. View the latest episode below!

Robotic Cholecystectomy and CBD Exploration Choledocotomy: 🔴In lap cases - Berci knife standard 🔴Robotic cases - robotic scissors ➡️Open jaw technique 🔴Extension of choledochotomy over the captured stone in the basket pulled to the entry of the choledochotomy Robotic

Delighted to hear David Lourié give an inspiring lecture innovations in robotic hernia surgery. It was great to hear him share his immense experience and superior outcomes in robotic hernia surgery. Thank you David.

Delighted to see Altaf K Awan present our work on daycase robotic hernia surgery at the BADS annual conference. Many thanks to Dave Bunting for the invitation.

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

Excited to see episode 5 of our Severe Acute Pancreatitis series with BehindTheKnife out to view. This episode focused on Laparoscopic Fistula Tract Jejunostomy. See below! As always thanks to Patrick Georgoff, MD and the BTK team for their excellent work.

𝙏𝙞𝙥𝙨 𝙛𝙤𝙧 𝘾𝙝𝙤𝙡𝙚𝙙𝙤𝙘𝙝𝙤𝙩𝙤𝙢𝙮 𝙞𝙣 𝙇𝘾𝘽𝘿𝙀 Approach: 🔴Dissect peritoneum from anterior CBD 🔴Gentle caudal retraction of duodenum ➡️Tenses CBD for choledochotomy 🔴Instrument of choice is choledochotome ➡️Loaded with size 11 blade ➡️Precise and controlled

We were delighted to run the 5th ALSGBandI Intermediate Skills in Robotic Surgery Course and be the first course at the excellent new Intuitive Reading HQ. It was great to see the delegates develop well over the last few days. We look forward to returning in October 2025.

Camera Flip (Image Inversion) during Robotic Ventral Hernia Repair Image Inversion Process 🔴Involves a three-step process: ➡️Unlocking the display ➡️Reassigning robotic arms via the “manual command” button ➡️Flipping the 30° endoscope lens in the opposite direction. 🔴This

Emergency Laparoscopic Repair of Delayed Perforated Duodenal Ulcer Patient Presentation 🔵Admitted with: ➡️3 days history of pain ➡️Frailty ➡️Sepsis ➡️Low albumin ➡️High CRP 🔵Initial conservative treatment 🔵No improvement therefore decision to proceed to surgery Surgical

Pleased to see Altaf K Awan as Chair Faculty for the Intuitive Hernia Training Course at IrcadFrance last week. Thanks to an excellent group of delegates which included Nico Rossmann & team of Spital Grabs (Switzerland) and Michael Meir & team of Universitätsklinikum Würzburg

𝙋𝙤𝙨𝙩 𝘾𝙝𝙤𝙡𝙚𝙘𝙮𝙨𝙩𝙚𝙘𝙩𝙤𝙢𝙮 𝙇𝙖𝙥𝙖𝙧𝙤𝙨𝙘𝙤𝙥𝙞𝙘 𝘾𝘽𝘿 𝙀𝙭𝙥𝙡𝙤𝙧𝙖𝙩𝙞𝙤𝙣 𝙬𝙞𝙩𝙝 𝙄𝘾𝙂 & 𝙇𝙖𝙨𝙚𝙧 𝙇𝙞𝙩𝙝𝙤𝙩𝙧𝙞𝙥𝙨𝙮 Patient Presentation: 🔵Previous lap cholecystectomy 🔵Presents with cholangitis 🔵Spinal deformity 🔵Ampullary diverticulum with

𝗥𝗼𝗯𝗼𝘁𝗶𝗰 𝗦𝘂𝗯𝘁𝗼𝘁𝗮𝗹 𝗖𝗵𝗼𝗹𝗲𝗰𝘆𝘀𝘁𝗲𝗰𝘁𝗼𝗺𝘆 𝗮𝗻𝗱 𝗖𝗕𝗗 𝗘𝘅𝗽𝗹𝗼𝗿𝗮𝘁𝗶𝗼𝗻 𝗳𝗼𝗿 𝗖𝗼𝗺𝗽𝗹𝗲𝘅 𝗚𝗮𝗹𝗹𝘀𝘁𝗼𝗻𝗲 𝗗𝗶𝘀𝗲𝗮𝘀𝗲 Patient Presentation: 🔵Admission for cholangitis ➡️ERCP and sphincterotomy and placement of plastic stent ➡️Unable to

Principles of Szabo Knot 🔴Square knot - 2 throws 🔴Slip knot - unlock by pulling in opposite directions 🔴Slide - non-closed grasper 🔴Lock 🔴Final throw Useful in: 🟢Tissue approximatiob under slight tension 🟢Deep areas i.e. OG hiatus, pelvis #MedEd #SurgEd #surgery