The gallbladder concentrates and stores bile as a pear-shaped sac which it can release to help digestion after a fatty meal.
Historically, operating rooms looked more like theaters than modern surgical rooms. They usually consisted of a surgical table placed in the middle of the room with seating available around it, to accommodate medical students and other interested parties. As medicine itself progressed, so did the operating rooms that the staff that work in and the instruments they use. Some operating rooms still have viewing galleries to allow students and medical staff to observe the operation, although the breakthrough operations of today can also be streamed online to different parts of the world.
One of the biggest breakthroughs in the operating room comes from the development of modern technology. From small cameras that are inserted into abdomen during laparoscopic surgeries, to robotic systems that are operated by telemanipulation, modern technology has found a strong foothold in the operating room. Take a peek at procedures in the operating room from traditional all the way through the most recently developed technological procedures.
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Angiography is a special type of fluoroscopy that is specifically used to visualize blood vessels and the heart. Angiography can sometimes help during thoracoscopic surgery.
An ultrasound machine is shown in one of the Roosevelt Hospital offices. Ultrasound uses sound energy to visualize structures and flow in vessels. Different kinds of ultrasounds and ultrasound probes can be used to visualize different parts of the body and to ensure proper function.
Dr. Belsley prepares the port sites for a laparoscopic colon resection. Minimally invasive techniques can be used for both benign and malignant problems in the colon.
A large reinforced plastic bag is typically used to retrieve specimens that are harvested during surgery. An example would be the use of an Endocatch bag retrieving the gallbladder after laparoscopic surgery. In this case it is being used to retrieve a specimen during a laparoscopic biopsy of a…
The spinal column and a clamp are seen in the monitors of a fluoroscopy machine in the operating room. Bony and metal landmarks are used during initial orientation. Fluoroscopy is a type of real-time X-ray and sometimes used intraoperatively in order to increase visualization during minimally…
Laparoscopic surgery requires entry sites into the abdomen. The laparoscopic tools at the interface between the outside and the inside of the abdomen are called ports. In order to transverse a thicker abdominal wall, bariatric surgery sometimes requires special ports that are longer than…
A robotic paraesophageal surgery repair requires that the hernia sac be completely reduced and the gastroesophageal junction brought back into its anatomic position in the abdomen. This photo demonstrates a tailored piece of biologic mesh that has been placed over the defect in the diaphragm. the…
Internal hernias are particularly dangerous because they are closed-loop obstructions. During a closed-loop obstruction, nothing can enter or leave the intestine including an adequate blood supply. This is a series of four intraoperative shots demonstrating internal hernia with incarcerated…
During laparoscopic gastric bypass, the intestine is changed into the shape of a Y. The instrument is a laparoscopic stapler. Looking carefully at the tip of the instrument, one can see that the stapler is being passed into a hole created in the intestine. This eventually will form the base of the…
The Lap-Band is a common operation for select patients who suffer from morbid obesity. The Lap-Band is shown underneath the left lobe of liver. The stomach is then sutured over the band to prevent the band from slipping as well as create a small pouch that serves to increase satiety with smaller…
The entire dynamics of the operating room need to be controlled and organized carefully. Laparoscopic surgery requires concentrating on the operating field as well as orchestrating the passage of instruments from outside the body to the location of the operation inside that can sometimes be as far…
The creation of a properly sized stomach pouch requires a team-work approach in order to achieve the correct levels of traction and counter-traction. The photo shows the laparoscopic procedure where a window is being created behind the stomach in order to prepare it for stapling.