PHILOS DS 2

Description

The video features a surgical procedure led by Dr. Dipit Sahu, focusing on a deltopectoral approach for shoulder surgery. Throughout the operation, voices overlap as team members coordinate using various instruments like retractors and scissors while discussing the anatomy and techniques involved.



Early on, Sahu outlines the deltopectoral approach and contrasts it with the deltoid split, emphasizing nerve preservation. He consistently checks the positioning of the arm and requests specific tools for ensuring visibility and access to the surgical site. As the procedure progresses, anatomical landmarks such as the cephalic vein and the moraline fossa are highlighted, showing collaborators the importance of careful dissection.



Sahu's commentary includes discussions on the anatomy of the shoulder, identification of critical structures like the subscapularis, biceps tendon, and greater tuberosity (GT), and assessing the integrity of regions affected by injury. He speaks about the decisions made regarding suturing techniques, managing tissue, and the effect of age on bone quality when discussing a three-year-old patient versus an older adult.



Various surgical strategies are debated in response to unforeseen conditions during the procedure, including potential nerve damage and manipulation of fibrotic tissue. Close attention is paid to instrument choices, such as K-wires, for stabilizing fractures and ensuring proper alignment in the patient's shoulder.



The conversation evolves into the fixation technique that employs plates and screws to stabilize fragments, showcasing the surgical team's ability to adapt their approach based on live feedback from visual imaging aids. The video concludes with considerations for postoperative alignment and functional recovery, effectively blending educational commentary with real-time surgical practice.

Specialties