Open Cholecystectomy for Gangrenous gallbladder

Although the gold standard for the removal of diseased gallbladder(especially gallstones-related cholecystitis) is Laparoscopic Cholecystectomy, I always tell patients that the chance of successfully completing the operation laparoscopically is only 90%, there is always about 10% chance of converting to open surgery.



The more severe the inflammation, the higher the chance of converting to open surgery.



The above patient suffered from Gangrenous Cholecystitis which failed laparoscopic attempt and had to be converted to open operation.

Unzipping the trapped skin

parents have to teach their boys how to zip their kids pants carefully especially the children who have not worn any under garment just yet...



sometimes, the zip can catch the penile skin than can be removed only by a minor surgical procedure that required general anaesthesia