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Surgery G.I.T b0f05569

Bleeding adjacent to the "Triangle of calor" should be controlled by

A
Pressing the aery manually
B
Blind clipping
C
Kocher's aery forceps
D
Stitching
High-Yield Explanation
Golden rules to be followed in case of Difficult Cholecystectomy When the anatomy of callot's triangle is not clear, blind dissection should not be done Bleeding adjacent to the callot's triangle should be controlled by pressure and not by clipping or clamping When there is doubt about the anatomy, a fundus first cholecystectomy dissecting on gallbladder wall down to the cystic duct can be helpful If the cystic duct is densely adherent to CBD and there is possibility of Mirizzi's Syndrome, the infundibulum of the GB should be opened, the stone removed and infundibulum oversewn Ref: Blumga 5th edition Pgno :525

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