Title (90 characters):
Advanced Fundus First Laparoscopic Cholecystectomy Using Mishra's Knot | Safe LC Technique

Master the Advanced Fundus First Laparoscopic Cholecystectomy technique demonstrated by Prof. Dr. R.K. Mishra at World Laparoscopy Hospital. This educational surgical video highlights the use of Mishra's Knot, a reliable extracorporeal knotting technique that facilitates safe dissection in difficult gallbladder surgeries where Calot's triangle is obscured by severe inflammation, fibrosis, adhesions, Mirizzi syndrome, or contracted gallbladder.

The fundus-first (top-down) approach is an invaluable bailout strategy that allows surgeons to proceed safely from the gallbladder fundus toward the cystic duct while minimizing the risk of bile duct injury. The video demonstrates meticulous tissue handling, maintenance of the critical view of safety whenever feasible, effective hemostasis, and secure closure using Mishra's Knot. It also discusses operative decision-making, anatomical landmarks, prevention of vascular and biliary complications, and practical tips for managing challenging cholecystectomy cases.

This comprehensive operative demonstration is ideal for general surgeons, gastrointestinal surgeons, hepatobiliary surgeons, laparoscopic fellows, surgical residents, and practicing consultants seeking to refine advanced laparoscopic skills. Viewers will gain valuable insights into safe gallbladder removal, difficult gallbladder surgery, bailout techniques, and advanced intracorporeal and extracorporeal suturing methods that improve patient safety and surgical outcomes.

World Laparoscopy Hospital continues to provide internationally recognized training in laparoscopic, robotic, bariatric, gynecological, colorectal, urological, and hepatobiliary surgery through structured hands-on fellowship programs taught by experienced faculty.