Full Uncut Polypectomy Training Episode
Covers cold snare technique and assessment, assessment of larger lesions using the Size, SSL, Paris + 3 protocol and the starting of hot snare technique
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Chapters (29)
0:00General introduction
1:17Introduction of case
2:01Polyp 1 - assessment
4:10polyp 1 - polypectomy (CSP)
7:35polyp 1 - defect assessment
9:24polyp 2 - assessment
10:45Polyp 2 - difficult placement of snare
18:45Polyp 2 - use of injection to improve acces
19:51Polyp 2 - CSP after injection
21:19Polyp 2 - inspection of defect
25:41Polyp 3: assessment
26:54Polyp 3: polypectomy
28:20Polyp 3: defect inspection - how to handle incomplete resection
34:44Polyp 4: assessment via Paris + 3
38:48Polyp 5: assessment via Paris + 3
42:59Polyp 6: assessment via Paris + 3
47:48Discussion on what polyp to remove today
55:06Start of resection of polyp 6 by trainee - injection
59:05First part of piecemeal hot snare polypectomy (by trainee)
62:45Safety checks before applying diathermy
64:20Inspection of first defect made
66:11The piecemeal resection continues (by trainee)
71:26Demonstration of marking a snare
82:36The resection continues, by the expert
86:06Discussion on value of underwater EMR
93:24Recap on technique of trainee
96:19STSC of margins
102:36Defect assessment
107:45Clipping of defect