0:00

So by now we would have covered.

0:03

All of the pre procedural Perry could

0:06

procedural and post-procedural considerations as it

0:09

relates to targeting biopsies within

0:12

the interabdominal spaces.

0:15

So what would we would have gathered today? We were together.

0:18

It's important to understand what the differential diagnosis is,

0:21

whether we're dealing with Foci or

0:24

lesions in the retro-paraginal compartments or within

0:27

the intrapersonal compartments. It's important

0:30

to know common pathologies as

0:33

well as uncommon pathologies. We talked

0:36

about necrotizing granulomas in parasitic

0:39

Lima yomas, which are on the order of the uncommon

0:42

pathologies that you may encounter. It's also

0:45

important to know that when targeting these biopsies we

0:48

need to have in mind a safety

0:51

profile for the procedure and that safety

0:54

profile is augmented and optimized through

0:57

identifying safe trajectory. That

1:00

is

1:02

Really Guided by the modality that

1:05

we choose we discussed the advantages and the

1:08

disadvantages of using CT versus ultrasound guidance

1:11

for both.

1:13

Biopsies of the Retro peritoneum as well

1:16

as biopsies within the intraperitoneum.

1:19

We also discuss potential complications the use

1:22

of oral contrast as a guiding tool

1:25

in order to ensure that we visualize bowel

1:28

when there are lesions and masses

1:31

adjacent about

1:34

The most important note for today perhaps if I

1:37

had to choose was that complications do happen.

1:41

And one of the things that we can do in order

1:44

to support our patients and advancing Safe Care

1:47

is to know what can go wrong.

1:50

And when it goes wrong how to manage it that's important

1:53

to share with our patients doing informed consent and

1:56

most importantly for us to keep in mind when we

1:59

perform procedures so that if something untoward happens, we

2:02

know how to manage it whether it happens immediately in

2:05

the period procedural period or perhaps days later

2:08

at the end of the day, hopefully what we've

2:11

shared for you with you today. We'll be

2:14

helpful as you advance your safe practice in the care

2:17

of your patience. Good day. Good night. Thank you.