Prática de Shadowing: Splenectomy: step-by-step - Aprenda a falar inglês com vídeo

Escolha um modo de prática

Cada modo abre uma sala de prática em tela cheia.

54 frases

Se as frases estiverem muito curtas ou longas, clique em Edit para ajustá-las.

Hello and welcome to the GYO surgery series.

This will be the first of several different explanations of individual surgeries that we perform in Gynonk,

including some photos that I'll have referenced, as well as some handmade drawings.

the first surgery that we'll be going over is the splenectomy

and I only own the drawings other pictures will be referenced on individual slides

and at the end this is for educational purposes only this is not intended to be medical advice

so reference this lovely picture on the right the removal of

the spleen is occasionally required to achieve optimal surgical cytoreduction in ovarian cancer

and so knowing the relevant anatomy is important and

so we'll go over the ligaments attaching to the spleen as well as the blood supply to the spleen

so there are approximately five ligaments the splenophrenic ligament the splenorenal the pancreaticosplenic,

the splenocolic, and the gastrosplenic ligaments.

They are labeled here, 1 through 4.

We have 1, 2, 3, 4, splenofrenic, which you can't see,

but the diaphragm would be up here, the splenorenal, the pancreaticosplenic, the splenocolic, and then over here we have the gastrosplenic.

Each of these ligaments are transected during a splenectomy.

And then as far as our blood supply goes, it's a little bit easier.

You just have the splenic artery and the splenic vein.

As you can see here, these come off the celiac trunk.

The artery comes off the celiac trunk, and the celiac trunk, as you may remember, is the splenic artery, the left gastric,

and the common hepatic, and then the splenic vein coming back into the portal vein.

the basic steps of a splenectomy are entering the lesser sac mobilizing the spleen

and then ligating the vessels

which sounds very easy however in practice is definitely scary for gynonks there is an anterior

or posterior approach

and the choice depends on the distribution of disease whatever approach would be easier based on disease

and i will be going over the anterior your approach in this short lecture.

So first entering the lesser sac of the omentum, you want to identify the gastrocolic ligament.

This lies between the stomach's greater curvature and the transverse colon.

The anterior leaf of the omentum attaches to the greater curvature of the stomach via the gastrocolic ligament, and the posterior leaf attaches to the margin of the transverse colon.

And the lesser sac is kind of between these two leaves.

So identifying the ligament and then transecting this in order to open the lesser sac.

The dissection, then this is another depiction of opening the lesser sac, but the omentum is no longer there.

And as you can see here, this is the gastrocolic ligament here.

The dissection continues along the transverse colon with mobilization of the

entire splenic flexure of the colon to eventually reach the splenocolic ligament,

highlighted here, and then you're also dissecting upward to the greater curvature of the stomach towards the gastrosplenic ligament.

That's here.

once mobilized you can grasp the spleen

and elevate it medially this will expose the splenophrenic ligament here

and you can continue to dissect the spleen from the gastrosplenic ligament as well as the splenocolic ligament

so you can see the gastrosplenic ligament in this picture as well as the splenocolic ligament here you'll continue dissecting

that and then also the splenofrenic ligament, with this being the diaphragm.

The gastrosplenic ligament is the most vascular and contains those short gastric arteries, so we are very careful in ligating and dividing these.

And then finally, the spleen is elevated to the incision.

You do some blunt dissection in order to identify the splenic artery and the splenic vein.

Each one of these vessels are individually ligated and the artery is ligated first in order to prevent engorgement of the spleen.

You can use, as depicted here, a right angle placed underneath the artery or individual

vein artery or vascular pedicle

and you can use a 2 -0 silk you will then place a second 2 -0 silk

and then on the proximal end you can either tie

or clip this end and then divide the artery vein

or other vascular pedicle and then

if you're done with the artery you do the vein and that is the end of the splinectomy.

Baixar aplicativo

Tudo o que você precisa para falar fluentemente

Pronúncia com IANota em cada frase

Prática de IPADomine cada som

VocabulárioMonte seu banco de palavras

Jogo de vocabulárioAprenda brincando

Escaneie o QR

Download on theApp Store Get it onGoogle Play

✨ Vídeo recomendado

109 frases

Dr. Isabelle Ray-Coquard | What Has Changed in Clinical Practice for ovarian Cancer in 2025?

Daily ConversationUniversity Students

Vocabulário e dicas de fala para esta lição

Esta aula de conversação usa o vídeo “Splenectomy: step-by-step”. As palavras que mais se repetem: ligament, artery, spleen, splenic, vein. Este vídeo tem 54 frases e 709 palavras para praticar shadowing. A fala dura 5:25. O falante mantém um ritmo estável de cerca de 131 palavras por minuto, confortável para o shadowing. Apenas 72% das palavras estão entre as 3.000 mais comuns do inglês, por isso o vocabulário é exigente.

Vocabulário principal deste vídeo

15 palavras do vídeo que vale a pena aprender, com pronúncia e significado:

Palavra	Pronúncia	Significado
artery substantivo	/ˈɑɹ.təɹ.i/	artéria
vein substantivo	/veɪn/	veia
lesser adjetivo	/ˈlɛsɚ/	menor
colon substantivo	/ˈkoʊ.lən/	dois-pontos
leaf substantivo	/lif/	folha
trunk substantivo	/tɹʌŋk/	tronco
attach verbo	/əˈtæt͡ʃ/	anexar
anterior adjetivo	/ænˈtɪɹ.i.ɚ/	anterior
vascular adjetivo	/ˈvæskjələ/	vascular
stomach substantivo	/ˈstʌmək/	estômago
vessel substantivo	/ˈvɛsəl/	barco, navio
divide verbo	/dɪˈvaɪd/	dividir, separar
silk substantivo	/sɪlk/	seda
explanation substantivo	/ˌɛkspləˈneɪʃən/	explicação, explanação
label substantivo	/ˈleɪ.bəl/	etiqueta, rótulo

Pronúncia para ficar de olho

O falante usa 7 contrações e formas reduzidas, como we'll, you're, can't. Diga-as na forma curta, do jeito que você ouve.

Os sons de “sh” e “zh”: explanation /ˌɛkspləˈneɪʃən/, occasionally /əˈkeɪʒənəli/, dissection /dɪˈsɛkʃən/, depiction /dɪˈpɪkʃən/, flexure /ˈflɛkʃə(ɹ)/
Palavras longas — acerte a sílaba tônica: anterior /ænˈtɪɹ.i.ɚ/, explanation /ˌɛkspləˈneɪʃən/, occasionally /əˈkeɪʒənəli/, anatomy /əˈnætəmi/, individually /ˌɪndɪˈvɪd͡ʒ(u)əli/

Sons difíceis para falantes de português:

Consoante final — sem acrescentar um “i” depois: trunk /tɹʌŋk/, stomach /ˈstʌmək/, divide /dɪˈvaɪd/, silk /sɪlk/, slide /ˈslaɪ̯d/
/l/ final — a língua toca o céu da boca, não vira “u”: vessel /ˈvɛsəl/, label /ˈleɪ.bəl/, angle /ˈæŋ.ɡəl/, removal /ɹɪˈmuː.vəl/, surgical /ˈsɝd͡ʒɪkəl/
/h/ — um sopro suave, diferente do “r”: highlight /ˈhaɪˌlaɪt/, handmade /ˈhændˌmeɪd/, hepatic /həˈpætɪk/

Como praticar com este vídeo

Ouça o vídeo inteiro uma vez sem falar e anote as palavras que você não conhece.
Faça shadowing frase por frase na velocidade normal, repetindo cada uma até o seu ritmo ficar igual ao do falante.
Grave a sua voz e compare com o original, prestando atenção a palavras como artery, vein, lesser.

O que é a Técnica de Shadowing?

Shadowing é uma técnica de aprendizado de idiomas com base científica, originalmente desenvolvida para o treinamento de intérpretes profissionais. O método é simples, mas poderoso: você ouve áudio em inglês nativo e repete imediatamente em voz alta — como uma sombra seguindo o falante com 1-2 segundos de atraso. Pesquisas mostram melhora significativa na precisão da pronúncia, entonação, ritmo, sons conectados, compreensão auditiva e fluência na fala.

Técnica de shadowing: leia o guia completo passo a passo →

Prática de Shadowing: Splenectomy: step-by-step - Aprenda a falar inglês com vídeo

Escolha um modo de prática

Baixar aplicativo

Surgical Anatomy 2 (Spleen)

SVINutes: Super Large Bore Thrombectomy

How to Present a Patient: Inpatient Bedside Teaching Rounds (Group 12)

Femoral access: step-by-step and troubleshooting - Mazen Abu-Fadel, MD

Spay Anatomy in a Cadaver Dog

VETERINARY BASICS: How to read a blood test! CBC & Haematology

Gynaecological Examination

Scoliosis: How to medically classify scoliosis (the Lenke System for AIS)

Introduction to CT Chest - Anatomy and Approach

Arthroscopic Anatomy of the Shoulder | Orthopaedic Academy

(English) Middle meningeal artery (MMA) embolization in cSDH