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- •Acknowledgements
- •Foreword
- •Contents
- •Preface
- •Recognition of the Sick Patient
- •Shock and Organ Perfusion
- •Outcomes of Resuscitation
- •Investigations
- •Fluid and Electrolyte Replacement
- •Haematological Therapy
- •Coagulopathy
- •Antibiotics
- •Emergency Laparoscopic Surgery
- •Approach to Traumatic Abdominal Pain
- •Ancillary Investigations in the ED
- •Indications for Referral
- •References
- •Risk Factors for Surgery
- •Postoperative Care
- •Intensive Care/High Dependency
- •Sepsis Syndromes
- •Acute respiratory distress syndrome(ARDS)
- •Blood transfusion and blood component therapy
- •Postoperative Oliguria
- •Renal Replacement Therapy (RRT)
- •Abdominal compartment syndrome (ACS)
- •Nutrition
- •Pros and cons of TPN
- •Introduction
- •Initial Management
- •Rockall score
- •Glasgow–Blatchford score
- •Medical Therapy
- •Endoscopic Therapy
- •Timing of endoscopy
- •Epinephrine injection
- •Thermal therapy
- •Argon plasma coagulation
- •Endoscopic clipping
- •Failure of endoscopic therapy
- •References
- •Introduction
- •Management of Variceal Bleeding
- •Medical Management and Resuscitation
- •Endoscopic Management
- •Variceal band ligation
- •Cyanoacrylate glue
- •Endoscopic sclerotherapy
- •Subsequent endoscopy
- •Portosystemic shunts: TIPS and surgery
- •References
- •Introduction
- •Management Options
- •Catheter Angiography
- •CT Angiography
- •Embolic Agents
- •Complications of Angiography
- •Indirect Bleeding
- •References
- •I. Indications
- •II. Preoperative Preparation
- •B. Over-Sewing a Bleeding Ulcer
- •Pyloroplasty/gastroenterostomy
- •Truncal vagotomy
- •Ensure safe duodenal stump closure
- •Dealing with problems related to the posterior duodenal ulcer penetratinginto the pancreas
- •Mobilisation of distal stomach
- •Billroth II gastroenteral anastomosis
- •Surgical Techniques for BleedingGastric Ulcer
- •F. Local Excision of Gastric Ulcer
- •Key Points in Billroth I Gastrectomyfor Bleeding Gastric Ulcer
- •Incisional wound closure
- •Postoperative care
- •References
- •Indications
- •Preoperative Preparation
- •Operative Treatment
- •A. Benign Duodenal Ulcer Perforation
- •B. Benign Gastric Ulcer Perforations
- •References
- •2. Preoperative Preparation
- •3. Surgery
- •Open Appendectomy
- •Introduction
- •General Complications
- •Thromboembolism
- •Atelectasis
- •Nausea and Vomiting
- •Wound Complications
- •Acute Abdominal Complications
- •1. Bleeding
- •2. Leaks
- •Treatment options for GJ leak
- •Managing sleeve leak
- •3. Stenosis and Stricture
- •4. Gastric Band Slippage and IntestinalObstruction
- •5. Other Complications
- •Gastric banding
- •Gastric bypass
- •Nutritional problems
- •1. Indications
- •Operative Strategy of Acute Appendicitis
- •Laparoscopic Appendectomy
- •4. Postoperative care
- •Special Situations
- •Introduction
- •Management of Acute Sigmoid Colonic Diverticulitis
- •A. Preoperative Management
- •B. Indications for Surgery
- •C. Options of Surgical Procedure
- •Two-stage approach
- •Single-stage approach
- •Role of laparoscopic surgery in acute perforative sigmoid colonic diverticulitis
- •E. Position of Patient for Surgery
- •Intra-Operative Surgical Techniques
- •A. Incision and Laparotomy
- •Tips and tricks to help locate the ‘difficult’ left ureter
- •Common sites of left ureteric injury during anterior resection
- •D. Splenic Flexure Take Down
- •Tips and tricks to tackle difficultsplenic flexure
- •E. Vascular Control
- •Ligation of the inferior mesenteric artery (IMA)
- •How to identify the IMA?
- •On-table colonic lavage
- •When is it not safe to anastomose?
- •J. Completion of Surgery
- •K. Postoperation Care
- •References
- •Introduction
- •I. Preoperative Management
- •II. Management Options
- •III. Endoscopic Colonic Stenting
- •Indications
- •IV. Defunctioning Stoma
- •Indications
- •Postoperative Considerations
- •References
- •Definition
- •Risk Factors for DifficultLaparoscopic Cholecystectomyin Acute Cholecystitis
- •Preoperative preparation
- •Surgical Treatment
- •Laparoscopic approach
- •References
- •Pre- ERCP Preparation
- •ERCP for Choledocholithiasis
- •ERCP in Bile Duct Injuries
- •Difficult Biliary Cannulation
- •Post- ERCP Care
- •References
- •A) Acute Cholangitis
- •C) Bile Duct Injuries During Surgery
- •D) Pancreatic Trauma
- •E) ERCP Perforation
- •I. Introduction
- •IV. Postoperative Management
- •Special situations
- •Final Note
- •Introduction
- •Disadvantages of Radiological Drainage
- •Radiological Evaluation of the Abscess
- •1) Diagnosis of Abscess
- •2) Identify a Potential Cause for an Abscess
- •3) Determine Drainability of an Abscess
- •4) Identifying the Complications from an Abscess
- •5) Aid Drainage Planning
- •Role of RadiologicalIntervention
- •Contraindications
- •Technique
- •Imaging Guidance
- •Insertion of the Drain
- •Drainage Catheter
- •Site Specific Comments on Radiological Drainage of Intra-Abdominal Abscess
- •Liver Abscess
- •Subphrenic and Lesser Sac Abscess
- •Percutaneous Cholecystostomy
- •Pancreatic Collection/Abscess
- •Pelvic Abscess
- •Enteric Abscess
- •Others
- •Conclusion
- •References
- •I. Ectopic Pregnancy
- •Operative procedures
- •II. Ruptured Tubo-Ovarian Abscess
- •Preoperative
- •Operative procedures
- •Postoperative
- •III. Haemorrhage or LeakingOvarian Cyst and Adnexal Torsion
- •A. Adnexal torsion
- •Preoperative — Benign Ovarian Cyst
- •Laparoscopic intervention
- •2. Laparoscopic ovarian oophorectomy
- •3. Open Cystectomy
- •Introduction
- •Repair of Bladder Injuries
- •Boari Flap
- •Other Manoeuvres
- •Post-Operative Care
- •Conclusion
- •II. Perioperative Care
- •IV. Mycotic Aneurysms
- •VI. Post-Surgery Follow-up
- •I. Introduction and Indications
- •II. Preoperative Management
- •III. OT Preparation
- •IV. Operative Procedure
- •Damage Control Mode
- •Splenic Injuries
- •Bowel Injuries
- •Kidney Injuries
- •Pancreatic Injuries
- •Liver Injuries
- •VI. Postoperative Care
- •V. Wound Closure
- •Introduction
- •Preoperative Planning
- •Choice of Surgical Technique
- •Operative Procedure
- •1. Component Separation Technique
- •3. Bilateral Skin Flap Advancement
- •5. Use of Alloplastic Materials
- •Postoperative Management
- •References
- •Laparotomy
- •Laparoscopy
- •Interventional Radiology
- •Air Enema
- •Neonatal Intestinal Obstruction
- •Duodenal Atresia
- •Duodenoduodenostomy
- •Malrotation with Volvulus
- •Intestinal Atresia
- •Hirschsprung’s Disease (HD)
- •Anorectal Malformations
- •Inguinal Hernia in Children
- •References
- •Introduction
- •Benefits of Laparoscopy in Emergency
- •Indications of Emergency Laparoscopy
- •Instrumentation
- •Instruments for Removal of Specimen
- •Instruments for Port Closure
- •Patient Position and O.T. Setup
- •Suggested Reading
- •Index
- •Uploaded by [StormRG]
- •Contents

the case of ‘Covid-19’. A media investigation into Drosten asked
how with such a record of inaccuracy he could be the government
adviser on these issues. The answer to that question is the same with
Drosten, Ferguson and Fauci – they keep on giving the authorities
the ‘conclusions’ and ‘advice’ they want to hear. Drosten certainly
produced the goods for them in January, 2020, with his PCR protocol
garbage and provided the foundation of what German internal
medicine specialist Dr Claus Köhnlein, co-author of Virus Mania,
called the ‘test pandemic’. The 22 scientists in the Eurosurveillance
challenge called out conflicts of interest within the Drosten ‘protocol’
group and with good reason. Olfert Landt, a regular co-author of
Drosten ‘studies’, owns the biotech company TIB Molbiol
Syntheselabor GmbH in Berlin which manufactures and sells the
tests that Drosten and his mates come up with. They have done this
with SARS, Enterotoxigenic E. coli (ETEC), MERS, Zika ‘virus’,
yellow fever, and now ‘Covid’. Landt told the Berliner Zeitung
newspaper:
The testing, design and development came from the Charité [Drosten and Corman]. We
simply implemented it immediately in the form of a kit. And if we don’t have the virus, which
originally only existed in Wuhan, we can make a synthetic gene to simulate the genome of the
virus. That’s what we did very quickly.
This is more confirmation that the Drosten test was designed
without access to the ‘virus’ and only a synthetic simulation which is
what SARS-CoV-2 really is – a computer-generated synthetic fiction.
It’s quite an enterprise they have going here. A Drosten team decides
what the test for something should be and Landt’s biotech company
flogs it to governments and medical systems across the world. His
company must have made an absolute fortune since the ‘Covid’ hoax
began. Dr Reiner Fuellmich, a prominent German consumer
protection trial lawyer in Germany and California, is on Drosten’s
case and that of Tedros at the World Health Organization for crimes
against humanity with a class-action lawsuit being prepared in the
United States and other legal action in Germany.

Why China?
Scamming the world with a ‘virus’ that doesn’t exist would seem
impossible on the face of it, but not if you have control of the
relatively few people that make policy decisions and the great
majority of the global media. Remember it’s not about changing
‘real’ reality it’s about controlling perception of reality. You don’t have
to make something happen you only have make people believe that
it’s happening. Renegade Minds understand this and are therefore
much harder to swindle. ‘Covid-19’ is not a ‘real’ ‘virus’. It’s a mind
virus, like a computer virus, which has infected the minds, not the
bodies, of billions. It all started, publically at least, in China and that
alone is of central significance. The Cult was behind the revolution
led by its asset Mao Zedong, or Chairman Mao, which established
the People’s Republic of China on October 1st, 1949. It should have
been called The Cult’s Republic of China, but the name had to reflect
the recurring illusion that vicious dictatorships are run by and for
the people (see all the ‘Democratic Republics’ controlled by tyrants).
In the same way we have the ‘Biden’ Democratic Republic of
America officially ruled by a puppet tyrant (at least temporarily) on
behalf of Cult tyrants. The creation of Mao’s merciless
communist/fascist dictatorship was part of a frenzy of activity by the
Cult at the conclusion of World War Two which, like the First World
War, it had instigated through its assets in Germany, Britain, France,
the United States and elsewhere. Israel was formed in 1948; the
Soviet Union expanded its ‘Iron Curtain’ control, influence and
military power with the Warsaw Pact communist alliance in 1955;
the United Nations was formed in 1945 as a Cult precursor to world
government; and a long list of world bodies would be established
including the World Health Organization (1948), World Trade
Organization (1948 under another name until 1995), International
Monetary Fund (1945) and World Bank (1944). Human society was
redrawn and hugely centralised in the global Problem-ReactionSolution that was World War Two. All these changes were
significant. Israel would become the headquarters of the Sabbatians

and the revolution in China would prepare the ground and control
system for the events of 2019/2020.
Renegade Minds know there are no borders except for public
consumption. The Cult is a seamless, borderless global entity and to
understand the game we need to put aside labels like borders,
nations, countries, communism, fascism and democracy. These
delude the population into believing that countries are ruled within
their borders by a government of whatever shade when these are
mere agencies of a global power. America’s illusion of democracy
and China’s communism/fascism are subsidiaries – vehicles – for the
same agenda. We may hear about conflict and competition between
America and China and on the lower levels that will be true; but at
the Cult level they are branches of the same company in the way of
the McDonald’s example I gave earlier. I have tracked in the books
over the years support by US governments of both parties for
Chinese Communist Party infiltration of American society through
allowing the sale of land, even military facilities, and the acquisition
of American business and university influence. All this is
underpinned by the infamous stealing of intellectual property and
technological know-how. Cult-owned Silicon Valley corporations
waive their fraudulent ‘morality’ to do business with human-rightsfree China; Cult-controlled Disney has become China’s PR
department; and China in effect owns ‘American’ sports such as
basketball which depends for much of its income on Chinese
audiences. As a result any sports player, coach or official speaking
out against China’s horrific human rights record is immediately
condemned or fired by the China-worshipping National Basketball
Association. One of the first acts of China-controlled Biden was to
issue an executive order telling federal agencies to stop making
references to the ‘virus’ by the ‘geographic location of its origin’.
Long-time Congressman Jerry Nadler warned that criticising China,
America’s biggest rival, leads to hate crimes against Asian people in
the United States. So shut up you bigot. China is fast closing in on
Israel as a country that must not be criticised which is apt, really,
given that Sabbatians control them both. The two countries have

developed close economic, military, technological and strategic ties
which include involvement in China’s ‘Silk Road’ transport and
economic initiative to connect China with Europe. Israel was the first
country in the Middle East to recognise the establishment of Mao’s
tyranny in 1950 months aer it was established.
Project Wuhan – the ‘Covid’ Psyop
I emphasise again that the Cult plays the long game and what is
happening to the world today is the result of centuries of calculated
manipulation following a script to take control step-by-step of every
aspect of human society. I will discuss later the common force
behind all this that has spanned those centuries and thousands of
years if the truth be told. Instigating the Mao revolution in China in
1949 with a 2020 ‘pandemic’ in mind is not only how they work – the
71 years between them is really quite short by the Cult’s standards of
manipulation preparation. The reason for the Cult’s Chinese
revolution was to create a fiercely-controlled environment within
which an extreme structure for human control could be incubated to
eventually be unleashed across the world. We have seen this happen
since the ‘pandemic’ emerged from China with the Chinese controlstructure founded on AI technology and tyrannical enforcement
sweep across the West. Until the moment when the Cult went for
broke in the West and put its fascism on public display Western
governments had to pay some lip-service to freedom and democracy
to not alert too many people to the tyranny-in-the-making. Freedoms
were more subtly eroded and power centralised with covert
government structures put in place waiting for the arrival of 2020
when that smokescreen of ‘freedom’ could be dispensed with. The
West was not able to move towards tyranny before 2020 anything
like as fast as China which was created as a tyranny and had no
limits on how fast it could construct the Cult’s blueprint for global
control. When the time came to impose that structure on the world it
was the same Cult-owned Chinese communist/fascist government
that provided the excuse – the ‘Covid pandemic’. It was absolutely
crucial to the Cult plan for the Chinese response to the ‘pandemic’ –

draconian lockdowns of the entire population – to become the
blueprint that Western countries would follow to destroy the
livelihoods and freedom of their people. This is why the Cultowned, Gates-owned, WHO Director-General Tedros said early on:
The Chinese government is to be congratulated for the extraordinary measures it has taken to
contain the outbreak. China is actually setting a new standard for outbreak response and it is
not an exaggeration.
Forbes magazine said of China: ‘… those measures protected untold
millions from geing the disease’. The Rockefeller Foundation
‘epidemic scenario’ document in 2010 said ‘prophetically’:
However, a few countries did fare better – China in particular. The Chinese government’s
quick imposition and enforcement of mandatory quarantine for all citizens, as well as its
instant and near-hermetic sealing off of all borders, saved millions of lives, stopping the spread
of the virus far earlier than in other countries and enabling a swifter post-pandemic recovery.
Once again – spooky.
The first official story was the ‘bat theory’ or rather the bat
diversion. The source of the ‘virus outbreak’ we were told was a
‘‘wet market’ in Wuhan where bats and other animals are bought
and eaten in horrifically unhygienic conditions. Then another story
emerged through the alternative media that the ‘virus’ had been
released on purpose or by accident from a BSL-4 (biosafety level 4)
laboratory in Wuhan not far from the wet market. The lab was
reported to create and work with lethal concoctions and
bioweapons. Biosafety level 4 is the highest in the World Health
Organization system of safety and containment. Renegade Minds are
aware of what I call designer manipulation. The ideal for the Cult is
for people to buy its prime narrative which in the opening salvoes of
the ‘pandemic’ was the wet market story. It knows, however, that
there is now a considerable worldwide alternative media of
researchers sceptical of anything governments say and they are oen
given a version of events in a form they can perceive as credible
while misdirecting them from the real truth. In this case let them

think that the conspiracy involved is a ‘bioweapon virus’ released
from the Wuhan lab to keep them from the real conspiracy – there is
no ‘virus’. The WHO’s current position on the source of the outbreak
at the time of writing appears to be: ‘We haven’t got a clue, mate.’
This is a good position to maintain mystery and bewilderment. The
inner circle will know where the ‘virus’ came from – nowhere. The
boom line was to ensure the public believed there was a ‘virus’ and
it didn’t much maer if they thought it was natural or had been
released from a lab. The belief that there was a ‘deadly virus’ was all
that was needed to trigger global panic and fear. The population was
terrified into handing their power to authority and doing what they
were told. They had to or they were ‘all gonna die’.
In March, 2020, information began to come my way from real
doctors and scientists and my own additional research which had
my intuition screaming: ‘Yes, that’s it! There is no virus.’ The
‘bioweapon’ was not the ‘virus’; it was the ‘vaccine’ already being
talked about that would be the bioweapon. My conclusion was
further enhanced by happenings in Wuhan. The ‘virus’ was said to
be sweeping the city and news footage circulated of people
collapsing in the street (which they’ve never done in the West with
the same ‘virus’). The Chinese government was building ‘new
hospitals’ in a maer of ten days to ‘cope with demand’ such was the
virulent nature of the ‘virus’. Yet in what seemed like no time the
‘new hospitals’ closed – even if they even opened – and China
declared itself ‘virus-free’. It was back to business as usual. This was
more propaganda to promote the Chinese draconian lockdowns in
the West as the way to ‘beat the virus’. Trouble was that we
subsequently had lockdown aer lockdown, but never business as
usual. As the people of the West and most of the rest of the world
were caught in an ever-worsening spiral of lockdown, social
distancing, masks, isolated old people, families forced apart, and
livelihood destruction, it was party-time in Wuhan. Pictures
emerged of thousands of people enjoying pool parties and concerts.
It made no sense until you realised there never was a ‘virus’ and the

whole thing was a Cult set-up to transform human society out of one
its major global strongholds – China.
How is it possible to deceive virtually the entire world population
into believing there is a deadly virus when there is not even a ‘virus’
let alone a deadly one? It’s nothing like as difficult as you would
think and that’s clearly true because it happened.
Postscript:
See end of book Postscript for more on the ‘Wuhan lab
virus release’ story which the authorities and media were pushing
heavily in the summer of 2021 to divert aention from the truth that
the ‘Covid virus’ is pure invention.

T
CHAPTER FIVE
There
is no
‘virus’
You can fool some of the people all of the time, and all of the people
some of the time, but you cannot fool all of the people all of the time
Abraham Lincoln
he greatest form of mind control is repetition. The more you
repeat the same mantra of alleged ‘facts’ the more will accept
them to be true. It becomes an ‘everyone knows that, mate’. If you
can also censor any other version or alternative to your alleged
‘facts’ you are prey much home and cooking.
By the start of 2020 the Cult owned the global mainstream media
almost in its entirety to spew out its ‘Covid’ propaganda and ignore
or discredit any other information and view. Cult-owned social
media platforms in Cult-owned Silicon Valley were poised and
ready to unleash a campaign of ferocious censorship to obliterate all
but the official narrative. To complete the circle many demands for
censorship by Silicon Valley were led by the mainstream media as
‘journalists’ became full-out enforcers for the Cult both as
propagandists and censors. Part of this has been the influx of young
people straight out of university who have become ‘journalists’ in
significant positions. They have no experience and a headful of
programmed perceptions from their years at school and university at
a time when today’s young are the most perceptually-targeted
generations in known human history given the insidious impact of
technology. They enter the media perceptually prepared and ready
to repeat the narratives of the system that programmed them to

repeat its narratives. The BBC has a truly pathetic ‘specialist
disinformation reporter’ called Marianna Spring who fits this bill
perfectly. She is clueless about the world, how it works and what is
really going on. Her role is to discredit anyone doing the job that a
proper journalist would do and system-serving hacks like Spring
wouldn’t dare to do or even see the need to do. They are too busy
licking the arse of authority which can never be wrong and, in the
case of the BBC propaganda programme, Panorama, contacting
payments systems such as PayPal to have a donations page taken
down for a film company making documentaries questioning
vaccines. Even the BBC soap opera EastEnders included a
disgracefully biased scene in which an inarticulate white working
class woman was made to look foolish for questioning the ‘vaccine’
while a well-spoken black man and Asian woman promoted the
government narrative. It ticked every BBC box and the fact that the
black and minority community was resisting the ‘vaccine’ had
nothing to do with the way the scene was wrien. The BBC has
become a disgusting tyrannical propaganda and censorship
operation that should be defunded and disbanded and a free media
take its place with a brief to stop censorship instead of demanding it.
A BBC ‘interview’ with Gates goes something like: ‘Mr Gates, sir, if I
can call you sir, would you like to tell our audience why you are
such a great man, a wonderful humanitarian philanthropist, and
why you should absolutely be allowed as a soware salesman to
decide health policy for approaching eight billion people? Thank
you, sir, please sir.’ Propaganda programming has been incessant
and merciless and when all you hear is the same story from the
media, repeated by those around you who have only heard the same
story, is it any wonder that people on a grand scale believe absolute
mendacious garbage to be true? You are about to see, too, why this
level of information control is necessary when the official ‘Covid’
narrative is so nonsensical and unsupportable by the evidence.
Structure of Deceit

The pyramid structure through which the ‘Covid’ hoax has been
manifested is very simple and has to be to work. As few people as
possible have to be involved with full knowledge of what they are
doing – and why – or the real story would get out. At the top of the
pyramid are the inner core of the Cult which controls Bill Gates who,
in turn, controls the World Health Organization through his pivotal
funding and his puppet Director-General mouthpiece, Tedros.
Before he was appointed Tedros was chair of the Gates-founded
Global Fund to ‘fight against AIDS, tuberculosis and malaria’, a
board member of the Gates-funded ‘vaccine alliance’ GAVI, and on
the board of another Gates-funded organisation. Gates owns him
and picked him for a specific reason – Tedros is a crook and worse.
‘Dr’ Tedros (he’s not a medical doctor, the first WHO chief not to be)
was a member of the tyrannical Marxist government of Ethiopia for
decades with all its human rights abuses. He has faced allegations of
corruption and misappropriation of funds and was exposed three
times for covering up cholera epidemics while Ethiopia’s health
minister. Tedros appointed the mass-murdering genocidal
Zimbabwe dictator Robert Mugabe as a WHO goodwill ambassador
for public health which, as with Tedros, is like appointing a
psychopath to run a peace and love campaign. The move was so
ridiculous that he had to drop Mugabe in the face of widespread
condemnation. American economist David Steinman, a Nobel peace
prize nominee, lodged a complaint with the International Criminal
Court in The Hague over alleged genocide by Tedros when he was
Ethiopia’s foreign minister. Steinman says Tedros was a ‘crucial
decision maker’ who directed the actions of Ethiopia’s security forces
from 2013 to 2015 and one of three officials in charge when those
security services embarked on the ‘killing’ and ‘torturing’ of
Ethiopians. You can see where Tedros is coming from and it’s
sobering to think that he has been the vehicle for Gates and the Cult
to direct the global response to ‘Covid’. Think about that. A
psychopathic Cult dictates to psychopath Gates who dictates to
psychopath Tedros who dictates how countries of the world must
respond to a ‘Covid virus’ never scientifically shown to exist. At the
same time psychopathic Cult-owned Silicon Valley information
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