How laser works in EVLT See more here: http://www.vasculab.com.br Laser em varizes

Skin laceration repair is an important skill in family medicine. Sutures, tissue adhesives, staples, and skin-closure tapes are options in the outpatient setting. Physicians should be familiar with various suturing techniques, including simple, running, and half-buried mattress (corner) sutures. Although suturing is the preferred method for laceration repair, tissue adhesives are similar in patient satisfaction, infection rates, and scarring risk in low skin-tension areas and may be more cost-effective. The tissue adhesive hair apposition technique also is effective in repairing scalp lacerations. The sting of local anesthesia injections can be lessened by using smaller gauge needles, administering the injection slowly, and warming or buffering the solution. Studies have shown that tap water is safe to use for irrigation, that white petrolatum ointment is as effective as antibiotic ointment in postprocedure care, and that wetting the wound as early as 12 hours after repair does not increase the risk of infection. Patient education and appropriate procedural coding are important after the repair.

The placement of a percutaneous expandable biliary endoprosthesis was first reported in 1985 by Carrasco et al. in a canine model,[1] and the endoscopic placement of expandable metal stents to relieve biliary strictures in patients was first described in 1989.[2,3] Over the past two decades, the endoscopic approach to biliary endoprosthesis placement has largely supplanted the percutaneous approach. Self-expanding metal stents (SEMS) have traditionally been used for palliation of obstructive jaundice in patients with unresectable pancreaticobiliary tumors. However, SEMS are increasingly being used in patients with resectable cancers[4] and benign biliary strictures.[5] Uncovered SEMS (uSEMS) have been shown to have longer patency periods than plastic stents when used for malignant biliary obstruction and to be cost effective if the patient's life expectancy is greater than 4–6 months.[6–8] The common causes of malignant biliary obstruction are pancreatic cancer and cholangiocarcinoma.[9–11] Biliary drainage prior to surgical resection is controversial; several investigators have reported it to be beneficial owing to the improved tissue healing with reduced bilirubin levels,[12,13] but others have also reported its deleterious effects secondary to the additional intervention..

How Bone Fractures Are Repaired

Choking Infant Video Demonstration

Most C-sections are done under regional anesthesia, which numbs only the lower part of your body — allowing you to remain awake during the procedure. A common choice is a spinal block, in which pain medication is injected directly into the sac surrounding your spinal cord

Early symptoms of MS include blurred vision, numbness, dizziness, and muscle weakness.

1year follow up Video of Scott Kopperud who underwent Hip resurfacing Surgeon:- Dr.Vijay C Bose, ARCH Asian Regional ...

USMLE Step 2 CS - Joint Pain This is just preview video. To get full access please visit our website : www.usmletutoring.com

Autopsy of a 56 year-old obese woman was suffering from Heart failure due to excess fat intake which cause heart diseases to her followed by Death.

Wow! Ultrasound guided internal jugular vein cannulation (long axis approach)

3D printing a titanium vertebrae

Open appendectomy (simulated)

This is a minimally invasive surgical technique using an endoscope to remove any type of lumbar disc herniation - prolapsed, sequestrated or migrating discs. This technique does not employ any specialist instruments.The procedure involves two 5 mm portals employed beside the midline at the appropriate level of disc prolapse and the approach is interlaminar. The success rate of this technique in my hands is more than 90%

Suprapubic Catheterization / Cystostomy

Real Story: Youngest Mother In History (5 years old) Pregnant FIVE YEAR OLD! Youngest Mother In The World, Lina Medina's True Story!

wide resection of giant cell tumor ,then strut grafting using free fibula graft,knowles pinning of the graft.

Distal Urethroplasty with Dorsal Dartos Flap

Endoscopic resection of a large right concha bullosa.

Laser Circumcision