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Endoscopic Atraumatic Coronary Artery Bypass EndoACA

Internal hemorrhoids and loose rectal mucosa may block the exposure during the purse string suturing in stapled hemorrhooidopexy, and this may cause some complications. To retract the prolapsing rectal mucosa we modified the purse string anoscope of the PPH01 kit (Ethicon-Endosurgery, Cincinnati, O...H, USA) and produced a special anoscope. The open part of the purse string suture anoscope is covered by transparent acrylic (Orthoacryl�, Dentaurum, Pforzheim, Germany). The covering material had complete cylindrical outer and inner surfaces and was thin enough to let the anoscope easily rotate in the anal dilator and to let the 26 mm curved, round bodied needle of the 2/0 polypropilene suture move in the anoscope. A window, 3 cm long and 3-4 mm wide, was opened at the angled part of the anoscope 2 cm to the tip of the anoscope. This special anoscope was used for the purse string suture during stapled hemorrhoidopexy procedure in five patients. No postoperative complications, early or late, were encountered, and we propose that stapled hemorrhoidopexy procedure can be applied more easily by using this special anoscope.

On screening colonoscopy, this abnormality was encountered in the cecum. This round worm is Ascaris Lumbricoides, one of the most common human parasites in the world. When ingested, the durable Ascaris eggs hatch in the small intestine releasing larva that migrate through the intestinal wall, and t...ravel both hematogenously and lymphatically to the heart and lungs. Over the next several days, the larva mature in the alveoli, then migrate up the trachea to be swallowed back into the gastrointestinal tract. These larva will then mature in the small bowel; adults couples will succeed in producing an extraordinary number of eggs, over 200,000 ova per day. The adults live one to two years. The majority of Ascaris infections are as in this example asymptomatic. Symptoms are a consequence of either the immunologic hypersensitivity of the host to the worm as in the pulmonary stage referred as Loffler's syndrome or to mechanical obstruction of lumen by the worm. Heavy worm burden can result in intestinal obstruction and migrating worms can cause pancreatitis and/or cholangitis when involving the pancreatobiliary tree. Multiple medical therapies are approved for its treatment including mebendazole. Epidemiologically, infections are most common in areas of lower socio-economic conditions. This man manages a pig farm in China that is used to test pharmaceutical agents. From an endoscopic standpoint it is noteworthy that the worms do not like light and will move away fro the attention it is receiving. In this example, the endoscopist was too slow to snare his prey which succeeded in escaping temporarily into the cooler and darker confines of the small bowel out of reach of the endoscope but not from the soon to be consumed anti-helminthic therapy.

Resection of a glioblastoma multiforme, a very malignant, aggressive brain tumor.

A video showing the cesarean section birth

A no-scalpel vasectomy is performed in this detailed urology video, showing how the vas deferens is accessed through a tiny puncture rather than a conventional incision. The technique is a widely used method of permanent male contraception. For students and for men researching the procedure. Educational only — not medical advice.

51 yr old female with right flank pain and recurrent UTI. IVP showed a UPJ calculus on the right.

This surgical video shows an open appendectomy, the operation to remove the appendix through an abdominal incision. The recording follows the procedure in the operating room, showing the main steps of one of the most common emergency operations. Appendectomy is the standard treatment for appendicitis.

Repair of the umbilical hernia, and placing the omentum back in

A detailed video showing how to clinically exam the abdomen

This video demonstrates the physical examination of the abdomen, one of the core assessments in clinical practice. The examination follows the standard sequence of inspection, palpation, percussion, and auscultation of the abdomen. These skills are taught to every medical and nursing student.

Inspection, auscultation, percussion, palpation — this educational video demonstrates the complete abdominal examination in the order clinicians perform it. It is a core clinical-skills resource for medical students learning physical examination. Educational only — not medical advice.

This childbirth video shows a water birth, in which labor and delivery take place in a tub of warm water. The recording presents the delivery as an educational record of this method of giving birth, which some mothers choose for comfort and relaxation during labor. Water birth is offered in many midwifery-led units.

Demonstration of simple interrupted suturing technique for laceration repair.

Cervical Cap for Birth Control

Beating heart or "off pump" coronary artery surgery is the latest revolution in the management coronary disease. It is being embraced world-wide by increasing numbers of surgeons. Many of the advantages are subtle but reduced mortality, stroke, and bleeding as well as earlier discharge are well-established benefits. A cardiac stabiliser is mandatory for this surgery, most are single use only and very expensive, this one is multiple use and is saving many healthcare dollars

Genipap. A home pap smear product demo.

DMC Neurosurgeon Sandeep Mittal uses EEG and brain surgery to decode the secrets of adult epilepsy - Part I of a two-part series. ~ Detroit Medical Center

How to insert a Foley catheter is demonstrated in this short nursing-skills video, covering male and female urinary catheterization with sterile technique. It shows preparation, insertion, and securing of the catheter. A practical training clip for nursing and medical students. Procedure education only — not personal medical advice.

Minimally Invasive treatment of Ureteral stones after failed Extracorporeal Shockwave Lithotripsy