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Liver Metastasis Resection
Liver Metastasis Resection Mohamed 13,659 Views • 2 years ago

Liver Metastasis Resection. A Technique That Makes It Easier. Authors: de Santibañes E, Sánchez Clariá R, Palavecino M, Beskow A, Pekolj J. Background: Liver resection is the only therapeutic option that achieves long-term survival for patients with hepatic metastases. We propose a tech...nique that causes traction and counter traction on the resection area, thus easily exposing the structures to be ligated. Since the parenchyma protrudes like a cork from a bottle we named this procedure “Corkscrew Technique”. Objective: To describe an original surgical technique to resect liver metastases. Technique: We delimite the resection area at 2 cm from the tumor. We place separated stitches, in a radiate way. The needle diameter must allow passing far from the deepest margin of the tumor. The stitches must be tractioned all together to separate the tumor from the normal parenchyma. Material and Methods: Between years 1983 and 2006, we perform 1270 liver resection. We used the corkscrew technique like only procedure in 612 patients whereas in 129 patients we associated it to an anatomic resection. Results: Mortality was 1%. Morbidity was 16% with a reoperation rate of 3%. Conclusions: The Corkscrew Technique is simple and safe, it spares surgical time, avoids blood loss, ensures free tumor margins and it is easy to perform.

A patient suffering from Diabetic gangrene and maneged by
A patient suffering from Diabetic gangrene and maneged by "myiasis" samer kareem 1,948 Views • 2 years ago

A patient suffering from Diabetic gangrene and maneged by "myiasis"

Wedge Resection of a gastric GIST
Wedge Resection of a gastric GIST Mohamed 8,395 Views • 2 years ago

Wedge Resection of a gastric GIST

Live PRK Procedure at Commonwealth Eye Surgery
Live PRK Procedure at Commonwealth Eye Surgery Surgeon 40 Views • 2 years ago

For those that aren't good LASIK candidates, PRK is a procedure that offers the same great results! Watch Dr. Ferguson explain each step during Samantha's procedure. Her reaction at the end is incredible!

Single Incision Laparoscopic Colectomy utilizing SILS port - 3D Medical Animation
Single Incision Laparoscopic Colectomy utilizing SILS port - 3D Medical Animation Surgeon 157 Views • 2 years ago

http://www.amerra.com In this patient education video from Colorectal Surgical Associates in Houston, Texas, learn more about the single incision laparoscopic colectomy procedure. This minimally invasive procedure uses a mini incision that
results in less pain, fewer complications, earlier recovery, and a smaller scar. Colorectal cancer is the second leading cause of cancer death in the United States. For more information please visit our website: www.csamd.com or call (713)-790-0600.

Hemodialysis | Nursing & NCLEX Lecture
Hemodialysis | Nursing & NCLEX Lecture Scott 38 Views • 2 years ago

Today I will discuss about hemodialysis.
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00:00 Introduction
02:53 Hemodialysis
06:06 Dialysis Apparatus
07:59 Dialysis Mechanism
13:27 Vascular Access
18:55 Nursing Considerations
25:07 Nursing Management for HD
27:57 NCLEX Practice Questions

Hemodialysis is a procedure where a dialysis machine and a special filter called an artificial kidney, or a dialyzer, are used to clean your blood.

I will also discuss about hemodialysis procedure, how hemodialysis machine works and its benefits for patients.

If you're interested in learning more about hemodialysis, or if this just seems like something you should know for nursing school or for the NCLEX exam, check out this video!

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ReMar Review features weekly NCLEX review questions and lectures from Regina M. Callion MSN, RN. ReMar is the #1 content-based NCLEX review and has helped thousands of repeat-testers pass NCLEX with a 99.2% student success rate!

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Cracked Corners Of Mouth, Cheilitis, Angular Cheilitis Remedy, Angular Cheilitis Medicine, Cheilitis
Cracked Corners Of Mouth, Cheilitis, Angular Cheilitis Remedy, Angular Cheilitis Medicine, Cheilitis marin vinasco 3,039 Views • 2 years ago

Cracked Corners Of Mouth, Cheilitis, Angular Cheilitis Remedy, Angular Cheilitis Medicine, Cheilitis--- http://angularcheilitis-end.cbwin1.com --- Foods Which Can Limit the Occurrence of Angular Cheilitis. People suffering from Angular Cheilitis know that this is one of the most troubling and annoying skin condition one can experience. It prevents you from eating, drinking and speaking normally. Many people even refuse to go out of the house when suffering from this condition, thus becoming isolated from the rest of the world. This is why it is better to prevent it then having to treat it. If you have had it long time ago and are afraid that will come back, if you have it and want to treat it faster or if you do not want to have this terrible experience ever, you should start by eating the foods listed below. They will provide your body with all the vitamins and nutrients necessary to effectively fight this disease and prevent it from appearing ever again. Most of the times, Angular Cheilitis appears as a result of a weak immune system. Thus, you will need to have a balanced diet, filled with fruits and vegetables that will supply you with all the things you need to remain healthy and have a strong immune system. The first thing that you will need to have in your body to fight Angular Cheilitis is iron. If you no longer want to have those anesthetic and painful cracks around your mouth, if you want to eat, drink and speak normally without experiencing any pain when opening your mouth, then check out this new and revolutionary treatment! It will get you rid of Angular Cheilitis in just a few days and you will be able to enjoy life to its fullest again, without worrying about those otiose cracks! Click Here. http://angularcheilitis-end.cbwin1.com

Big Butt Abscess Drainage
Big Butt Abscess Drainage Scott 13,475 Views • 2 years ago

Big Butt Abscess Drainage

What is Bipolar Disorder with Rapid Cycling?
What is Bipolar Disorder with Rapid Cycling? samer kareem 3,153 Views • 2 years ago

Rapid cycling is a pattern of frequent, distinct episodes in bipolar disorder. In rapid cycling, a person with the disorder experiences four or more episodes of mania or depression in one year

Lumpectomy Surgery Procedure
Lumpectomy Surgery Procedure Surgeon 64 Views • 2 years ago

Lumpectomy means that a focal area of cancer is going to be removed. A lot of patients with a lumpectomy don’t need any specific breast reconstruction, explains Dr. Miguel Angel Medina, Director of Microsurgery with Miami Cancer Institute.
Al the end of surgical treatment, all those patients go on to need radiation therapy. For patients who have large breasts, physicians have to take a larger lumpectomy than normal.

Baby Born With Two Heads
Baby Born With Two Heads Scott 22,197 Views • 2 years ago

- A baby born with two heads is expected to survive after doctors removed the parasitic twin that was “feeding off” her blood supply. The baby girl, who is yet to be named, was born via C-section at Ram Snehi Hospital in northern India last month

A Case use dòi eat organization to treat  diabetic foot
A Case use dòi eat organization to treat diabetic foot samer kareem 4,273 Views • 2 years ago

A Case use dòi eat organization batters prince toilet variable witness diabetic

Worst Nail Infections
Worst Nail Infections samer kareem 2,902 Views • 2 years ago

Paronychias are most often caused by common skin bacteria (most commonly staphylococci bacteria) entering the skin around the nail that has been damaged by trauma, such as nail biting, finger sucking, dishwashing, or chemical irritants. Fungal infection also can be a cause of paronychia formation and should be considered especially in people with recurrent infection. Paronychia should not be confused with herpetic whitlow, which can form tiny pustules on the finger and is caused by a virus but is not typically located at the nail edge. Herpetic whitlow is not treated with an incision and drainage and therefore needs to be distinguished from a paronychia.

Dental Cavity
Dental Cavity samer kareem 4,482 Views • 2 years ago

If it is not removed, tooth decay will begin. The acids in plaque damage the enamel covering your teeth. It also creates holes in the tooth called cavities. Cavities usually do not hurt, unless they grow very large and affect nerves or cause a tooth fracture.

What Is Laparoscopy?
What Is Laparoscopy? Surgeon 90 Views • 2 years ago

.

Chapters

0:00 Introduction
1:04 Why do doctors perform laparoscopy?
2:11 How is laparoscopy performed?
3:22 Result
3:47 Risk of laparoscopy

Laparoscopy (from Ancient Greek λαπάρα (lapára) 'flank, side', and σκοπέω (skopéō) 'to see') is an operation performed in the abdomen or pelvis using small incisions (usually 0.5–1.5 cm) with the aid of a camera. The laparoscope aids diagnosis or therapeutic interventions with a few small cuts in the abdomen.[1]

Laparoscopic surgery, also called minimally invasive procedure, bandaid surgery, or keyhole surgery, is a modern surgical technique. There are a number of advantages to the patient with laparoscopic surgery versus an exploratory laparotomy. These include reduced pain due to smaller incisions, reduced hemorrhaging, and shorter recovery time. The key element is the use of a laparoscope, a long fiber optic cable system that allows viewing of the affected area by snaking the cable from a more distant, but more easily accessible location.

Laparoscopic surgery includes operations within the abdominal or pelvic cavities, whereas keyhole surgery performed on the thoracic or chest cavity is called thoracoscopic surgery. Specific surgical instruments used in laparoscopic surgery include obstetrical forceps, scissors, probes, dissectors, hooks, and retractors. Laparoscopic and thoracoscopic surgery belong to the broader field of endoscopy. The first laparoscopic procedure was performed by German surgeon Georg Kelling in 1901. There are two types of laparoscope:[2]

A telescopic rod lens system, usually connected to a video camera (single-chip or three-chip)
A digital laparoscope where a miniature digital video camera is placed at the end of the laparoscope, eliminating the rod lens system

The mechanism mentioned in the second type is mainly used to improve the image quality of flexible endoscopes, replacing conventional fiberscopes. Nevertheless, laparoscopes are rigid endoscopes. Rigidity is required in clinical practice. The rod-lens-based laparoscopes dominate overwhelmingly in practice, due to their fine optical resolution (50 µm typically, dependent on the aperture size used in the objective lens), and the image quality can be better than that of the digital camera if necessary. The second type of laparoscope is very rare in the laparoscope market and in hospitals.[citation needed]

Also attached is a fiber optic cable system connected to a "cold" light source (halogen or xenon) to illuminate the operative field, which is inserted through a 5 mm or 10 mm cannula or trocar. The abdomen is usually insufflated with carbon dioxide gas. This elevates the abdominal wall above the internal organs to create a working and viewing space. CO2 is used because it is common to the human body and can be absorbed by tissue and removed by the respiratory system. It is also non-flammable, which is important because electrosurgical devices are commonly used in laparoscopic procedures.[3]
Procedures
Surgeons perform laparoscopic stomach surgery.
Patient position

During the laparoscopic procedure, the position of the patient is either in Trendelenburg position or in reverse Trendelenburg. These positions have an effect on cardiopulmonary function. In Trendelenburg's position, there is an increased preload due to an increase in the venous return from lower extremities. This position results in cephalic shifting of the viscera, which accentuates the pressure on the diaphragm. In the case of reverse Trendelenburg position, pulmonary function tends to improve as there is a caudal shifting of viscera, which improves tidal volume by a decrease in the pressure on the diaphragm. This position also decreases the preload on the heart and causes a decrease in the venous return leading to hypotension. The pooling of blood in the lower extremities increases the stasis and predisposes the patient to develop deep vein thrombosis (DVT).[4]
Gallbladder

Rather than a minimum 20 cm incision as in traditional (open) cholecystectomy, four incisions of 0.5–1.0 cm, or more recently, a single incision of 1.5–2.0 cm,[5] will be sufficient to perform a laparoscopic removal of a gallbladder. Since the gallbladder is similar to a small balloon that stores and releases bile, it can usually be removed from the abdomen by suctioning out the bile and then removing the deflated gallbladder through the 1 cm incision at the patient's navel. The length of postoperative stay in the hospital is minimal, and same-day discharges are possible in cases of early morning procedures.[citation needed]
Colon and kidney

Man's Arm Exploded  Due to Illegal Muscles Injection
Man's Arm Exploded Due to Illegal Muscles Injection hooda 32,958 Views • 2 years ago

Watch that video of a Man's Arm Exploded Due to Illegal Muscles Injections

Terrifying Sinus Infection
Terrifying Sinus Infection samer kareem 1,790 Views • 2 years ago

Terrifying Sinus Infection - Disturbing - Must Watch

STREP THROAT
STREP THROAT samer kareem 1,346 Views • 2 years ago

Strep throat is a bacterial infection that can make your throat feel sore and scratchy. Strep throat accounts for only a small portion of sore throats. If untreated, strep throat can cause complications, such as kidney inflammation or rheumatic fever. Rheumatic fever can lead to painful and inflamed joints, a specific type of rash or heart valve damage. Strep throat is most common in children, but it affects people of all ages. If you or your child has signs or symptoms of strep throat, see your doctor for prompt testing and treatment.

Insulin Pump
Insulin Pump samer kareem 3,825 Views • 2 years ago

www.diabetes.org > Living With Diabetes > Treatment and Care > Medication > Insulin & Other Injectables Share: Print PageText Size:A A A Listen How Do Insulin Pumps Work? If you have been diagnosed with diabetes, you may feel overwhelmed by all the new information you have learned and will continue to learn about managing your diabetes. You already know your main goal should be to get your blood glucose (sugar) levels under control in order to increase your chances of a complication-free life. Many people know this, but need to know how to achieve good diabetes management, while balancing the day-to-day demands of diabetes with other life demands. An insulin pump can help you manage your diabetes. By using an insulin pump, you can match your insulin to your lifestyle, rather than getting an insulin injection and matching your life to how the insulin is working. When you work closely with your diabetes care team, insulin pumps can help you keep your blood glucose levels within your target ranges. People of all ages with type 1 diabetes use insulin pumps and people with type 2 diabetes have started to use them as well. - See more at: http://www.diabetes.org/living-with-diabetes/treatment-and-care/medication/insulin/how-do-insulin-pumps-work.html?referrer=https://www.google.com/#sthash.XD56v351.dpuf

Clinical Surgery Dr. Ali Hassib - Clinical revision 2 (Inguinal hernia - Scrotal swelling- Abdomen )
Clinical Surgery Dr. Ali Hassib - Clinical revision 2 (Inguinal hernia - Scrotal swelling- Abdomen ) DrPhil 75 Views • 2 years ago

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