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quick-stitch endoscopic sutering system in laproscopic Gastric Bypass surgery

Surgical technique: A 3cm skin incision under spinal or general anesthesia, depending on the patients’ preference, starts half way the line between the superior anterior iliac spine towards the midline in a 30° angle to the pubic tubercle. Scarpa’s fascia is opened as well as the external obliq...ue aponeurosis. By using this skin line incision the internal ring will be immediately visualized. Although it is important to look for both direct and indirect hernias evaluating the groin, we do not taper the cord and directly evaluate the ring for indirect hernias. In case of an indirect hernia the sac is reduced or resected according to the preference of the surgeon and the preperitoneal space is entered bluntly through the dilated internal ring. In case of a direct hernia the approach slightly differs. One could prefer to open the transversalis fascia through the internal ring over a few centimeters or you can open the fascia more medially, at the site of the direct hernia. As primary point of concern the epigastric vessels should be identified and retracted softly upwards. Then a gauze can be introduced into the preperitoneal space and by doing so most of the space needed medially will be created. Then one can already palpate Cooper’s ligament and the pubic bone. Laterally to the internal ring more digital dissection is needed to create just the appropriate space for the mesh. By placing the mesh it is important not to introduce the mesh too medially. Laterally of the internal ring an adequate overlap of the mesh is necessary, especially in indirect hernias. No splitting of the mesh seems necessary. The patient will be asked to strain and push on the ring to control its place and to check adequate spreading of the mesh to cover the whole myopectineum of Fruchaud. One single stitch of vicryl 3/0 is placed taking both the fascia transversalis and the mesh.

A video showing the cesarean section birth

McMaster University technique of Laparoscopic Radical Nephrectomy

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

An OB/GYN nurse from Erlanger Hospital discusses caring for a newborn baby after a circumcision.

As a doctor many people ask me about masturbation and if it is harmful or not. As a doctor you have already been asked this and this video will give you some hints

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.

Full Obstetric Examination and Normal Delivery medical video

Endoscopic Nasal Polypectomy

Vacuum Extraction Childbirth Video with ventouse

Identify the anatomy and explain the physiology of the scrotum on diagrams and sonograms.

Describe and demonstrate the protocol for sonographic scanning of the scrotum.

Identify and describe sonographic images of congenital abnormalities of the scrotum.

Identify and describe sonographic images of pathologies of the scrotum.

Identify and describe sonographic images of extratesticular disease processes.

Identify the anatomy and explain the physiology of the prostate on diagrams and sonograms.

Describe and demonstrate the protocol for transabdominal and endorectal sonographic scanning of the prostate.

Identify and describe sonographic images of benign and malignant pathologies of the prostate, including benign hyperplasia, prostatitis, carcinoma, and calculi.

Explain the technique for prostate biopsy.

Define the criteria for an ultrasound appearance of prostate tumor staging.

Explain the technique for radiation seed implantation.

Explain the Patient Privacy Rule (HIPAA) and Patient Safety Act (see reference).

In this video, Jenna talks about Braxton Hicks contractions and preparing for labor.

An educational explanation of the mechanism of vaginal childbirth — the movements the baby makes through the pelvis during labor. Educational only — not medical advice.

High definition video of a woman giving birth through water vaginal childbirth maneauver.

Brushing flossing and rinsing -the winning combination for preventing gingivitis

Filmed in an operating room, this video follows a cesarean birth from the abdominal incision through delivery of the baby. It gives students and expectant parents a clear view of how a C-section is performed and how the surgical team works. For learning purposes only — not medical advice.