Dr. Debbie Song at Gillette Children's describes in detail selective rhizotomy surgery.

A selective dorsal rhizotomy is an operation performed to treat spasticity. It is thought that high tone and spasticity arise from abnormal signals that are transmitted through sensory or dorsal nerve roots to the spinal cord. In a selective dorsal rhizotomy we identify and cut portions of the dorsal nerve roots that carry abnormal signals thereby disrupting the mechanisms that lead to spasticity. Potential patients go through a rigorous assessment that includes an in-depth gait and motion analysis as well as a physical therapy evaluation.

They are evaluated by a multidisciplinary team that includes a pediatric rehabilitation doctor, a neurosurgeon, and an orthopedist, Appropriate patient selection is vital. Ideal candidates for selective dorsal rhizotomy are children who are between four and ten years of age, have a history of being born prematurely, and have a diagnosis of diplegia cerebral palsy. These patients usually walk independently or with the assistance of crutches or a walker. They typically function at a level one, two, or three in the gross motor function classification system or gmfcs. A selective dorsal rhizotomy involves the coordinated efforts of the neurosurgery, physiatry, anesthesia and nursing teams. The operation entails making an incision in the lower back that is approximately six to eight inches long. We perform what we call a laminoplasty in which we remove the back part of the spinal elements from the lumbar one or l1 to l5 levels. At the end of the procedure the bone is put back on. We identify and open up the Dural sac that contain the spinal fluid spinal cord and nerve roots. Once the Dural sac is opened ,we expose the lumbar and upper sacral nerve roots that transmit information to and from the muscles of the lower extremities.

At each level we isolate the dorsal nerve root, which in turn is separated into as many as 30 smaller thread light fruitlets.

Each rootlet is then electrically stimulated. Specialized members of the physiatry team look for abnormal responses in the muscles of the legs as each rootless is being stimulated. If an abnormal response is observed then the rootlet is cut.

If a normal response is observed, then the rootlet is not cut. We usually end up cutting approximately 20 to 40 percent of the rootlets. The Dural sac is sutured closed and the l1 through l5 spinal elements are put back into anatomic position, thus restoring normal spinal alignment. The overlying tissues and skin are then closed and the patient is awoken from surgery. The entire operation takes between four and five hours. A crucial component to the success of our rhizotomy program is the extensive rehabilitation course following surgery. With their tone significantly reduced after a rhizotomy, patients relearn how to use their muscles to walk more efficiently through stretching, strengthening, and gait training. Approximately one to two years after a rhizotomy patients undergo repeat gait and motion analysis. The orthopedic surgeons assess the need for interventions to correct bone deformities, muscle contractures, poor motor control, impaired balance, or other problems related to cerebral palsy.

At Gillette we work closely with patients and families to ensure that our selective dorsal rhizotomy program meets their goals for enhancing their function and improving their quality of life.

VISIT https://www.gillettechildrens.org/ to learn more

0:00 Why choose selective dorsal rhizotomy?
0:56 Who is a good candidate for selective dorsal rhizotomy?
1:31 What does a selective dorsal rhizotomy entail?
3:26 What is recovery from selective dorsal rhizotomy like?

Mr Andrew Clarke, a leading surgeon and expert in laparoscopic techniques, explains how laparoscopic surgery allows a much quicker and less painful recovery than with open surgery.

Make an appointment with Mr Andrew Clarke here: https://www.topdoctors.co.uk/doctor/andrew-clarke

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http://www.nucleushealth.com/ - This 3D medical animation shows the cause and laparoscopic treatment of a ventral incisional hernia. If you have had abdominal surgery in the past, a ventral incisional hernia may appear at the site of your surgical scar. Your intestine may push through a weakened spot in the tissue between your abdominal muscles creating a bulge beneath your skin. If your hernia is not repaired, complications may occur.
#VentralHernia #VentralIncisionalHernia #IncisionalHernia
ANH11053

UPDATE 2/6/15: A new version of this animation is now available! https://www.youtube.com/watch?v=E1ljClS0DhM

This 3D medical animation depicts the surgical removal of the appendix (appendectomy) using laparoscopic instruments. The surgery animation begins by showing an inflamed appendix (appendicitis), followed by the placement of the laparoscope. Afterward, one can see the surgical device staple, cut and remove the inflamed appendix. Following the removal of the appendix the abdomen is flushed with a sterile saline solution to ensure all traces of infection have been removed.
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Vatche, Minassian, MD, MPH, Chief of Urogynecology, and Sarah Cohen, MD, MPH, Director of the Minimally Invasive Gynecologic Surgery Fellowship Program at Brigham and Women’s Hospital, perform a laparoscopic burch colposuspension, a procedure used to correct stress urinary incontinence.

Stress urinary incontinence is one of the most common types of incontinence and is characterized by urinary leakage during physical activities including coughing, sneezing, exercising, lifting, and laughing. As the condition progresses, it can become severe enough to happen with simple acts such as bending and walking. This condition is due to an anatomic weakness of the bladder neck which typically maintains the seal of urine during activity. Stress incontinence can result from a variety of conditions including vaginal childbirth, aging, menopause and obesity. As this is an anatomic condition, primary treatment may involve pelvic floor exercises and/or minimally invasive surgery.

Learn more about treatment for stress urinary incontinence:
Division of Urogynecology: http://www.brighamandwomens.or....g/Departments_and_Se

Division of Minimally Invasive Gynecologic Surgery: http://www.brighamandwomens.or....g/Departments_and_Se

Veryyyyy funny!

Funny Video from hospital waiting room

[GRAPHIC CONTENT WARNING: Images of a Surgical Procedure]

In 2011, our doctors performed more than 880 open-heart surgeries and 6,100 catheter-based procedures, including nearly 2,000 angioplasties. MedStar Union Memorial performs a higher percentage (94 percent) of beating-heart bypass surgeries than any other hospital in the nation.

Learn more: http://ow.ly/Mlb00

Warning: This video contains actual surgical footage, which may not be suitable for all viewers.

To learn more about coronary artery bypass surgery, please visit http://cle.clinic/3b7dqpE

Cardiothoracic surgeon Faisal Bakaeen, MD, discusses how he does single and bilateral internal mammary arteries, and the benefits of doing this type of coronary artery bypass.

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Things nurses should know about their patients. As a new nurse, it can be hard trying to determine what information you need to know during your shift. In addition, nurses can get extremely busy and strapped for time, so how do you keep up with all of the things you need to know?

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In this video, Nurse Sarah explains some of the most important things nurses need to know about their patients. However, these things can vary depending on your specialty and patient population. These tips are designed to help new nurses begin to think like a nurse.

Some examples of thing nurses should know about their patients include their allergies, code status, diagnosis, medications, vital signs, and much more.

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Female Foley Insertion (Urinary Catheter)- Nursing Skills

In this video, we’re going to look at inserting a Foley catheter in a female. Of course make sure you’ve verified your order and told the patient what’s happening. You’ll also typically want to perform perineal care before you start. Then, you’ll want to assist the patient into the appropriate position. For females, that’s supine with their knees bent and feet close to their hips – allowing their knees to fall to the side. You may need a helper to help hold the patient in this position. We love you guys! Go out and be your best selves today! And, as always, happy nursing!

Bookmarks:
0.05 Female Foley insertion introduction
0.15 Patient positioning
0.27 Opening the sterile kit
1.41 Setting up the sterile field
2.25 Prepping the remaining Foley kit items
2.34 Catheter lubrication
3.00 Saline syringe attachment
3.10 Iodine, swabs and cleansing the area
3.52 Catheter insertion (into urethra)
4.06 Balloon inflation
4.25 Final catheter setting
4.31 Securing the catheter and bag
4.48 Discarding your supplies
5.00 Documentation
5.08 Foley insertion outro

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This is the Basic Nursing Skills Exam. There are 70 questions that will help you prepare for the 2023 CNA examination. The questions in this practice test are based on the category, Basic Nursing Skills, that is included in the exam. They are similar to the actual questions that you will be asked. Some of the topics covered in this practice test include:
Care for residents with a specific diagnosis, such as Congestive Heart Failure
Interpreting medical abbreviations and acronyms
CNA responsibilities: vital signs and intake & output
Medical abbreviations and terms
Common patient scenarios

https://www.O2Labz.com - Tummy tuck procedure animation.

It’s not tummy tuck procedure.. it’s liposuction only.. don’t get confused with both procedure..



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Today I'm using the best 3D animation to explain WHAT IS DIASTASIS RECTI and what you need to know about diastasis recti after pregnancy! Grab the Complete Diastasis Recti Healing Guide: https://landing.mailerlite.com..../webforms/landing/n0

If you are't sure what video to start with and you just want step-by-step daily instructions you can start my 30-day core healing program. You get a new 10-min core healing video daily for 30 days. https://pregnancyandpostpartum....tv.thinkific.com/cou

How I healed my 4-finger diastasis recti gap:

Jessica Pumple is a registered dietitian, and pre & postnatal fitness instructor and certified pregnancy and postpartum core exercise specialist (CPES). She helps pregnant women stay fit, have healthy babies, and easier labors. She helps new moms with postpartum recovery, to heal and strengthen their core and feel energized after pregnancy!

If you enjoy our content subscribe to our channel, hit the bell button, leave a comment and share with your friends so I can make you more of the videos you enjoy!

Disclaimer: This is general postnatal fitness only. Please check with your doctor or health care provider to see if this video is safe for you. Wait until you get clearance (usually 4-6 weeks or 6-8 weeks after a c-section).You are responsible for your own safety. Don’t do anything that feels unsafe for you or baby. Stop if you have any pain or discomfort, bleeding, chest pain or shortness of breath, dizziness or if you feel unwell. P&P Health Inc., Pregnancy and Postpartum TV and Jessica Pumple are not liable in any way for any injury, loss, damages, costs or expenses suffered by you in relation to this video or its content.



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#diastasisrecti #whatisdiastasisrecti #3danimation

Music: Epidemic Sound

This tutorial is an introduction to the histology of the different tissues in the human body and the cells they are made of. Test yourself on our cells and tissue histology quiz at https://khub.me/jnhny

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A tissue is a group of cells that has a similar structure and acts together to perform one or more specific functions. In this tutorial, we will introduce you to the 4 main types of tissues in the human body: epithelial tissue, connective tissue, muscle tissue and nervous tissue. Epithelial tissue creates protective boundaries and is involved in the diffusion of ions and molecules, whereas connective tissue underlies and supports other tissue types.

Muscle tissue contracts to initiate movement in the body and nervous tissue transmits and integrates information through the central and peripheral nervous systems.

In this video tutorial we will take a closer look at the histology of the main cells and tissues under the microscope.

- 0:33 introduction to histology
- 1:22 epithelial tissue histology and types
- 5:45 function of the basement membrane
- 6:20 connective tissue histology and structure
- 10:53 muscle tissue and types of muscle cells
- 13:11 basics of the nervous system

Want to test your knowledge on the cells and tissues of the human body? Take this quiz: https://khub.me/jnhny

Why don't you jump into the introduction of the cell and its components with our free article next? Find it here: https://khub.me/apv1d

For more engaging video tutorials, interactive quizzes, articles and an atlas of Human anatomy and histology, go to https://khub.me/wcyx7