Lipomas are slow-growing soft tissue tumours that rarely reach a size larger than 2 cm. Lesions larger than 5 cm, so-called giant lipomas, can occur anywhere in the body but are seldom found in the upper extremities. The authors present their experiences with eight patients having giant lipomas of the upper extremity. In addition, a review of the literature, and a discussion of the appropriate evaluation and management are included.

Ovarian pregnancy: an unusual location of ectopic pregnancy

Breast reconstruction 3D Animation
on Friday, December 17, 2010




The primary part of the procedure can often be carried out immediately following the mastectomy. As with many other surgeries, patients with significant medical comorbidities (high blood pressure, obesity, diabetes) and smokers are higher-risk candidates. Surgeons may choose to perform delayed reconstruction to decrease this risk. Patients expected to receive external beam radiation as part of their adjuvant treatment are also commonly considered for delayed autologous reconstruction due to significantly higher complication rates with tissue expander-implant techniques in those patients. Breast reconstruction is a large undertaking that usually takes multiple operations. Sometimes these follow-up surgeries are spread out over weeks or months. If an implant is used, the individual runs the same risks and complications as those who use them for breast augmentation but has higher rates of capsular contracture (tightening or hardening of the scar tissue around the implant) and revisional surgeries. Outcomes based research on quality of life improvements and psychosocial benefits associated with breast reconstruction served as the stimulus in the United States for the 1998 Women's Health and Cancer Rights Act which mandated health care payer coverage for breast and nipple reconstruction, contralateral procedures to achieve symmetry, and treatment for the sequelae of mastectomy. This was followed in 2001 by additional legislation imposing penalties on noncompliant insurers. Similar provisions for coverage exist in most countries worldwide through national health care programs. There are many methods for breast reconstruction. The two most common are: * Tissue Expander - Breast implants This is the most common technique used in worldwide. The surgeon inserts a tissue expander, a temporary silastic implant, beneath a pocket under the pectoralis major muscle of the chest wall. The pectoral muscles may be released along its inferior edge to allow a larger, more supple pocket for the expander at the expense of thinner lower pole soft tissue coverage. The use of acellular human or animal dermal grafts have been described as an onlay patch to increase coverage of the implant when the pectoral muscle is released, which purports to improve both functional and aesthtic outcomes of implant-expander breast reconstruction. o In a process that can take weeks or months, saline solution is percutaneously injected to progressively expand the overlaying tissue. Once the expander has reached an acceptable size, it may be removed and replaced with a more permanent implant. Reconstruction of the areola and nipple are usually performed in a separate operation after the skin has stretched to its final size. * Flap reconstruction The second most common procedure uses tissue from other parts of the patient's body, such as the back, buttocks, thigh or abdomen. This procedure may be performed by leaving the donor tissue connected to the original site to retain its blood supply (the vessels are tunnelled beneath the skin surface to the new site) or it may be cut off and new blood supply may be connected. o The latissimus dorsi muscle flap is the donor tissue available on the back. It is a large flat muscle which can be employed without significant loss of function. It can be moved into the breast defect still attached to its blood supply under the arm pit (axilla). A latissimus flap is usually used to recruit soft-tissue coverage over an underlying implant. Enough volume can be recruited occasionally to reconstruct small breasts without an implant. o Abdominal flaps The abdominal flap for breast reconstruction is the TRAM flap or its technically distinct variants of microvascular "perforator flaps" like the DIEP/SIEP flaps. Both use the abdominal tissue between the umbilicus and the

How to improve your eyesight at home? Exercising your eyes is one of those simple things that very few people do. However, it can help you maintain excellent vision. Here are 10 exercises that will take you no more than ten minutes to do. You can give them a try right now while watching this video – we are going to do all of them with you! Exercise #1. Blink for a minute. Exercise #2. Rotate your head while staring ahead. Exercise #3. Look to your right and left. Exercise #4. Close your eyes and relax. Exercise #5. Move your gaze in different directions. Exercise #6. Close and open your eyes. Exercise #7. Push against your temples with your fingers. Exercise #8. Draw geometric figures with your gaze. Exercise #9. Move your eyeballs up and down. Exercise #10. Strengthen your eyes’ near and far focusing.

Heart Surgery | 8 Years Old Girl Open Heart Surgery Repair

Craniectomy is neurosurgical procedure that involves removing a portion of the skull in order to relieve pressure on the underlying brain. This procedure is typically done in cases where a patient has experienced a very severe brain injury that involves significant amounts of bleeding around the brain or excessive swelling of the brain.

Shamika Burrage survived a near-fatal car accident two years ago, but not without losing something pretty important: her left ear. Now, thanks to a novel procedure performed at an Army medical center in Texas, Burrage is getting that ear back in a most unusual way. Plastic surgeons harvested cartilage from Burrage's ribs to create a new ear and then grew it under the skin of her forearm. Then the doctors at William Beaumont Army Medical Center in El Paso successfully transplanted the ear from her arm to her head. The technique -- a first time in the Army -- is called prelaminated forearm free flap, said Lt. Col. Owen Johnson III, chief of plastic and reconstructive surgery at William Beaumont Army Medical Center. Some of the big advantages of it is that it reduced the chance of more scarring around Burrage's ear. Also, growing the ear under the skin of her forearm allows new blood vessels to form. "(The ear) will have fresh arteries, fresh veins and even a fresh nerve so she'll be able to feel it," Johnson said on the US Army's website. Burrage, a 21-year-old private, still has to endure two more surgeries, but she's feeling more optimistic about the future than ever in the years since her accident. "It's been a long process for everything, but I'm back," said Burrage.

Systemic Lupus Erythematosus Animation 3d

A Medical Video showing an overview of the endocrine and gland system of the human body

Will you still love me if I have herpes? About 1 in 6 Americans between the ages of 14 and 49 is infected with herpes simplex virus type 2, according to a health survey released by the Centers for Disease Control and Prevention. If you’re living with herpes, HSV, HPV or other STDs, you're recommended to check out the largest STD support site STDdatings.

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Open reduction and internal fixation (ORIF) is surgery used to stabilize and heal a broken bone. You might need this procedure to treat your broken thighbone (femur). The femur is the large bone in the upper part of your leg. Different kinds of trauma can damage this bone, causing it to fracture into 2 or more pieces. This might happen to the part of the femur near your knee, near the middle of the femur, or in the part of the femur that forms part of your hip joint. In certain types of femur fractures, your femur has broken, but its pieces still line up correctly. In other types of fractures (displaced fractures), the trauma moves the bone fragments out of alignment. If you fracture your femur, you usually need ORIF to bring your bones back into place and help them heal. During an open reduction, orthopedic surgeons reposition your bone pieces during surgery, so that they are back in their proper alignment. This contrasts with a closed reduction, in which a healthcare provider physically moves your bones back into place without surgically exposing your bone.

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Intestino Irritable Tratamiento, Colon Irritable, Tratamiento Para El Colon Irritable--- http://intestino-irritable-tratamiento.plus101.com --- Si usted está sufriendo de Síndrome del Intestino Irritable SII, aquí hay una serie de técnicas y estrategias que se conocen para aliviar grandemente los síntomas a largo y corto plazo. La alimentación es la fuente de energía primordial que tenemos y es por eso que hay que darle una importancia suprema a la hora de querer atacar los síntomas del SII. Se recomienda el consumo de hierbas, tales como: manzanilla, consuelda, aceite de onagra, bálsamo de limón, hinojo, canela, nuez moscada, cúrcuma, todas las especias y enzimas digestivas. Todas ellas producen grandes beneficios para su organismo, dentro de los cuales destacamos: La manzanilla actúa como carminativo, así como calmante y agente tonificante para el tracto digestivo. Los aceites esenciales de manzanilla también han contribuido a aliviar cólicos intestinales e irritación en los animales. La manzanilla se toma normalmente tres veces al día, entre las comidas, en una forma de té. La consuelda tiene un uso como agente tópico para mejorar la cicatrización de heridas, úlceras en la piel, tromboflebitis y torceduras. También se utiliza para las personas con problemas gastrointestinales, como úlceras de estómago y el síndrome del intestino irritable, y para quienes sufren problemas pulmonares. Una combinación de menta, comino y otras dos hierbas carminativas (para aliviar los gases), semillas de hinojo y ajenjo, han resultado ser un tratamiento eficaz para los dolores abdominales. La acacia tiene un alto contenido de fibra y con frecuencia se recomienda para aliviar la irritabilidad intestinal. Las frutas como la papaya, el plátano, el mango, la piña, las fresas y los arándanos son altamente recomendables. Las verduras como las patatas dulces, la calabaza y las zanahorias no pueden dejar de ser parte de su dieta. Tenga cuidado con algunos de los medicamentos recetados para el SII ya que algunos de ellos han sido retirados del mercado debido a que contenían ingredientes tóxicos. Algunos ingredientes contenidos en medicamentos de venta libre para el resfriado también han demostrado efectos negativos en pacientes con SCI. Recomendamos las gotas de zinc como una alternativa durante un resfriado ya que no irrita el estómago y tiene visibles resultados de estímulo inmunológico. Los alimentos que se deben evitar: lácteos, huevos (especialmente la yema debido al alto contenido de grasa), brócoli, maíz, aceites hidrogenados, jarabe de maíz alto en fructosa, manzanas (debido al alto contenido de fructosa), frijoles, chocolate (debido a la cafeína) , café, té con cafeína. Para obtener más información sobre cómo poder controlar y eliminar los síntomas del SII, puede visitar el sitio http://intestino-irritable-tratamiento.plus101.com

Each person's knee is different. This is why UC San Diego Health offers several surgical options for knee replacements to tailor care to each person's injury and health. Each surgical approach has benefits for the right surgical candidate. Our surgeons can discuss what option is most appropriate for each person.

To learn more about knee replacement options at UC San Diego Health, visit:
https://health.ucsd.edu/specia....lties/orthopedics/jo

Francis Gonzales, MD, is a board-certified orthopedic surgeon who specializes in adult hip and knee joint replacement surgery. Learn more about Dr. Gonzales: https://providers.ucsd.edu/det....ails/11935/orthopedi

UC San Diego Health is repeatedly ranked among the nation's best in orthopedic care by U.S. News & World Report. We are also a Blue Distinction Center recognized for our treatment expertise and better overall patient results for knee replacement, as well as a designated Center of Excellence for orthopedic care by Optum. This means you'll receive expert, safe and cost-effective care.

UC San Diego Health's orthopedic surgeons are the first and only in San Diego to offer customized knee replacements with the ROSA knee system — for a faster recovery and more natural feeling knee. Talk to one of our surgeons about whether a ROSA knee replacement is right for you. https://health.ucsd.edu/specia....lties/orthopedics/jo#a

Acupuncture Weight Loss

Dumping syndrome is a condition that can develop after surgery to remove all or part of your stomach or after surgery to bypass your stomach to help you lose weight. Also called rapid gastric emptying, dumping syndrome occurs when food, especially sugar, moves from your stomach into your small bowel too quickly.Diet: Eating too much sugar can cause sugars to pass into the colon, making the bacteria there get all excited and cause diarrhea. Other things like sorbitol, a sweetener in some sugarless candy, can also cause diarrhea through osmosis. Malabsorption: Some people don't digest sugars or fats properly.

Female Intermittent Self Catheterization

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Survivor is coming up on its 43rd season this fall (whaaat??), and with all that reality TV goodness in the can already I knew there would be some medical moments to react to. Turns out, I was right, in that there have been a bunch of ailments on the show over the years! These injuries span the entire length of the whole series, so if you're a long time Survivor and Jeff Probst fan, this one is for you!

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Follow one family's journey through the agony of waiting for a donor, a 31-hour surgery, and the prospect of a long road to recovery.
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