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.

USMLE Step 2 CS - Acute Abdomen- This is just preview video. To get full access please visit our website : www.usmletutoring.com

Mini-Laparoscopic Cholecystectomy with Intraoperative Cholangiogram for Symptomatic Cholelithiasis (Gallstones) - Extended
Authors: Brunt LM1, Singh R1, Yee A2
Published: September 26, 2017

AUTHOR INFORMATION
1 Department of Surgery, Washington University, St. Louis, Missouri
2 Division of Plastic and Reconstructive Surgery, Washington University, St. Louis, Missouri

DISCLOSURE
No authors have a financial interest in any of the products, devices, or drugs mentioned in this production or publication.

ABSTRACT
Minimal invasive laparoscopic cholecystectomy is the typical surgical treatment for cholelithiasis (gallstones), where patients present with a history of upper abdominal pain and episodes of biliary colic. The classic technique for minimal invasive laparoscopic cholecystectomy involves four ports: one umbilicus port, two subcostal ports, and a single epigastric port. The Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) has instituted a six-step strategy to foster a universal culture of safety for cholecystectomy and minimize risk of bile duct injury. The technical steps are documented within the context of the surgical video for (1) achieving a critical view of safety for identification of the cystic duct and artery, (2) intraoperative time-out prior to management of the ductal structures, (3) recognizing the zone of significant risk of injury, and (4) routine intraoperative cholangiography for imaging of the biliary tree. In this case, the patient presented with symptomatic biliary colic due to a gallstone seen on the ultrasound in the gallbladder. The patient was managed a mini-laparoscopic cholecystectomy using 3mm ports for the epigastric and subcostal port sites with intraoperative fluoroscopic cholangiogram. Specifically, the senior author encountered a tight cystic duct preventing the insertion of the cholangiocatheter and the surgical video describes how the author managed the cystic duct for achieving a cholangiogram, in addition to the entire technical details of laparoscopic cholecystectomy.

This is how Paraumbilical hernia looks like and how it is examined although it looks very simple but in exam it can be very difficult to perform all steps in small amount of time. This can be short case or even long of #cpsp #fcps #mbbs #medicalstudent #mbbsexams #plab2 #plab #plab1 and MS #genernalknowledge #surgery exams

#para-umbilical hernia
#umbilical hernia #paraumbilical #hernia repair#laparoscopic paraumbilical hernia repair. #umbilical defect, #vetral hernia surgery. #herniatreatment #herniatreatment #ventral hernia hernia,#laparoscopic ventral hernia repair,umbilicus,carl lowe jr,hernia repair,training,north carolina,hernia repair surgery,charlotte,operation,laparoscopic,bulge,surgery,surgeon,dr. lowe,ipom repair,live surgery,mesh,
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Intra-Uterine Device IUD Removal

OB_A_1013
3D animation depicting the operating room and initial procedure preparing the patient for a laparoscopic hysterectomy. The patient is prepped and draped in the usual fashion and surrounded by the surgeon and surgical assistants. The skin is elevated, an infraumbilical incision is made, a trocar port is inserted through the incision and the abdomen is insufflated. Finally, a laparoscope is inserted into the port to allow for direct visualization of the uterus and the surgery can begin.

To view more animations and exhibits, visit our medical library: https://www.trialexhibitsinc.c....om/library/multimedi

Contact us on your next case for consulting, trial graphics, animations, medical illustrations or presentation services. 800-591-1123 [a]www.trialex.com[/a]

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Copyright @ Trial Exhibits, Inc.

this video about identifying a hernia vs a cyst

There are a few different kinds of emergency contraception. The best kind for you depends on a few factors — when you had sex, your weight, whether you’re breastfeeding, and what kind is easiest for you to get. Here’s what you need to know.

The patient is awake as a laser cuts her cataract into six pieces. Then, she heads into the operating room. When she wakes up, her cataracts and nearsightedness are gone.

#insidetheor

Watch that video to know Types and Causes of Vaginal Infection Yeast or Candidiasis, Trichomoniasis or Bacterial ?

Funny Video from hospital waiting room

Today, the most common approach for open-heart surgery is a sternotomy, which requires a 12-14-inch incision through the breastbone. But in the hands of experienced minimally invasive surgeons, many cardiac procedures can be performed through smaller 2- to 3-inch incisions between the ribs without the need to cut through the breastbone. Learn more in this medical animation from Sarasota Memorial's Minimally Invasive Cardiac Surgery Team and medical director Jonathan Hoffberger, DO. For information or referrals, visit smhheart.com.

Watch that video to know more about the World's First Head Transplant Surgery

Watch that video to know if it is safe to have sex during pregnancy

Learn what's working for other Nursing Students! Check out our Top 10 Most Popular Lessons Here: https://bit.ly/3nda5u3

Central Line Dressing Change- Nursing Skills

FREE Nursing School Cheat Sheets at: http://www.NURSING.com

Get the full PPE Donning & Doffing lesson here:
https://nursing.com/lesson/cen....tral-line-dressing-c

Welcome to the NURSING Family, we call it the most supportive nursing cohort on the planet.

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Central Line Dressing Change - Nursing Skills:

In this video we’re going to talk about central line dressing changes. In this particular video, we’re going to look at a PICC Line, but the same strategy is also used for a Central Line. Remember the dressing should be changed every 7 days or as needed for peeling or soiling
This includes PICC lines. Sterile technique must be maintained to prevent Central-Line Associated Bloodstream Infections (CLABSI)
We love you guys! Go out and be your best selves today! And, as always, happy nursing!

Bookmarks:
0.05 Introduction
0.22 Mask application
0:36 Patient positioning
0:48 Dressing removal
1:20 Sterilization
1:26 Dressing change kit
2:14 Sterile gloves (Lesson link below)
https://nursing.com/lesson/ski....lls-01-04-sterile-gl
2:50 Cleaning the site
3:30 Bio patch application
4:20 Changing infusion caps
4:41 Labeling the dressing
5:00 Outro

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Watch that video to know What is Vaginal Discharge and How To Get Rid of It

This surgical animation is for patient education and describes a laparoscopic colectomy, which is a type of minimally invasive surgery for colon cancer. Laparoscopic colectomy, also called minimally invasive colectomy, involves several small incisions in your abdomen. Instead of a big incision, the surgeon makes a few small cuts (0.5-1 centimeters) in the abdominal cavity to insert a surgical camera and instruments and perform the operation. A slightly bigger incision, about 3.5 centimeters wide, is made to remove the tumor.

When compared to traditional open surgery, laparoscopic colectomy can result in much less pain and swifter recovery. Depending on the procedure, most laparoscopic colectomy patients leave the hospital and return to normal activities more quickly than patients recovering from open surgery.

Colorectal cancer is the second leading cause of cancer death in the United States.

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