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Closure of Wound by Stress Relaxation
Closure of Wound by Stress Relaxation samer kareem 1,766 Views • 3 years ago

Stress-relaxation is a well-established mechanism for laboratory skin stretching, with limited clinical application in conventional suturing techniques due to the inherent, concomitant induction of ischemia, necrosis and subsequent suture failure. Skin defects that cannot be primarily closed are a common difficulty during reconstructive surgery. The TopClosure tension-relief system (TRS) is a novel device for wound closure closure, providing secured attachment to the skin through a wide area of attachment, in an adjustable manner, enabling primary closure of medium to large skin defects. The aim of this study was to evaluate the efficiency of the TopClosure TRS as a substitute for skin grafting and flaps for primary closure of large soft tissue defects by stress-relaxation. We present three demonstrative cases requiring resection of large to huge tumors customarily requiring closure by skin graft or flaps. TRS was applied during surgery serving as a tension-relief platform for tension sutures, to enable primary skin-defect closure by cycling of stress-relaxation, and following surgery as skin-secure system until complete wound closure. All skin defects ranging from 7 to 26 cm in width were manipulated by the TRS through stress-relaxation, without undermining of skin, enabling primary skin closure and eliminating the need for skin grafts and flaps. Immediate wound closure ranged 26 to 135 min. TRS was applied for 3 to 4 weeks. Complications were minimal and donor site morbidity was eliminated. Surgical time, hospital stay and costs were reduced and wound aesthetics were improved. In this case series we present a novel technology that enables the utilization of the viscoelastic properties of the skin to an extreme level, extending the limits of primary wound closure by the stress-relaxation principle. This is achieved via a simple device application that may aid immediate primary wound closure and downgrade the complexity of surgical procedures for a wide range of applications on a global scale.

Nursing Skill Check: IV Insertion
Nursing Skill Check: IV Insertion nurse 141 Views • 3 years ago

Nursing skills lab procedure for IV insertion.

ACUTE PULMONARY EDEMA TREATMENT
ACUTE PULMONARY EDEMA TREATMENT samer kareem 2,837 Views • 3 years ago

Pulmonary edema is usually caused by a heart condition. Other causes include pneumonia, exposure to certain toxins and drugs, and being at high elevations. Depending on the cause, pulmonary edema symptoms may appear suddenly or develop over time. Mild to extreme breathing difficulty can occur. Cough, chest pain, and fatigue are other symptoms. Treatment generally includes supplemental oxygen and medications.

How a Clot Can Become a Pulmonary Embolism
How a Clot Can Become a Pulmonary Embolism samer kareem 8,078 Views • 3 years ago

How a Clot Can Become a Pulmonary Embolism

Cleaning, Numbing, & Suturing the Wound
Cleaning, Numbing, & Suturing the Wound samer kareem 6,328 Views • 3 years ago

STITCHES: Cleaning, Numbing, & Suturing the Wound

What is the Difference Between Borderline Personality Disorder and Bipolar Disorder?
What is the Difference Between Borderline Personality Disorder and Bipolar Disorder? samer kareem 1,478 Views • 3 years ago

Getting the right diagnosis often isn’t easy for psychiatric conditions. In our field, we don’t yet have biologic tests that can easily define one condition from another. If your blood pressure is 140 over 90, you have hypertension or high blood pressure. In mental health, we have to rely on a description of patterns or symptoms to makes diagnoses. This model is fraught with challenges. Without a clear biological model to work from, and given the complexity of the human brain, the field has settled upon dividing these descriptions of symptoms into syndromes. The Diagnostic and Statistical Manual of Mental

Pill Camera Swallowed
Pill Camera Swallowed samer kareem 12,852 Views • 3 years ago

There’s a strange, mysterious world inside us, an alien-looking environment that turns the food we eat into nutrients that keep us alive. Michael Mosley swallows a camera to take a closer look.

Get Rid of Hemorrhoids
Get Rid of Hemorrhoids samer kareem 2,340 Views • 3 years ago

This video: The veins around your anus tend to stretch under pressure and may bulge or swell. Swollen veins (hemorrhoids) can develop from an increase in pressure in the lower rectum. Factors that might cause increased pressure include: Straining during bowel movements.

Spinal Injury - Jaw Thrust
Spinal Injury - Jaw Thrust samer kareem 5,686 Views • 3 years ago

The jaw thrust is a method of opening the airway of a patient. The airway is very important in first aid! It consists of the structures in the back of the throat and upper neck. A patient who is unconscious is not able to maintain their own airway as it can become blocked by the tongue (see picture). Normally, first aid courses teach the head tilt – chin lift technique to open an airway. However, this airway manoeuvre involves significant movement of the patient’s neck. Therefore if there is any suspicion of a spinal (neck) injury it may cause further damage.

quick-stitch endoscopic sutering system in laproscopic Gastric Bypass surgery
quick-stitch endoscopic sutering system in laproscopic Gastric Bypass surgery Mohamed 12,423 Views • 3 years ago

quick-stitch endoscopic sutering system in laproscopic Gastric Bypass surgery

Genipap New Pap smear obtaining device
Genipap New Pap smear obtaining device Mohamed Ibrahim 33,347 Views • 3 years ago

Genipap. A home pap smear product demo.

Best Hair Transplant Center in Chennai | Dr. Ariganesh Chandrasegaran - DermaClinix Chennai
Best Hair Transplant Center in Chennai | Dr. Ariganesh Chandrasegaran - DermaClinix Chennai DermaClinix Chennai 2,126 Views • 3 years ago

DermaClinix, The world's leading hair Transplantation and aesthetic dermatology clinic that offers the best hair transplant in Chennai. The clinic is fully equipped with infrastructure and the ultra-modern devices in the field of cosmetology and hair restoration. At DermaClinx Chennai offers a number of treatments including chemical peels for acne, pigmentation treatment, glow facials, hair growth therapies and many more. Hair transplant Doctors at DermaClinix Nungambakkam, Chennai have more than 12 years of experience in this field & holds the International accreditations and member of ISHRS (USA). Visit us today to know more about the hair growth treatments. https://www.dermatologistchennai.in/hair-transplant-surgeon-in-chennai.php Address: No:19 1st Floor TMA Tower Dr.Thirumurthy Nagar main road, Nungambakkam, Chennai, Tamil Nadu 600034 Call us at - +918939636222, +91 89398 81919 For more: Website - https://www.hairtransplantchennai.org/ Email - enquiry@hairtransplantchennai.org

Doctor explains new eye procedure for vision problems
Doctor explains new eye procedure for vision problems Mohamed Ibrahim 115 Views • 3 years ago

His father, Dr. Joseph Dello Russo, helped turn Lasik eye surgery into the widespread procedure it is today. Now he explains a new technique and how it differs.

Intussusception of the Bowel video - Animation by Cal Shipley, M.D.
Intussusception of the Bowel video - Animation by Cal Shipley, M.D. samer kareem 7,903 Views • 3 years ago

In cases when the presentation is unclear, ultrasonography is the imaging methodology of choice. The characteristic finding is the presence of a "target sign". Ultrasonography is not required in patients with obvious clinical diagnosis (as seen in this patient). Such patients can proceed directly to treatment with diagnostic and therapeutic air (pneumatic) or water-soluble (hydrostatic contrast) enema.

Collis-Nissen Fundoplication
Collis-Nissen Fundoplication Mohamed Ibrahim 11,488 Views • 3 years ago

Totally Laparoscopic Collis-Nissen Fundoplication

Bugs Removal from Ear Canal
Bugs Removal from Ear Canal Scott 27,686 Views • 3 years ago

Bugs Removal from Ear Canal

A new sign to determine the incision line in the treatment of septate uterus
A new sign to determine the incision line in the treatment of septate uterus Mohamed 31,494 Views • 3 years ago

We noticed a blue-line in the endometrial cavity between the tubal ostiae after injection of methylene blue (to determine tubal patency). We have seen this “blue-line” even in cases with normal or unicornuate uterus and/or in cases with patent or occluded fallopian tubes(Picture 1). So the be...st explanation of this finding may be the high speed jet or turbulence of dye in the top or the deepest part of endometrial cavity. We simply postulated that the zone which holds the methylene blue is the zone where the flashing dye strikes vertically over there and the dye penatrates into the endometrial epithelium and glands. We used this line as a guide that shows midline during operative hysteroscopy ( especially in cases with septate uterus) and we don’t ecxatly know reason why it occurs. It is necessary to perform histologic, molecular or clinical studies on this subject. It may have a multifactorial aetiology. We performed a prospective case control study and will publish it soon after when we get the results.

Chronic Dialysis Catheter
Chronic Dialysis Catheter samer kareem 7,236 Views • 3 years ago

Learn more about Merit Medical's ProGuide™ Chronic Dialysis

Meningitis and Encephalitis: Causes and Treatment
Meningitis and Encephalitis: Causes and Treatment samer kareem 1,681 Views • 3 years ago

A detailed discussion of the causes, diagnosis and management of the causes of Meningitis and Encephalitis. Includes bacterial, viral, fungal and autoimmune conditions as well as treatment of these conditions. Includes antivirals such as Aciclovir and Ganciclovir as well as IVIG and plasma exchange for autoimmune encephalitis.

Brachytherapy for Breast Cancer
Brachytherapy for Breast Cancer Mohamed Ibrahim 14,212 Views • 3 years ago

Brachytherapy or localized radiation treatment can be used in certain patients with breast cancer. Depending on tumor size and other factor, physicians may use APBI or accelerated partial breast irradiation. Dr. Elizabeth Tapen, a radiation oncologist, reviews brachytherapy for breast cancer.

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