Top videos

WARNING: Graphic Medical Procedure - Selective Dorsal Rhizotomy Surgery
WARNING: Graphic Medical Procedure - Selective Dorsal Rhizotomy Surgery Surgeon 325 Views • 2 years ago

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?

Autopsy Movie: (Cancer)
Autopsy Movie: (Cancer) Doctor 67,901 Views • 2 years ago

Plastination pioneer Gunther Von Hagens gives us a view inside the bodies of 2 people who have died of cancer.

Female Foley Catheter Insertion Procedure
Female Foley Catheter Insertion Procedure hooda 14,028 Views • 2 years ago

Watch that Female Foley Catheter Insertion Procedure

Internal Cardiac Massage
Internal Cardiac Massage samer kareem 6,984 Views • 2 years ago

This video is really sad. You can literally watch this man dying. He was shot in the chest and rushed to the emergency room. His heart has stopped beating or has arrested. As a last resort, surgeons did an extreme procedure called an open thoracotomy which is that crazy tool you see there that basically splits the ribs open and allows easy open access to the heart. They did this so they could give him a cardiac massage. A cardiac massage is when surgeons are manually trying to pump the heart after it has stopped working on its own (cardiac arrest). Unfortunately he lost so much blood from his gun shot wound and he was pronounced dead. There are cases of patients surviving after having this kind of invasive resuscitation but it is rare.

Medical Terminology - The Basics - Lesson 1
Medical Terminology - The Basics - Lesson 1 Scott 452 Views • 2 years ago

Medical Terminology, Lesson 1: Introduction to Numbers, Locations, Colors, Body Systems and Organs

Medical Terminology, The Basics, Lesson 2 - https://youtu.be/ALWrvliACbQ

Hey guys! In this video, you will learn basics of medical terminology starting with increased and decreased levels of processes, colours, bodily systems and various abdominal organs. In Lesson 2, we will discuss different types of pathologies and disease states along with different surgical and screening techniques.

If you found this lesson helpful, please smash the like button, and subscribe to stay up-to-date with future lessons and to help support the channel

JJ

*Disclaimer: This YouTube Channel uses affiliate links and may earn a commission from associated sales*

For Books On This Topic (Affiliate Links)
Amazon Store - https://www.amazon.com/shop/jjmedicine
Best Way to Remember and Memorize Medical Terms - https://amzn.to/3efSYmz
Medical Terminology For Dummies - https://amzn.to/2HSkPNk
Medical Terminology Flash Cards - https://amzn.to/2GlNnPa

*Subscribe for more free medical lessons* https://www.youtube.com/channe....l/UCFPvnkCZbHfBvV8Ap

Please Donate To Help Support This Channel ➜ https://www.patreon.com/jjmedicine

-------------------------------------------------------------------------------------------------------------

Follow me on Twitter! ➜ https://twitter.com/JJ_Medicine
Come join me on Facebook! ➜ https://www.facebook.com/JJ-Me....dicine-1006426481611

Check out the best tool to help grow your YouTube channel (it’s helped me!)
https://www.tubebuddy.com/jjmedicine

-------------------------------------------------------------------------------------------------------------

Check out some of my other lessons.

Medical Terminology - The Basics - Lesson 1:
https://www.youtube.com/watch?v=04Wh2E9oNug

Fatty Acid Synthesis Pathway:
https://www.youtube.com/watch?v=WuQS_LpNMzo

Wnt/B Catenin Signaling Pathway:
https://www.youtube.com/watch?v=NGVP4J9jpgs

Upper vs. Lower Motor Neuron Lesions:
https://www.youtube.com/watch?v=itNd74V53ng

Lesson on the Purine Synthesis and Salvage Pathway:
https://www.youtube.com/watch?v=e2KFVvI8Akk

Gastrulation | Formation of Germ Layers:
https://www.youtube.com/watch?v=d6Kkn0SECJ4

Introductory lesson on Autophagy (Macroautophagy):
https://www.youtube.com/watch?v=UmSVKzHc5yA

Infectious Disease Playlist
https://www.youtube.com/playli....st?list=PLRjNoiRtdFw

Dermatology Playlist
https://www.youtube.com/playli....st?list=PLRjNoiRtdFw

Pharmacology Playlist
https://www.youtube.com/playli....st?list=PLRjNoiRtdFw

Hematology Playlist
https://www.youtube.com/playli....st?list=PLRjNoiRtdFw

Rheumatology Playlist
https://www.youtube.com/playli....st?list=PLRjNoiRtdFw

Endocrinology Playlist
https://www.youtube.com/playli....st?list=PLRjNoiRtdFw

Nephrology Playlist
https://www.youtube.com/playli....st?list=PLRjNoiRtdFw

----------------------------------------------------------------------------------------------------

**MEDICAL DISCLAIMER**: JJ Medicine does not provide medical advice, and the information available on this channel does not offer a diagnosis or advice regarding treatment. Information presented in these lessons is for educational purposes ONLY, and information presented here is not to be used as an alternative to a healthcare professional’s diagnosis and treatment of any person/animal.

Only a physician or other licensed healthcare professional are able to determine the requirement for medical assistance to be given to a patient. Please seek the advice of your physician or other licensed healthcare provider if you have any questions regarding a medical condition.

----------------------------------------------------------------------------------------------------

*Although I try my best to present accurate information, there may be mistakes in this video. If you do see any mistakes with information in this lesson, please comment and let me know.*

I am always looking for ways to improve my lessons! Please don't hesitate to leave me feedback and comments - all of your feedback is greatly appreciated! :)

Thanks for watching! If you found this video helpful, please like and subscribe!
JJ
#premed #usmle #medicalterminology

****EXCLAIMER: The content (ex. images) used in this lesson are used in accordance with Fair Use laws and is intended for educational purposes only.****

Testicular Cancer Self Exam
Testicular Cancer Self Exam Surgeon 69,691 Views • 2 years ago

screening and early detection is the key to beating any form of cancer. share this with a friend. you may save a life.

Human Skull Opening and Brain Removal During Autopsy
Human Skull Opening and Brain Removal During Autopsy hooda 57,060 Views • 2 years ago

Watch that video of Human Skull Opening and Brain Removal During Autopsy

exam
exam timmac7 12,724 Views • 2 years ago

exam

Replantation after amputation of 5 fingers
Replantation after amputation of 5 fingers samer kareem 18,342 Views • 2 years ago

Since the first replant more than 50 years ago, thousands of severed body parts have been reattached, preserving the quality of life for thousands of patients through improved function and appearance that the void remaining after amputation cannot provide. Ronald Malt performed the first replantation on May 23, 1962 at Massachusetts General Hospital on a 12-year-old boy who had his right arm amputated in a train accident. [1, 2] This amputation occurred at the level of the humeral neck.

Wet Mount
Wet Mount DrHouse 23,291 Views • 2 years ago

A wet mount is the suspension of a small amount of vaginal discharge in a liquid medium. Two liquids are commonly used, normal saline and potassium hydroxide. Each has it's own unique properties that make it useful in this setting

Foley Catheter Insertion
Foley Catheter Insertion DrHouse 207,537 Views • 2 years ago

Foley Catheter Insertion

Blood Sugars and Diabetes
Blood Sugars and Diabetes samer kareem 2,564 Views • 2 years ago

Anal Intercourse Medical Risks
Anal Intercourse Medical Risks hooda 98,623 Views • 2 years ago

Watch that video to know about the Anal Intercourse Medical Risks

Loyola Full Male Exam Part 2
Loyola Full Male Exam Part 2 Loyola Medicine 86,005 Views • 2 years ago

Loyola Full Male Exam Part 2 A video from Loyola medical school, Chicago showing the full examination of the male

A Man Impaled by Shovel in His Butt - Untold Stories of the ER
A Man Impaled by Shovel in His Butt - Untold Stories of the ER hooda 9,564 Views • 2 years ago

Watch that video of A Man Impaled by Shovel in His Butt - Untold Stories of the ER

Best breastfeeding positions
Best breastfeeding positions samer kareem 3,009 Views • 2 years ago

Patient plays the violin during brain surgery to remove tumor | ABC News
Patient plays the violin during brain surgery to remove tumor | ABC News Scott 169 Views • 2 years ago

A patient at a British hospital played Mahler and Gershwin on the violin while surgeons removed a tumor from her brain, so doctors could preserve her ability to play music.

She left the hospital 3 days later and hopes to return to the symphony soon. https://abcn.ws/2SGY9mp

SUBSCRIBE to ABC NEWS: https://www.youtube.com/ABCNews/
Watch More on http://abcnews.go.com/
LIKE ABC News on FACEBOOK
https://www.facebook.com/abcnews
FOLLOW ABC News on TWITTER:
https://twitter.com/abc
GOOD MORNING AMERICA'S HOMEPAGE:
https://www.goodmorningamerica.com/

Vaginal prolapse Surgery
Vaginal prolapse Surgery samer kareem 183,183 Views • 2 years ago

What factors should I consider when deciding whether to have surgery? The following factors should be considered when deciding whether to have surgery: Your age—If you have surgery at a young age, there is a chance that prolapse will recur and may possibly require additional treatment. If you have surgery at an older age, general health issues and any prior surgery may affect the type of surgery that you have. Your childbearing plans—Ideally, women who plan to have children (or more children) should postpone surgery until their families are complete to avoid the risk of prolapse happening again after corrective surgery. Health conditions—Any surgical procedure carries some risk, such as infection, bleeding, blood clots in the legs, and problems related to anesthesia. Surgery may carry more risks if you have a medical condition, such as diabetes, heart disease, or breathing problems, or if you smoke or are obese. New problems—Surgery also may cause new problems, such as pain during sex, pelvic pain, or urinary incontinence.

Bimanual Hip Examination of Female
Bimanual Hip Examination of Female DrHouse 211,487 Views • 2 years ago

Bimanual Hip Examination of the Female genitalia

Real Human Body Decaying Process
Real Human Body Decaying Process hooda 27,401 Views • 2 years ago

Watch that Real Human Body Decaying Process

Showing 13 out of 373