Simple trapeziectomy performed through the anterior approach for osteoarthritis of the thumb-base (trapezio-metacarpal joint). Performed at the Queen Victoria Hospital, East Grinstead.

Angioplasty Procedure Animation Video

Emergency angioplasty is an operation that is performed directly after a heart attack, on admission to the hospital. It involves the insertion of a catheter into the blocked blood vessel that caused the heart attack. This opens it up and allows blood to flow again, thus minimizing damage to the heart.
If one or more arteries become clogged, it may result in a heart attack. This normally presents with chest pain, sweating and a feeling of anxiety, among other symptoms. Urgent medical assistance should be sought. A heart attack is a medical emergency requiring intervention as soon as possible.

Know more: http://www.emergencyangioplasty.com/

Laparoscopic Resection of Ovary Dermoid Cyst

Although techniques of vascular anastomosis after trauma are numerous in type and form, most surgeons will default to the one associated with the greatest comfort and ease. This report offers a rapid and reliable repair using a conceptually and operationally simple technique. Its methodology is appropriate for all repairs, including cases mandating the insertion of vascular conduit. We have employed this technique for the past 15 years in nearly all patients with vascular injuries, regardless of the site and size of the vessel. This has included vessels of the neck, torso, upper and lower extremities. There have been no obvious complications associated with its use. Major advantages include: 1) the operating system is always oriented towards the surgeon, 2) the posterior row of sutures is placed as both ends are readily visualized, avoiding the need for potentially obscuring traction stitches, and 3) flushing is easily performed prior to completing the anterior suture row.

Pilonidal disease with lateral extension. Follicle removal (Bascon's technique)

The liver also detoxifies chemicals and metabolizes drugs. As it does so, the liver secretes bile that ends up back in the intestines. The liver also makes proteins important for blood clotting and other functions. First, for those impatient, short answers to the mini-questions (if you're reading this in the news feed, you may want to click through for the question details): No one knows why we evolved 2 kidneys and one liver.

Lipid-Lowering Agents HMG-CoA reductase inhibitors (statins) These agents inhibit the rate-limiting step in cholesterol biosynthesis by competitively inhibiting HMG-CoA reductase. Note the following: Low-density lipoprotein (LDL) reduction of 25%-60% Examples include Atorvastatin, fluvastatin, lovastatin, pitavastatin, pravastatin, rosuvastatin, simvastatin Contraindications include hypersensitivity, active liver disease, pregnancy, lactation, coadministration with strong CYP3A4 inhibitors (selected statins) Vitamin B3 Vitamin B3 inhibits very-low-density lipoprotein (VLDL) synthesis. Note the following: LDL reduction of 10% High-density lipoprotein (HDL) increase of 20% Example includes Niacin (nicotinic acid) Contraindications include hypersensitivity, liver disease, active peptic ulcer, severe hypotension, arterial bleeding Fibrates Fibrates enhance lipoprotein lipase, resulting in increased VLDL catabolism, fatty acid oxidation, and triglycerides elimination. They decrease hepatic extraction of free fatty acids. Note the following: LDL reduction of 15% Triglyceride reduction of 35% Examples include Gemfibrozil, fenofibrate, fenofibrate (micronized), fenofibric acid Contraindications include active liver disease, renal disease, primary biliary cirrhosis, gallbladder disease 2-Azetidiones These agents inhibit sterol transporter at brush border and, consequently, intestinal absorption of cholesterol. LDL reduction of 15% Example includes Ezetimibe Contraindications include hypersensitivity, coadministration with statins (if active liver disease) Bile acid sequestrants These agents lower cholesterol and LDL via bile duct sequestration. Note the following: LDL reduction of 15% Examples include Cholestyramine, colesevelam, colestipol Contraindications include biliary/bowel obstruction, serum triglycerides >300-500 mg/dL, history of hypertriglyceridemia-induced pancreatitis

Femoroacetabular impingement (FAI) is a condition in which extra bone grows along one or both of the bones that form the hip joint — giving the bones an irregular shape. Because they do not fit together perfectly, the bones rub against each other during movement. Over time this friction can damage the joint, causing pain and limiting activity.

Eric knew he needed help when an old knee injury began worsening over the course of time and was significantly affecting his quality of life. That’s when he turned to his hometown orthopedic experts at Mayo Clinic Health System in Mankato, who recommended a total knee replacement. After overcoming some initial fears, Eric decided it was time to have the operation — a fuller and more active life with his family depended on it.

A little boy with a mystifying eye condition finally found an answer on the other side of the globe with the help of Dr. Harry Chugani at Children's Hospital of Michigan. ~ Detroit Medical Center

Sinus infections caused by viruses can use home (over-the-counter, OTC) treatments such as pain and fever medications (acetaminophen [Tylenol]), decongestants, and mucolytics. In addition, some health-care professionals suggest nasal irrigation or a sinus rinse solution to help relieve symptoms of sinus infections, even chronic sinusitis symptoms.

What Is It? Your wisdom teeth (third molars) usually start to erupt (enter your mouth) during the late teen years. Sometimes, there's not enough room for them. They may come into your mouth partially or not at all. Partial eruption of a wisdom tooth can create a flap of gum tissue next to the tooth. The flap can trap bits of food and debris. It can turn into a hotbed for bacteria. It's called pericoronitis if the tissue around the tooth becomes inflamed. Pericoronitis also can occur around a wisdom tooth that is still completely under the gums. Symptoms Symptoms include: Painful, swollen gum tissue in the area of the affected tooth. It can be difficult to bite down comfortably without catching the swollen tissue between your teeth. A bad smell or taste in the mouth Discharge of pus from the gum near the tooth More serious symptoms include: Swollen lymph nodes under your chin (the submandibular nodes) Muscle spasms in the jaw Swelling on the affected side of the face Diagnosis Usually, someone with pericoronitis goes to the dentist, complaining of pain in the area of the back tooth. Pericoronitis is diagnosed during the clinical exam. Your dentist will see inflamed gum tissue in the area of the unerupted or partly erupted wisdom tooth. The gums may be red, swollen or draining fluid or pus. Expected Duration Pericoronitis can be managed with antibiotics and warm salt water rinses. It goes away in about one week. However, it can return. This is likely to happen if the tooth does not completely enter the mouth and food and bacteria keep building up under the gum. Prevention You can help to prevent pericoronitis by brushing any erupting wisdom tooth and flossing around it. This will help make sure that food and bacteria do not build up under the gums. However, sometimes these steps do not work. If pericoronitis returns, you may need to have the flap of gum tissue removed. In some cases, the flap of tissue grows back and the wisdom tooth will need to be extracted. Treatment Pericoronitis can be tricky to treat. That's because the flap of gum tissue won't go away until the wisdom tooth emerges naturally, the tissue is removed or the tooth is removed. Your dentist will clean the area thoroughly by rinsing under the flap with water to remove bits of food and pus. Your dentist also may need to remove damaged tissue. If the area is infected, you'll most likely be given antibiotics. Your dentist will explain how to keep the area clean, which is the best way to prevent the problem from returning. This usually involves brushing and flossing daily and rinsing your mouth with water several times a day. These steps will help to prevent food from getting stuck under the gum flap. In some cases, your dentist may suggest removing the erupting tooth. Or the dentist may want to remove the tooth above it, which bites down on the gum below. If your dentist thinks the tooth may erupt fully into the mouth without problems, he or she may leave it alone. However, if pericoronitis comes back, the tooth may be extracted. Pericoronitis that causes symptoms should be treated as soon as possible. If it is not, the infection can spread to other areas of your mouth. The most severe cases are treated in a hospital. They sometimes require intravenous antibiotics and surgery. When To Call a Professional If you have symptoms of pericoronitis, make an appointment to see your dentist. If your wisdom teeth are coming in, visit your dentist at least twice a year for regular checkups. During those visits, the dentist can check on the progress of your wisdom teeth. Prognosis Pericoronitis does not cause any long-term effects. If the affected tooth is removed or erupts fully into the mouth, the condition cannot return.

This 25 year young female wanted her split earlobe hole to be repaired.Ear lobe ring hole usually elongated due to continuous use of fancy heavy ear rings.most young ladies suffer from this problem, subsequently this get converted to complete split ear lobe.This needs surgical repair only.This is a cosmetic repair .watch the video , how this repair is done.Usually the split is completely closed with suture.After healing new hole to be done little distance from the repair site.

Dialysis lecture 1. Dialysis Study: EXPERT NOTES for DHA, Bonent, CHT, B.Sc in Dialysis, Diploma in Dialysis https://amzn.eu/d/35Ui1kT

2. Dialysis Study : Q & A: MCQs, Fill in the blanks, True or False https://amzn.eu/d/gGn8u73

1. Dialysis Study :EXPERT NOTES for DHA, Bonent, CHT, B.Sc in Dialysis, Diploma in Dialysis, Naseha Helal.
https://play.google.com/store/....books/details?id=D_7

2. Dialysis Study: Q & A MCQ https://play.google.com/store/....books/details?id=T_3

Whatsapp
https://chat.whatsapp.com/DKCHbgsNwXS1wd7xI31tpr

Telegram
https://t.me/dialysislife PRINCIPLE OF dialysis
https://youtu.be/cfOm0aFmbe8

Dialysis machine alarms
https://youtu.be/-1A1INyDEOg

DDS dialysis disequilibrium syndrome
https://youtu.be/8AqVFiBOkIc

Peritoneal Dialysis
https://youtu.be/iHPPadGmsv0

Itching
https://youtu.be/T83Wm3HHU4M

What is CRRT
https://youtu.be/jPgFnoSEBMU

LVH
https://youtu.be/ZhFL3Z6LHeA

Sorbent dialysis
https://youtu.be/-rie5dC_FkY

RO Water
https://youtu.be/3jlEsK4Lg_I

Carbon filter RO water
https://youtu.be/mJrgtjNafQw

Hemoperfusion
https://youtu.be/UkbBm8rm9Ww

AV fistula or Dialysis fistula
https://youtu.be/uDbyfqCkCbo

Dialysis MCQ
https://youtu.be/zmOj0BL6jVY

AVF cannulation
https://youtu.be/PyqMcHA07zY

Complications of AV fistula
https://youtu.be/a_CXIvuOO_s

Blood clotting during Dialysis
https://youtu.be/9hYNepiO2o8

Muscle crapms
https://youtu.be/09s07Eiqr2k

Hepatitis C
https://youtu.be/qdNj_GhmnSE

Dialysis procedure
https://youtu.be/u1mGqXO5pzQ

Hypotension
https://youtu.be/4EVPmWTSyN8

Heparin free dialysis
https://youtu.be/rFqAn7HcWwM

Plasmapheresis
https://youtu.be/kbgsjjs9krg

Isolated ultrafiltration
https://youtu.be/xp5I5--uWb0

High flux dialyzer
https://youtu.be/gCNsErn1HHM

Urea and Creatinine
https://youtu.be/Id9AIySMQ6c

Practical RO water demo
https://youtu.be/2pXKGMDNS84

Sodium profiling
https://youtu.be/bE_DcBXNB5g

Peritoneal Dialysis
https://youtu.be/vtK6VZsi8AY

Air embolism
https://youtu.be/WJE-xqnQfd8

Dialysate
https://youtu.be/z_nb43bcWsM

How to stop Bleed from fistula
https://youtu.be/N_inLKPhPUc

Dialysis short form
https://youtu.be/3BqB-gODb5o

Dialyzer reprocessing
https://youtu.be/XelfkKsndlc

Dialysis catheter
https://youtu.be/V7y90m4xlv8

How to set KT/V
https://youtu.be/hWXjU8VTQdk

Mircera injection
https://youtu.be/STtd3I3EijA

Dialysis procedure
https://youtu.be/MIdhIgcKRZ8

Dialysis in snake bite poison
https://youtu.be/niA9RI38jyY

Uf profiling
https://youtu.be/wyjpFjD5Hi0

Heparin dose
https://youtu.be/kB56MkzHIQ0

Hyperkalemia
https://youtu.be/1rWWNlcAuio

Change bandages of leaking fistula
https://youtu.be/_0cebWWdjM8

AvF needle
https://youtu.be/GvUxbXxftTk

Polycystic kidney disease
https://youtu.be/IhsMbHFXZG8

Nephrotic syndrome
https://youtu.be/FEEOsIrXxV8

Diabetic nephropathy
https://youtu.be/v-FBIQ7MA4k

Hemodialysis permanent access
https://youtu.be/_YrwxwiR0f8

Sex and dialysis
https://youtu.be/vvl8UT8lK4k

Albumin and dialysis
https://youtu.be/yzG7yD45Nwg

Note: This video contains graphic surgical footage so viewer discretion is advised.

Director of the Penn Orthopaedics Robotics and Navigation Program, Dr. Christopher Travers, discusses robotic joint replacement surgery, which is one of the multiple options that Penn Orthopaedics offers for joint replacement surgery. He walks through a robotic knee replacement surgery, discussing what the procedure is, how it differs from traditional joint replacement surgery, and the benefits.

Refer a patient (physicians only):
https://www.pennmedicine.org/refer-your-patient

Learn more about the Penn Joint Replacement Program:
https://www.pennmedicine.org/f....or-patients-and-visi

Learn more about Dr. Travers:
https://www.pennmedicine.org/providers/profile/christopher-travers?fadf=pennmedicine&keyword=travers

#RoboticSurgery #JointReplacementSurgery #KneeReplacement #SurgicalFootage

Hydatid cysts in retroperitoneal region in transit to the thorax

Progressive multifocalleukoencephalopathy is a demyelinating illness of the central nervous system that typically occurs in immunosuppressed patients, especially those with AIDS. It is caused by reactivation of the polyomavirus JC (JC virus) and presents with neurologic deficits including hemiparesis, gait ataxia, visual symptoms, and altered mental status. It is not seen in non-immunosuppressed patients, and fever is not typical

Watch that video to know the Serious Side Effects of STEROIDS on Human Body

Anterior Release Test

Paradoxical movement is an obvious sign that the portion of the chest wall is not assisting with the breathing function. Other symptoms of flail chest can include: Bruises, grazes, and/or discoloration in the chest area. Telltale markings from a seat belt.