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Baby born with 2 Faces
Baby born with 2 Faces Alicia Berger 25,340 Views • 3 years ago

Baby is born with 2 faces: 4 eyes,2 mouth orifices,2 noses, 2 ears

Self Breast Exam
Self Breast Exam Mohamed Ibrahim 115,055 Views • 3 years ago

It is very important to instruct your patients about how to self exam their breasts for any abnormalities or masses for early detection of any changes

Coughing with a giant hernia | UHL NHS Trust
Coughing with a giant hernia | UHL NHS Trust DrPhil 1,161 Views • 3 years ago

Patient Glenn Williams had a hernia measuring 20cm x 30cm. Consultant Graham Offer has performed ground breaking surgery to help Glenn.

WARNING: Graphic Medical Procedure - Selective Dorsal Rhizotomy Surgery
WARNING: Graphic Medical Procedure - Selective Dorsal Rhizotomy Surgery Surgeon 595 Views • 3 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?

Can't say more
Can't say more samer kareem 4,743 Views • 3 years ago

Dont worry sister!

Emergency C Section for a Bleeding Placenta
Emergency C Section for a Bleeding Placenta samer kareem 3,286 Views • 3 years ago

Emergency C Section for a Bleeding Placenta

Breastfeeding Position and Latch
Breastfeeding Position and Latch samer kareem 3,690 Views • 3 years ago

Midline Episiotomy
Midline Episiotomy Surgeon 65,851 Views • 3 years ago

Midline Episiotomy

Wet Mount
Wet Mount DrHouse 23,495 Views • 3 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

Woman plays violin to guide doctors during brain surgery
Woman plays violin to guide doctors during brain surgery Scott 415 Views • 3 years ago

Surgeons in London removed a woman's brain tumor during a very unusual procedure. CBS News' Tina Kraus reports, the patient's love of music helped guide the surgery.

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How Does Laser Eye Surgery Actually Work
How Does Laser Eye Surgery Actually Work Mohamed Ibrahim 536 Views • 3 years ago

Ever considered getting laser eye surgery, but didn’t know how it worked? Allow us to help!

There are three different main types of laser eye surgery: LASIK, SMILE, and Surface Laser Treatments, and each can be explained pretty easily.

LASIK uses two lasers to open up a thin flap on the surface of the cornea, and then reshapes the cornea underneath. The flap is then placed back over the reshaped cornea, and heals independently with time.

SMILE uses one laser to reshape the cornea through a small, self-healing hole.

And Surface Eye Treatments remove the clear skin over the eye, to then reshape the cornea underneath with - you guessed it - a laser!

Tears Of Abortion
Tears Of Abortion samer kareem 5,626 Views • 3 years ago

Tears Of Abortion - Story of an aborted baby,

Medical Videos - How To Insert Enema
Medical Videos - How To Insert Enema hooda 29,237 Views • 3 years ago

Watch that video to learn How To Insert Enema

Bulla drainage Secondary to Burn
Bulla drainage Secondary to Burn Scott 29,104 Views • 3 years ago

his patient had spilled boiling water on his lower leg a couple days before. This isn't complicated but the teaching points should focus on draining the large blistered areas and attempting to maintain moisture as long as we can so the skin doesn't contract down on itself.

Medical Videos - Stuck Sex Toy Removal Surgery
Medical Videos - Stuck Sex Toy Removal Surgery hooda 4,356 Views • 3 years ago

Watch that Stuck Sex Toy Removal Surgery

Global Aphasia
Global Aphasia samer kareem 6,687 Views • 3 years ago

When a stroke affects an extensive portion of the front and back regions of the left hemisphere, the result may be global aphasia. Survivors with global aphasia: May have great difficulty in understanding words and sentences. May have great difficulty in forming words and sentences. May understand some words. Get out a few words at a time. Have severe difficulties that prevent them from effectively communicating.

Foreceps Delivery
Foreceps Delivery Scott 31,204 Views • 3 years ago

Delivery using foreceps

Loyola Female Exam Part 3
Loyola Female Exam Part 3 Loyola Medicine 99,423 Views • 3 years ago

Full examination of the female from head to toe by Loyola Medical School, Chicago. Part 3

EPIGASTRIC HERNIA
EPIGASTRIC HERNIA DrPhil 1,233 Views • 3 years ago

this video about identifying a hernia vs a cyst

Medical Eye Protection
Medical Eye Protection Harvard_Student 9,447 Views • 3 years ago

Medical Eye Protection

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