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Diabetic Ketoacidosis (DKA) Treatment 2
Diabetic Ketoacidosis (DKA) Treatment 2 samer kareem 1,530 Views • 3 years ago

This is video 2 of 2 on diabetic ketoacidosis (DKA).

Burns Handling Thermal Electrical Chemical
Burns Handling Thermal Electrical Chemical Harvard_Student 7,020 Views • 3 years ago

Burns Handling Thermal Electrical Chemical

Videoscopic Assisted Retroperitoneal Debridement for infected necrotizing pancreatitis
Videoscopic Assisted Retroperitoneal Debridement for infected necrotizing pancreatitis Mohamed 32,519 Views • 3 years ago

This is the CT of a 43 year old male patiënt with infected necrotizing pancreatitis that will undergo a VARD procedure; Videoscopic Assisted Retroperitoneal Debridment. Two weeks before this procedure two large bore percutaneous drains were placed in the peripancreatic collection. The patient i...s placed in supine position with the left side 30 degrees elevated. A 5-7 cm subcostal incision is made in the left flank. With help of CT images and by following the percutaneous drain, the subcutaneous tissue and the fascia are dissected and we enter the retroperitoneal peripancreatic collection. First, with a regular suction device any pus encountered is removed. Two long sympathectomy hooks are inserted in order to keep in the incision open. We than insert the zero degree laparoscope. The first necrosis encountered is removed under direct sight with the use of long grasping forceps. Following the percutaneous drain deeper into the cavity, parts of loosely adherent necrotic material are removed. Gently pulling we remove the necrotic tissue. The suction device is helpful in removing any fluid obstructing the view. Complete necrosectomy is not the ultimate aim of this procedure. Only loosely adherent pieces of necrosis are removed thereby keeping the risk of tearing underlying blood vessels to a minimum. In the rare case of extensive bleeding, the retroperitoneal cavity can be easily packed, either awaiting the bleeding to definitely stop or to act as a bridge to angiographic coiling. This patient is now 6 weeks after onset of disease. We always try to postpone surgical intervention, if possible up to 30 days. On the left side of the collection is the percutaneous drain. In this patient the drain had worked well for 2 weeks. When the patient deteriorated again it was decided to perform the VARD procedure. Large pieces of necrotic pancreas can be removed with VARD. This is a big advantage ov VARD over pure endosopic or percutaneous techniques. When all the necrotic tissue is removed we clean the cavity. Two drains are left in situ as a postoperative lavage system. The VARD procedure is performed via a 6 cm incision, which is closed and continuous postoperative lavage started immediately.

Before you have LASIK, ask these questions
Before you have LASIK, ask these questions Mohamed Ibrahim 97 Views • 3 years ago

LASIK is one of the most popular elective surgeries in the United States with 95% of patients walking away satisfied with their vision, according to one FDA study. But like with any surgery, there are risks.

Hernias: Direct vs. Indirect vs. Femoral (SIMPLE Mnemonics)
Hernias: Direct vs. Indirect vs. Femoral (SIMPLE Mnemonics) DrPhil 157 Views • 3 years ago

Learn all about the differences between these important hernias!

Total Laparoscopic Hysterectomy
Total Laparoscopic Hysterectomy Mohamed Ibrahim 22,161 Views • 3 years ago

Removal of the womb by keyhole surgery. The womb is detached from its pelvic attachments and removed through the birth canal. The birth canal is then stitched closed.

Laparoscopic Radical Nephrectomy
Laparoscopic Radical Nephrectomy DrHouse 21,103 Views • 3 years ago

McMaster University technique of Laparoscopic Radical Nephrectomy

Minimally Invasive Aortic Valve Replacement Video
Minimally Invasive Aortic Valve Replacement Video DrPhil 24,909 Views • 3 years ago

39 Yr. Male with Aortic Stenosis and Incompetance and Good LV Function. The Patient is an athlete and did not want to take oral anticoagulants so opted out for a Bio-prosthesis. A 23mm Hancock II Porcine Xenograft was used in this operation. Usually central aortic and Rt. Atrial cannulation is per...formed with this procedure, however on occasions Percutaneous (Seldinger Technique) Femoro Femoral artery cannulation is used. The Kit is manufactured by DLP and consists of a 20mm Arterial cannula and a 29mm two stage Rt. Atrial Cannula.

Wound Closure Near Eyebrow
Wound Closure Near Eyebrow samer kareem 6,784 Views • 3 years ago

Demonstration of Burke-Baier wound closure forceps on simulated wound near eyebrow.

Knife Stabbed Inside Chest Removal Surgery
Knife Stabbed Inside Chest Removal Surgery hooda 47,150 Views • 3 years ago

Watch that video of a Knife Stabbed Inside Chest Removal Surgery

Conjoined Twins
Conjoined Twins Surgeon 13,192 Views • 3 years ago

Conjoined Twins

Examination of an enucleated socket
Examination of an enucleated socket Mohamed Ibrahim 31,487 Views • 6 years ago

Examination of a patient with post-enucleation socket syndrome.

Parathyroid Glands and Hyperparathyroidism
Parathyroid Glands and Hyperparathyroidism samer kareem 4,405 Views • 3 years ago

Taking Dental Impressions: Correction Impression
Taking Dental Impressions: Correction Impression samer kareem 1,418 Views • 3 years ago

A short introduction on how to take a correction impression. The shown materials are recommended by Orthorobot and have proven to be fully compatible with the Orthorobot lab procedure.

Normal Colonoscopy
Normal Colonoscopy Mohamed 47,044 Views • 3 years ago

A video showing normal colonoscopy

Diabetic Foot Surgical Debridement
Diabetic Foot Surgical Debridement Anatomist 10,808 Views • 3 years ago

Diabetic Foot Surgical Debridement

Why do women bleed during the menstrual cycle?
Why do women bleed during the menstrual cycle? Mohamed Ibrahim 9,963 Views • 3 years ago

Menstruation is a woman's monthly bleeding. When you menstruate, your body sheds the lining of the uterus (womb). Menstrual blood flows from the uterus through the small opening in the cervix and passes out of the body through the vagina. Most menstrual periods last from 3 to 5 days.

What is Laparoscopic Cholecystectomy?
What is Laparoscopic Cholecystectomy? Surgeon 102 Views • 3 years ago

Cholecystectomy means removal of the gallbladder. The most common reasons
your doctor might recommend a cholecystectomy are biliary colic, cholecystitis,
choledocolithiasis, or gallstone pancreatitis. Biliary colic, also known as symptomatic
cholelithiasis, is caused by gallstones, which are hardened deposits of bile. Gallstones are
common in the general population, and gallstones alone are not a reason for gallbladder
removal if they do not cause symptoms. However, sometimes gallstones can get caught at the
neck of the gallbladder, causing pain when the gallbladder contracts against them trying to
release its bile, especially after a fatty meal. With biliary colic, the pain typically resolves within
an hour or so. Occasionally, a stone or some other blockage may prevent the gallbladder from
emptying over a long period of time, causing an increase in pressure and trapped fluid within the
gallbladder. This can cause inflammation and infection of the gallbladder, which we call
cholecystitis. Choledocholithiasis is when there are one or more stones in the bile ducts, which
can cause back up of bile into the liver, and depending on the location of the stones, could
cause pancreatitis, which is inflammation of the pancreas. Other reasons for gallbladder
removal, though less common, are gallbladder polyps and cancer. All of these are reasons for
gallbladder removal.

Operation of primary melanoma of pectoral region and sentinel node biopsy
Operation of primary melanoma of pectoral region and sentinel node biopsy DrHouse 16,843 Views • 3 years ago

After the diagnosis of primary melanoma of pectoral region had been established, the patient was referred to lymphoscintigraphy with gamma camera (techencium; nanno colloid). Two hours after the administration of the contrast medium, the operation commenced. During the operation the primary tumor wa...s excised, and the sentinel node was detected with the use of gamma probe and also excised.

Endoscopic View of Vocal cords
Endoscopic View of Vocal cords Mohammed Wahba 12,843 Views • 3 years ago

This clip shows an endoscopic view of the vocal cords with the endotracheal tube in place. The patient was intubated by Dr. Khaled Soliman and photographed by Dr. Mohammed Wahba.

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