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Laparoscopic Release of Celiac Artery Compression
Laparoscopic Release of Celiac Artery Compression Doctor 16,948 Views • 2 years ago

J Vasc Surg. 2009 Jul;50(1):134-9. Celiac artery compression syndrome managed by laparoscopy. Baccari P, Civilini E, Dordoni L, Melissano G, Nicoletti R, Chiesa R. Department of General Surgery, Scientific Institute San Raffaele University Hospital, Milan, Italy. paolo.baccari@hsr.it Abstr...

act OBJECTIVE: Celiac artery compression syndrome (CACS) is an unusual condition caused by abnormally low insertion of the median fibrous arcuate ligament and muscular diaphragmatic fiber resulting in luminal narrowing of the celiac trunk. Surgical treatment is the release of the extrinsic compression by division of the median arcuate ligament overlying the celiac axis and skeletonization of the aorta and celiac trunk. The laparoscopic approach has been recently reported for single cases. Percutaneous transluminal angioplasty (PTA) and stenting of the CA alone, before or after the surgical relief of external compression to the celiac axis, has also been used. We report our 7-year experience with the laparoscopic management of CACS caused by the median arcuate ligament. METHODS: Between July 2001 and May 2008, 16 patients (5 men; mean age, 52 years) were treated. Diagnosis was made by duplex ultrasound scan and angiogram (computed tomography [CT] or magnetic resonance). The mean body mass index of the patients was 21.2 kg/m(2). One patient underwent laparoscopic surgery after failure of PTA and stenting of the CA, and two patients after a stenting attempt failed. RESULTS: All procedural steps were laparoscopically completed, and the celiac trunk was skeletonized. The laparoscopic procedures lasted a mean of 90 minutes. Two cases were converted to open surgery for bleeding at the end of the operation when high energies were used. The postoperative course was uneventful. Mean postoperative hospital stay was 3 days. On follow-up, 14 patients remained asymptomatic, with postoperative CT angiogram showing no residual stenosis of the celiac trunk. One patient had restenosis and underwent aortoceliac artery bypass grafting after 3 months. Another patient had PTA and stenting 2 months after laparoscopic operation. All patients reported complete resolution of symptoms at a mean follow-up of 28.3 months. CONCLUSIONS: The laparoscopic approach to CACS appears to be feasible, safe, and successful, if performed by experienced laparoscopic surgeons. PTA and stenting resulted in a valid complementary procedure only when performed after the release of the extrinsic compression on the CA. Additional patients with longer follow-up are needed.

Ventricular Fibrillation
Ventricular Fibrillation samer kareem 2,986 Views • 2 years ago

Ventricular fibrillation is a heart rhythm problem that occurs when the heart beats with rapid, erratic electrical impulses. This causes pumping chambers in your heart (the ventricles) to quiver uselessly, instead of pumping blood. Sometimes triggered by a heart attack, ventricular fibrillation causes your blood pressure to plummet, cutting off blood supply to your vital organs. Ventricular fibrillation, an emergency that requires immediate medical attention, causes the person to collapse within seconds. It's the most frequent cause of sudden cardiac death. Emergency treatment includes cardiopulmonary resuscitation (CPR) and shocks to the heart with a device called a defibrillator. Treatments for those at risk of ventricular fibrillation include medications and implantable devices that can restore a normal heart rhythm.

What is the Beta Blocker?
What is the Beta Blocker? samer kareem 1,687 Views • 2 years ago

Beta-blockers, also known as beta antagonists, beta-adrenergic blocking agents, or beta-adrenergic antagonists, are drugs that are prescribed to treat several different types of conditions, including hypertension (high blood pressure), angina, some abnormal heart rhythms, heart attack (myocardial infarction), anxiety, migraine, glaucoma, and overactive thyroid symptoms.

Unusual Penis Transplant
Unusual Penis Transplant Mohamed Ibrahim 11,611 Views • 2 years ago

Doctors at a Baltimore hospital have performed the world's most extensive penis transplant, this one also involving the scrotum and part of the abdominal wall.

USMLE Step 2 CS - Amenorrhea
USMLE Step 2 CS - Amenorrhea usmle tutoring 5,632 Views • 2 years ago

USMLE Step 2 CS - Amenorrhea - This is just preview video. To get full access please visit our website : www.usmletutoring.com

Medical Videos - How to get Pregnant Fast
Medical Videos - How to get Pregnant Fast hooda 204,555 Views • 2 years ago

Watch that video to know How to get Pregnant Fast

Plastic Surgery of the Chin
Plastic Surgery of the Chin Surgeon 11,420 Views • 2 years ago

Plastic Surgery of the Chin

My Daily Sexual Self Care Practice
My Daily Sexual Self Care Practice samer kareem 13,445 Views • 2 years ago

o you have an exercise routine that makes you feel absolutely awesome when you stick to it? Or a healthy eating pattern that makes you crackle with energy and vitality when you actually follow it. Well, today I’m sharing with you what makes me feel even more alive, energetic and vibrant than both of those… My daily sexual self-care practice.

Clash of Clans: Revenge (Official Super Bowl TV Commercial)
Clash of Clans: Revenge (Official Super Bowl TV Commercial) Aubrey Frauenfelder 9,741 Views • 2 years ago

Download Clash of Clans for free for mobile devices. http://supr.cl/ThisArmy
I don't know you, BigBuffetBoy85
But if you think you can humiliate me and take my gold, think again.
Oh, I am coming for you with lots of Barbarians and Dragons. I can't wait to destroy your village, while you beg for mercy, but you will get no mercy. I will have my revenge.

Anatomy of The Superficial Face
Anatomy of The Superficial Face Anatomy_Videos 29,798 Views • 2 years ago

Anatomy of The Superficial Face

Epidermal Cyst
Epidermal Cyst samer kareem 3,058 Views • 2 years ago

Epidermoid cysts, also called sebaceous, keratin, or epithelial cysts, are small, hard lumps that develop under the skin. These cysts are common. They grow slowly. They do not cause other symptoms and are nearly never cancerous. Epidermoid cysts are often found on the face, head, neck, back, or genitals

Frost bitten feet blister draining
Frost bitten feet blister draining samer kareem 21,569 Views • 2 years ago

Frostbite is an injury caused by freezing of the skin and underlying tissues. First your skin becomes very cold and red, then numb, hard and pale. Frostbite is most common on the fingers, toes, nose, ears, cheeks and chin. Exposed skin in cold, windy weather is most vulnerable to frostbite. But frostbite can occur on skin covered by gloves or other clothing.

Deals of the Month:  Liposuction Cosmetic Surgery in Delhi
Deals of the Month: Liposuction Cosmetic Surgery in Delhi ajaya kashyapa 2,193 Views • 2 years ago

Liposuction surgery is used to reduce the extra fat from your body with the very safe surgical process but you must consult with your Surgeon first when deciding about using this surgery to meet your body fat needs.

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Vaser Liposuction technology helps to reduce the healing time and increase effective skin contraction, giving you smooth, slim results. With Liposuction there are no stitches, only a single 1cm small incision giving you permanent large result.

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CENTRAL VENOUS CATHETERIZATION
CENTRAL VENOUS CATHETERIZATION samer kareem 11,951 Views • 2 years ago

A central venous catheter, also called a central line, is a long, thin, flexible tube used to give medicines, fluids, nutrients, or blood products over a long period of time, usually several weeks or more. A catheter is often inserted in the arm or chest through the skin into a large vein.

The Heart Anatomy HD
The Heart Anatomy HD samer kareem 5,758 Views • 2 years ago

The cardiovascular system is a closed system if the heart and blood vessels. The heart pumps blood through a closed system of blood vessels. Blood vessels allow blood to circulate to all parts of the body. Arteries usually colored red because oxygen rich, carry blood away from the heart to capillaries within the tissues. Veins usually colored blue because oxygen poor, carry blood to the heart from the capillaries.

WORLD'S FIRST REAL ANATOMIC ZIRCONIA DENTAL IMPLANT SOLUTION
WORLD'S FIRST REAL ANATOMIC ZIRCONIA DENTAL IMPLANT SOLUTION JohnBlack 14,942 Views • 2 years ago

A NEW GENERATION OF IMMEDIATE ZIRCONIA IMPLANTS: ANATOMICAL AND CUSTOM-MADE.
YOUR DENTAL ROOT IS MILLED IN ZIRCONIA AND IN 2 MINUTES SEATED, NO DRILLING, NO AUGMENTATION, NO MEMBRANES, FLAPLESS, NO 3D PLANNING, NO CAD/CAM SPLINTS OR GUIDED SURGERY REQUIRED! EASY AND CONSEQUENTIAL SYSTEM.
NO MORE INCONGRUOUS AND UGLY SILVER-COLORED TITANIUM IMPLANTS IN TIME CONSUMING, PAINFUL AND COSTLY PROCEDURES. IT`S HIGH TIME TO RESPECT THE ANATOMY NOT ALTER IT BY DRILLING AND AUGMENTATION. BIOIMPLANT

The type of Myeloma
The type of Myeloma samer kareem 13,324 Views • 2 years ago

Types of multiple myeloma. Multiple myeloma is the most common type of plasma cell cancer. The bones and bone marrow are the main sites where myeloma cells (abnormal plasma cells) are produced. The myeloma cells can form tumours, called plasmacytomas, in many bones in the body.

How The left ventricular assist device (LVAD)  Works
How The left ventricular assist device (LVAD) Works samer kareem 5,300 Views • 2 years ago

Although individual surgeons and centers employ different methods to insert a left ventricular assist device (LVAD), the fundamental concepts remain true for all. That is, most devices use the apex of the left ventricle (LV) as the inflow site to the pump, which subsequently gives off an outflow graft to the aorta, thus bypassing the ailing LV. Currently available devices do not differ significantly with regard to general implantation technique. The sequence of implantation can vary also from patient to patient, depending on the particular situation. In some cases, concomitant procedures may be performed in conjunction with LVAD implantation without adversely affecting outcome.

Bilateral Nephrectomy for polycystic kidneys and cholecystectomy
Bilateral Nephrectomy for polycystic kidneys and cholecystectomy samer kareem 8,294 Views • 2 years ago

Amazing Surgery: Bilateral Nephrectomy for polycystic kidneys and cholecystectomy.

Treatment of Multiple Sclerosis?
Treatment of Multiple Sclerosis? samer kareem 4,551 Views • 2 years ago

Multiple sclerosis (MS) is a potentially disabling disease of the brain and spinal cord (central nervous system). In MS, the immune system attacks the protective sheath (myelin) that covers nerve fibers and causes communication problems between your brain and the rest of your body. Eventually, the disease can cause the nerves themselves to deteriorate or become permanently damaged. Signs and symptoms of MS vary widely and depend on the amount of nerve damage and which nerves are affected. Some people with severe MS may lose the ability to walk independently or at all, while others may experience long periods of remission without any new symptoms. There's no cure for multiple sclerosis. However, treatments can help speed recovery from attacks, modify the course of the disease and manage symptoms

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