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WARNING: Graphic Medical Procedure - Selective Dorsal Rhizotomy Surgery Surgeon 613 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?

Female Foley Insertion (Urinary Catheter) [How to Insert Nursing Skills] nurse 2,866 Views • 3 years ago

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Female Foley Insertion (Urinary Catheter)- Nursing Skills

In this video, we’re going to look at inserting a Foley catheter in a female. Of course make sure you’ve verified your order and told the patient what’s happening. You’ll also typically want to perform perineal care before you start. Then, you’ll want to assist the patient into the appropriate position. For females, that’s supine with their knees bent and feet close to their hips – allowing their knees to fall to the side. You may need a helper to help hold the patient in this position. We love you guys! Go out and be your best selves today! And, as always, happy nursing!

Bookmarks:
0.05 Female Foley insertion introduction
0.15 Patient positioning
0.27 Opening the sterile kit
1.41 Setting up the sterile field
2.25 Prepping the remaining Foley kit items
2.34 Catheter lubrication
3.00 Saline syringe attachment
3.10 Iodine, swabs and cleansing the area
3.52 Catheter insertion (into urethra)
4.06 Balloon inflation
4.25 Final catheter setting
4.31 Securing the catheter and bag
4.48 Discarding your supplies
5.00 Documentation
5.08 Foley insertion outro

Visit us at https://nursing.com/medical-disclaimer/ for disclaimer information.

NCLEX®, NCLEX-RN® are registered trademarks of the National Council of State Boards of Nursing, INC. and hold no affiliation with NURSING.com.

Tummy Tuck Surgery | Immediate Before and After Results #shortsfeed Surgeon 82 Views • 3 years ago

Tummy Tuck Surgery | Immediate Before and After Results | Abdominoplasty

Here are the stunning before and after results of a tummy tuck surgery performed at Divine Cosmetic Surgery.

#tummytuck #tummytuckdelhi #fatreduction #fatreductionlipo #liposuctiondelhi #liposuctionIndia #bodyreshaping

Know more
https://www.divinecosmeticsurg....ery.com/tummy-tuck.p

Tummy Tuck Before & After,
Tummy Tuck Surgery in Delhi,
Abdominoplasty surgeon,
tummy tuck results before and after,
Dr. Amit Gupta,
tummy tuck immediate result,
Tummy fat reduction,
tummy loose skin removal,

𝗗𝗿. 𝗔𝗺𝗶𝘁 𝗚𝘂𝗽𝘁𝗮 (𝗙𝗼𝘂𝗻𝗱𝗲𝗿 & 𝗗𝗶𝗿𝗲𝗰𝘁𝗼𝗿) of Divine Cosmetic Surgery

Skin removal Step 2 of Tummy Tuck - https://www.youtube.com/watch?v=cc9xsk9T_AU
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A to Z of Tummy Tuck - https://youtu.be/5i6zD0xBkwA
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Differences between Liposuction & Tummy tuck - https://www.youtube.com/watch?v=jzgeiz4mvc8
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Tummy tuck surgery with Vaser (A to Z Steps) - https://www.youtube.com/watch?v=6abeUkb1ZcA&t=15s
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For more details about Tummy tuck Visit - https://www.divinecosmeticsurgery.com/
------------------------------------------------------------------------------

Dr. Amit Gupta
MBBS, M.S., DNB (Plastic & Cosmetic Surgery)
Divine Cosmetic Surgery | Call us at +91 9811994417
info@divinecosmeticsurgery.com | 01141828787
Delhi | Mumbai | Gurgaon

𝗦𝗼𝗰𝗶𝗮𝗹 𝗠𝗲𝗱𝗶𝗮 𝗮𝗻𝗱 𝗬𝗼𝘂𝘁𝘂𝗯𝗲 𝘃𝗶𝗱𝗲𝗼 𝗰𝗵𝗮𝗻𝗻𝗲𝗹 : -

🎦 http://www.youtube.com/c/DrAmi....tGuptaBestPlasticCos
👍🏻 https://www.facebook.com/dramitguptaplasticsurgeon
📷 https://www.instagram.com/divineaesthetics_delhi/
🐥 https://twitter.com/dramitguptajee
🖇️ https://www.linkedin.com/compa....ny/divinecosmeticsur
📌 https://pinterest.com/divinesurgery

#tummytuck #TummyTuckResult #TummyTuckResultBeforeandAfter #dramitgupta #divinecosmeticsurgery #fatreduction #tummytuckdelhi #shorts

Disclaimer: The information on our videos & social media is provided for informational purposes only and is not meant for the advice provided by your surgeon.

We are not responsible for any harm if anyone misguides you from our name. Our all-social media official handles are linked up on our website. All images & content used on our videos & social media are for illustrative concerns only, original results and processes may vary.

Tummy Tuck Abdominoplasty Dr Barnouti Surgeon 223 Views • 3 years ago

Tummy tuck Sydney Dr Barnouti. Call us on 02-9561 0222 or 1300 002 006
Broadway, Chatswood, Burwood NSW Australia
email:drbarnouti@australiaplasticsurgery.com.au
https://www.plasticsurgery-syd....ney.com.au/abdominop
What is a tummy tuck?

A tummy tuck operation is also known as abdominoplasty. It involves removing excess skin and fat from the stomach area, mainly the lower part of the tummy through surgical procedure. A tummy tuck operation is intended to leave the patient with a flatter tummy and to remove any signs of an 'apron' stomach or an overhang which is sometimes visible above underwear. The skin on this area tends to be stretched and of poor quality. A tummy tuck operation will usually focus on the lower part of the stomach, below the belly button and may require the belly button to be repositioned in some cases. The procedure is often carried out on women or men who have suffered from stretched skin in the stomach area after pregnancy, giving birth, excess fat deposition or weight loss.

What happens during a tummy tuck?

During a tummy tuck procedure the aim of the surgeon is to cut away fat and excess skin. To do this Dr Barnouti will make in incision on the lowest part of the stomach, where a fold will be visible above the pubic bone. He will take out as much excess fat as can be removed and will then cut the skin to fit back over the place where the fat has been removed from. It is important to have realistic expectations of a tummy tuck. Taking too much fat and skin away can result in folds at each end of the resulting scar which are sometimes referred to as "dog ears". Dr Barnouti will make sure you will not have this problem.

Who should have a tummy tuck?

Tummy tucks are recommended for either men or women who have an excess of fat and skin around their abdomen which cannot be removed by weight loss, exercise or liposuction. Tummy tuck operations in women are usually reserved for those who are not likely to have children as it is inadvisable to get pregnant again after having skin removed, this can cause the wound to stretch and scar.

The cost of a tummy tuck in Sydney Australia

The total cost is $7,900 if the patient's health fund cover the hospital's fees. In case the health fund does not cover the hospital's fee, the total cost will be around $12,000 inclusive of the Surgeon, assistant surgeon, Anaesthetist, hospital, operating theatre and follow ups visit.

Payment plans are alos available from Dr Barnouti's office in Chatswood, Burwood or Broadway.

A tummy tuck is a cosmetic procedure that removes excess skin and fatty tissue in order to give a flatter appearance to the stomach. Tummy tucks, also known as abdominoplasties, are ideal for patients who are not excessively overweight but suffer from an overhang of skin around the abdomen.

Performed under general anaesthetic, tummy tucks involve a horizontal incision being made just above the pubic area between the hip bones. Skin and fatty tissue is separated from the muscle and the area is tightened, with the excess skin and fatty tissues then being pulled downwards and removed.
Following your tummy tuck, there will be a scar present across the lower abdomen, but this will gradually fade. You may experience moderate tissue swelling for several months, but this will disappear with time. There may also be a sensation reduction just above the pubic area.

Once your tummy tuck recovery is complete however, you'll benefit from a more attractive figure and the ability to wear a wider selection of clothes.

Structure and Types of Cartilage | Hyaline | Elastic | Fibrocartilage | Connective Tissue Histology DrPhil 313 Views • 3 years ago

✨This video is on the structure and functions of the three types of cartilage (Hyaline, Elastic and Fibrocartilage). I hope it helps! ☀️

🌟What's in this video?
0:00 - Intro
0:07 - Connective Tissue Recap
1:16 - Structure of Connective Tissue
1:57 - Structural Components of Cartilage
3:38 - Types of Cartilage
3:49 - Hyaline Cartilage
8:05 - Elastic Cartilage
8:55 - Fibrocartilage

✨ Other videos you may need:
🔅 Connective Tissue : https://youtu.be/xw_ALdt5n-A
🔅 Collagen : https://youtu.be/3e2JYMNS_W4
🔅 Ossification: https://youtu.be/86V9SNWD_No
🔅Histology: https://www.youtube.com/playli....st?list=PL1rG930trF2

💫 For more videos like this, subscribe to my channel!
Byte Size Med: https://youtube.com/channel/UC....ZghvlgylH3r_CWfA18eF

📚Factual References & for Further Reading:
- DiFiore's Atlas of Histology
- Junqueira's Basic Histology
- Gartner's Concise Histology
- Openstax Anatomy and Physiology
https://openstax.org/details/b....ooks/anatomy-and-phy
- Openstax Biology
https://openstax.org/details/books/biology-2e
(The last two are links to open-source references. They are NOT affiliate links)

🌤 Note:
These are just a collection of my notes. So use them the way you would use borrowed notes from a friend. 📝
The images in this video are hand-drawn for illustration and explanation only.✍️ Hence, they may not be anatomically accurate. I am just one person making these videos. If there are any errors, that is unintentional. I try super hard to avoid them. Please let me know if you find any, so it gets clarified for other viewers. Science constantly evolves and changes. New discoveries are made everyday. So some of the information in these videos may become outdated. If you notice that, please let me know so I can update them.

⚡️Disclaimer:
These videos are NOT a substitute for a medical textbook. Textbooks are written by experts (which I do not claim to be), edited, proofread and referenced. Please use them.
The information has been sourced from multiple references as mentioned above. I draw all the pictures myself. But if I have inadvertently infringed on any copyright, that is completely unintentional. I only make these videos to impart education. If I have accidentally violated copyright in any way, do let me know so I can make the necessary changes or give credit to anyone who is owed the same.
These videos are NOT intended for patient education. They are NOT a substitute for diagnosis and treatment by a licensed medical professional. Always seek the advice of a qualified health care provider for any questions you may have regarding any medical condition, so that they can address your individual needs.

🔅They are ONLY meant to help students of medicine and health sciences with studying, and should be used for just that purpose and absolutely nothing else.

Byte Size Med. All Rights Reserved.

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