Liver Metastasis Resection. A Technique That Makes It Easier. Authors: de Santibañes E, Sánchez Clariá R, Palavecino M, Beskow A, Pekolj J. Background: Liver resection is the only therapeutic option that achieves long-term survival for patients with hepatic metastases. We propose a tech...nique that causes traction and counter traction on the resection area, thus easily exposing the structures to be ligated. Since the parenchyma protrudes like a cork from a bottle we named this procedure “Corkscrew Technique”. Objective: To describe an original surgical technique to resect liver metastases. Technique: We delimite the resection area at 2 cm from the tumor. We place separated stitches, in a radiate way. The needle diameter must allow passing far from the deepest margin of the tumor. The stitches must be tractioned all together to separate the tumor from the normal parenchyma. Material and Methods: Between years 1983 and 2006, we perform 1270 liver resection. We used the corkscrew technique like only procedure in 612 patients whereas in 129 patients we associated it to an anatomic resection. Results: Mortality was 1%. Morbidity was 16% with a reoperation rate of 3%. Conclusions: The Corkscrew Technique is simple and safe, it spares surgical time, avoids blood loss, ensures free tumor margins and it is easy to perform.

This video is showing the Femoral Nerve Block

http://cfs-cure.plus101.com ----- Chronic Fatigue Syndrome Diet , Cures For Fatigue, Cure For Chronic Fatigue Syndrome. Chronic Fatigue Syndrome Treatment Chronic Fatigue Syndrome (CFS) is variable and unpredictable, and the condition takes its toll on the patient physically, mentally and emotionally. A number of studies have been performed on CFS, with one particular study determining poor early management of the disorder as a primary risk factor for severe CFS. Among the medical community, there is still no consensus on the best course of action for CFS. Most doctors feel that there is no cure for this condition, and limit their treatment to managing the symptoms. There is controversy over different approaches, and main ones being: • Prescription medications • Lifestyle changes • Diet • Nutritional supplements • Graded exercise therapy • Cognitive behavioral therapy • Other alternative/complementary treatments As CFS affects the patients not only physically but also mentally and emotionally, a holistic approach needs to be taken. It is also important that the people around CFS patients understand the condition, and realize that the patient is not just "being lazy" or "constantly feeling down" - chronic fatigue syndrome IS a serious illness and has severe symptoms. Cognitive Behavioral Therapy Cognitive behavioral therapy helps individuals to interpret their symptoms, which in turn helps the patient to shape their behavior in a way to better react to the symptoms. Graded Exercise Therapy A physical therapist can help determine the best exercises for the individual. Programs will start with low levels of exercising, increasing the intensity as the individual gradually builds strength and endurance. Lifestyle Changes Lifestyle changes will also be necessary, including individuals pacing themselves, lowering stress levels, eating a well-balanced diet, engaging in regular moderate exercise, and improving sleep habits. The individual’s work schedule may also need to be modified, as many individuals with CFS find maintaining their regular work schedule too draining. Diet and Chronic Fatigue Syndrome Treatment Diet is crucial in CFS, and dietary supplements may be needed. Certain foods may need to be restricted from the diet, as these may trigger or exacerbate CFS symptoms. A diet-symptom journal can help individuals to identify problem foods. In addition, a significant number of CFS cases may be caused or worsened by un-diagnosed food allergies and intolerances. Therefore, it should be a priority for every patient to check for these using a food-symptom diary and elimination diet, especially if in addition to fatigue you experience gastrointestinal symptoms such as stomach cramps, constipation, or diarrhea. Prescriptions and Medications Depression is often associated with CFS. Antidepressants may be prescribed to treat depression, which in turn will help individuals to cope with CFS-related problems. Studies also show antidepressants administered in low doses may help to relieve pain and improve sleep. Prescription sleep aids may also be prescribed to help individuals improve their sleep. Other drugs that may be prescribed include antiviral drugs, ADD/ADHD medications and anti-anxiety drugs. Alternative/Alternative Chronic Fatigue Syndrome Treatment While the usefulness of alternative/complementary therapy may still be controversial in the scientific community, many patients experience tremendous benefits from these. Main ones include:

Egyptian Conjoined Twins Surgery Part 1

Surgeons at The Children’s Hospital of Philadelphia were the first to perform a bilateral hand transplant on a child. Our research and work in this groundbreaking field of medicine led us to establish the Hand Transplantation Program. Combining the expertise of the Penn Transplant Institute and the Hospital’s Division of Plastic and Reconstructive Surgery and Division of Orthopedics, the program aims to improve quality of life for children who may benefit from this procedure.

A new research seems promising in curing the Diabetes type 1 permanently through Pancreatic Islet Transplantation. Islets are clusters of cells in the pancreas that make insulin which helps to convert food into energy.

Watch that video to know if it is safe to have sex during period

Watch that video of Unbelievable Head Infection Exposing a Man's Skull

The essential components of the human cardiovascular system are the heart, blood and blood vessels. It includes the pulmonary circulation, a "loop" through the lungs where blood is oxygenated; and the systemic circulation, a "loop" through the rest of the body to provide oxygenated blood.

Technique for Popliteal/Peroneal Nerve Block

Watch that video of Knife Stabbed Inside Chest Removal Surgery

An eye web is a noncancerous, triangular growth that may occur on one or both eyes. It's more common in people who spend a lot of time in the sun, such as those who work outdoors. The painless growth may be slightly raised and contain obvious blood vessels. It may cause irritation and possibly affect vision. Treatment usually isn't necessary. Eyedrops or surgery may help in severe cases.

Watch that video to know What is Trypophobia? Do You Have it ?

Watch that Terrible Skin Jiggers Removal Video

Myocardial Infarction 3D Animation