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Laparoscopy in Acute Intestinal Obstruction
Laparoscopy in Acute Intestinal Obstruction DrHouse 19,698 Views • 3 years ago

Laparoscopy in acute bowel obstruction following previous surgery is a difficult procedure and avoided by most of the surgeons due to the difficulty in obtaining pneumoperitoneum, port placement, lack of working space, adhesions and risk of bowel injury.
Here is a patient who had a previous laparotomy for trauma with a midline incision from xyphysternum to pubis; after unsuccessful conservative management he underwent a laparoscopy; a prior CT scan showed adhesions in the left side and a distal-mid small bowel obstruction. The pneumoperitoneum was obtained with the Visiport placed in the right lower quadrant; although the abdomen was grossly distended, under significant tension and distended loops of small bowel were occupying most the peritoneal cavity, with muscle relaxation there is usually enough space to perform a thorough inspection of the abdominal cavity. Port placement has to be done with special care as there is no room to push and usually a blunt trocar directed away from the bowel is employed in my practice. The collapsed loops of small bowel point quickly to the site of obstruction -- it is better to avoid manipulating the distended bowel as it is heavy, oedematous and prone to be lacerated with the instruments; once the pathology is identified, in this case the obstructive band, light packing is performed in order to expose the working space and protect the bowel from instruments like scissors or diathermy. In this case the band adhesion was slightly more difficult to separate from the bowel and required a combination of sharp and gentle blunt dissection.
Once the obstruction is release and the transit of contents is confirmed in the collapsed bowel the procedure is terminated. No abdominal drainage is usually necessary.

What we do for massive lymphedema ?
What we do for massive lymphedema ? samer kareem 1,835 Views • 3 years ago

The lymphatic system is a network of specialized vessels (lymph vessels) throughout the body whose purpose is to collect excess lymph fluid with proteins, lipids, and waste products from the tissues. This fluid is then carried to the lymph nodes, which filter waste products and contain infection-fighting cells called lymphocytes. The excess fluid in the lymph vessels is eventually returned to the bloodstream. When the lymph vessels are blocked or unable to carry lymph fluid away from the tissues, localized swelling (lymphedema) is the result.

Generalized Anxiety Disorder, Symptoms Of Anxiety Attack, Shortness Of Breath Anxiety
Generalized Anxiety Disorder, Symptoms Of Anxiety Attack, Shortness Of Breath Anxiety marin vinasco 3,710 Views • 3 years ago

Generalized Anxiety Disorder, Symptoms Of Anxiety Attack, Shortness Of Breath Anxiety --- http://panic-attacks-anxiety.good-info.co --- Newly Discovered Panic "Off Switch" Gives You Anxiety Relief Without Pills or Therapy Here's an interesting fact about anxiety and panic attacks: Did you know that just like the hiccups, doctors still can't agree exactly why they happen to you? And did you also know there's a 60-second solution to panic and anxiety that you can do anywhere? Yes, it takes you just one minute and I'm going to share it with you today. Until one day about a year ago, I thought I might be doomed to let panic attacks rule my life. And I made this free online presentation to tell you about the one discovery about panic and general anxiety that finally cut through the confusion and changed everything. Pay very close attention, because whether you've only had one or two "attacks" so far… or even if you've been having them for years and it seems like a life sentence you'll never escape from… You're about to discover one weird thing that panic, anxiety and the hiccups – yes, the hiccups – have in common that goes right back to the stone age. Discover How To Begin Eliminating Panic And Anxiety From Your Life Forever Click Here: http://panic-attacks-anxiety.good-info.co

Diverticulitis
Diverticulitis samer kareem 2,428 Views • 3 years ago

Diverticula are small, bulging pouches that can form in the lining of your digestive system. They are found most often in the lower part of the large intestine (colon). Diverticula are common, especially after age 40, and seldom cause problems. Sometimes, however, one or more of the pouches become inflamed or infected. That condition is known as diverticulitis (die-vur-tik-yoo-LIE-tis). Diverticulitis can cause severe abdominal pain, fever, nausea and a marked change in your bowel habits. Mild diverticulitis can be treated with rest, changes in your diet and antibiotics. Severe or recurring diverticulitis may require surgery.

Knee Aspiration
Knee Aspiration samer kareem 1,552 Views • 3 years ago

The clinician performing the procedure should be familiar with the anatomy of the specific joint and cognizant of the relevant landmarks in order to avoid puncture of tendons, blood vessels, and nerves (see the images below).

Starting dialysis at age 75 years or older -- outcomes data to help in shared decision making.
Starting dialysis at age 75 years or older -- outcomes data to help in shared decision making. Scott 117 Views • 3 years ago

Research from Mayo Clinic finds that half of elderly patients who start dialysis after age 75 will die within one year.

Lead study author and a health care delivery scholar with the Mayo Clinic Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Dr. Bjorg Thorsteinsdottir says many elderly patients and their families feel that they have no choice but to start dialysis, with several expressing regret from having initiated therapy.

The findings were presented at the American Society of Nephrology's Kidney Week 2013 in Atlanta.

Liposuction Cost West Palm Beach South Florida - Dr David Salvador
Liposuction Cost West Palm Beach South Florida - Dr David Salvador David Salvador 4,856 Views • 3 years ago

Want to know how much smart lipo costs? Information on liposuction including liposuction costs, different liposuction techniques, recovery tips and much more.

Nissen Fundoplication in an Obese patient with Hiatal Hernia and GERD
Nissen Fundoplication in an Obese patient with Hiatal Hernia and GERD Mohamed 15,362 Views • 3 years ago

A video of Nissen Fundoplication surgery in an Obese patient with Hiatal Hernia and GERD

Diabetes & Associated Complications
Diabetes & Associated Complications samer kareem 17,265 Views • 3 years ago

Possible complications include: Cardiovascular disease. ... Nerve damage (neuropathy). ... Kidney damage (nephropathy). ... Eye damage (retinopathy). ... Foot damage. ... Skin conditions. ... Hearing impairment. ... Alzheimer's disease.

Intubation during General Anaesthesia 3D Animation
Intubation during General Anaesthesia 3D Animation Scott 39,251 Views • 3 years ago

Intubation during General Anaesthesia 3D Animation

Primary CNS Lymphoma
Primary CNS Lymphoma samer kareem 7,971 Views • 3 years ago

Lymphoma is a cancer that arises from the cells of the lymphatic system. In the brain, this type of cancer is called Primary CNS Lymphoma (PCNSL). Location. Lymphoma occurs most often in the cerebral hemisphere, but may also involve the cerebrospinal fluid, the eyes, or the spinal cord.

Amiodarone
Amiodarone samer kareem 1,184 Views • 3 years ago

Why is this medication prescribed? Amiodarone is used to treat and prevent certain types of serious, life-threatening ventricular arrhythmias (a certain type of abnormal heart rhythm when other medications did not help or could not be tolerated. Amiodarone is in a class of medications called antiarrhythmics. It works by relaxing overactive heart muscles. How should this medicine be used? Amiodarone comes as a tablet to take by mouth. It is usually taken once or twice a day. You may take amiodarone either with or without food, but be sure to take it the same way each time.Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take amiodarone exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.

Tibial Bone Transport Over an Intramedullary Nail !
Tibial Bone Transport Over an Intramedullary Nail ! samer kareem 1,264 Views • 3 years ago

Laparoscopic Roeder's Knot
Laparoscopic Roeder's Knot Surgeon 112 Views • 3 years ago

Although it demands an advanced set of skills that remain substantially hard to do, many of the salient steps of “open” surgery, including suturing, are credibly “replicated” in its laparoscopic counterpart with the intention of achieving similar optimal results. This video demonstrates how to tie Laparoscopic Roeder's Knot. Laparoscopic Roeder's Knot is one of the oldest knots used in laparoscopic surgery. It is used most commonly during laparoscopic appendectomy surgery. Recent literature, though abundant with numerous reports pertaining to a variety of endoscopic knotting techniques and technologies, appears to lack scientific data but Roeder's knot is a time tasted extracorporeal slip knot that is secure for 6-8 mm diameter tubular structure.

For more information please contact:
World Laparoscopy Hospital
Cyber City, Gurugram, NCR DELHI
INDIA 122002
Phone & WhatsApp: +919811416838, + 91 9999677788

Dr Omid Liaghat Replantation Case 06
Dr Omid Liaghat Replantation Case 06 Dr Omid Liaghat 1,387 Views • 3 years ago

A 28 years old man lost his right arm with a conveyor device in 2014. The video is taken 2 years after replantation. You can see another videos in my site: https://drliaghatclinic.com, https://instagram.com/liaghatclinic, https://t.me/liaghatclinic

50 Orgasms A Day
50 Orgasms A Day samer kareem 4,919 Views • 3 years ago

50 Orgasms A Day

Infections During Pregnancy
Infections During Pregnancy samer kareem 2,719 Views • 3 years ago

Watch out which infections could affect your baby or tend to be worse for you during pregnancy period and how to reduce your risk of getting them.

Needle Aponeurotomy Dupuytren's Contracture
Needle Aponeurotomy Dupuytren's Contracture DrHouse 15,199 Views • 3 years ago

Needle fasciotomy (aponeurotomy) is usually a 15-Minute in-office procedure for Dupuytren's contracture. Performed under local anesthesia, in the office, by board-certified plastic surgeon Reza Momeni, MD. This is a minimally invasive treatment for Dupuytren's.

Ventricular Fibrillation
Ventricular Fibrillation samer kareem 3,030 Views • 3 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.

Spleen Pain Causes
Spleen Pain Causes samer kareem 8,035 Views • 3 years ago

An enlarged spleen can be caused by infections, cirrhosis and other liver diseases, blood diseases characterized by abnormal blood cells, problems with the lymph system, or other conditions. Other causes of an enlarged spleen include: Inflammatory diseases such as sarcoidosis, lupus, and rheumatoid arthritis.

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