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Abdominal paracentesis
Abdominal paracentesis samer kareem 5,983 Views • 3 years ago

Paracentesis is a procedure to take out fluid that has collected in the belly (peritoneal fluid). This fluid buildup is called ascites camera.gif. Ascites may be caused by infection, inflammation, an injury, or other conditions, such as cirrhosis or cancer. The fluid is taken out using a long, thin needle put through the belly. The fluid is sent to a lab and studied to find the cause of the fluid buildup. Paracentesis also may be done to take the fluid out to relieve belly pressure or pain in people with cancer or cirrhosis.

Meckels Diverticulum
Meckels Diverticulum Surgeon 5,872 Views • 3 years ago

Meckels Diverticulum

Chalazion
Chalazion samer kareem 6,517 Views • 3 years ago

A chalazion is a lump of the lid that is caused by obstruction of the drainage duct of an oil gland within the upper or lower eyelid. This lump may increase in size over days to weeks and may occasionally become red, warm, or painful.

Nerve Monitoring After Transoral Endoscopic Thyroid Resection
Nerve Monitoring After Transoral Endoscopic Thyroid Resection DrHouse 13,349 Views • 3 years ago

Background: The number of patients demanding endoscopic neck surgery is rising. The access trauma of the axillary, breast and chest approaches is bigger than in open or video assisted surgery. We tested the feasibility of he sublingual transoral access which is in our opinion the only real minimally...-invasive extracollar endoscopic access to the thyroid gland Methods: We performed an experimental investigation in a porcine model. In 10 pigs we made 10 endoscopic transoral thyroidectomys with a modified axilloscope with the help of ultrasonic scissors and a neuro-monitoring system for identification of the recurrent laryngeal nerve. Results: The average operation time from the introduction to the removal of the obturator just above the larynx was 57 seconds. The mean operation time was 43 minutes. With the help of the neuro-monitoring system we proved in all cases the function of the recurrent laryngeal nerve on both sides. The pigs were observed for another two hours after operation. During and after the operation no complications appeared. Conclusions: We could show that the endoscopic transoral thyroid resection in pigs is possible and save. Our results might be useful for using this access for endoscopic thyroid resection in humans.

Percutaneous transluminal coronary angioplasty
Percutaneous transluminal coronary angioplasty samer kareem 2,409 Views • 3 years ago

Percutaneous transluminal coronary angioplasty (PTCA) is a minimally invasive procedure to open up blocked coronary arteries, allowing blood to circulate unobstructed to the heart muscle.

New tension free open inguinal hernia repair without mesh based on the physiological principle
New tension free open inguinal hernia repair without mesh based on the physiological principle M_Nabil 20,250 Views • 3 years ago

Mesh repair is based on the anatomical principle with associated complications of a foreign body and recurrence. Use of an un-detached strip of the external oblique aponeurosis in place of mesh between the muscle arch and the inguinal ligament gives a strong and physiologically dynamic posterior wal...l that gives radical cure.

Acne Scar Surgery
Acne Scar Surgery samer kareem 1,910 Views • 3 years ago

Well, That Was Bloody | My Acne Scar Surgery (DermaPen)

Tracheotomy
Tracheotomy samer kareem 16,792 Views • 3 years ago

A tracheotomy or a tracheostomy is an opening surgically created through the neck into the trachea (windpipe) to allow direct access to the breathing tube and is commonly done in an operating room under general anesthesia. A tube is usually placed through this opening to provide an airway and to remove secretions from the lungs. Breathing is done through the tracheostomy tube rather than through the nose and mouth. The term “tracheotomy” refers to the incision into the trachea (windpipe) that forms a temporary or permanent opening, which is called a “tracheostomy,” however; the terms are sometimes used interchangeably.

Is Your Vertigo BPPV or Autoimmune?
Is Your Vertigo BPPV or Autoimmune? samer kareem 4,643 Views • 3 years ago

Is your vertigo or dizziness BPPV or autoimmune?

Heart
Heart samer kareem 13,242 Views • 3 years ago

The heart is the body's engine room, responsible for pumping life-sustaining blood via a 60,000-mile-long (97,000-kilometer-long) network of vessels. The organ works ceaselessly, beating 100,000 times a day, 40 million times a year—in total clocking up three billion heartbeats over an average lifetime. It keeps the body freshly supplied with oxygen and nutrients, while clearing away harmful waste matter.

Hepatitis C Symptoms
Hepatitis C Symptoms samer kareem 1,597 Views • 3 years ago

Hepatitis C is an infection caused by the hepatitis C virus (HCV) that attacks the liver and leads to inflammation. The World Health Organization (WHO) estimates that about 3% of the world’s population has been infected with HCV and that there are more than 170 million chronic carriers who are at risk of developing liver cirrhosis and/or liver cancer. The image below depicts the HCV genome.

Knee Replacement
Knee Replacement samer kareem 8,729 Views • 3 years ago

Knee replacement, also called arthroplasty, is a surgical procedure to resurface a knee damaged by arthritis. Metal and plastic parts are used to cap the ends of the bones that form the knee joint, along with the kneecap. This surgery may be considered for someone who has severe arthritis or a severe knee injury.

Lumbar Laminotomy and Microdiscectomy
Lumbar Laminotomy and Microdiscectomy DrPhil 14,804 Views • 3 years ago

Lumbar Laminotomy and Microdiscectomy

Intraarticular Fracture Base of Thumb Metacarpal Surgery
Intraarticular Fracture Base of Thumb Metacarpal Surgery samer kareem 2,052 Views • 3 years ago

Intraarticular Fracture Base of Thumb Metacarpal Surgery

Laparoscopy in Acute Intestinal Obstruction
Laparoscopy in Acute Intestinal Obstruction DrHouse 19,693 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.

Gastroenteral Anastomosis with Circular Stapler
Gastroenteral Anastomosis with Circular Stapler DrHouse 12,758 Views • 3 years ago

A posterior Gastroenteral side to side anastomosis is presented. The procedure is made with circular stapler. After a good hemostasis of the suture has been obtained, the gastrotony is closed with linear stapler and running suture.

Bilateral Laparoscopic Pyeloplasty in Children
Bilateral Laparoscopic Pyeloplasty in Children Alicia Berger 1,323 Views • 3 years ago

Bilateral Laparoscopic Pyeloplasty in Children

Pancreas Transplantation
Pancreas Transplantation samer kareem 1,570 Views • 3 years ago

A pancreas transplant is a surgical procedure to place a healthy pancreas from a deceased donor into a person whose pancreas no longer functions properly. Your pancreas is an organ that lies behind the lower part of your stomach. One of its main functions is to make insulin, a hormone that regulates the absorption of sugar (glucose) into your cells. If your pancreas doesn't make enough insulin, blood sugar levels can rise to unhealthy levels, resulting in type 1 diabetes. Most pancreas transplants are done to treat type 1 diabetes. A pancreas transplant offers a potential cure for this condition. But it is typically reserved for those with serious diabetes complications, because the side effects of a pancreas transplant are significant. In some cases, pancreas transplants may also treat type 2 diabetes. Rarely, pancreas transplants may be used in the treatment of pancreatic, bile duct or other cancers. A pancreas transplant is often done in conjunction with a kidney transplant in people whose kidneys have been

Animation of Scarless Varicose Vein Treatment
Animation of Scarless Varicose Vein Treatment Scott 2,055 Views • 3 years ago

Animation of Scarless Varicose Vein Treatment No Knife Endovenous Laser

Deep Tendon Reflexes Exam
Deep Tendon Reflexes Exam samer kareem 6,868 Views • 3 years ago

In a normal person, when a muscle tendon is tapped briskly, the muscle immediately contracts due to a two-neuron reflex arc involving the spinal or brainstem segment that innervates the muscle. The afferent neuron whose cell body lies in a dorsal root ganglion innervates the muscle or Golgi tendon organ associated with the muscles; the efferent neuron is an alpha motoneuron in the anterior horn of the cord. The cerebral cortex and a number of brainstem nuclei exert influence over the sensory input of the muscle spindles by means of the gamma motoneurons that are located in the anterior horn; these neurons supply a set of muscle fibers that control the length of the muscle spindle itself.

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