A rotator cuff tear is a common injury, especially in sports like baseball or tennis, or in jobs like painting or cleaning windows. It usually happens over time from normal wear and tear, or if you repeat the same arm motion over and over. But it also can happen suddenly if you fall on your arm or lift something heavy. Your rotator cuff is a group of four muscles and tendons that stabilize your shoulder joint and let you lift and rotate your arms. There are two kinds of rotator cuff tears. A partial tear is when the tendon that protects the top of your shoulder is frayed or damaged. The other is a complete tear. That’s one that goes all the way through the tendon or pulls the tendon off the bone.

Cosmetic Eye and Eyelid Surgery

Breast reconstruction 3D Animation
on Friday, December 17, 2010




The primary part of the procedure can often be carried out immediately following the mastectomy. As with many other surgeries, patients with significant medical comorbidities (high blood pressure, obesity, diabetes) and smokers are higher-risk candidates. Surgeons may choose to perform delayed reconstruction to decrease this risk. Patients expected to receive external beam radiation as part of their adjuvant treatment are also commonly considered for delayed autologous reconstruction due to significantly higher complication rates with tissue expander-implant techniques in those patients. Breast reconstruction is a large undertaking that usually takes multiple operations. Sometimes these follow-up surgeries are spread out over weeks or months. If an implant is used, the individual runs the same risks and complications as those who use them for breast augmentation but has higher rates of capsular contracture (tightening or hardening of the scar tissue around the implant) and revisional surgeries. Outcomes based research on quality of life improvements and psychosocial benefits associated with breast reconstruction served as the stimulus in the United States for the 1998 Women's Health and Cancer Rights Act which mandated health care payer coverage for breast and nipple reconstruction, contralateral procedures to achieve symmetry, and treatment for the sequelae of mastectomy. This was followed in 2001 by additional legislation imposing penalties on noncompliant insurers. Similar provisions for coverage exist in most countries worldwide through national health care programs. There are many methods for breast reconstruction. The two most common are: * Tissue Expander - Breast implants This is the most common technique used in worldwide. The surgeon inserts a tissue expander, a temporary silastic implant, beneath a pocket under the pectoralis major muscle of the chest wall. The pectoral muscles may be released along its inferior edge to allow a larger, more supple pocket for the expander at the expense of thinner lower pole soft tissue coverage. The use of acellular human or animal dermal grafts have been described as an onlay patch to increase coverage of the implant when the pectoral muscle is released, which purports to improve both functional and aesthtic outcomes of implant-expander breast reconstruction. o In a process that can take weeks or months, saline solution is percutaneously injected to progressively expand the overlaying tissue. Once the expander has reached an acceptable size, it may be removed and replaced with a more permanent implant. Reconstruction of the areola and nipple are usually performed in a separate operation after the skin has stretched to its final size. * Flap reconstruction The second most common procedure uses tissue from other parts of the patient's body, such as the back, buttocks, thigh or abdomen. This procedure may be performed by leaving the donor tissue connected to the original site to retain its blood supply (the vessels are tunnelled beneath the skin surface to the new site) or it may be cut off and new blood supply may be connected. o The latissimus dorsi muscle flap is the donor tissue available on the back. It is a large flat muscle which can be employed without significant loss of function. It can be moved into the breast defect still attached to its blood supply under the arm pit (axilla). A latissimus flap is usually used to recruit soft-tissue coverage over an underlying implant. Enough volume can be recruited occasionally to reconstruct small breasts without an implant. o Abdominal flaps The abdominal flap for breast reconstruction is the TRAM flap or its technically distinct variants of microvascular "perforator flaps" like the DIEP/SIEP flaps. Both use the abdominal tissue between the umbilicus and the

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Ear Rinne's Test from the USMLE collection

“Neurosurgery necessitates a very high level of detail involving complex procedures. I’m a very intense person inside the hospital and I feel like neurosurgery matched that level of intensity.”

It’s that intensity that made Dr. Jonathan Pindrik want to become a neurosurgeon. But it’s his certainty and skill inside the operating room that make him one of the best pediatric neurosurgeons in the country.

Dr. Pindrik is a neurosurgeon at Nationwide Children’s Hospital. While he performs multiple complex brain and spinal procedures each week, he also specializes in surgical intervention for children with epilepsy. Dr. Pindrik serves as co-director of the Epilepsy Surgery Program at Nationwide Children’s Epilepsy Center. It’s level-four accreditation means we offer the highest level of epilepsy care including advanced epilepsy surgery.

Connect with a specialist: http://bit.ly/2qdhDj7
Our team of neurosurgeons: http://bit.ly/2qcvxSl
Nationwide Children's Epilepsy Center: http://bit.ly/2qcGtj1
Learn more about Nationwide Children’s Level 4 Epilepsy Center: http://bit.ly/2qcGtj1
Meet our Chief of Neurosurgery: https://bit.ly/2GJSuYm

Acute Myocardial Infarction - Heart Attack

Most common generic medication used in the treatment of Erectile Dysfunction is Generic Viagra. It is the generic version of brand Viagra contains Sildenafil Citrate as its main ingredient. For more information about Generic Viagra visit: http://www.buy-genericviagra.com

NOVEL METHOD: REAL ANATOMIC CUSTOM-MADE IMMEDIATE ZIRCONIA IMPLANT. YOUR DENTAL ROOT IS MILLED IN ZIRCONIA AND IN JUST 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

Surgical removal of a Chalazion from the eye lid

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

This animation shows how a balloon is placed inside the stomach with out an operation for weightloss. This is done through an endoscope which goes through the mouth.

Traditional Chinese fire cupping therapy

Take a trip around the world while ensuring healthy eye habits and optimal vision

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.

Glycogen storage disease (GSD, also glycogenosis and dextrinosis) is the result of defects in the processing of glycogen synthesis or breakdown within muscles, liver, and other cell types. GSD has two classes of cause: genetic and acquired.

Wetness. Even the most absorbent diaper leaves some moisture on your child's skin. And when your child's urine mixes with bacteria from his stool, it breaks down into ammonia, which can be very harsh on the skin. That's why children with frequent bowel movements or diarrhea are more prone to diaper rash.

A video showing Intubation of the Esophagus

Development and Maintenance of Bone