Rhumatic fever has almost been eraicated in the developed world, however it remains prevelent in many under developed countries and causes devastating damage to heart valves. Up till recently valve replacement was the treatment of choice. The long term results and sequelae of valve replacement are...

common knowledge. Mitral and tricuspid valve replacement results are on the whole far worse than for example Aortic valve. Mitral valve replacement should be the last resort and patients with very severe valvular and sub valvular mitral disease can nowadays be helped by mitral valve repair. NO MITRAL OR TRICUSPID VALVE SHOULD BE REPLACED IF IT CAN BE REPAIRED

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.

cardiac catheterization in the work up of heart disease.

Prostate Cancer spreads in 3 ways. First is spreads by local growth. Second it spreads through the lymphatic system, and lastly, it spreads through the blood stream. Dr. Patrick Swift, a radiation oncologist, discusses how prostate cancer spreads.

University Hospitals Neurological Institute will host a live webcast to demonstrate the removal of a brain tumor that doctors believe is causing epileptic seizures in a middle-aged man.

An MRI showed what appears to be a glioma (tumor) near a part of the brain that controls muscle movement, called the motor strip. Studies have shown that complete removal can cure the seizures and improve quality of life and survival, but this is difficult to do with conventional technology without harming the surrounding normal brain because it's difficult to determine where tumor ends and normal brain begins.

Five percent of pregnant women have gestational diabetes, so if you're expecting, understanding the basics of this common condition is vital

An Echocardiography showing an Acute Pulmonary Embolism

Video of Laparoscopic treatment of a large Umbilical Hernia in an obese patient.

This minimally invasive procedure employs two small cuts rather than a long incision before fusing two vertebra together. The result is less pain, as well as quicker recovery. ~ Detroit Medical Center

A new procedure, laparoscopic hysterectomy, means there's no reason for a woman to undergo an invasive abdominal hysterectomy unless she has a severe medical problem. ~ Detroit Medical Center

Medicine is advancing faster than ever and breakthroughs are happening right now at the Detroit Medical Center. ~ Detroit Medical Center

Tummy Tuck Surgery Video

This video teaches how to give an intramuscular injection shot

Nice surgery video

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

ROTIGS medical device by Honolulu inventor Dr. Brad NaPier makes difficult airway intubations easier for medical professionals.

Vaginal Hysterectomy using Thermal Hemostasis

Grisp Reflex

Anatomy of The Peritoneal Cavity

Surgical Glove Flip How To