Cerebellar functions of the lower limbs from the USMLE collection

Laparoscopic excision of a 6cm Cornual Ectopic Pregnancy that failed initial MTX treatment.

This is a educational video for the prostate cancer patient and their family. Depending on the individual patient, a radical prostatectomy, might a procedure that your urologist could recommend as treatment.

Fistulectomy surgery procedure video

Pilonidal disease with lateral extension - Follicle removal (Bascon's technique)

To present a new device for fixating the fibro-optic probe during phacoemulsification

Modern technique of thyroidectomy for tumors

19 years old young man with inguinoscrotal right hernia.Decision-making for repair with minimal prosthetic residual material, and no stitches use for best comfort

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.

Treatment of bowel injury by IUD

Tonsillitis 3D

Demonstration of horizontal mattress suturing technique for laceration repair or wound closure in the operating room.

Demonstration of the technique used to insert a drain using an air knot in the operating room.

Demonstration of a two-hand tie for wound closure

Video shows a Hip resurfacing operation done using the Durom hip from Zimmer.
The patient is a young active male. Hip resurfacing is emerging as the surgical procedure of choice in young and active patients for pain relief from Hip arthritis.

Beating heart or "off pump" coronary artery surgery is the latest revolution in the management coronary disease. It is being embraced world-wide by increasing numbers of surgeons. Many of the advantages are subtle but reduced mortality, stroke, and bleeding as well as earlier discharge are well-established benefits. A cardiac stabiliser is mandatory for this surgery, most are single use only and very expensive, this one is multiple use and is saving many healthcare dollars

Harper University Hospital has been accredited as a Bariatric Center of Excellence by the American Society of Bariatric Surgeons. By employing laparoscopy, this bariatric procedure is minimally invasive and results in quicker recovery time, as well as less scarring. ~ Detroit Medical Center

This minimally invasive procedure connects electrodes to the brain and places a pacemaker-like device under the skin. When activated, electrical impulses minimize shaking due to "dyskinesia syndrome" in patients with Parkinson's disease. ~ Detroit Medical Center

Endoscopic crushing of a bladder stone very interesting medical video

Wide exision of a Melanoma