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Mini Gastric Bypass
Mini Gastric Bypass Mohamed 12,051 Views • 2 years ago

The Mini Gastric Bypass (MGB) is a short, simple, successful and inexpensive laparoscopic gastric bypass weight loss surgery. The operation usually takes only 30 min., hospitalization less than 24 hours. The Mini Gastric Bypass is low risk, has excellent long term weight loss, minimal pain and can b...e easily reversed or revised.

Streptococcal Pharyngitis
Streptococcal Pharyngitis samer kareem 1,229 Views • 2 years ago

The infection is generally transmitted by direct contact with the mucus or sores of someone else with strep. Common symptoms include sore throat, fever, and swollen lymph nodes in the neck. Rarely, complications can involve the heart or kidneys. Treatment is important to reduce complications. Oral antibiotics like penicillin, amoxicillin, cephalexin, or azithromycin are commonly used. Other medicines such as acetaminophen or ibuprofen can help with pain and fever.

Surgery for Baby Born with Adult Sized Tongue
Surgery for Baby Born with Adult Sized Tongue samer kareem 3,630 Views • 2 years ago

This baby was born with an adult sized tongue - and she just completed a surgery that will change her life.

Dual Sphincterotomy with a Needle Knife Over a Stent for Sphincter of Oddi Dysfunction
Dual Sphincterotomy with a Needle Knife Over a Stent for Sphincter of Oddi Dysfunction Mohamed 17,530 Views • 2 years ago

This 38 year old woman has increasingly intractable RUQ pain after cholecystectomy done one year prior. LFTs and pancreatic enzymes have been normal, and ducts are non-dilated, thus she is a Type III possible SOD patient. Initial goal is to define course of pancreatic duct for manometry. 5-4-3 Co...ntour catheter (Boston Scientific) is used to perform the pancreatogram which shows a small straight distal duct. The aspirating triple lumen manometry catheter (Wilson Cook) is used to cannulate the pancreatic duct, with continuous aspiration of fluid once the duct is entered. Careful stationed pullthrough manometry shows markedly abnormal basal pressures in both leads in the pancreatic sphincter. Plan is dual pancreatic and biliary sphincterotomy. Biliary manometry will not now change our plan therefore is omitted. Our first goal is to access the pancreatic duct so we can guarantee wire access for placement of a small caliber pancreatic stent which is critical for safety. Contrast is injected as the 0.018in Roadrunner wire (Wilson Cook) is advanced in order to outline the course of main duct. A separate biliary orifice is clearly seen, unusual in SOD patients. A soft 4Fr 3cm single inner flange pancreatic stent (Hobbs Medical) is placed. We did not want to use our typical 9cm long unflanged stent as even a 3 or 4 French stent might be traumatic to the tiny caliber of this duct out in the body of the gland. Next the bile duct is cannulated with a papillotome (Autotome 39, Boston Scientific), showing a small perhaps 6mm bile duct. Biliary sphincterotomy is performed in very careful stepwise fashion as landmarks are unclear and perforation is higher risk in small duct SOD patients. On the other hand, inadequate sphincterotomies offer limited chance of symptom relief. You can see here a patulous sphincterotomy. Next a pancreatic sphincterotomy is performed with the needle knife (Boston Scientific) over the pancreatic stent. Again this is performed cautiously due to the small size of the pancreatic duct. We are reaching along the stent and cutting the fibers deeply. This is a limited pancreatic sphincterotomy due to small pancreatic duct size, and concern for scarring of the pancreatic duct. It is important to document passage of the stent by xray or remove it endoscopically with two weeks or so. We and many other specialized centers perform dual sphincterotomies at the first ERCP in all SOD patients with abnormal pancreatic manometry and frequent or intractable symptoms based on the belief that response rates are better than for biliary sphincterotomy alone.

Vaginoplasty !
Vaginoplasty ! samer kareem 8,831 Views • 2 years ago

Vaginoplasty is any surgical procedure that results in the construction or reconstruction of the vagina. It is a type of genitoplasty. Pelvic organ prolapse is often treated with one or more surgeries to repair the vagina.

Heparin Protocol
Heparin Protocol samer kareem 11,517 Views • 2 years ago

What is heparin injection? Heparin is an anticoagulant (blood thinner) that prevents the formation of blood clots. Heparin is used to treat and prevent blood clots in the veins, arteries, or lung. It is also used before surgery to reduce the risk of blood clots. Heparin works by inactivating thrombin in the clotting process. This stops the formation of fibrin and so stops blood clots forming. Heparin is used to treat blood clots that have formed abnormally inside the blood vessels. It can also be used to prevent these types of dangerous blood clots.

G-Shot (G-Spot Amplification)
G-Shot (G-Spot Amplification) samer kareem 4,510 Views • 2 years ago

G-Shot (G-Spot Amplification)

Rubber band - Validated Exercise for Laparoscopy in Box Trainer
Rubber band - Validated Exercise for Laparoscopy in Box Trainer Scott 11,989 Views • 2 years ago

This task requires streching a rubber band around 16 nails on a wooden board. A penalty is calculated when the rubber band is not streched around a nail at the end of the task. Score = time (seconds) + number of missed nails x 10. Performance standard: Score = 62 sec [Kolkman 2008]

Meniscus Tear and Repair with Sutures
Meniscus Tear and Repair with Sutures samer kareem 6,118 Views • 2 years ago

Rehabilitation time for a meniscus repair is about 3 months. A meniscectomy requires less time for healing — approximately 3 to 4 weeks. Meniscus tears are extremely common knee injuries. With proper diagnosis, treatment, and rehabilitation, patients often return to their pre-injury abilities.

Treat a Cat or Dog Bite
Treat a Cat or Dog Bite samer kareem 7,705 Views • 2 years ago

Wash your hands thoroughly with soap and water before and after treating the wound. Wash the area with mild soap and running water to reduce the risk of infection. Pat dry. Apply antibiotic ointment and cover with a clean bandage or sterile dressing. Antibiotic prophylaxis should be considered, especially if there is a high risk of infection, such as with cat bites, with puncture wounds, with wounds to the hand, and in persons who are immunosuppressed. Amoxicillin/clavulanate is the first-line prophylactic antibiotic.

Lymphedema Explained
Lymphedema Explained samer kareem 1,186 Views • 2 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.

Epley Maneuver: Performed on a Real Patient suffering from Vertigo
Epley Maneuver: Performed on a Real Patient suffering from Vertigo samer kareem 4,766 Views • 2 years ago

The Epley maneuver or repositioning maneuver is a maneuver used to treat benign paroxysmal positional vertigo of the posterior or anterior canals

What is the best sleeping position?
What is the best sleeping position? samer kareem 1,818 Views • 2 years ago

Your sleeping pose can have a major impact on your slumber—as well as your overall health. Poor p.m. posture could potentially cause back and neck pain, fatigue, sleep apnea, muscle cramping, impaired circulation, headaches, heartburn, tummy troubles, and even premature wrinkles

Tetralogy of Fallot
Tetralogy of Fallot samer kareem 2,586 Views • 2 years ago

Tetralogy of Fallot (teh-TRAL-uh-jee of fuh-LOW) is a rare condition caused by a combination of four heart defects that are present at birth. These defects, which affect the structure of the heart, cause oxygen-poor blood to flow out of the heart and to the rest of the body. Infants and children with tetralogy of Fallot usually have blue-tinged skin because their blood doesn't carry enough oxygen. Tetralogy of Fallot is often diagnosed during infancy or soon after. However, tetralogy of Fallot might not be detected until later in life, depending on the severity of the defects and symptoms. With early diagnosis followed by appropriate surgical treatment, most children who have tetralogy of Fallot live relatively normal lives, though they'll need regular medical care and might have restrictions on exercise.

A real Ovulation  Process
A real Ovulation Process samer kareem 55,297 Views • 2 years ago

Ovulation is the release of eggs from the ovaries. In humans, this event occurs when the follicles rupture and release the secondary oocyte ovarian cells. After ovulation, during the luteal phase, the egg will be available to be fertilized by sperm

Medical Education - How to Insert Enema
Medical Education - How to Insert Enema hooda 13,066 Views • 2 years ago

Watch that video to know How to Insert Enema

SphygmoCor System Setup and Use
SphygmoCor System Setup and Use Doctor 11,713 Views • 2 years ago

this vide shows how to setup an use the SphygmoCor System

The Most Invasive Parasites in the World
The Most Invasive Parasites in the World hooda 297,831 Views • 2 years ago

Watch that video of The Most Invasive Parasites in the World

Male to female sex change surgery
Male to female sex change surgery Scott 39,364 Views • 2 years ago

This is a video of a Gender Reassignment Surgery, watch as surgeons change a male to a female its an extremely interesting procedure

Full Real Human Body Decomposing Process
Full Real Human Body Decomposing Process hooda 158,753 Views • 2 years ago

Watch that Full Real Human Body Decomposition Process

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