it's the video of the OR during a dynamic reconstruction of the achilles tendon by a composite anterolateral perforator flap

The peroneal artery is closely positioned to the fibula. The artery arises from the tibioperoneal trunk, distal to the takeoff of the anterior tibial artery (seen in the illustration below perforating the interosseous membrane). The peroneal artery sends perforators laterally to the skin of the lower leg, sometimes in a septocutaneous fashion via the lateral intermuscular septum, but often with muscular perforators. The length of the pedicle is usually short, but can be increased substantially by dissecting the peroneal artery and its venae from the fibula and using the distal bone for reconstruction.

Hiatal hernias occur when contents of the abdominal cavity protrude through the esophageal hiatus of the diaphragm. Factors that contribute to the development of a hiatal hernia include an enlargement of the esophageal hiatus due to developmental defects, an increased abdominal thoracic pressure gradient, and the depletion of elastic fibers in the phrenoesophageal membrane with aging. There are four different types of hiatal hernias and management varies depending on the type. Type I, also known as a sliding hernia, is a simple displacement of the gastroesophageal junction into the thoracic cavity. The stomach remains in the abdominal cavity. This is the most common type of hiatal hernia, accounting for about 95% of all hiatal hernias. Types II-IV are classified as paraesophageal hernias. Type II occurs when the gastroesophageal junction maintains its position but the gastric fundus herniates through the diaphragmatic hiatus. Type III has both the gastroesophageal junction and the stomach herniate above the diaphragm. When more than 30% of the stomach is herniated into the thoracic cavity, it is termed a “giant” paraesophageal hernia. A patient has a type IV hernia when other organs, such as the colon, in addition to the stomach herniate above the diaphragm.

Your baby is still tiny, but already your body is changing. Your breasts start to swell and may feel tender. Tiredness, nausea, and a frequent need to pee are common pregnancy symptoms. In your second trimester, your growing uterus gradually rises up out of your pelvis.

How a woman's body changes during Pregnancy

A fluid-filled swelling (cyst) in the Bartholin's glands, which lubricate the vagina.

32 weeks pregnant, your baby has now nails on the toes and fingers. Watch this video to get detailed information of baby's development during this 33 week of pregnancy,

Natural birth encouragement pain and joy

People with serious comprehension difficulties have what is called Wernicke’s aphasia and: Often say many words that don’t make sense. May fail to realize they are saying the wrong words; for instance, they might call a fork a “gleeble.” May string together a series of meaningless words that sound like a sentence but don’t make sense. Have challenges because our dictionary of words is shelved in a similar region of the left hemisphere, near the area used for understanding words.

Anterior cruciate ligament reconstruction is a surgical tissue graft replacement of the anterior cruciate ligament, located in the knee, to restore its function after an injury.

Tongue Lipoma Removal

Cutting Championship Ring Stuck in Finger

Remembering Medications & The Body Systems Affected

Pregnancy is one of the beautiful phases of a woman’s life after their marriage. The feeling of the baby growing inside the womb is exceptional and very special.

Minimally Invasive Brain Surgery To Remove Brain Tumors.

How To Use Male Condom Correctl

This tutorial explains the difference in mechanisms between the 2 palsies. Bulbar palsy is a lower motor neuron condition and pseudobulbar palsy is an upper motor neuron condidtion.

Classical PKU is an autosomal recessive disorder, caused by mutations in both alleles of the gene for phenylalanine hydroxylase (PAH), found on chromosome 12. In the body, phenylalanine hydroxylase converts the amino acid phenylalanine to tyrosine, another amino acid.

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.

HPV causes genital warts and cervical and other anogenital cancers. The HPV vaccine is recommended for girls and women 9 to 26 years of age to reduce infections, but information on safety in pregnant women is limited.