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Fetal Surgery for CCAM and the EXIT Procedure (6 of 10)
Fetal Surgery for CCAM and the EXIT Procedure (6 of 10) Surgeon 262 Views • 3 years ago

If a fetal lung lesion is causing heart failure, fetal surgery may be performed to remove the CCAM before birth. http://fetalsurgery.chop.edu

N. Scott Adzick, MD, Mark Johnson, MD, and Holly Hedrick, MD, experts from the Center for Fetal Diagnosis and Treatment at Children’s Hospital of Philadelphia, explain when fetal intervention for CCAM is recommended, the various approaches that may be used to treat the most complex fetal lung lesions before birth, and how these procedures are performed.

One concern with fetal lung lesions is that they take up space in the chest. If the lung mass grows and pushes the heart and other organs out of place, it can lead to complications such as fetal hydrops (heart failure in the fetus). If this happens, a fetal surgery procedure may be performed to remove the CCAM before birth.
In other cases, an EXIT procedure may be performed to partially deliver the baby, so the team can remove the mass before the baby is fully delivered.

In this video series, parents, nurses and doctors from Children’s Hospital of Philadelphia’s Center for Fetal Diagnosis and Treatment talk about the different types of fetal lung lesions like congenital cystic adenomatoid malformation (CCAM) and bronchopulmonary sequestration (BPS), the importance of accurate diagnosis and monitoring, and the most advanced treatment options currently available. They also discuss follow-up care and long-term outcomes for babies diagnosed with fetal lung lesions.

Tubular Breast Deformity (Pre-Operation)
Tubular Breast Deformity (Pre-Operation) Stuart Linder 4,580 Views • 3 years ago

Tuberous breast deformity is a congenital breast anomaly that becomes manifest at the time of puberty and breast development. The three components of tubular deformity usually include, pseudoherniation of breast tissue into the nipple areolar complex, poorly defined inframammary fold and flattening of the lower pole of the breast which leads to a conical tubular shape. Stuart Linder M.D. 9675 BRIGHTON WAY, SUITE 420 BEVERLY HILLS CA 90210 (310) 275-4513

Hernia in Arabic 4 ( External Abdominal Hernia , part 3 ) , by  Dr.Wahdan
Hernia in Arabic 4 ( External Abdominal Hernia , part 3 ) , by Dr.Wahdan DrPhil 264 Views • 3 years ago

Learn with Dr. Wahdan 2
You can download the lecture from this link
https://docdro.id/5ni1FFZ

VTP,CRICOTIROIDOTOMIA
VTP,CRICOTIROIDOTOMIA samer kareem 1,471 Views • 3 years ago

Head to Toe Assesment
Head to Toe Assesment samer kareem 28,822 Views • 3 years ago

Head to Toe Assesment

Hip Exam
Hip Exam Scott 53,281 Views • 3 years ago

Function and Anatomy: The hip is a ball and socket type joint, formed by the articulation of the head of the femur with the pelvis. Normal range of motion includes: abduction 45 degrees, adduction 20-30 degrees, flexion 135 degrees, extension 30 degrees, internal and external rotation. Hip pathology can cause symptoms anywhere around the joint, though frequently pain is anterior and radiates to the groin region. Additionally, pathology outside of the hip can be referred to this region. History and exam obviously help in making these distinctions.

Thyroid Clinical Examination
Thyroid Clinical Examination samer kareem 19,397 Views • 3 years ago

The examination consists of three portions: Inspection, Palpation, and Synthesis of data from these techniques In addition to palpating for size, also note the gland texture, mobility, tenderness and the presence of nodules. Inspection Inspection: Anterior Approach The patient should be seated or standing in a comfortable position with the neck in a neutral or slightly extended position. Cross-lighting increases shadows, improving the detection of masses. To enhance visualization of the thyroid, you can: Extending the neck, which stretches overlying tissues Have the patient swallow a sip of water, watching for the upward movement of the thyroid gland. quicktime video 251KB video demo from Return to the Bedside Inspection: Lateral Approach After completing anterior inspection of the thyroid, observe the neck from the side. Estimate the smooth, straight contour from the cricoid cartilage to the suprasternal notch. Measure any prominence beyond this imagined contour, using a ruler placed in the area of prominence. Palpation Note: There is no data comparing palpation using the anterior approach to the posterior approach so examiners should use the approach that they find most comfortable. Palpation: Anterior Approach placement of hands for palpatation of thyroid in anterior approach The patient is examined in the seated or standing position. Attempt to locate the thyroid isthmus by palpating between the cricoid cartilage and the suprasternal notch. Use one hand to slightly retract the sternocleidomastoid muscle while using the other to palpate the thyroid. Have the patient swallow a sip of water as you palpate, feeling for the upward movement of the thyroid gland. quicktime video 454KB video demo from Return to the Bedside. Palpation: Posterior Approach placement of hands for palpatation of thyroid in posterior approach The patient is examined in the seated or standing position. Standing behind the patient, attempt to locate the thyroid isthmus by palpating between the cricoid cartilage and the suprasternal notch. Move your hands laterally to try to feel under the sternocleidomstoids for the fullness of the thyroid. Have the patient swallow a sip of water as you palpate, feeling for the upward movement of the thyroid gland.

Laparoscopic Cholecystectomy Full Length Skin to Skin Video with Near Infrared Cholangiography
Laparoscopic Cholecystectomy Full Length Skin to Skin Video with Near Infrared Cholangiography Surgeon 350 Views • 3 years ago

This video demonstrate Laparoscopic Cholecystectomy Full Length Skin to Skin Video with Infrared Cholangiography performed by Dr R K Mishra at World Laparoscopy Hospital. Infrared Cholegiography is performed by using Indocyanine Green during laparoscopic cholecystectomy surgery for gallbladder removal. Bile duct injury remains the most feared complication of laparoscopic cholecystectomy. Intraoperative cholangiography (IOC) is the current gold standard for biliary imaging and may reduce injury, but is not widely used because of the difficulties of doing it. Near-Infrared Fluorescence Cholangiography (NIRF-C) is a novel non-invasive method for real-time, radiation-free, intra-operative biliary mapping during laparoscopic cholecystectomy. We have experienced that NIRF-C is a safe and effective method for identifying biliary anatomy during laparoscopic cholecystectomy. Indocyanine green is a cyanine dye is very popular and used for many years in medical diagnostics. It is used for determining cardiac output, hepatic function, liver, and gastric blood flow, and for ophthalmic angiography. Now the use of this dye in lap chole has improved the safety of this surgery by NEAR INFRARED FLUORESCENT CHOLANGIOGRAPHY.

For more information please contact:
World Laparoscopy Hospital
Cyber City, Gurugram, NCR DELHI
INDIA 122002
Phone & WhatsApp: +919811416838, + 91 9999677788

The Many Versions of the MINI Tummy Tuck Explained | Visage Clinic Toronto
The Many Versions of the MINI Tummy Tuck Explained | Visage Clinic Toronto Surgeon 192 Views • 3 years ago

The MINI tummy-tuck is a lesser variant of the classic tummy tuck. The MINI tummy-tuck always involved skin excision (often a scar revision and skin excision of the flabby skin over a C-section scar or hysterectomy or laparotomy scar) but may also involve liposuction, umbilical floating, etc. Commonly it will not include any muscle repair otherwise it it now a classic tummy tuck (aka abdominoplasty). Cost varies depending on the components involved. Here, Toronto Aesthetic Plastic Surgeon Dr Marc DuPéré describes a MINI tummy-tuck done on a patient who had a Brazilian Butt Lift before (and skin harvesting from abdomen) and a recent 20 lbs weight loss, a patient who wants more liposuction to abdomen and flanks and whose skin has now lost elasticity, hence the requirement for this small skin excision. Dr DuPéré also explains what UMBILICAL floating means. Dr DuPéré performs more than 5 different techniques of tummy-tucks in Toronto and the technique chosen reflects the patient’s expectations and anatomy. Call us if interested in learning about YOUR options for a flatter tummy! 📱 416-929-9800

Patient consent obtained. Thank you to my patient.

Visage Clinic Toronto
https://www.visageclinic.com/
(416) 929-9800
101-133 Hazelton Avenue, Toronto, ON M5R 0A6
https://www.facebook.com/VisageClinic/
https://www.instagram.com/VisageClinicDrDuPere/

Chest x-ray interpretation -- COPD and Emphysema
Chest x-ray interpretation -- COPD and Emphysema academyo 27,239 Views • 3 years ago

The video will describe radiologic features of Emphysema on a chest x-ray. Please see my website for disclaimer.

Renal Artery Stenosis
Renal Artery Stenosis samer kareem 4,629 Views • 3 years ago

Renal artery stenosis is a narrowing of arteries that carry blood to one or both of the kidneys. Most often seen in older people with atherosclerosis (hardening of the arteries), renal artery stenosis can worsen over time and often leads to hypertension (high blood pressure) and kidney damage.

Operation Mr Bean | Funny Clips | Classic Mr. Bean
Operation Mr Bean | Funny Clips | Classic Mr. Bean hooda 1,067 Views • 3 years ago

How did Mr Bean get himself into pretending to be a doctor?

Labiaplasty - Vaginal Lips Trimming Surgery
Labiaplasty - Vaginal Lips Trimming Surgery hooda 12,189 Views • 3 years ago

Watch that Vaginal Lips Trimming Surgery

Bodybuilder's Colon Contains 10 lbs of Meat Worms
Bodybuilder's Colon Contains 10 lbs of Meat Worms hooda 56,695 Views • 3 years ago

Watch that video of Bodybuilder's Colon Contains 10 lbs of Meat Worms

Child: CVS examination
Child: CVS examination Mohamed Ibrahim 89,073 Views • 3 years ago

Examination of pulse, blood pressure and capillary refilling time

J-Pouch Reconstruction
J-Pouch Reconstruction samer kareem 8,117 Views • 3 years ago

When the colon and rectum are removed (due to ulcerative colitis or familial adenomatous polyposis), another reservoir must be created for bowel contents (stool) to exit the body. Surgically creating a “J” shaped reservoir (called a J-pouch) is an option for selected patients to store and pass stool.

Pilonidal Cyst Removal by Laying Open Technique
Pilonidal Cyst Removal by Laying Open Technique Mohamed 44,712 Views • 3 years ago

Pilonidal Cyst Removal by Laying Open Technique

what happens to pill when it swallowed
what happens to pill when it swallowed samer kareem 18,002 Views • 3 years ago

Discover what happens to pill when it swallowed

Fetal position in womb
Fetal position in womb samer kareem 10,205 Views • 3 years ago

fetal position in womb at 34 weeks fetal position in womb week by week fetal position in womb at 19 weeksUnborn babies toss and turn and hold many different positions within the womb during the gestation period; pregnant women everywhere will attest to the fact that their children always start up the gymnastics at bedtime.

Toe Amputation
Toe Amputation samer kareem 5,072 Views • 3 years ago

Possible complications could include: Difficulty healing. Infection. Stump pain (severe pain in the remaining tissue) Phantom limb pain (a painful sensation that the foot or toe is still there) Continued spread of gangrene, requiring amputation of more areas of your foot, toes or leg. Bleeding. Nerve damage.

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