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Watch the BBC first on iPlayer 👉 https://bbc.in/iPlayer-Home http://www.bbc.co.uk/human Richard Edwards undergoes a double hand transplant in which his hands are amputated and replaced with hands from a donor. This is the first time this has been done. Three months later the new hands are already changing his life.

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Mini-Laparoscopic Cholecystectomy with Intraoperative Cholangiogram for Symptomatic Cholelithiasis (Gallstones) - Standard
Authors: Brunt LM1, Singh R1, Yee A2
Published: September 26, 2017

AUTHOR INFORMATION
1 Department of Surgery, Washington University, St. Louis, Missouri
2 Division of Plastic and Reconstructive Surgery, Washington University, St. Louis, Missouri

DISCLOSURE
No authors have a financial interest in any of the products, devices, or drugs mentioned in this production or publication.

ABSTRACT
Minimal invasive laparoscopic cholecystectomy is the typical surgical treatment for cholelithiasis (gallstones), where patients present with a history of upper abdominal pain and episodes of biliary colic. The classic technique for minimal invasive laparoscopic cholecystectomy involves four ports: one umbilicus port, two subcostal ports, and a single epigastric port. The Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) has instituted a six-step strategy to foster a universal culture of safety for cholecystectomy and minimize risk of bile duct injury. The technical steps are documented within the context of the surgical video for (1) achieving a critical view of safety for identification of the cystic duct and artery, (2) intraoperative time-out prior to management of the ductal structures, (3) recognizing the zone of significant risk of injury, and (4) routine intraoperative cholangiography for imaging of the biliary tree. In this case, the patient presented with symptomatic biliary colic due to a gallstone seen on the ultrasound in the gallbladder. The patient was managed a mini-laparoscopic cholecystectomy using 3mm ports for the epigastric and subcostal port sites with intraoperative fluoroscopic cholangiogram. Specifically, the senior author encountered a tight cystic duct preventing the insertion of the cholangiocatheter and the surgical video describes how the author managed the cystic duct for achieving a cholangiogram, in addition to the entire technical details of laparoscopic cholecystectomy.

Sometimes we live in different worlds...

Ellis demonstrates the need to drop the tip of the needle when withdrawing medication from a vial.

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Eye tests are important for the detection of many common eye infections and diseases. Eyes are also an important indicator to detect chronic systemic diseases like Hypertension and Diabetes.  Must after maxillofacial trauma to rule out any near and late complications emerging for the eyes. 2. There are two perspectives for examining the eyes : 1. Ophthalmic Perspective – because eyes are prone to many infections, diseases and conditions. 2. Maxillofacial Perspective – because the eyes and the orbit forms an integral component of facial and mid-facial fractures and trauma.

aricose veins are gnarled, enlarged veins. Any vein may become varicose, but the veins most commonly affected are those in your legs and feet. That's because standing and walking upright increases the pressure in the veins of your lower body. For many people, varicose veins and spider veins — a common, mild variation of varicose veins — are simply a cosmetic concern. For other people, varicose veins can cause aching pain and discomfort. Sometimes varicose veins lead to more-serious problems.

assesment of coordination

Cataract eye surgery

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Demonstrative video of Advanced PRK - No Touch Technique. 100% Laser. In this particular technique there is no need for mechanical device or to cut the corneal flap.

One of the various variations of trabeculectomy...

laparoscopic polymyomectomy

real time video of modern cataract surgery employing a temporal, clear-corneal approach with topical anesthesia and ultrasound phacoemulsification; an aspheric silicone lens implant is inserted

this video shows the Supine assessment of reflexes

Endoscopic Treatment of Allergic Fungal Maxillary Sinusitis

Dr. Jawad has been performing Bariatric Surgery in Central Florida since 1984, and Laparoscopic Bariatric Surgery since 1999, having completed over 2000 Bariatric Surgical Cases safely, and with great success. Here you can watch Dr. Jawad performing a Laparoscopic Adjustable Gastric Band procedure, with audio commentary describing the procedure.

Histology of Sympathetic Ganglion

Adult CPR video showing how to perform the Cardio-Pulmonary Resuscitation.